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Coordinating Optimal Referral Experiences

Over the past decade, the use of subspecialty medical services has risen rapidly in the United States, with referrals to specialists more than doubling. As referrals have risen, current processes are increasingly overwhelmed which impairs patients’ access to specialists, raises costs, and increases the risk of care fragmentation.

Through Project CORE, the AAMC has worked with 12 Academic Medical Centers (AMCs) to implement a new care delivery model that improves the patient referral process between primary and specialty care. To accomplish this, Project CORE implements eConsults and enhanced referrals within the AMC’s EMR system, a model originally developed and piloted at the University of California, San Francisco.

Project CORE is currently accepting additional participants. To learn more or join the CORE collaborative, please contact
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Through Project CORE:

  • Patients have improved access to specialty care with fewer unnecessary tests and visits
  • Primary care physicians receive timely input and expertise from specialists
  • Primary care physicians and specialists work from the same set of expectations before and after a referral has been made
  • Specialists receive clear clinical questions and related documentation that provides more-efficient referrals
  • Institutions can more efficiently provide high-value care

Already, over 1 million primary care patients across the 12 AMCs participating in Project CORE can benefit from timely specialist input on their care, in addition to greater convenience and savings. AMC participants report that the CORE model optimizes the referral experience and helps improve collegiality and trust among PCPs and specialists.

The AAMC is committed to improving the health of all by supporting AMCs in implementing the CORE model.

Join the Collaborative

Learn more about the CORE Model 

Download the Program Participation Overview 

Contact us at


Review recent research External Link on eConsults and eReferrals!