Dr. Chi Chu was recently awarded a K12 award from NIH/AHRQ. This was through the UCSF Learning Health System K12 Career Development Program. The overall goal of this project, "Targeted Automated Nephrology e-Consultation for Diabetic Kidney Disease", is to design a proactive intervention of targeted nephrology e-consultation which leverages the electronic health record to identify patients with diabetic kidney disease who might benefit from nephrology expertise, with the goal of extending subspecialty expertise in collaboration with primary care to reach a broader population than would be possible with a traditional, in-person visit model. The specific aims of this project are 1) to conduct semi-structured interviews of primary care clinicians, patients, and nephrologists to understand the most helpful elements of a proactive e-consultation intervention; and 2) to use a microsimulation modeling approach to determine the best strategies for targeting proactive consultations for optimizing impact and equity based on existing practice patterns and resource limitations in a local setting.