Skip to main content
Top
Published in: Endocrine 2/2017

01-02-2017 | Research Letter

Initial experience with endocrinology e-consults

Authors: Jason H. Wasfy, Sandhya K. Rao, Utibe R. Essien, Calvin A. Richardson, Tamika Jeune, Susan A. Goldstein, Elizabeth Laikhter, Melissa D. Chittle, Michelle Weil, Marc Wein, Timothy G. Ferris

Published in: Endocrine | Issue 2/2017

Login to get access

Excerpt

The emergence of accountable care organizations (ACOs) in the United States has created new incentives to minimize utilization and spending [1]. Unnecessary specialist visits can impair ACO performance [2], and electronic consultations (“e-consults”) may provide specialist expertise in primary care settings without redundant visits. Patient and primary care satisfaction with e-consults is high, although specialist satisfaction has been mixed [3]. E-consults also may be a useful tactic to improve access to specialists [4, 5]. …
Literature
1.
go back to reference E.G. Nabel, T.G. Ferris, P.L. Slavin, Balancing AMCs’ missions and health care costs--mission impossible? N. Engl. J. Med. 369, 994–996 (2013)CrossRefPubMed E.G. Nabel, T.G. Ferris, P.L. Slavin, Balancing AMCs’ missions and health care costs--mission impossible? N. Engl. J. Med. 369, 994–996 (2013)CrossRefPubMed
2.
go back to reference I. Ganguli, J.H. Wasfy, T.G. Ferris, What is the right number of clinic appointments? visit frequency and the Accountable Care Organization. JAMA. 313, 1905–1906 (2015) I. Ganguli, J.H. Wasfy, T.G. Ferris, What is the right number of clinic appointments? visit frequency and the Accountable Care Organization. JAMA. 313, 1905–1906 (2015)
3.
go back to reference V.G. Vimalananda, G. Gupte, S.M. Seraj, J. Orlander, D. Berlowitz, B.G. Fincke, S.R. Simon. Electronic consultations (e-consults) to improve access to specialty care: a systematic review and narrative synthesis. J. Telemed. Telecare. 1–8 (2015) V.G. Vimalananda, G. Gupte, S.M. Seraj, J. Orlander, D. Berlowitz, B.G. Fincke, S.R. Simon. Electronic consultations (e-consults) to improve access to specialty care: a systematic review and narrative synthesis. J. Telemed. Telecare. 1–8 (2015)
4.
go back to reference A.H. Chen, M.B. Kushel, K. Grumbach, H.F. Yee, Practice profile. A safety-net system gains efficiencies through “eReferrals” to specialists. Health Aff. 29, 969–71 (2010)CrossRef A.H. Chen, M.B. Kushel, K. Grumbach, H.F. Yee, Practice profile. A safety-net system gains efficiencies through “eReferrals” to specialists. Health Aff. 29, 969–71 (2010)CrossRef
5.
go back to reference A.H. Chen, E.J. Murphy, H.F. Yee, eReferral-a new model for integrated care. N. Engl. J. Med. 368, 2450–2453 (2013)CrossRefPubMed A.H. Chen, E.J. Murphy, H.F. Yee, eReferral-a new model for integrated care. N. Engl. J. Med. 368, 2450–2453 (2013)CrossRefPubMed
6.
go back to reference M.M. Scheibe, J.B. Imboden, G. Schmajuk, M. Margaretten, J.D. Graf, A.H. Chen, E.H. Yelin, J. Yazdany. Efficiency gains for rheumatology consultation using a novel electronic referral system in a safety net health setting. Arthritis Care Res. (2015) M.M. Scheibe, J.B. Imboden, G. Schmajuk, M. Margaretten, J.D. Graf, A.H. Chen, E.H. Yelin, J. Yazdany. Efficiency gains for rheumatology consultation using a novel electronic referral system in a safety net health setting. Arthritis Care Res. (2015)
7.
go back to reference J.H. Wasfy, S.K. Rao, M.D. Chittle, K.M. Gallen, E.M. Isselbacher, T.G. Ferris, Initial results of a cardiac e-consult pilot program. J. Am. Coll. Cardiol. 64, 2706–2707 (2014)CrossRefPubMed J.H. Wasfy, S.K. Rao, M.D. Chittle, K.M. Gallen, E.M. Isselbacher, T.G. Ferris, Initial results of a cardiac e-consult pilot program. J. Am. Coll. Cardiol. 64, 2706–2707 (2014)CrossRefPubMed
8.
go back to reference M.D. Chittle, S.K. Rao, M.R. Jaff, V.I. Patel, K.M. Gallen, R. Avadhani, T.G. Ferris, J.H. Wasfy. Asynchronous vascular consultation via electronic methods: a feasibility pilot. Vasc. Med. (2015) M.D. Chittle, S.K. Rao, M.R. Jaff, V.I. Patel, K.M. Gallen, R. Avadhani, T.G. Ferris, J.H. Wasfy. Asynchronous vascular consultation via electronic methods: a feasibility pilot. Vasc. Med. (2015)
9.
go back to reference B. Zoll, P.J. Parikh, J. Gallimore, S. Harrell, B. Burke, Impact of diabetes e-consults on outpatient clinic workflow. Med. Decis. Mak. 35(6), 745–757 (2015) B. Zoll, P.J. Parikh, J. Gallimore, S. Harrell, B. Burke, Impact of diabetes e-consults on outpatient clinic workflow. Med. Decis. Mak. 35(6), 745–757 (2015)
10.
go back to reference S.R. Kirsh, P.M. Ho, D.C. Aron, Providing specialty consultant expertise to primary care: an expanding spectrum of modalities. Mayo Clin. Proc. 89, 1416–1426 (2014)CrossRefPubMed S.R. Kirsh, P.M. Ho, D.C. Aron, Providing specialty consultant expertise to primary care: an expanding spectrum of modalities. Mayo Clin. Proc. 89, 1416–1426 (2014)CrossRefPubMed
11.
go back to reference R.A. Vigersky, L. Fish, P. Hogan, A. Stewart, S. Kutler, P.W. Ladenson, M. McDermott, K.H. Hupart, The clinical endocrinology workforce: current status and future projections of supply and demand. J. Clin. Endocrinol. Metab. 99, 3112–3121 (2014)CrossRefPubMed R.A. Vigersky, L. Fish, P. Hogan, A. Stewart, S. Kutler, P.W. Ladenson, M. McDermott, K.H. Hupart, The clinical endocrinology workforce: current status and future projections of supply and demand. J. Clin. Endocrinol. Metab. 99, 3112–3121 (2014)CrossRefPubMed
12.
go back to reference D.S. Tuot, E.J. Murphy, C.E. McCulloch, K. Leeds, E. Chan, A.H. Chen, Leveraging an electronic referral system to build a medical neighborhood. Healthcare. 3, 202–208 (2015) D.S. Tuot, E.J. Murphy, C.E. McCulloch, K. Leeds, E. Chan, A.H. Chen, Leveraging an electronic referral system to build a medical neighborhood. Healthcare. 3, 202–208 (2015)
13.
go back to reference M.L. Barnett, Z. Song, B.E. Landon, Trends in physician referrals in the United States, 1999–2009. Arch. Intern. Med. 172(2), 163–170 (2012)CrossRef M.L. Barnett, Z. Song, B.E. Landon, Trends in physician referrals in the United States, 1999–2009. Arch. Intern. Med. 172(2), 163–170 (2012)CrossRef
Metadata
Title
Initial experience with endocrinology e-consults
Authors
Jason H. Wasfy
Sandhya K. Rao
Utibe R. Essien
Calvin A. Richardson
Tamika Jeune
Susan A. Goldstein
Elizabeth Laikhter
Melissa D. Chittle
Michelle Weil
Marc Wein
Timothy G. Ferris
Publication date
01-02-2017
Publisher
Springer US
Published in
Endocrine / Issue 2/2017
Print ISSN: 1355-008X
Electronic ISSN: 1559-0100
DOI
https://doi.org/10.1007/s12020-016-1053-z

Other articles of this Issue 2/2017

Endocrine 2/2017 Go to the issue