CIAQ Home Resources

Publications, presentations, and websites related to CIAQ programs.






  1. Price, ER, Sewell, JL, Chen AH, Sarkar, U. "Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange." The Joint Commission Journal on Quality and Patient Safety Vol. 42 Number 8, 341-349, AP 1-5; 2016 Aug (pdf)
  2. Tuot DS, Leeds K, Sarkar U, Lyles C, Murphy E, Chen AH. "Barriers and Facilitators to Implementation of electronic referral and consultation (eCR) systems: a qualitative assessment of 16 health care organizations. BMC Health Services Research. 2015 Dev 19;15(1):568. (pdf)
  3. Tuot DS, Murphy EJ, McCulloch CE, Leeds K, Chan E, Chen AH -- Leveraging an electronic referral system to build a medical neighborhood. Healthcare 2015 Apr (pdf)
  4. Scheibe MM, Imboden JB, Schmajuk G, Margaretten M, Graf JD, Chen AH, Yelin EH, Yazdany J -- Efficiency Gains for Rheumatology Consultation Using a Novel Electronic Referral System in a Safety Net Health Setting. American College of Rheumatology; Accepted Article, doi: 10.1002/acr.22559 2015 Jan (pdf)
  5. McGeady JB, Blaschko SD,Brajtbord JS, Sewell JL, Chen AH, Breyer BN -- Electronic Preconsultation as a Method of Quality Improvement for Urological Referrals. Urology Practice Vol. 1, 172-175; 2014 Nov (pdf)
  6. Chen AH, Murphy EJ, Yee HF. eReferral -- A New Model for Integrated Care. N Engl J Med. 2013 June 27: 368;26. (pdf)
  7. Chen AH, Rittenhouse D. The Un-managed System of Medicare Referrals. J Gen Intern Med. 2012 Feb29. (pdf)
  8. Straus SG, Chen AH, Yee H, Kushel MB, Bell DS. Implementation of an electronic referral system for outpatient specialty care. AMIA Annu Symp Proc. 2011; 2011:1337-46. (pdf)
  9. Chen AH, Yee HF. Improving primary care-specialty care communication: lessons from San Francisco's safety net: comment on "Referral and consultation communication between primary care and specialist physicians". Arch Intern Med. 2011 Jan 10; 171(1):65-7. (pdf)
  10. Kim-Hwang JE, Chen AH, Bell DS, Guzman D, Yee HF, Kushel MB. Evaluating electronic referrals for specialty care at a public hospital. J Gen Intern Med. 2010 Oct; 25(10):1123-8. (pdf)
  11. Chen AH, Kushel MB, Grumbach K, Yee HF. Practice profile. A safety-net system gains efficiencies through 'eReferrals' to specialists. Health Aff (Millwood). 2010 May; 29(5):969-71. (pdf)
  12. Bindman AB, Chen A, Fraser JS, Yee HF, Ofman D. Healthcare reform with a safety net: lessons from San Francisco. Am J Manag Care. 2009 Oct; 15(10):747-50. (pdf)
  13. Chen AH, Yee HF. Improving the primary care-specialty care interface: getting from here to there. Arch Intern Med. 2009 Jun 8; 169(11):1024-6. (pdf)
  14. Kim Y, Chen AH, Keith E, Yee HF, Kushel MB. Not perfect, but better: primary care providers' experiences with electronic referrals in a safety net health system. J Gen Intern Med. 2009 May; 24(5):614-9. (pdf)
  15. UCSF Frontiers of Medicine. eReferral: Connecting Primary and Specialty Care. Spring 2009. (pdf)
  16. San Francisco Health Plan Newsletter. Fall 2006. (pdf)
  17. Fulford D, Tuot DS, Manqurian C. Electronic Psychiatric Consultation in Primary Care in the Safety Net. Psychiatr Serv. 2016 Oct 1; 67(10):1160-1161. (url)


Guides and Documents

  1. eReferral Implementation Handbook (url)
  2. eReferral training video for Referring Providers (url)
  3. eReferral training video for Specialist Reviewers (url)
  4. eReferral training video for Schedulers (url)


Link Directory

  1. San Francisco Chronicle, July 23, 2013: Electronic referrals streamline S. F. General care
  2. Healthcare IT News, July 11, 2013: 3 benefits of eReferral systems
  3. Center for Care Innovations, Innovation of the Month, October 2012: eReferral in San Francisco Safety Net
  4. AHRQ Innovation Profile: Electronic Referrals and Communications Reduce Wait Times for Specialty Appointments and Improve Clinician Communication and Quality of Care: eReferral AHRQ Innovations Exchange


Specialty Care Initiative:


Making It Work: Lifestyle Strategies and Clinical Tools for Diabetes, Obesity, and Atherosclerosis. May 6, 2011 (Syllabus)

Tuot DS, Sewell JL, Day L, Leeds K, Chen AH. Increasing access to specialty care: patient discharges from a gastroenterology clinic. Am J Manag Care. 2014 Oct; 20(10):812-9. (url)


Specialty Care Initiative 2011-2012 Summary (pdf)



Link Directory




Continuing Medical Education (CME) courses have been developed in each specialty participating in the Specialty Care Safety Net Initiative to enhance the knowledge of primary care providers.

Visit the CME California website ( to access the courses.


  1. First, register for a CME Account on the CME California homepage
  2. On the CME California homepage, select the following in the Activity Search box: Online course
  3. In the search field type SCSNI
  4. In the Browse By menu, select profession
  5. On the following page, choose Physician in the Select A Profession menu

The following CME activities were presented by UCSF faculty:

  1. Reasons for Hepatology Consultation, Jennifer Guy, MD, MAS
  2. Inflammatory Dermatoses – Initial Approach and Review of Topical Corticosteroids, Ivy Lee, MD
  3. Skin Cancer – Identifying, Screening, and Educating At-Risk Patients, Ivy Lee, MD
  4. Orthopaedic Extremity Exam Skills – Upper Extremities, Aenor Sawyer, MD
  5. Orthopaedic Extremity Exam Skills – Lower Extremities, Aenor Sawyer, MD
  6. Common Problems in Thyroid Dysfunction, Elizabeth Murphy, MD, DPhil
  7. How Low to Go? What are Appropriate Glycemic Targets in Diabetes, Elizabeth Murphy, MD, DPhil