1) Opt-in: The decision to place an eConsult is left with the PCP, not mandated by the specialty as a gateway for referral. 2) Primary Care Lead: A PCP leads efforts to tailor and implement the eConsult model and templates. 3) PCP and Specialist Compensation: Participating AMCs are encouraged to provide compensation or RVU (related value unit) credit to participating PCPs and specialists for recognition of work. 4) Quality Assurance: review of PCP questions and specialist response are used to tailor education and improve the quality of eConsults.