“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


  • E-Consult Workgroup’s Managed Care Sub-Group and DMHC Meeting June 17th The managed care sub-group will be meeting with DMHC to report e-consult accomplishments. Contact us to learn more and to join the meeting.
  • 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.
  • LA Department of Health Services (LADHS) Reaches 1 Million E-Consult Milestone  This March, seven years after launching e-consult, the LADHS delivered its one millionth e-consult. This groundbreaking moment underscores the efficiency, effectiveness, and reach of LADHS’ agency-wide e-consult platform that provides specialty care to LA’s community of 500,000 safety net patients.
  • AAMC Project CORE Significantly Expands Over Five Years Since its start in 2014 at five academic medical centers, AAMC’s e-consult-based project CORE has expanded significantly. Today it includes 3,000 primary care providers and 27 academic medical centers and childrens hospitals that deliver care to over 2 million patients. By May 2018, over 23,000 e-consults have been completed avoiding thousands of unnecessary referrals and saving an estimated $8 million in Medicare spending.  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.