Table 3 Unique existing evaluation metrics pertinent to referral, consultation and Integrated eCR systems, by domain

Referral

• Percent of referrals completed electronically vs. fax/paper

• Percent of eReferral slots used

• Patient follow-up by electronic vs. paper/fax referral

• Disposition (scheduled vs not scheduled) as determined by referral management department

• Slot availability for eReferred-patients

• Wait time for specialty service by insurance status

Consultation and integrated eCR

• Time to first specialist response

• Self-reported PCP ability to manage a patient with specialist guidance

• Specialist satisfaction

• Disposition (e.g., scheduled immediately, scheduled after review, consultation only) as determined by specialist reviewer

• Emergency department utilization

• PCP expectation for referral

• Time spent by specialist

• Cardiac outcomes: appropriate diagnoses, percent of patients with blood pressure control, PCP prescription of guideline-conoirdance cardiovascular medications^a

• Quality of PCP referral

• Economic impact of provider reimbursement strategy

• Specialty clinic complexity^a

• Quality of specialist response

• Patient leakage to other health systems for specialty care

• Number of exchanges per consult

• Primary care clinic adoption of system^a

• Number of consults with document uploads^a