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Related Experiment Video

Updated: Apr 3, 2026

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
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Asynchronous vascular consultation via electronic methods: A feasibility pilot.

Melissa D Chittle1, Sandhya K Rao2, Michael R Jaff3

  • 1Division of Interventional Radiology, Department of Radiology, Massachusetts General Hospital, Boston, MA, USA mchittle@mgh.harvard.edu.

Vascular Medicine (London, England)
|September 20, 2015
PubMed
Summary
This summary is machine-generated.

Electronic consultations (e-consults) in vascular care improve patient outcomes and satisfaction. This asynchronous method enhances communication between specialists and generalists, proving efficient for managing chronic diseases within Accountable Care Organizations.

Keywords:
Accountable Care Organization (ACO)asynchronous consultcare deliverychronic disease managemente-consultvascular care

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Area of Science:

  • Health Services Research
  • Vascular Surgery
  • Digital Health

Background:

  • Chronic disease management necessitates multidisciplinary care.
  • Accountable Care Organizations (ACOs) promote efficient health information exchange.
  • Evaluating new care models like electronic consultations is crucial for quality and value.

Purpose of the Study:

  • To assess patient and referring provider satisfaction with asynchronous electronic consultations in vascular care.
  • To evaluate the outcomes and downstream effects of vascular e-consults.
  • To determine the efficiency of e-consults for vascular patients within an ACO framework.

Main Methods:

  • Implementation of a vascular e-consult option via an electronic referral system.
  • Chart review to analyze downstream effects and recommendations.
  • Surveys administered to patients and referring providers to gauge satisfaction.

Main Results:

  • 54 e-consults completed; 90.7% involved further testing or recommendations.
  • Referring providers adhered to recommendations in 81.6% of cases.
  • High patient satisfaction (91.3%) and provider satisfaction (87.0%) reported; 80.0% of providers felt e-consults averted traditional visits.

Conclusions:

  • Asynchronous electronic consultations are effective for select vascular care needs.
  • E-consults demonstrate high patient and provider satisfaction.
  • This model offers an efficient approach to vascular patient care delivery within ACOs.