“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

  • SAVE THE DATE 2019 E-Consult Workshop, November 4th, Sacramento: Join industry-leading payers, providers, patient advocates, state leadership and academic experts at the Annual E-Consult Workshop, which will take place from 9 a.m. to 4 p.m. on November 4th at the Sierra Health Foundation in Sacramento. For additional details see 2019 Annual Workshop or to RSVP contact us at electronic_consult@bluepathhealth.com.
  • NYC Health + Hospitals E-Consult Use Increases 162%: During FY 2019, the number of completed e-consults at NYC Health + Hospitals from 28,956 in 2018 to 75,999. This significant growth decreased wait times from 13 to 12 days. Read more. 
  • 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.