Referral to a Higher Level of Care
Chapter 17 Bedside Questions · 5 questions · about 5 minutes
The rural physician stabilizing a head injury and writing the transfer note: a referral admits the problem exceeds local capability and demands care from someone with more capability. Recognizing the edge of your capability is visible competence.
Referral, operationally: the problems no single organization can fix alone (patient matching, shared terminology, national exchange), and whether you have a voice where those rules are made. Answer Yes only when someone can produce the evidence today.
Answer as your executive team would, with the evidence in hand. Each question has a factual answer in a system you already own.
Can your organization state, with evidence, its patient-matching accuracy within its walls and when exchanging data with others?
Add a note: where is the evidence, or who owns it?
Who, by name, is accountable for terminology governance, and how are billing-to-clinical vocabulary mappings maintained?
Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
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Add a note: where is the evidence, or who owns it?
A reflection tool from the book, not a validated diagnostic test or benchmark. Your answers and notes stay in this browser and in your own report, and go to Dr. Powell only if you chose that when you started. Please don't enter patient information.
Recognizing the edge of your own capability is not a failure; it is visible competence.
The Diagnostician, Chapter 17