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e-consults at Akron Children's

    Featured Image for eConsult photo

    e-consults provide primary care physicians and patients a way to seek specialty guidance for straightforward problems that may not need in-person evaluation. Information between providers and patients can be shared more efficiently by adapting health care communication for convenience and access to specialty services.

    eConsults diagram

    Benefits to Referring Providers:

    e-consults may enable referring providers to:

    • Get answers to specific clinical questions.
    • Obtain the appropriate labs or imaging, improving the in-person experience.
    • Co-manage patient cases.
    • Expedite the in-person evaluation, if needed.

    Benefits to Patients

    • Improves access to specialty services and streamlines communication.
    • May eliminate an in-person visit.

    Helpful tips for e-consults

    Suggested talking points to use when discussing e-consults with a patient:

    • "I'd like to talk to an Akron Children’s specialist for advice on what you are experiencing. This is called an e-consult."
    • "An e-consult eases the inconvenience of having to see a specialist in person and provides timely answers."
    • "An e-consult would be billed to insurance and, as a patient, you may be responsible for any non-covered charges."

    Contact the Help Line at:

    330-543-6248
    emrsupportteam@akronchildrens.org

    To perform an e-consult, please refer to the Epic Training guide ECL e-consult Workflow.

    Q: What is an e-consult?
    A: An e-consult is an interprofessional telephone, internet or electronic health record (EHR) consultation between two providers for a new or established patient, initiated in Epic or EpicCare Link.

    Q: Who can request an e-consult, and who can complete an e-consult?
    A: Any licensed advanced practice provider or physician may request an e-consult.

    Q: When should an e-consult be placed?
    A: Anytime the patient would benefit from the input of a specialist regarding co-management or diagnosis.

    Q: What types of questions are not appropriate to send via e-consult?
    A. e-consults should not be used for urgent or emergent questions. e-consults should not be used to circumvent established scheduling practices or to secure an earlier appointment for a patient if not clinically warranted.

    Q: Who is responsible for obtaining the family’s verbal consent for the e-consult service and how is it documented?
    A: The requesting provider should obtain verbal consent from the family. The current charge is $72, and the family may be responsible for charges not covered by insurance. Consent is to be documented in Epic or EpicCare Link.

    Q: How long do specialists have to complete the e-consult?
    A: Three business days.

    Q: If a patient has an e-consult and ends up being seen in-person within 14 days, does the consultant provider still receive their wRVUs for performing the e-consult?
    A: No. An e-consult cannot be billed if the patient had an encounter with that specialty 14 days before or 14 days after the e-consult.

    Akron Children’s e-consults are available for the following specialties:

    • Addiction Services
    • Adolescent Medicine
    • Allergy and Immunology
    • Behavioral Health (Psychiatry and Psychology)
    • Dermatology
    • Developmental and Behavioral Pediatrics
    • Ear, Nose and Throat
    • Endocrinology
    • Gastroenterology
    • Genetics
    • Healthy Active Living (Weight Management)
    • Heart Center (Arrhythmia, Adult Congenital Heart Services, Fetal Cardiology, Single Ventricle Program, Syncope Clinic)
    • Hematology/Oncology
    • Infectious Disease
    • Nephrology
    • Neurology
    • Neurosurgery
    • Obstetrics/Gynecology
    • Ophthalmology
    • Orthopedics
    • Pediatric Surgery
    • Plastic and Reconstructive Surgery
    • Pulmonary Medicine
    • Rheumatology
    • Sleep Medicine
    • Sports Medicine

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