Case Study · FQHC

Turning a Referral Backlog into a Care Delivery Machine

How a California FQHC processed 35,000+ referrals in 90 days and achieved 97% loop closure at scale.

~97%

Loop closure rate achieved

35,286

Referrals processed in 90 days

~37K

Patient engagements/month sustained

The Challenge

A Fragmented Process Stalling Specialty Access

Before partnering with ReferWell, this California-based FQHC was managing massive referral volume through a heavily manual, fragmented workflow. Referrals weren’t reliably staying in-network, patients weren’t completing their journeys, and consult notes rarely made it back to primary care providers. Care gaps widened, loop closure rates were low, and with specialty demand still rising, the model wasn’t built to scale.

CTQ-Driven Workflow Redesign

Standardized referral life-cycle stages with clear productivity expectations

Human Care Navigation

Culturally responsive outreach and hands-on navigation for patients

Smart Scheduling Technology

Automated tools that reduce burden on clinic staff and providers

Full Referral Visibility

Transparent reporting from order through consult-note return

Why it Works

Operational Discipline Meets Patient-Centered Care

Patients in underserved communities don’t just need referrals — they need referrals that result in care. ReferWell’s model pairs technology-enabled visibility with hands-on navigation to address common barriers: language differences, low follow-through, and fragmented communication between referring and receiving providers. The result is faster referral movement, stronger loop closure, and a more equitable path to specialty access — sustained at scale, every month.

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