E-Consults Workflow: Initiating Provider
Impacted User: Ordering providers
The steps below will walk you through the clinical PennChart workflow for initiating an E-consult Infectious Disease order:
1. From any encounter for your patient, click "Add Order" (depicted below) and type consult infectious disease in the search bar.
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![E-Consults Initiating Provider Workflow 1](/sites/default/files/styles/max_1300x1300/public/2024-02/Screen%20Shot%202024-02-01%20at%2011.40.12%20AM.png?itok=V540N5R9)
2. Click INFECTIOUS DISEASE CONSULT ORDERS to open the Order Panel.
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![E-Consults Initiating Provider Workflow 2](/sites/default/files/styles/max_1300x1300/public/2024-02/Screen%20Shot%202024-02-01%20at%2011.40.17%20AM.png?itok=xrLWxl_d)
Note: you may need to click the Database tab to view available orders.
Important: Use the Order Panel, not the individual order listed in Procedures, to ensure you’re presented with important information related to consult orders.
3. Once the Order Panel opens:
- Review the statement.
- If you decide to proceed with an E-Consult, click the radio button next to E-Consult Infectious Disease.
- Click Accept.
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![E-Consults Initiating Provider Workflow 3](/sites/default/files/styles/max_1300x1300/public/2024-02/Screen%20Shot%202024-02-01%20at%2011.40.29%20AM.png?itok=UTlI_xlk)
4. You will see the following Best Practice Advisory (BPA) if the patient already has established care in the Specialty. (i.e. completed appointments in the past 3 years or scheduled appointment in the next 90 days).
- Click Remove or Keep.
- If you clicked Keep, click on the appropriate Acknowledge Reason.
- Click Accept.
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![E-Consults Initiating Provider Workflow 4](/sites/default/files/styles/max_1300x1300/public/2024-02/Screen%20Shot%202024-02-01%20at%2011.40.35%20AM.png?itok=T3yskkPd)
5. Your E-Consult Order will open. Notice the information displayed in the reports in the side bar on the left. Here you can view helpful information to complete your order, including: E-Consult Process Instructions
- Infectious Disease Appointments, if applicable
- E-Consult Verbal Consent Script
- Complete the items in the order itself on the right side.
- Use F2 to navigate through items in the Comments section.
- Click Accept and then sign the order.
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![E-Consults Initiating Provider Workflow 5](/sites/default/files/styles/max_1300x1300/public/2024-02/Screen%20Shot%202024-02-01%20at%2011.40.44%20AM.png?itok=JI8OlLfF)
6. Click Sign Orders. The E-Consult order will automatically route to the appropriate E-Consult Pool for Specialist providers to review, and a Specialist will review and respond to your E-Consult order.
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![E-Consults Initiating Provider Workflow 6](/sites/default/files/styles/max_1300x1300/public/2024-02/Screen%20Shot%202024-02-01%20at%2011.40.57%20AM.png?itok=W58MvXu8)
Reviewing Specialist’s Response to your E-Consult:
Initiating/Ordering Providers do not need to check into an E-Consult Pool to receive responses to E-Consults that they sent. Rather, E-Consult responses will automatically populate an E-Consult folder in the Initiating Provider’s In Basket when a Specialist responds:
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![E-Consults Initiating Provider Workflow 7](/sites/default/files/styles/max_1300x1300/public/2024-02/Screen%20Shot%202024-02-01%20at%2011.41.28%20AM.png?itok=A8s1k1Ki)
Specialist Provider responses also file in the patient’s chart as an E-Consult Encounter:
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![E-Consults Initiating Provider Workflow 8](/sites/default/files/styles/max_1300x1300/public/2024-02/Screen%20Shot%202024-02-01%20at%2011.41.32%20AM.png?itok=tlrZ1fDj)