Closing the Referral Loop: Receipt of Specialist Report

Last updated: May 18, 2016

CMS Measure ID: CMS50v3
Version: 3
NQF Number: None
Measure Description:

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred.

Initial Patient Population:

Number of patients, regardless of age, who were referred by one provider to another provider, and who had a visit during the measurement period.

Denominator Statement:

Equals Initial Patient Population

Denominator Exclusions:

None

Numerator Statement:

Number of patients with a referral, for which the referring provider received a report from the provider to whom the patient was referred.

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: Centers for Medicare & Medicaid Services
National Quality Strategy Domain: Communication and Care Coordination
Next Version: Closing the Referral Loop: Receipt of Specialist Report
Measure Score: Proportion
Score Type: Process
Improvement Notation:

A higher score indicates better quality

Guidance:

The provider to whom the patient was referred should be the same provider that sends the report.

If there are multiple referrals for a patient during the measurement period, use the first referral.

Specifications

External Resources