preBallot - The specification is currently in ballot review and subject to change. . . . For a full list of available versions, see the Directory of published versions
Single RMS Model
In the Single RMS Model, a single referral management system supports the exchange of Service requests, Appointments and Secure Communications between Requester HCPs and Performer HCPs. This could be a multi-tenant cloud environment supporting multiple independent subscribers or a shared enterprise or jurisdictional system.
Example workflow:
- A Requester HCP (also performing the role of Case Assigner) initiates the referral in an RMS, selects a Performer HCP to provide the service, completes the required paperwork and sends the referral
- The Performer HCP receives the referral, triages the request for completeness & appropriateness, accepts and completes the referral in the same, shared RMS as the Requester HCP
- The RMS enable transmission of the referral to the Performer HCP as well as transmission of status updates, appointments, etc. to the Requester HCP
- A shared Service Record is created and maintained within the RMS as a result of information entered by the Requester HCP and Performer HCP
Connecting POS Systems
Within a Single RMS Model, system integrations with local point of service systems (POS) may be used to improve workflow, to support creation and management of referral record and/or to retain a copy of a referral Service Record in the patient's chart.
Referral record copied to POS
Where a POS system does not have built in support for referral management, HCPs may create and/or manage referrals in an RMS and then receive a copy of the Service Record in their POS system through a system integration.
Referral initiated and/or managed in POS
In other cases, a POS system may provide HCPs with the ability to:
- Initiate a referral in the POS system and then send a request to the RMS to create the Service Record through a system integration, and/or
- Receive and manage referral information in the POS system and then communicate updates to the referral's status (e.g.: acceptance, completion), and appointment information to the RMS's copy of the Service Record through a system integration