“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

  • 2019 E-Consult Workshop: E-Consult and Diffusion of Innovation Keynote speaker Delphine Tuot, MD at UCSF, Zuckerberg and SF General, kicked off the fifth annual E-Consult Workshop with an overview of e-consult’s current place on the curve of innovation diffusion. Dr. Tuot explained how improved patient satisfaction, provider experience, and population health, along with lower costs, have spurred adoption and moved e-consults past the Innovator and Early Adopter phases. View the E-Consult Workshop’s speaker presentations on the future of e-consult’s adoption and payment here.
  • Speciality Treatment Access and Referral (STAR) Act Would Create Federal E-Consult and Telehealth Grant Program: In late October, CA Rep Josh Harder announced plans to introduce the STAR Act, a bipartisan bill focused on improving rural communities’ access to healthcare through e-consults and other telehealth services. The bill would create a grant program to help providers implement e-consult or other telehealth platforms. Read more here.
  • Partership HealthPlan of California E-Consult Use:  For September’s E-Consult Workgroup Webinar, William Kinder, senior manager of op/ex project management office at Partnership HealthPlan of California, presented an overview of the plan’s successful implementation of e-consult. As part of its telehealth services provided to members in 30 locations across 14 Northern California counties, e-consult has “proven to be a valuable service” for improving the member care. View presentation here.
  • Speciality Treatment Access and Referral (STAR) Act Would Create Federal E-Consult and Telehealth Grant Program: In late October, CA Rep Josh Harder announced plans to introduce the STAR Act, a bipartisan bill focused on improving rural communities’ access to healthcare through e-consults and other telehealth services. The bill would create a grant program to help providers implement e-consult or other telehealth platforms. Read more here.
  • 2019 E-Consult Workshop Preview: On November 4th, industry-leading payers, providers, patient advocates, state leadership and academic experts will come together at the Annual E-Consult Workshop for an interactive discussion on both progressive policy modifications as well as continuing needs to support e-consult adoption and sustainability. For additional details see 2019 Annual Workshop.
  • Partership HealthPlan of California E-Consult Use:  For September’s E-Consult Workgroup Webinar, William Kinder, senior manager of op/ex project management office at Partnership HealthPlan of California, presented an overview of the plan’s successful implementation of e-consult. As part of its telehealth services provided to members in 30 locations across 14 Northern California counties, e-consult has “proven to be a valuable service” for improving the member care. View presentation here.
  • 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.

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.