; report Not later than 180 days after the date of the completion of the last pilot projects funded under this section, the Secretary shall submit to Congress a report, including an evaluation, on the projects that addresses the following: (1) An overview of supported projects and identification of areas of success and failure. (2) Policies, practices, and organizational approaches that either facilitate or impede the effective use of E–Consult services (including personnel training and support, technology usability, workflow, and provider communication). (3) Relative effectiveness of consultations provided by Medical Specialists in improving outcomes, quality of care and efficiency with respect to different specialties, clinical conditions, complexity, patient types, or other issues. (4) The extent to which information shared in the E–Consult services process is sufficient, accurate, and actionable in order to effectively facilitate care improvement, and whether such bi-directional information flows can be standardized. (5) The extent to which E–Consults facilitate continuity of care. (6) Any issues arising related to maintaining the privacy of personal health information, ensuring cybersecurity, and other information security issues. (7) The extent to which E–Consult services contribute to improved health outcomes and metrics that can facilitate such evaluation. (8) Any unintended or adverse results from utilizing E–Consult services. (g) Definitions For purposes of this section: (1) Certified EHR technology The term certified EHR technology has the meaning given such term in section 3000(1). (2) E–Consult service The term E–Consult service means synchronous or asynchronous, consultative, health-care-provider-to-health-care-provider communications that occur within a shared certified EHR technology or secure internet-based platform and are primarily intended to provide specialty expertise to treating clinicians (who are often primary care providers) without requiring a direct interaction between the patient and