Susan R. Kirsh, MD, MPH, P. Michael Ho, MD, PhD, David C. Aron, MD, MS

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Presentation transcript:

Providing Specialty Consultant Expertise to Primary Care: An Expanding Spectrum of Modalities Susan R. Kirsh, MD, MPH, P. Michael Ho, MD, PhD, David C. Aron, MD, MS Mayo Clinic Proceedings Volume 89, Issue 10, Pages 1416-1426 (October 2014) DOI: 10.1016/j.mayocp.2014.04.016 Copyright © 2014 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure A model for the process of delivering specialist expertise in the context of the PCMH. Patients who might benefit from specialist expertise are identified by the PCP or a member of the primary care team. The patient is one of the subset of those patients with a particular condition; these patients constitute part of a panel. A consultation is obtained, information is exchanged, and actions are undertaken that result in changes to patient care. We illustrate a comparison between e-consultation and referral of the patient for a specialty consultation. However, the mode of “referral” could be any one of several that are tabulated in the Table. Potential outcomes are also illustrated. F/U = follow-up. Mayo Clinic Proceedings 2014 89, 1416-1426DOI: (10.1016/j.mayocp.2014.04.016) Copyright © 2014 Mayo Foundation for Medical Education and Research Terms and Conditions