Dr. Ankit Patel, MD, PhD, Nephrologist & eConsult Specialist discusses the treatments for Diabetic Kidney Disease in primary care. Diabetic kidney disease really refers to any kidney disease that occurs in the presence of diabetes. Now, what that means is it’s not always the diabetes in itself that is causing the kidney disease. There could be other reasons, and it’s not always diabetes that’s causing proteinuria. S
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When is the right time to request a Nephrology eConsult?
The question does come, “Well, when is the right time?”, And I would say that I would ask yourself when you’re considering whether it should be appropriate to have a nephrology referral either through an eConsult or in person. Does the patient have any comorbidities or unusual features that make you concerned that this is something that’s potentially rapidly progressive, certainly that would require an urgent in-person chronic kidney disease?
Quality Catalyst: eConsult Containment Rates
eConsult containment means that the provider is equipped with the right recommendations to manage the patient’s care without referring the patient out. You’ll see that, of course, this varies according to specialty. So something like endocrinology is gonna have a high containment rate, and in our case, we see a 96% referral avoidance rate or containment rate. And that’s because most of these cases don’t need an in-person evaluation.
Anatomy of a wound care eConsult
The typical process for requesting the consult includes a brief explanation of the patient’s chief complaint and background. You want to note all of those things as it’s sudden onset. For example, you’re going to attach the documentation that that’s relevant. You don’t have to attach everything, but what’s relevant to this particular patient and this particular photo of the wound?
When to request a wound care eConsult
eConsult containment means that the provider is equipped with the right recommendations to manage the patient’s care without referring the patient out. You’ll see that, of course, this varies according to specialty. So something like endocrinology is gonna have a high containment rate, and in our case, we see a 96% referral avoidance rate or containment rate. And that’s because most of these cases don’t need an in-person evaluation.
Types of wounds
eConsult containment means that the provider is equipped with the right recommendations to manage the patient’s care without referring the patient out. You’ll see that, of course, this varies according to specialty. So something like endocrinology is gonna have a high containment rate, and in our case, we see a 96% referral avoidance rate or containment rate. And that’s because most of these cases don’t need an in-person evaluation.
Quality Catalyst: eConsult Containment Rates
eConsult containment means that the provider is equipped with the right recommendations to manage the patient’s care without referring the patient out. You’ll see that, of course, this varies according to specialty. So something like endocrinology is gonna have a high containment rate, and in our case, we see a 96% referral avoidance rate or containment rate. And that’s because most of these cases don’t need an in-person evaluation.
Quality Catalyst: eConsult Care Impact
We asked PCPs to rate the eConsult care impact—whether the consult they submitted and the response they received significantly impacted the patient’s care plan. For us, 90% say yes. Again, it’s critical to track this, especially if it drops, to figure out what may be happening there. I have a couple of examples of what that looks like here.
eConsult Value Proposition
Providing Access to Pediatric Specialty Expertise by Extending eConsult Offerings to Internal and External Requesting Providers eConsult Value PropositionHeather Meyers, Director, Virtual Care Innovation & Digital Health Accelerator at Boston Children’s...
Primary Care eConsult Outcomes
Providing Access to Pediatric Specialty Expertise by Extending eConsult Offerings to Internal and External Requesting Providers Primary Care eConsult OutcomesHeather Meyers, Director, Virtual Care Innovation & Digital Health Accelerator at Boston Children’s...