An eConsult Pilot for Connecticut with Value Care Alliance

“Primary care is the provision of first contact, person-focused, ongoing care over time that meets the health-related needs of people, referring only those too uncommon to maintain competence.” —Dr. Barbara Starfield Former Director, Johns Hopkins University Primary Care Policy Center

of all primary care patients are referred to specialists annually Up to 35% of all primary care patients are referred to specialists annually

Wait Times Travel Time off No Shows Duplication Poor Communication Increased Cost

Referring most expensive decisions to specialty care is one of the primary care providers make each day

CeCN Data: Up to 45% of these referrals DO NOT Require a face to face visit

An eConsult is a complete consult sent electronically to a specialist, including appropriate PHI from the patient’s chart, with a a formal consult note in response

Harvard Pilgrim eConsult Pilot with Value Care Alliance Middlesex Hospital Primary Care Portland Durham Middletown Old Saybrook Essex East Hampton Westbrook Griffin Hospital Primary Care Ansonia Shelton Griffin Family Healthcare Naugatuck Oxford Seymore

Harvard Pilgrim Pilot Results: 130 eConsults

Utilization by Practice

eConsult use by specialty

107 F2F visits Avoided (82%)

New Additions to the pilot: 1) Community Medical Group joining. First eConsult last month from CareMedica in Hamden 2) ProHealth joining, focusing first on Psychiatry, then endocrinology 3) Payer contracts: CeCN is now contracted with Anthem and Connecticare in Connecticut

Thank You