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Assessment of an Infectious Disease eConsult Service at a Large Mid-Atlantic Healthcare System
Ava Hunt1, Elena Martin1, Blake Gilberto-Bono2
1Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Electronic provider-to-provider consultations (eConsults) improve access to Infectious Disease (ID) specialists, especially for immunocompromised patients. This financially viable service shows high provider satisfaction and utilization.
Area of Science:
- Infectious Diseases
- Healthcare Access
- Telemedicine
Background:
- Limited access to Infectious Disease (ID) specialists poses a challenge in healthcare.
- Telemedicine solutions are being explored to bridge this gap.
Purpose of the Study:
- To analyze the utilization, financial viability, and provider satisfaction of ID electronic provider-to-provider consultations (eConsults).
Main Methods:
- Analysis of 515 ID eConsults over a 10-month period.
- Evaluation of utilization patterns, billing, and referring provider satisfaction.
Main Results:
- High utilization of eConsults was observed, particularly for immunocompromised patients.
- Most eConsults were billable, generating an average revenue of $190.65/hour.
- Referring providers reported high satisfaction with the eConsult service.
Conclusions:
- ID eConsults represent a financially viable method to enhance access to specialized infectious disease care.
- This model can effectively support clinicians managing complex patient cases.
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