Table 1.
Organization | Staffing | Role |
---|---|---|
Kaiser Permanente Colorado (KPCO) | Administrative staff (0.6 FTE) | Evaluate initial e-consults; ensure that e-consults are addressed promptly; assist with scheduling face-to-face visits; track specialists’ time and the cost of direct care visits |
Community Benefit and Relations staff (1.5 FTE) | Facilitate communication between safety-net and KPCO leaders and internal and external stakeholders; oversee maintenance of legal, compliance, budgetary, and information technology security issues related to the program | |
Community Benefit-supported clinician time (0.3 FTE) | Manage communication and relationships with medical leadership and the participating specialty departments | |
Specialists | Review and respond to incoming e-consults as needed; see uninsured patients for face-to-face visits, when considered necessary | |
Colorado Community Health Network | Administrative staff person (0.4 FTE) | Liaison to all safety-net clinicians; track and summarize e-consults on a monthly basis; help safety-net partners identify topics for continuing education; maintain the contract with NetChemistry Inc, a company based in Newport Beach, CA, which designed the software platform for e-consult exchanges (initially, and then this was transferred to KPCO) |
Safety-net organizations | Internally defined (physicians, nurse practitioners, physician assistants, and care coordinators) | Clinicians submit questions via e-consult platform to KPCO specialists; in some safety-net organizations, a care coordinator fills out the information in the e-consult platform. An identified person at each safety-net organization coordinates with the KPCO administrative staff person to arrange face-to-face visits |
E-consults = electronic consultations; FTE = full-time equivalent.