Cleveland ER closes the loop on 56.0% of completed referrals. Your other three sites average 94.5%.
959 completed referrals into Cleveland in the window;
only 537 got a discharge-summary report-back to the originating rDVM within 14 days.
Specifically: 422 silent referrals
sit in the data here. At the VHMA-observed 45% drop in next-cohort referral volume from rDVMs that lose trust,
each silent referral carries an estimated $562 of expected forward-revenue loss — totaling roughly
$237.2K
of soft revenue at risk. This is also the leading explanation for why Cleveland's referral volume hasn't grown alongside the other specialty sites.
The remedy is a named referral-coordinator role and a standardized discharge-summary template that ships within 72 business hours.
completed referrals (240d)
3,407
network total · all 4 sites
network report-sent %
83.5%
aggregate of all sites
Cleveland silent cohort
422
completed but no report ≤14d
est. forward loss
$237.2K
VHMA 45% next-cohort drop × $1,250 visit
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 | 959 | 537 | 56.0% | 0 | 422 |
| Riverbend Specialty Akron healthy | 1,075 | 1,008 | 93.8% | 0 | 67 |
| Riverbend Specialty Pittsburgh healthy | 1,114 | 1,052 | 94.4% | 0 | 62 |
| Riverbend Urgent Care Columbus healthy | 259 | 247 | 95.4% | 0 | 12 |
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 benchmarks. 88–97% rDVM report-back band from VHMA 2025 Specialty Referral Workflows survey; the 45% next-cohort referral-volume drop from rDVMs that lose trust is from VHMA 2024 Practice-to-Specialist Trust Survey. The $1,250 forward-visit value blends ICU/imaging/surgery emergency cases. Press Q for the query this page ran.