Physician Communication, Faxing?

Trying to come up with some ways to simplfy physician communication, especially at Start of Care. Currently our agency gets a referral from the hospital, phones the primary to verify he will sign orders, sees the patient, calls the primary back to get orders, mails the 485...etc. A lot of the doctors complain about the calls, faxes, etc.

Truthfully, I have to wonder how many nurses are actually calling the doctors and getting all of the orders OR at the most are they leaving a voice mail with the nurse saying that we are seeing the patient? I would just be interested in coming up with a fax at start of care that has the complete orders for the doc to sign until we get the 485. Any thoughts? I wonder if this would be more efficient/less...take more time or less?

What are others doing that works?