Original ArticlesClosing the Loop on Electronic Referrals A Quality Improvement Initiative Using the Care Coordination ModelFabre, Jennifer C. DNP, APRN, ANP/FNP-C, CDE; Andresen, Pamela A. PhD, RN; Wiltz, Gary M. MDAuthor Information Teche Action Board dba Teche Action Clinic, Franklin, Louisiana (Drs Fabre and Wiltz); and Marcella Niehoff School of Nursing, Loyola University Chicago, Illinois (Dr Andresen). Correspondence: Jennifer C. Fabre, DNP, APRN, ANP/FNP-C, CDE, Teche Action Board dba Teche Action Clinic, 1115 Weber St, Franklin, LA 70538 (email@example.com). The authors wish to thank Michael Rivers, MA, for his assistance with the project's statistical analysis. The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Journal of Ambulatory Care Management: January/March 2020 - Volume 43 - Issue 1 - p 71-80 doi: 10.1097/JAC.0000000000000315 Buy Metrics Abstract Primary care providers refer nearly one-third of their patients to specialty care services. Despite provider recommendations, approximately 1 in 4 referrals are never completed. Incomplete referral rates are higher among vulnerable and medically underserved individuals. Sixty-seven percent of federally qualified community health centers report difficulty obtaining specialty care appointments and incomplete referral rates as high as 73%. Effective electronic referral processes can improve health outcomes, reduce waste, and mitigate risks. Using the Care Coordination Model as its framework, this quality improvement initiative implemented evidence-based interventions aimed at improving patient support and organizational accountability for electronic referrals. © 2020 Wolters Kluwer Health, Inc. All rights reserved.