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Implementation and Follow-up Experience of an e-Consult Program in a Rural Neurology Setting.

Muhammad Taimur Malik¹, Ramin Zand¹, Shelly M Vezendy¹

¹Geisinger Neuroscience Institute (MTM, RZ, NRH), and Medicine Institute (SMV, EN), Geisinger, Danville, PA; and Geisinger Commonwealth School of Medicine (MTM, RZ, EN, NRH), Scranton, PA.

Neurology. Clinical Practice

|September 6, 2021

Summary

This summary is machine-generated.

Ask-a-Doc (AAD) improved communication between primary care physicians (PCPs) and neurology specialists. This electronic medical record interface enhanced patient care by streamlining consultations and determining appropriate urgent care needs.

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Area of Science:

Neurology
Health Informatics
Medical Communication

Background:

High demand for neurology services often exceeds clinical capacity.
Effective communication between primary care physicians (PCPs) and specialists is crucial for timely patient care.
Existing communication channels may present limitations in efficiency and accessibility.

Purpose of the Study:

To assess the utility and efficacy of the Ask-a-Doc (AAD) electronic medical record-based interface.
To evaluate AAD's impact on communication between PCPs and neurology specialists.
To determine if AAD improves patient care by facilitating appropriate referrals and consultations.

Main Methods:

Implementation of the Ask-a-Doc (AAD) system in a neurology department.
Analysis of 4-year longitudinal data on AAD message volume, routing, and turnaround times.
Categorization of messages based on urgency (urgent with phone request vs. elective email).

Main Results:

A total of 3,190 messages were analyzed, with 91.7% correctly routed and completed.
The average specialist turnaround time was 5 hours.
AAD message volume increased by 300% over the study period, indicating growing adoption and comfort.

Conclusions:

Ask-a-Doc (AAD) successfully facilitates communication between PCPs and neurology specialists.
The system aids in determining the need for urgent care, correct subspecialty referral, and necessary diagnostic tests.
AAD proved effective in a rural neurology setting, demonstrating rapid turnaround, increased usage, and accuracy.