Article Figures & Data
Figures
- Figure 1.
eConsult analysis: advice rates and wait times by specialty.
Tables
Category Description eConsult complete Instances where the patient's needs were adequately addressed through the eConsult process, eliminating the necessity for an in-person specialist visit. Referral with management recommendations eConsults recommending an in-person visit with a specialist, accompanied by specific recommendations for ongoing patient management. Referral without recommendations Cases where eConsults led to a specialist referral for face-to-face without accompanying recommendations for patient management. Referral to different specialty eConsult outcomes involving a recommendation to consult a specialist from a different medical field. Consult canceled or expired eConsults that were either canceled or expired due to inactivity, often attributed to insufficient information provided by the referring clinician. Testing advice Includes lab tests, imaging tests, biopsy, or any diagnostic tool recommended by the specialist. Treatment advice Encompasses medications, lifestyle modifications, supplements, and other recommendations aimed at improving the patient's symptoms. Specialty change Indicates a complete change from one specialty to another or a recommendation to consult a different specialty in addition to the one being consulted. Authorized and appointment completed Denoting eConsults that were allocated an authorization number and resulted in a paid claim, indicating completion of the appointment. Authorized but no appointment completed Representing eConsults that received an authorization number but did not result in a paid claim, suggesting a lack of completion for the appointment. Referral requested with no corresponding authorization Characterizing eConsults closed with the intention for an in-person visit but lacking an assigned authorization number and resulting in no paid claim. This category, observed in a minority of consults, typically stems from administrative errors. No appointment requested eConsults that either never initially requested an appointment or the appointment was no longer needed after advice. Count of Consult % of Consults Average of Age@Consults StdDev of Age@Consults Dermatology 1,093 53.21 42.68 16.90 Female 727 35.39 42.08 16.06 Male 366 17.82 43.88 18.41 Pulmonology 473 23.03 49.96 15.27 Female 288 14.02 48.95 15.71 Male 185 9.01 51.52 14.46 Urology 488 23.76 48.53 16.31 Female 172 8.37 47.92 14.71 Male 316 15.38 48.86 17.13 Grand total 2,054 100.00 45.74 16.72 Dermatology Pulmonology Urology Total eConsults 1,305 537 663 Refer in-person (No recs.) 68% 66% 61% Refer in-person (with recs.) 16% 24% 34% No referral necessary 13% 6% 5% Specialty change 1% 3% 0% Consult canceled/Expired 2% 1% 0% Specialist advice/Recs for PCP 27% 25% 37% Treatment recs 95% 43% 67% Testing recs 22% 85% 79% Note: Recommendations, provided to primary care physician (PCP) by the specialist; Testing and Treatment Recs. Are subcategory of Specialists advice/recs.Testing Advice: Includes lab tests, imaging tests, biopsy, or any diagnostic tool recommended by the specialist; Treatment Advice: Encompasses medications, lifestyle modifications, supplements, and other recommendations aimed at improving the patient's symptoms.
Specialty Dermatology Pulmonology Urology Total eConsults 1,305 537 663 No referral/Appt required 16% 6% 25% Referral/Appt request required 84% 94% 75% Authorized with Appt completed 41% 27% 28% Authorized but no Appt completed 57% 71% 71% Not authorized but Appt requested 2% 3% 2% Abbreviation: Appt, Appointment.
Dermatology Pulmonology Urology Our medicaid findings (days) 45 36.75 61.13 National medicaid average (days) 50 Not Available 35 General average (days) 34.5 25.2 19.2 Note: The average wait time for study reflects the time from eConsult creation to in-person appointment with a specialists for Medicaid patients in the Inland Empire. eConsult facilitated faster in-person appointment times by allowing for faster authorizations to take place due to prior specialty recs in some cases.
