Disruptive Innovation: Implementation of Electronic Consultations in a Veterans Affairs Health Care System

Gouri Gupte, Varsha G. Vimalananda, Steven R. Simon, Katerina DeVito, Justice Clark, Jay D. Orlander · 2016 · JMIR Medical Informatics

Summary. A Veterans Affairs health system implemented electronic consultations enabling clinicians to request specialist input through the electronic health record without requiring patient visits. Between 2012 and 2013, over 7,000 e-consults were used, with nurse practitioners requesting them more frequently than physicians. Beyond initial diagnostic purposes, clinicians creatively adapted e-consults for scheduling and documentation. Requesting providers found the system highly useful, though specialists worried about workload increases.

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@article{gupte-2016-disruptive-innovation-implementation-electronic-consultations,
  title   = {Disruptive Innovation: Implementation of Electronic Consultations in a Veterans Affairs Health Care System},
  author  = {Gouri Gupte and Varsha G. Vimalananda and Steven R. Simon and Katerina DeVito and Justice Clark and Jay D. Orlander},
  journal = {JMIR Medical Informatics},
  year    = {2016},
  doi     = {10.2196/medinform.4801},
  url     = {https://doi.org/10.2196/medinform.4801}
}

TY  - JOUR
TI  - Disruptive Innovation: Implementation of Electronic Consultations in a Veterans Affairs Health Care System
AU  - Gouri Gupte
AU  - Varsha G. Vimalananda
AU  - Steven R. Simon
AU  - Katerina DeVito
AU  - Justice Clark
AU  - Jay D. Orlander
JO  - JMIR Medical Informatics
PY  - 2016
DO  - 10.2196/medinform.4801
UR  - https://doi.org/10.2196/medinform.4801
ER  - 

Details

DOI

10.2196/medinform.4801

Countries

United States

Regions

North America

Categories

rural-healthcare, broadband-and-digital, general-innovation

Added

2026-04-28