Table 2

Timeline of development and implementation of Inpatient eConsult Programme

Workflow defining and refining
EHR build
Consult ordering*
eConsult options made available†
Infectious diseases
Cycle 1
Cycle 2
Ad hoc addition
Training and communication about new eConsult programme
Frontline teams
Feedback and assessment of outcomes
Frontline teams
  • Shaded boxes indicate when tasks were accomplished.

  • *Consult ordering: initially frontline providers had a choice between in-person consult or eConsult orders. The workflow then allowed specialists to convert one request to the other depending on patient needs. Finally, a unified consult order was developed in which frontline providers could select their choice of consult and allowed specialists to default to in-person consult if needed.

  • ‚ĆeConsult options: (cycle 1) Cardiology, Dermatology, Endocrinology, Diabetes, Nephrology, Pulmonary Medicine, Rheumatology; (cycle 2) Haematology, Gastroenterology, Hepatology, Palliative Care, Psychiatry, Pain Medicine, Thrombosis; (Ad Hoc) Allergy and Immunology, Cytokine Storm Syndrome, Oncology, Neurology, Neurosurgery, Rehabilitation Medicine, Urology

  • EHR, electronic health record.