Table S4.

Organizational role themes

	Number of responses
Strong Practice theme
Effective service/coordination agreements	34
PC RN care manager role importance	21
Work together to see reluctant patients	3
Total	58
Improvement Opportunity theme
Noneffective service/coordination agreements	53
Fee basis complexities or under-use	31
Complexity related to facility-to-facility differences	29
Central or direct scheduling recommended	23
Unknown contact in PC or SC	19
Too much handed back to PCP from referral	19
Varied methods of graduation	17
Shared reminder responsibility and clarity needed	16
SCP clinician limitations	16
Veteran travel scheduling gaps	9
Untracked consults	6
PCP should always refer	5
Unutilized cancellations	3
SC should refer if urgent	2
SC recommends plan not referred for by PC	1
Total	249

Abbreviations: SCP, specialty care provider; PCP, primary care provider; PC primary care; SC, specialty care; RN, Registered nurse.