5

Referral Journey Mapping

"How people transition to additional or external services"

3–5 weeks
6 deliverables
12 required elements
3 accreditation alignments
Eliminate lost or failed referrals. Ensure continuity and accountability across service transitions.

Objectives

  • Eliminate lost or failed referrals
  • Ensure continuity and accountability

Key Components & Required Elements

Required Mapping Elements
  • Referral decision logic
  • Matching criteria
  • Capacity constraints
  • Communication method
  • Accept/deny feedback loop
Feedback Loops (Required)
  • Referral sent
  • Acknowledged
  • Service started
  • Outcome reported
Follow-Up After Referral (Required)
  • Owner
  • Timeline
  • Client feedback post-referral

Maturity Rubric

Assess your organization's readiness across four levels

1
Not Started

Referrals are made with no tracking of outcomes or follow-up

2
Emerging

Referral tracking exists but feedback loops are incomplete or informal

3
Established

Closed-loop referral system with feedback at each stage and assigned follow-up

4
Exemplary

Real-time referral dashboards with capacity awareness, automated follow-up, and client-reported outcomes

Sample Deliverables

What a completed phase produces

Referral partner directory
Referral process flow diagram
Feedback loop tracking template
Referral outcome report
Capacity constraint analysis
Follow-up protocol document

Key Facilitation Questions

Do we know the current referral completion rate?

Who is responsible for following up on each referral?

How do clients experience the transition between providers?

What information is shared (or lost) during the referral handoff?

Discussion Prompts

What percentage of our referrals result in completed service?

How do we currently know if a referred client actually received services?

What happens when the receiving provider is at capacity?

How do we handle referrals that cross organizational or system boundaries?

User Story

As a case manager, I want closed-loop referrals so no client is left without support.

Acceptance Criteria:

  • Feedback loop documented for each referral
  • Follow-up owner assigned

Accreditation Alignment

COA

Service coordination

CFSR

Continuity of care

Grants

Cross-system collaboration