Reassigning the Most Responsible Provider on eConsults & eReferrals

The Most Responsible Provider (MRP) Reassignment feature allows users at the sending site to reassign an active referral/consult to another user on the same Ocean site.

This is useful when a referral/consult needs to be reassigned, such as when a clinician leaves the clinic and transfers care to another provider. Ocean preserves the original referring provider on the referral/consult while sending future updates to the reassigned MRP.

Reassign the Most Responsible Provider

  • Start by logging in to the Ocean Portal.
  • Navigate to the eReferrals area by opening the 'Menu' and selecting 'eReferrals & eConsults'.
  • Locate the eReferral that you wish to reassign by using the folder categories or the search bar. Open the eReferral by clicking on it.
  • In the General section, select the 'Edit' icon next to the Most responsible sending provider field.
  • Most responsible sending provider field in the General section 
  • In the Reassign Most Responsible Provider window, select the new MRP from the list of Physicians and Nurse Practitioners at the sending site.
  • Selecting a new Most Responsible Provider 
  • Select 'Save'.

Note: The Most Responsible Provider list only includes users with these roles: Family Physician, Nurse Practitioner, Resident, Specialist, or Other.

What happens after the Most Responsible Provider is reassigned?

  • A note is added to the eReferral indicating that the MRP has been reassigned. This is visible to all referral stakeholders.
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  • The new MRP will receive an email notification indicating that the eReferral or eConsult has been reassigned to them. This email notification is sent to the 'Referral Notification Email' configured in the provider's User Settings.
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  • The recipient will receive an email notification indicating that the eReferral or eConsult has been reassigned from the original sender to the new MRP, along with the contact details of the new MRP.

    This email notification is sent to the first email address that is set based on the order of email addresses outlined in the article 'Where do eConsult and/or eReferral notification emails get sent to?'.

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How is MRP Reassignment reflected in the EMR?

  • When the MRP is reassigned in Ocean, the referral record PDF is updated to show both the original referring provider and the new MRP.
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  • Reassigning the MRP does not trigger an import of the updated PDF into the EMR. The updated PDF, including the new MRP, will appear in the patient’s chart the next time an action in the referral lifecycle triggers an import of the referral record PDF.

How Reassigning an MRP appears in eConsults & eReferrals

Expand the sections below to see how reassigning the MRP appears in Ocean.

Searching and Filtering

The Clinician and Source columns on the eReferrals and eConsults page display the reassigned MRP.

  • You can search for the referral/consult by the original referring provider or the reassigned MRP.
  • Searching for a referral by the original referring provider Searching for a referral by the reassigned MRP  

Note: If the original referring provider is removed from the site, any referrals/consults that were reassigned to an MRP do not appear under the "Users Removed from Site" filter because they are associated with the reassigned MRP.

Messaging
  • In the Messaging pane, the reassigned MRP appears as the recipient.
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  • Messages sent from the receiving site are routed to the current MRP.
  • The reassigned MRP displayed as the messaging recipient  
Referral Update Email Notifications

Ocean sends future email notifications to the reassigned MRP instead of the original referring provider. For more information about Ocean email notifications, see Where do eConsult and/or eReferral notification emails get sent to?

  • Patient email notifications also display the name of the reassigned MRP.
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Referral/Consult PDFs
  • The PDF displays both the original referring provider and reassigned MRP.
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Event Log
  • The event log records who reassigned the MRP, who the reassigned MRP is, and when the reassignment occurred.
  • MRP reassignment details in the referral event log  MRP reassignment details in the referral event log  
Analytics

Within the analytic reports, the existing referring clinician fields remain unchanged and continue to represent the original sender. If an MRP has been reassigned, additional MRP fields are included in the analytics report. For a complete list of analytic fields, see the data dictionary in the Accessing eReferral Analytics article.

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