Beginning September 2014, a fellow or attending reviewed each consult placed to St. Louis Veterans Affairs Cardiology service and made a decision to 1) cancel the consult, 2) reply in the form of electronic consultation, or 3) schedule an in-person consultation. This specialist-driven intervention at the time of scheduling allowed 64% of placed cardiology consults to be handled electronically or cancelled, avoiding over 1,472 unnecessary clinic hours and reducing wait times from 69 to 26 days.

Describe the new knowledge and additional skills the participant will gain after attending your presentation.: After this session, the attendee will be able to evaluate the utility of a proactive electronic consult service to improve patient access in their clinical practice. The attendee will gain specific insight of how to reduce wait times for a specialty service by implementing a physician-led screening process, and how to overcome challenges to electronic consult implementation.


Jeffrey Szymanski (Presenter)
Washington University in St. Louis

Jessica Riggs, Washington University in St. Louis
Amanda Westlund, John Cochran VAMC
Divya Kapoor, John Cochran VAMC
William Balke, John Cochran VAMC

Presentation Materials: