Table 3.

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

	Operational	Scheduling	Clinical	Communication
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 medicationsa	• Quality of PCP referral
	• Economic impact of provider reimbursement strategy		• Specialty clinic complexitya	• Quality of specialist response
	• Patient leakage to other health systems for specialty care			• Number of exchanges per consult
	• Primary care clinic adoption of systema			• Number of consults with document uploadsa

^aDenotes metrics that were only examined among integrated eCR systems