Welcome to the Affinia Health Network Referral Guidelines. This information is based on the American College of Physician’s PCMH-N high-value coordination toolkit “to get the right patients to the right provider with the right information at the right time, every time”.

Referral Guideline Goals:

Improve patient experience, access and cost

Improve efficiency and completeness of referrals

Ensure that appropriate testing is done (while avoiding unnecessary testing) and that appropriate results and documentation are sent to the specialist prior to appointment

Encourage specialists to provide pre-referral management suggestions to primary care providers

Encourage communication between specialists and PCP providers

Referral Guidelines:

Cardiology:

Chest Pain

Pre-operative

Palpitations

Valvular Heart Disease

Gastro Intestinal:

GI Abnormal LFTs

GI Abdonminal Bloating-Discomfort-Nonspecific Symptoms

GI Elevated LFT Hepatic Pattern

GERD

Rectal Bleeding

Infectious Diseases:

C-Difficile

Chronic Hepatitis C

General Infectious Disease

Hepatitis B – HBsAg Positive

HIV-AIDS Clinic

Recurrent UTI

Neurological:

Headache

Memory Disorder

Spells – Transient Episodes of Altered Consciousness

Numbness-Weakness-Gait Instability

Neuro-Ophthalmology

Parkinsons Disease

TIA-Stroke

Obstetrics/Gynecology:

Amenorrhea

Loop Electrosurgical Excision Procedure Referrals – LEEP

Nexplanon

Pap Smear

Postmenopausal Bleeding

Abnormal Premenopausal Bleeding

Podiatry:

Ankle Sprain

Diabetic Foot Exam

Metatarsalgia

Plantar-Fasciitis

Specialty Out-Patient:

Specialty Out-patient Referral Checklist