RT Journal Article SR Electronic T1 The Provincial Spread and Scale of the Ontario eConsult Service: Evaluation of the First 2 Years JF The Annals of Family Medicine JO Ann Fam Med FD American Academy of Family Physicians SP 262 OP 265 DO 10.1370/afm.2812 VO 20 IS 3 A1 Liddy, Clare A1 Mitchell, Rhea A1 Guglani, Sheena A1 Mihan, Ariana A1 Sethuram, Claire A1 Miville, Andrea A1 Keely, Erin YR 2022 UL http://www.annfammed.org/content/20/3/262.abstract AB This paper reports on a multimethod cross-sectional study of the Ontario electronic consultation (eConsult) service. Utilization and closeout survey data from July 2018 through June 2020 were analyzed using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework. Requesting clinicians submitted 60,474 eConsults, and monthly cases increased from 1,487 in July 2018 to 4,179 in June 2020. The median specialist response time was 1 day. An originally contemplated referral was avoided in 51% of cases. Ontario eConsult showed successful uptake across Ontario, demonstrating continued spread and scale, and offering a template for trailblazers looking to implement digital health innovations in their own jurisdictions.