“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


  • DHCS Final Medi-Cal Telehealth Policy and All Plan Letter Cover E-Consult: DHCS’s finalized telehealth policy, released in early August, includes e-consult as a “reimbursable telehealth service. DHCS has also posted its All Plan Letter to clarify telehealth policy elements for managed care plans. Read more.
  • Inland Empire Health Plan (IEHP) E-Consult Progam Success: IEHP provides coverage for individuals in an area that has experienced an overwhelming need for speciality care access. In 2018, IEHP partnered with two health systems to implement Multi-County eConsult Initiative, which has resulted in 10,000 e-consults through 240 primary care providers and 167 specialists. Read more.
  • E-Consult Increases Efficiency for Immunology and Allergy Care at Mass General: For both doctors and patients, the use of e-consults saves time and increases efficiency for immunology and allergy care, reports a study by Harvard Medical School researchers. Among the two years of Massachusetts General Hospital’s immunology/allergy e-consults, 27% provided advice and education to the referring provider. Read more.
  • SAVE THE DATE: November 5th E-Consult Workgroup Workshop  The annual E-Consult Workgroup Workshop will take place on November 5, 2019 at the  Sierra Health Foundation in Sacramento.  Contact us to stay up to date on the workshop plans and agenda.

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.