“E-consult provides better care and makes our providers happier. We’ve had great adoption throughout our system.”

-Michael Mulligan, MD, Chapa De Indian Health

“E-consult is a strategy to address critical issues such as specialist access and wait times, patient satisfaction, and quality of care.”

-Jana Katz-Bell, MPH, Assistant Dean, UC Davis School of Medicine and Betty Irene Moore School of Nursing

“When cases end in an in-person visit, e-consult provides significant benefit because the specialist has access to the labs and images beforehand.”

-Paul Giboney, MD, Director of Specialty Care, LA County Department of Health Services

E-Consult News & Events


  • Workgroup Submits Policy Recommendations to Congressional Telehealth Caucus On April 1st, the E-Consult Workgroup submitted its letter of recommendations in response to the Congressional RFI for “help and guidance” to craft comprehensive telehealth legislation. The Workgroup’s recommendations include revising telehealth’s definition to include all modalities, removal of originating site restrictions and asynchronous telehealth restrictions to Alaska and Hawaii, and reimbursement for specialists and primary care providers as well as telehealth services across all public health programs.
  • NY Times Highlights Decreased Wait Times from E-Consult This week, the NY Times published an in-depth overview of e-consults and how they “help patients avoid additional visits to specialists and free up capacity in crowded health systems, reducing waiting times for others.” The article, which has generated over 100 comments from readers, reviews the history of e-consult’s development and includes many references to published research by members of the E-Consult Workgroup.
  • University of Virginia Health Expands E-Consult Program In 2015, The University of Virginia (UVA) Health System began an e-consult pilot as part of the CMMI-funded e-consult CORE program. On February 26th,  UVA announced plans to expand e-consult, along with 5 other telehealth programs, to improve prevention and management of chronic conditions, including diabetes, prediabetes, and heart disease. MORE.

Expanding Safety Net Access to Specialty Care With E-Consult:

Best Practices, Tools and Templates for Payers, Providers, Policymakers and Patient Advocates

Community engagement, specialty access and staffing considerations, systems and process assessment

Planning and financing considerations for successful e-consult implementation and rollout

Guidelines for launching, expanding across communities and continuously improving e-consult

Best practices for measuring quality, satisfaction, cost effectiveness and efficiency

E-Consult Research and Publications

“Primary Care Clinician Adherence to Specialist Advice in Electronic Consultation”

A retrospective analysis of 291 e-consults evaluates how primary care clinicians use recommendations conveyed by specialists via e-consults. In 82% of cases, primary care clinicians adhered to specialist advice. The study authors conclude that e-consult recommendations from specialists are “actionable” and “deliver good-quality care and improve patient management.” (Annals of Family Medicine, March/April 2019) Read more

The E-Consult Toolkit, made possible through funding from Blue Shield of California Foundation, aims to spread adoption of e-consult to improve safety net access to specialty care. It provides healthcare administrative professionals, medical directors, IT specialists, primary care physicians, and specialists with information and tools for e-consult readiness assessment, planning, implementation and scale and evaluation.