Table 2.

Per-call savings by specialty: Specialists reported data for 40% of the initial 5000 calls; 148 of these calls had complete information on the avoided ED visits and face-to-face consultations.

Total no. of calls257324566144810148
No. of calls that prevented specialist consultations142214061637486
No. of calls that prevented ED visits80110345511148
Costs, $
Total direct costs* (A)2550714306244851061261214284896102015 096
Savings, $
Direct variable cost avoidance
  • Avoiding specialist consultations23263323322255010281631269655862114 885
  • Avoiding ED visits15360192192057676896096021121929216
Total savings (B)38623325244175576179611232229867081324 101
Actual savings (B - A)1312−38221817276611845118013774−2079005
Per-call cost avoidance§52−55737213197855779−2161
  • Card—cardiology, ED—emergency department, Endo—endocrinology, Geri—geriatrics, GI—gastroenterology, GIM—general internal medicine, HF—heart failure, Psyc—adult psychiatry, RACE—Rapid Access to Consultative Expertise, Resp—respirology, RM—risk management.

  • * No. of calls × $102.12, the average fee charged for a RACE call.

  • Direct variable savings by avoiding specialist face-to-face consultations = no. of calls that prevented specialist consultations × specialist initial consultation fee (Table 1).6

  • Direct variable savings by avoiding ED visits = no. of calls that resulted in avoiding ED visits × ED visit fees ($192).

  • § Actual savings divided by total no. of calls.