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https://www.readbyqxmd.com/read/28645288/a-cohort-study-of-a-general-surgery-electronic-consultation-system-safety-implications-and-impact-on-surgical-yield
#1
Jesus G Ulloa, Marika D Russell, Alice Hm Chen, Delphine S Tuot
BACKGROUND: Electronic consultation (eConsult) systems have enhanced access to specialty expertise and enhanced care coordination among primary care and specialty care providers, while maintaining high primary care provider (PCP), specialist and patient satisfaction. Little is known about their impact on the efficiency of specialty care delivery, in particular surgical yield (percent of ambulatory visits resulting in a scheduled surgical case). METHODS: Retrospective cohort of a random selection of 150 electronic consults from PCPs to a safety-net general surgery clinic for the three most common general surgery procedures (herniorrhaphy, cholecystectomy, anorectal procedures) in 2014...
June 23, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28585722/the-association-between-question-type-and-the-outcomes-of-a-dermatology-econsult-service
#2
Ashley O'Toole, Jiyeh Joo, Jean-Pierre DesGroseilliers, Clare Liddy, Steven Glassman, Amir Afkham, Erin Keely
BACKGROUND: eConsult is a web based service that facilitates communication between primary care providers (PCPs) and specialists, which can reduce the need for face-to-face consultations with specialists. One example is the Champlain BASE (Building Access to Specialist through eConsultation) service with dermatology being the largest specialty consulted. METHODS: Dermatology eConsults submitted from July 2011 to January 2015 were reviewed. Post eConsult surveys for PCPs were analyzed to determine the number of traditional consults avoided and perceived value of eConsults...
June 6, 2017: International Journal of Dermatology
https://www.readbyqxmd.com/read/28573644/improving-access-to-otolaryngology-head-and-neck-surgery-expert-advice-through-econsultations
#3
Scott Kohlert, Patrick Murphy, Darren Tse, Clare Liddy, Amir Afkham, Erin Keely
OBJECTIVES/HYPOTHESIS: Prolonged wait times have become common. Electronic consultations (eConsults) have been shown in previous studies to reduce unnecessary face-to-face consultations to specialists, but no prior study has investigated the feasibility or efficacy of eConsults in an otolaryngology-head and neck surgery (OTO-HNS) practice. STUDY DESIGN: Prospective observational study. METHODS: The Champlain BASE eConsult system is a secure web portal allowing primary care physicians (PCPs) to communicate asynchronously with specialists about a patient, without requiring a formal face-to-face consult...
June 2, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28570207/improving-access-to-specialists-in-remote-communities-a-cross-sectional-study-and-cost-analysis-of-the-use-of-econsult-in-nunavut
#4
Clare Liddy, Fanny McKellips, Catherine Deri Armstrong, Amir Afkham, Leigh Fraser-Roberts, Erin Keely
BACKGROUND: Residents of remote communities face inequities in access to specialists, excessive wait times, and poorly coordinated care. The Champlain BASE(TM) (Building Access to Specialists through eConsultation) service facilitates asynchronous communication between primary care providers (PCP) and specialists. The service was extended to several PCPs in Nunavut in 2014. OBJECTIVE: To (1) describe the use of eConsult services in Nunavut, and (2) conduct a costing evaluation...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28470015/econsultations-to-infectious-disease-specialists-questions-asked-and-impact-on-primary-care-providers-behavior
#5
Ruchi Murthy, Gregory Rose, Clare Liddy, Amir Afkham, Erin Keely
BACKGROUND: Since 2010, the Champlain BASE (Building Access to Specialist Advice through eConsultation) has allowed primary care providers (PCPs) to submit clinical questions to specialists through a secure web service. The study objectives are to describe questions asked to Infectious Diseases specialists through eConsultation and assess impact on physician behaviors. METHODS: eConsults completed through the Champlain BASE service from April 15, 2013 to January 29, 2015 were characterized by the type of question asked and infectious disease content...
2017: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/28437292/use-of-electronic-consultation-system-to-improve-access-to-care-in-pediatric-hematology-oncology
#6
Donna L Johnston, Kimmo Murto, Julia Kurzawa, Clare Liddy, Erin Keely, Lillian Lai
BACKGROUND: Electronic consultations (eConsult) allow for communication between primary care providers and specialists in an asynchronous manner. This study examined provider satisfaction, topics of interest, and efficiency of eConsult in pediatric hematology/oncology in Ottawa, Canada. METHODS: We conducted a cross-sectional assessment of all eConsult cases directed to pediatric hematology/oncology specialists using the Champlain BASE (Building Access to Specialists through eConsultation) eConsult service from June 1, 2014 to May 31, 2016...
April 21, 2017: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/28264951/los-angeles-safety-net-program-econsult-system-was-rapidly-adopted-and-decreased-wait-times-to-see-specialists
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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.
March 2017: 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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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. Medicine subspecialties participating were Cardiology, Endocrinology, Gastroenterology/hepatology, Hematology, Infectious diseases, Nephrology, Pulmonary medicine, Rheumatology, and Sleep medicine...
February 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/26281010/impact-of-question-content-on-e-consultation-outcomes
#20
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
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