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Quality Improvement Report: Design and Implementation of a Radiology E-Consult Service
Kalpana Suresh1, Paul A Hill1, Charles E Kahn1
1From the Department of Radiology, the Institute for Biomedical Informatics, and the Leonard Davis Institute of Health Economics, The University of Pennsylvania, Penn Medicine, 3400 Spruce St, Philadelphia, PA 19104 (K.S., C.E.K., M.D.S., M.A.R., H.M.Z., S.O.T., T.S.C.); and Valley Health, Winchester, VA (P.A.H.).
Abstract:
Electronic consultations (e-consults) mediated through an electronic health record system or web-based platform allow synchronous or asynchronous physician-to-physician communication. E-consults have been explored in various clinical specialties, but relatively few instances in the literature describe e-consults to connect health care providers directly with radiologists.The authors outline how a radiology department can implement an e-consult service and review the development of such a service in a large academic health system. They describe the logistics, workflow, turnaround time expectations, stakeholder management, and pilot implementation and highlight challenges and lessons learned.
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