Table 1.

Recommendations Summary and their relation to Socio-Technical dimensions

Recommendation		Primary Socio-Technical Dimension*
1	Include real-time clinician-to-clinician communication features as part of the referral system.	Hardware & Software
2	Design and use electronic standardized referral templates that include both structured and free-text fields.	Human-Computer Interface
3	Enforce electronic capture of the reason for the referral.	Clinical Content
4	Bring PCPs and specialists together to collaboratively develop referral guidelines for inclusion into the electronic referral system	People
5	Integrate patient communication into the electronic referral process	People
6	Use automation to pre-populate electronic referral requests with patient-specific data	Workflow & Communication
7	Include the capability of electronic consultations (information-only referrals).	Workflow & Communication
8	Close the communication loop by providing referral status tracking and feedback capabilities and integrating these tools into providers’ workflows	Workflow & Communication
9	Standardize and maintain up-to-date institutional policies and procedures for electronic referrals.	Organization Policies & Procedures
10	Monitor electronic referral communication performance.	Measurement & Monitoring

*Although recommendation may be associated with more than one dimension of the socio-technical mode, this table identifies the dimension each recommendation most directly relates to.