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Implementation of E-Consults in an Integrated Health System for a Value Population
Alexis A Kurek1, Kennedy M Boone-Sautter1, Michelle Rizor1
1Department of Population Health, Corewell Health West, Grand Rapids, Michigan, USA.
Population Health Management
|July 20, 2023
Summary
Electronic consults (e-consults) streamline specialty care, reducing unnecessary referrals and improving patient management. Their adoption enhances value-based care by optimizing provider collaboration and care coordination.
Area of Science:
- Health Services Research
- Medical Informatics
- Healthcare Management
Background:
- E-consults facilitate asynchronous provider-to-provider communication for specialty medical advice.
- This modality has demonstrated benefits in reducing unnecessary consultations and fragmentation of care.
Purpose of the Study:
- To describe the process and operational outcomes of e-consult adoption within an integrated health system.
- To evaluate the impact of e-consults on value-based care, focusing on referral metrics and cost savings.
Main Methods:
- Analysis of e-consult adoption and completion metrics, including utilization rates, turnaround times, and rejection rates.
- Investigation of implications on referral volumes, wait times, and cancellation rates at the service line level.
Main Results:
- E-consult adoption positively impacts care delivery by reducing unnecessary referrals and improving efficiency.
- Operational outcomes include measurable effects on wait times, cancellation rates, and projected cost savings.
Conclusions:
- E-consults represent a valuable tool for enhancing specialist access and improving care coordination within integrated health systems.
- Successful implementation of this disruptive modality is key to realizing benefits in value-based care settings.
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