CHCACT began an eConsult pilot project with five health centers this fall: First Choice, Optimus, Southwest, StayWell and the Wheeler Clinic. In these sites, primary care physicians send information about a patient, through a secure portal, to a specialist; the specialist then examines test results, patient demographic and clinical data, etc and recommends either a specific treatment (e.g., daily aspirin and follow-up) or an in-person visit with a specialist. The goal is to improve access to specialty care, while controlling costs in the health care system. These eConsults are also more convenient for patients, whose symptoms may not actually require them to have another medical visit.

Rob Rioux, Network Director, Health Center Controlled Network

Over the first 103 days of the project, physicians made 482 eConsult referrals. Of those, 279 (58%) were handled through eConsult and follow-up from the primary care physician, avoiding face-to-face specialist visits – and saving an estimated $115,000 in costs to the state Medicaid program. With a four-month pilot, ending January 31^st, CHCACT estimates the state will save over $600,000 through the use of eConsults in just five health centers.

The goal is to make eConsults available in all health centers across CT. This model could be a game-changer for patients, providers and the State. Our barrier to success remains a viable reimbursement model that pays for the platform/technology and the specialist access. CHCACT is actively working with the Department of Social Services to address the reimbursement issue. Stay tuned for updates!

Have a great week!

Rob