The value of an eConsult depends heavily on the quality of the question being asked. When a clinical question is clear, focused, and relevant, specialists can provide faster, more actionable advice—helping primary care providers deliver better care without delay.
For providers using the Colorado Medicaid eConsult platform, mastering the art of writing a good clinical question is one of the simplest ways to improve outcomes, reduce back-and-forth, and strengthen collaboration with specialists.
Here’s how to write eConsult questions that lead to better guidance.
1. Start With a Specific Clinical Concern
Broad or vague questions like “What would you do?” or “Please advise” often lead to vague answers. Instead, define the exact concern.
Less effective: “Please review patient’s diabetes management.”
More effective: “Despite metformin and glipizide, patient’s A1C remains above 9%. Is a GLP-1 appropriate at this stage?”
2. Make the Question Actionable
Focus on a decision point—what are you trying to do or decide? This helps the specialist tailor their response.
Example:
- “Would you recommend continuing current beta-blocker or switching to a calcium channel blocker?”
- “Do these skin findings warrant a biopsy or trial of treatment first?”
3. Include Relevant Clinical Context
The specialist won’t have access to your full chart, so include a brief summary:
- Key labs or imaging
- Pertinent history
- Current medications and dosages
- Duration and progression of symptoms
This context helps the specialist understand the case quickly and offer targeted advice.
4. Clarify What You’ve Already Tried
To avoid duplicate suggestions, let the specialist know what’s already been done.
Example:
“Patient has failed two SSRIs for generalized anxiety. Now trialing buspirone, but partial response only.”
5. Avoid Unnecessary Details
While context is important, too much background can bury the question. Keep your submission focused. Use bullet points or structured templates if your eConsult platform offers them.
6. Phrase the Question Professionally and Respectfully
eConsults are collaborative, not one-sided. Avoid language that sounds like you’re outsourcing care. Instead, highlight the specialist’s value in guiding your next steps.
Example:
“Would appreciate input on next-line therapy based on response to initial management.”
Why It Matters
Clear, specific clinical questions lead to:
- Faster response times
- More precise recommendations
- Fewer follow-up messages
- Better patient outcomes
- A smoother workflow for both providers
The Colorado Medicaid eConsult platform is built to streamline care—but like any communication tool, its value depends on clarity.