The October E-Consult Workgroup webinar This month’s webinar started with a review of our work in 2020 and a look forward to our remaining goals. We also introduced our Clinical Advisors, Delphine Tuot, MDCM, MAS of Zuckerberg SF General Hospital, Greg Buchert, MD and CEO of GSB Health Management Solutions. and Paul Giboney, MD, Associate Chief Medical Officer of Los Angeles County Department of Health Services. Delphine Tuot also spoke about the lessons learned from local eConsult implementation efforts and then we discussed how to refine the E-Consult Workgroup priorities for 2021 with our members and Clinical Advisors. Watch the Webinar video or view the Webinar’s presentation slides.
The September E-Consult Workgroup webinar featured Dr. Shalina Nair and Candy Magaña of the Ohio State University (OSU) Wexner Medical Center who discussed the OSU’s Clinical Transformation in Technology Framework and its utilization for the implementation of OSU’s e-consult program, which includes 18 specialties. In addition, Dr. Alpesh Amin, Chair, Department of Medicine, UC Irvine School of Medicine presented on UC Irvine Health’s e-consult implementation and its extension to the two FQHCs that it operates. E-consults have improved both specialty access as well as care coordination for the FQHCs’ underserved patients. Watch the Webinar video or view the Webinar’s presentation slides.
August E-Consult Workgroup Webinar This month’s webinar started with an insightful presentation by Danielle Oryn, MD, CEO of Redwood Community Health Coalition(RCHC) about an e-consult pilot initiated in April 2020 to address the lack of specialist care access providers were experiencing during the pandemic. Then Stanley Dea, MD of LA County Department of Health Services presented a review of LADHS’s e-consult system data analysis tools followed by Stanley K Frencher, Jr. MD, MPH, CEO of HubMD who presented a published analysis of Inland Empire Health Plan’s use of e-consults during the pandemic. Watch the Webinar video or view the Webinar’s presentation slides.
July E-Consult Workgroup Webinar This month’s webinar started with presentations by Grace Song, MD, CA Correctional Health Services Deputy Medical Executive and Stanley Frencher, Jr., MD, CEO of HubMD on increased e-consult use for correctional healthcare since the COVID-19 surge. Then Aasta Thielke, MPH from the Center for Evidence-Based Policy, gave a detailed presentation on the research methods and conclusions of her report titled “Electronic Consultations (eConsults): A Triple Win for Patients, Clinicians, and Payers.” Watch the Webinar video or view the Webinar’s presentation slides.
June E-Consult Workgroup Webinar For the June Webinar, Peter Yellowlees, MBBS, Md, Chief Wellness Officer and Professor of Psychiatry at UC Davis, gave an detailed presentation on the use of sychronous and asynchronous telehealth during the pandemic, which brings benefits to both patient and provider mental health. Tom Manning and Joel Gray of Anthem Blue Cross discussed the expansion of e-consults for safety-net centers througout California and Jennifer Stoll of OCHIN and Joy Burkhart of 2020 Moms briefed the Workgroup regarding two California laws that will impact e-consult use. Watch the Webinar video or review the Webinar’s presentation slides.
May E-Consult Workgroup Webinar This month’s webinar featured Salman Ahmed, MD, MPH and Mallika Mendu, MD, MBA, of Brigham and Women’s Hospital, who presented their unique study which applied novel metrics to assess e-consults’ utility and appropriateness. In addition, Priya Batra, MD, Inland Empire Health Plan discussed the plan’s e-consult and telehealth programs. Watch the Webinar video or review the Webinar’s presentation slides.
April E-Consult Workgroup Webinar Presentations and discussions for this webinar included how hospitals, correctional institutions and long-term care (LTC) facilities for older adults are using e-consults to address COVID-19. LTC facilities are also using e-consults to support telehealth triage to reduce COVID-19 exposure risks from hospital and ER visits. Review the Webinar’s presentation slides.
March 26th E-Consult Workgroup Town Hall This webinar included a presentation by Michael L. Barnett, MD, Harvard T.H. Chan School of Public Health about his CNN article that explains telehealth to consumers and notes that “the type of virtual care to think about if you need to see a new specialist is an eConsult.” In addition, the webinar included a review of policy updates related to COVID-19 in California as well as other states. Listen to the Webinar recording or view the Webinar’s presentation slides.
March 13th E-Consult Workgroup Webinar: Response to COVID-19 This special webinar, focused on e-consults’ ability to support COVID-19 clinical and operational needs, included information from RubiconMD as well as presentations from Daren Anderson, MD, ConferMED director and Micheal Wasserman, MD, California Association of Long Term Care Medicine. The webinar concluded with a discussion of e-consult policies in place and under consideration, as well as the Workgroup’s current needs and priorities for addresssing COVID-19 with e-consult. Review the Webinar’s presentation slides.
March 4th 2020 E-Consult Workgroup Webinar In Colorado, Kaiser Permanente Foundation’s community benefits support a Safety Net Specialty Care Program that provides community health clinics with e-consult access to 100 Kaiser specialists. This months members of the program’s team, including a health specialist, project coordinator and medical directors, presented the programs details and best practices.
February 2020 E-Consult Workgroup Webinar This month Sarah Ackerman, PhD, MPH of UCSF, presented two research projects focused on assessing patient perspectives about e-consults. For the first study patient focus groups at 5 of the CORE program’s academic medical centers (AMC) were educated about e-consults and then expectations and anticipations were discussed. The second study surveyed patients at 9 AMCs about their e-consult experiences. Both studies included postive conclustions; in the first patients expressed overall enthusiasm and in the second 99% of respondents agreed with their PCP’s decision to use e-consult for specialist advice.
December 2019 E-Consult Workgroup Webinar: Presenters for this month’s webinar were Willam Kinder of Partnership Healthplan of California(PHC) and Leslie Warner of Shasta Community Health Center’s telemedicine department. Kinder described how PHC supports provider adoption through telehealth coordinator support grants, a full-time PHC support team, and PHC-hosted telehealth coordinator forums. Warner discussed how Shasta, which has implemented PHC’s e-consults, addressed provider adoption resistence throught CIO support, Board of Director approvals and engaging a clinical champion.
November 2019 E-Consult Workgroup Webinar: This month’s webinar included a presentation by Dr. Kim Nguyen of LifeLong Medical in Berkeley, CA on her experience using e-consult as a primary care provider.
2019 E-Consult Workshop Recap: The recap of the November 5th, 2019 E-Consult Workshop includes highlights of each speaker’s presentation along with links to their slides. The primary topics of the workshop included the following:
- “The E-Consult Journey” Retrospective looks at early adoption to the current tipping point of “innovation diffusion”
- “Payer Strategies on E-Consult Engagement” Presentations on payer support and best practices for provider engagement
- “What Challenges Remain” Presentations on challenges that still impact engagement and scale, operationalizing, payment and FQHCs
September 2019 E-Consult Workgroup Webinar: Presentation by William Kinder of Partnership HealthPlan of California (PHC) on its telehealth program and successful use of e-consult.
August 2019 E-Consult Workgroup Webinar: Discussion: Medi-Cal telehealth policy preview and Managed Care Plan role in E-Consult.
May 2019 E-Consult Workgroup Webinar: Discussion: CHC-led e-consult programs and how CHCs are engaging providers to participate.
April 2019 E-Consult Workgroup Webinar: Alex Cho, MD, Chloe L. Shevline, Management Engineer and Donna Phinney, MSN, RN of Duke Telehealth Program; Breanna P. Swan, PhD student, North Carolina State University: “Simulation Tool to Evaluate E-Consults in Rheumatology”
March 2019 E-Consult Workgroup Webinar: Clare Liddy, MD, MSc, CCFP, FCFP, Bruyere Research Institute,University of Ottawa: “Primary Care Clinician Adherence to Specialist Advice
in Electronic Consultation”
February 2019 E-Consult Workgroup Webinar: Daren Anderson, MD, Weitman Insitutue, Mark Schweyer, Health Net of California, Rupinder Colby, UC Davis Health: “California eConsults Partnership for Pediatrics”
January 2019 E-Consult Workgroup Webinar: Clare Liddy, MD, MSc, CCFP, FCFP and Justin Joschko, MA, Bruyere Institute, University of Ottawa: “Electronic Consultation Services Worldwide: Environmental Scan” and review of DHCS Q&A on e-consult and Telehealth Provider Manual update
December 2018 E-Consult Workgroup Webinar: Daren Anderson, MD, Weitzman Institute “Reducing Costs of Specialty Care Using eConsults for Medicaid Patients” and Review of E-Consult and DHCS 2019 Telehealth Manual
Summary of November 2018 E-Consult Workshop: Collaboration with DMHC; E-Consult Optimization: How Do We Make New Programs Better?; Regulatory Change for 2019
October 2018 E-Consult Workgroup Webinar: Updates on PRIME and Recent E-Consult Activities and November 7th Workshop Objectives
August 2018 E-Consult Workgroup Webinar: Review of CMS Proposed Codes for Interprofessional Internet Consultation and Discussion of Workgroup Commentary
July 2018 E-Consult Workgroup Webinar: CMS Proposed Payment for Interprofessional Consultation: Analysis, Commentary and Discussion
June 2018 E-Consult Workgroup Webinar: North County Health Services (San Diego County): Bridging the Gap Between Patients and Speciality Care
May 2018 E-Consult Workgroup Webinar: Primary Care Provider Use and Perceptions of E-Consult
April 2018 E-Consult Workgroup Webinar: Dr. Scott Shipman, AAMC CORE Program
February 2018 E-Consult Workgroup Webinar: Dr. Clare Liddy, University of Ottawa, Canada
January 2018 E-Consult Workgroup Webinar: Cost Effectiveness Study of E-Consult
December 2017 E-Consult Workgroup Webinar: Fiscal Analysis of E-Consult
November 2017 E-Consult Workgroup Webinar: Paths forward in E-Consult Policy and Reimbursement
Summary of October 2017 CCHP E-Consult Workshop: Paths Forward
October 2017 CCHP E-Consult Workshop Presentation, Sacramento
September 2017 E-Consult Workgroup Webinar: Gathering Cost Analysis Examples
July 2017 E-Consult Workgroup Webinar: Network Adequacy and Timely Access
June 2017 E-Consult Workgroup Webinar: Cost Savings Examples
May 2017 E-Consult Workgroup Webinar: Implementation Strategies for Consideration
April 2017 E-Consult Workgroup Webinar: Examples of Reimbursement Models
March 2017 E-Consult Workgroup Webinar: Response to DHCS Comments on Network Adequacy Requirements
December 2016 E-Consult Workgroup Webinar: Addressing Payment Gaps
November 2016 CCHP E-Consult Workshop Presentation, Sacramento