WISE Healthcare first developed and applied its proprietary Innovation Change Approach (INCA) for the County of Los Angeles with L.A. Care Health Plan, the Community Clinic Association of Los Angeles and the County of Los Angeles Department of Health Services. The WISE team continues to apply InCA while spreading eConsult throughout the Inland Empire via the Multi-County eConsult Initiative (MCeI). So far WISE has guided 86 primary care clinics to utilize eConsult and onboarded over 100 specialists across 38 specialty services. More than 50,000 eConsults have occurred already.