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Project CORE: Coordinating Optimal Referral Experiences

Demand for ambulatory subspecialty services has grown at rates that have overwhelmed many academic medical centers’ (AMCs) capacity, impairing access and creating unacceptably long wait times for patients. This drives down patient and provider satisfaction, and leads to lost revenue, reduced quality of care, and lost leverage in payer negotiations.

A growing number of AMCs have committed to implementing an innovation model that improves efficiency and effectiveness at the interface between primary care and specialty care, thereby improving quality of care and access, each in a patient-centered way. Based on a model initially developed and piloted at the University of California, San Francisco, the AAMC launched this innovation in 2014, now called Project CORE: Coordinating Optimal Referral Experiences. Through Project CORE, the AAMC is committed to helping AMCs improve the referral experience for both clinicians and patients.

Already, the AAMC has partnered with 27 AMCs to successfully implement eConsults and enhanced referrals, tools built into the electronic medical record system through the CORE model. Through the CORE model, many AMCs have achieved impactful cost and operational efficiencies together with improved patient experiences -- Project CORE is a true collaboration between AAMC experts and AMC staff. Learn what to expect with Project CORE and find out why the AAMC has the knowledge, resources, and experience to be the most effective partner for your AMC.

Currently, the AAMC is seeking to identify institutions interested in joining the next Project CORE collaborative. Learn how to join the CORE community or email

Learn more by watching our introductory video and reading "eConsults Reduce Need for Specialty Referrals." Questions? Please contact

Join the Collaborative

Learn more about the CORE model. 

CORE Spotlights: Learn about the program UVA Health System,  Dartmouth-Hitchcock , University of Colorado , and University of California, San Diego 

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Review recent research External Link on eConsults and eReferrals!