Cleveland ER closes the loop on 50.2% of completed referrals. Your other three sites average 94.7%.
856 completed referrals into Cleveland in the window;
only 430 got a discharge-summary report-back to the originating rDVM within 14 days.
Specifically: 426 silent referrals
sit in the data here. When report-back lapses, the referring-vet relationship is the thing at risk — the 2025 AAHA
Referral Guidelines codify the specialty-to-primary discharge summary as the expectation. We attach no published
percentage to that risk; as a Central Uplift modeling assumption only, at $330 of
forward value per silent referral that is roughly
$140.6K
at risk (the factor is in the drawer). The remedy is a named referral-coordinator role and a standardized discharge-summary
template that ships within 72 business hours — measured and recommended; CU contacts no rDVM.
completed referrals (240d)
3,210
network total · all 4 sites
network report-sent %
82.6%
aggregate of all sites
Cleveland silent cohort
426
completed but no report ≤14d
est. forward loss
$140.6K
CU forward-loss estimate × referred-episode value (drawer)
Per-hospital relationship health · sorted by pct asc
| Hospital | Completed referrals | Report sent ≤14d | Report-sent % | Phone follow-ups | No communication |
|---|---|---|---|---|---|
| Riverbend Emergency Cleveland silent | 856 | 430 | 50.2% (below 70% report-back, at risk) | 0 | 426 |
| Riverbend Specialty Pittsburgh healthy | 1,049 | 979 | 93.3% (healthy, above 90% report-back) | 0 | 70 |
| Riverbend Specialty Akron healthy | 1,053 | 1,003 | 95.3% (healthy, above 90% report-back) | 0 | 50 |
| Riverbend Urgent Care Columbus healthy | 252 | 241 | 95.6% (healthy, above 90% report-back) | 0 | 11 |
What this looks like in your stack today.
rDVM-report-back-within-N-days is not a standard metric in BluWave, Vetspire, Reflexion,
or any standard practice-management report. Most operators measure it manually with a
spreadsheet the medical director updates monthly. The query in the drawer below joins
referrals to rdvm_communications
by referral_id and counts the report_sent rows whose
days_since_visit_completed ≤ 14. Port it to Postgres or D1
in your own warehouse and run it weekly.
Cited context. The 2025 AAHA Referral Guidelines (JAAHA, released 2025-02-26) codify the specialty-to-primary discharge summary as the expectation; no public compliance-rate distribution exists, so the 94% network baseline and Cleveland's lower rate are Central Uplift constructs illustrating the metric. The forward-loss factor and the $1,100 referred-episode value are Central Uplift assumptions, surfaced in the drawer; the consult component of the episode value is anchored to the AAHA Veterinary Fee Reference (11th ed.). Press Q for the query this page ran.