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https://www.readbyqxmd.com/read/28264951/los-angeles-safety-net-program-econsult-system-was-rapidly-adopted-and-decreased-wait-times-to-see-specialists
#1
Michael L Barnett, Hal F Yee, Ateev Mehrotra, Paul Giboney
Lack of timely access to specialty care is a significant problem among disadvantaged populations, such as those served by the Los Angeles County Department of Health Services. In 2012 the department implemented an electronic system for the provision of specialty care called the eConsult system, in which all requests from primary care providers for specialty assistance were reviewed by specialists. In many cases, the specialist can address the primary care provider's question via an electronic dialogue, thereby eliminating the need for the patient to see a specialist in person...
March 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28162990/effects-of-electronic-psychiatric-consultations-on-primary-care-provider-perceptions-of-mental-health-care-survey-results-from-a-randomized-evaluation
#2
Ezra Golberstein, Sarah Kolvenbach, Hilary Carruthers, Benjamin Druss, Paul Goering
BACKGROUND: Primary care is the main point-of-entry for identifying and treating mental health problems. This research examines the effect of a new model of supporting primary care providers (PCPs) treating mental health disorders, the electronic consultation (eConsults), a standard process for communication between PCPs and psychiatrists through an electronic health records system. METHODS: A cluster-randomized evaluation of the psychiatric eConsults model, as implemented in a large integrated delivery system...
February 2, 2017: Healthcare
https://www.readbyqxmd.com/read/28030423/unique-educational-opportunities-for-pcps-and-specialists-arising-from-electronic-consultation-services
#3
COMMENT
Erin J Keely, Douglas Archibald, Delphine S Tuot, Heather Lochnan, Clare Liddy
Health care reform should be driven by the goals of better patient experience, improved population health, lower per capita costs, and improved provider satisfaction. Electronic consultation (eConsult) services have been adopted by several jurisdictions in the United States, Canada, and Europe to improve access to specialists by primary care providers (PCPs) and are being heralded as a key component for delivery of coordinated care. The primary intent of an eConsult service is to provide PCPs with efficient, timely, direct access to specialist expertise to help guide the management of their patients, reduce the need for unnecessary face-to-face specialty consultations, and improve the quality of the initial face-to-face consultation when needed, through the preconsultative communication...
2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27939171/improving-the-electronic-nexus-between-generalists-and-specialists-a-public-health-imperative
#4
Michael J Young, Julien Pham
Recent changes in healthcare delivery and payment policy have precipitated interest among healthcare providers across the U.S. seeking innovative strategies to achieve higher quality, lower cost care through improved resource-utilization. One dimension of healthcare delivery with distinctive potential for improvement is care coordination between primary care and specialist providers. Optimizing the nexus between PCPs and specialists through innovations including eConsultation platforms portends reductions in unnecessary referrals and testing, and may help align incentives to promote high-value care...
December 2016: Healthcare
https://www.readbyqxmd.com/read/27732095/econsults-to-endocrinologists-improve-access-and-change-primary-care-provider-behavior
#5
Christopher S Tran, Clare E Liddy, Dora M Liu, Amir Afkham, Erin J Keely
OBJECTIVE: To describe the impact of an eConsult service on access to endocrinologists along with its influence on changing primary care provider (PCP) course of action and referral behaviors. METHODS: Established in 2011, the Champlain BASE (Building Access to Specialist Care via eConsult) service allows PCPs to access specialist care in lieu of traditional face-to-face referrals. We conducted a cross-sectional study of eConsult cases submitted to endocrinologists by PCPs between April 15, 2011 and January 31, 2015...
October 2016: Endocrine Practice
https://www.readbyqxmd.com/read/27469441/adoption-and-impact-of-an-econsult-system-in-a-fee-for-service-setting
#6
Nathaniel Gleason, Priya A Prasad, Sara Ackerman, Chanda Ho, Jennifer Monacelli, Michael Wang, Don Collado, Ralph Gonzales
No abstract text is available yet for this article.
July 25, 2016: Healthcare
https://www.readbyqxmd.com/read/27338880/what-are-the-cost-savings-associated-with-providing-access-to-specialist-care-through-the-champlain-base-econsult-service-a-costing-evaluation
#7
Clare Liddy, Paul Drosinis, Catherine Deri Armstrong, Fanny McKellips, Amir Afkham, Erin Keely
OBJECTIVE: This study estimates the costs and potential savings associated with all eConsult cases completed between 1 April 2014 and 31 March 2015. DESIGN: Costing evaluation from the societal perspective estimating the costs and potential savings associated with all eConsults completed during the study period. SETTING: Champlain health region in Eastern Ontario, Canada. POPULATION: Primary care providers and specialists registered to use the eConsult service...
2016: BMJ Open
https://www.readbyqxmd.com/read/27295019/econsults-to-endocrinologists-improve-access-and-change-primary-care-provider-behavior
#8
Christopher S Tran, Clare E Liddy, Dora M Liu, Amir Afkham, Erin J Keely
OBJECTIVE: To describe the impact of an eConsult service on access to endocrinologists along with its influence on changing primary care provider (PCP) course of action and referral behaviors. METHODS: Established in 2011, the Champlain BASE (Building Access to Specialist Care via eConsult) service allows PCPs to access specialist care in lieu of traditional face-to-face referrals. We conducted a cross-sectional study of eConsult cases submitted to endocrinologists by PCPs between April 15, 2011 and January 31, 2015...
June 13, 2016: Endocrine Practice
https://www.readbyqxmd.com/read/27159757/evaluation-of-an-electronic-consultation-service-in-obstetrics-and-gynecology-in-ontario
#9
Fady Shehata, Glenn Posner, Amir Afkham, Clare Liddy, Erin Keely
OBJECTIVE: To describe the effectiveness of an electronic consultation (eConsult) service by examining the number of traditional referrals that were avoided as a result of the service, to characterize the type and content of the clinical questions being asked, and to describe the time required for the specialist to complete each eConsult. METHODS: This is a retrospective electronic chart review study. All eConsults directed to obstetrics and gynecology from July 2011 to January 2015 were reviewed...
June 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27106936/ask-the-econsultant-improving-access-to-haematology-expertise-using-an-asynchronous-econsult-system
#10
Adam Fogel, Karima Khamisa, Amir Afkham, Clare Liddy, Erin Keely
INTRODUCTION: The Champlain BASE (Building Access to Specialists through eConsultation) eConsultation service was designed to address the limited access to specialist care in Canada, which can lead to long waiting times and, subsequently, negative patient outcomes. Our primary objective was to perform an in-depth analysis of the use, content, and perceived value of haematology electronic consults (eConsults) submitted by primary care providers (PCPs) to the eConsult service. METHODS: We conducted a cross-sectional study using descriptive statistics to examine post-eConsult surveys for PCPs and other collected data including PCP designation, time for specialist to complete the eConsult, specialist response time, perceived value of the eConsult by the PCP, and the need for a face-to-face referral following the eConsult...
April 22, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27075028/electronic-consultation-systems-worldwide-prevalence-and-their-impact-on-patient-care-a-systematic-review
#11
REVIEW
Clare Liddy, Paul Drosinis, Erin Keely
BACKGROUND: Many health organizations are exploring the potential of electronic consultation (eConsult) services to address excessive wait times for specialist care. OBJECTIVE: To understand the effectiveness, population impact and costs associated with implementation of eConsult services. METHODS: We conducted a systematic review using a narrative synthesis approach. We searched Medline and Embase from inception to August 2014 (English/French)...
June 2016: Family Practice
https://www.readbyqxmd.com/read/27040667/improving-access-to-chronic-pain-services-through-econsultation-a-cross-sectional-study-of-the-champlain-base-econsult-service
#12
Clare Liddy, Catherine Smyth, Patricia A Poulin, Justin Joschko, Melanie Rebelo, Erin Keely
OBJECTIVE: To describe the impact of the Champlain BASE (Building Access to Specialists through eConsultation) eConsult service on access to specialist care for patients with chronic pain. DESIGN: A cross-sectional descriptive study SETTING: The Champlain Local Health Integration Network, comprising Ottawa, Canada, and the surrounding region. SUBJECTS: All eConsult cases submitted to chronic pain specialists by primary care providers between April 15, 2011 and June 30, 2015...
April 3, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/26940797/analysis-of-an-electronic-consultation-program-at-an-academic-medical-centre-primary-care-provider-questions-specialist-responses-and-primary-care-provider-actions
#13
Katherine Wrenn, Sereina Catschegn, Marisa Cruz, Nathaniel Gleason, Ralph Gonzales
INTRODUCTION: Electronic consultations (eConsults) increase access to specialty care, but little is known about the types of questions primary care providers (PCPs) ask through eConsults, and how they respond to specialist recommendations. METHODS: This is a retrospective descriptive analysis of the first 200 eConsults completed in the UCSF eConsult program. Participating PCPs were from eight adult primary care sites at the University of California, San Francisco (UCSF), USA...
March 3, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/26281010/impact-of-question-content-on-e-consultation-outcomes
#14
Christopher Tran, Clare Liddy, Nicole Pinto, Erin Keely
BACKGROUND: By facilitating direct communication of primary care providers (PCPs) with specialists for advice, electronic consult (e-consult) services can reduce the need for patients to wait for and travel to face-to-face consultations with specialists. An association between avoiding face-to-face referrals using an e-consult service and specific content within each e-consult has not been rigorously explored. MATERIALS AND METHODS: Cases submitted to the Champlain Building Access to Specialists through eConsultation service between April 2011 to May 2013 were evaluated...
March 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/26195689/advancing-the-primary-specialty-care-interface-through-econsults-and-enhanced-referrals
#15
Ardis Davis, Valerie Gilchrist, Kevin Grumbach, Paul James, Rusty Kallenberg, Scott A Shipman
No abstract text is available yet for this article.
July 2015: Annals of Family Medicine
https://www.readbyqxmd.com/read/25980708/the-current-state-of-electronic-consultation-and-electronic-referral-systems-in-canada-an-environmental-scan
#16
REVIEW
Clare Liddy, Matthew Hogel, Valerie Blazkho, Erin Keely
Access to specialist care is a point of concern for patients, primary care providers, and specialists in Canada. Innovative e-health platforms such as electronic consultation (eConsultation) and referral (eReferral) can improve access to specialist care. These systems allow physicians to communicate asynchronously and could reduce the number of unnecessary referrals that clog wait lists, provide a record of the patient's journey through the referral system, and lead to more efficient visits. Little is known about the current state of eConsultation and eReferral in Canada...
2015: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/25980707/what-are-the-costs-of-improving-access-to-specialists-through-econsultation-the-champlain-base-experience
#17
Clare Liddy, Catherine Deri Armstrong, Paul Drosinis, Ferdinand Mito-Yobo, Amir Afkham, Erin Keely
Excessive wait times and poor access to care are among the most significant problems facing health care service delivery in Canada and beyond. We implemented the Champlain BASE eConsult service in the region of Ottawa, Canada to increase access to specialist care. We have collected ongoing utilization data and provider surveys over a three year period, providing a unique opportunity to explore the economic aspects of this multispecialty eConsult service. This is an economic evaluation from the perspective of the payer: the Ministry of Health and Long-Term Care of Ontario...
2015: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/25980703/perspectives-of-champlain-base-specialist-physicians-their-motivation-experiences-and-recommendations-for-providing-econsultations-to-primary-care-providers
#18
Erin Keely, Paul Drosinis, Amir Afkham, Clare Liddy
Electronic consultation can improve access to specialist care. However, specialists have been identified as less likely to adopt electronic solutions in clinical settings. We conducted an online survey to explore the perspectives of specialists who use the Champlain BASE eConsult service in Eastern Ontario, Canada. Specialists were asked their opinions on experience with the service, their current consult/referral practices, recommendations for change and expansion of the service, and compensation models. We tabulated descriptive statistics from the multiple choice and Likert scale responses and performed a content analysis with an emergent code strategy for open-text responses...
2015: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/25965249/a-comparison-of-referral-patterns-to-a-multispecialty-econsultation-service-between-nurse-practitioners-and-family-physicians-the-case-for-econsult
#19
Clare Liddy, Catherine Deri Armstrong, Fanny McKellips, Erin Keely
PURPOSE: To explore referral patterns of nurse practitioners (NPs) and family physicians (FPs) using an electronic consultation (eConsult) service, and assess their perspectives on the service's value to their patients and themselves. DATA SOURCES: A mixed methods study including a cross-sectional analysis of utilization data drawn from all eConsults completed from April 15, 2011 to September 30, 2014, and a content analysis of NP survey responses completed from January 1 to September 30, 2014...
March 2016: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/25957372/impact-of-and-satisfaction-with-a-new-econsult-service-a-mixed-methods-study-of-primary-care-providers
#20
Clare Liddy, Amir Afkham, Paul Drosinis, Justin Joschko, Erin Keely
OBJECTIVES: We have improved access to specialist care and decreased wait times in our region through the development and implementation of the Champlain BASE (Building Access to Specialists through eConsultation) service. This secure, web-based tool allows primary care providers (PCPs) quick access to specialist advice for their patients and often helps to avoid the need for a face-to-face referral. Our successful implementation of eConsult in our region provides a unique opportunity to examine PCPs' satisfaction and overall perspective on using the service...
May 2015: Journal of the American Board of Family Medicine: JABFM
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