SPECIALTY
Gastroenterology
CHIEF COMPLAINT
Thrombocytopenia
COMMENTS TO SPECIALIST
This gastroenterology consult is for a 61-year-old male with a history of cerebrovascular accident (CVA), hepatitis C virus (HCV), which is treatment-naïve, and congestive heart failure (CHF) – referred for management of liver disease, HCV, heart failure, worsening liver function tests (LFTs), and thrombocytopenia. Aspartate aminotransferase to platelet ratio index (APRI) 4.3 pts.
MAIN QUESTION
Please review the attached documents and provide recommendations for further treatment and diagnostics.
For reference only. This eConsult is based on an actual request for specialist consultation. The primary care provider, specialist, and patient are de-identified to protect private health information (PHI).
Targeting Healthcare Cost Savings, Focus on High-Value eConsults
At-risk practices focusing on high-value eConsults see the greatest benefits from their eConsult programs — healthcare cost savings and improved patient outcomes. With considerable time and effort, at-risk practices identify patients at high risk of serious health events, such as emergency department visits or inpatient hospitalizations, and prevent them. At AristaMD, we are taking this strategy to the next level by considering which specialties have:
- Long wait times
- Higher costs
- Address conditions easily managed in the primary care setting
Using eConsults for specialties with these characteristics are the most likely to drive healthcare cost savings, improve outcomes and decrease the risk of:
- ED use – a costly alternative to a specialist visit.
- Unscheduled or canceled specialty care appointments.
- Boomerang appointments to primary care.
What is a high-value eConsult?
A high-value eConsult is a request for guidance in a specialty area that is particularly expensive to the patient, your practice and the wider industry.
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Ready to deliver lower-cost care without sacrificing quality?