Digital Commons Network^™

Project Echo In Belarus: Outcomes Of 3-Year Experience, Olga P. Matylevich, Alexander B. Shushkevich, Pavel A. Perevoschikov, Siarhei A. Mavrichev, Kathleen M. Schmeler

Project ECHO Bibliography

No abstract provided.

Advancing Gynecologic Oncology In Latin America Through Project Echo, Melissa Lopez Varon, Ellen Baker, Erick Estuardo Estrada, Kathleen M. Schmeler, Rene Pareja

Project ECHO Bibliography

No abstract provided.

A Mixed Methods Evaluation Of The Feasibility, Acceptability, And Impact Of A Pilot Project Echo For Community Health Workers (Chws), April Joy Damian, Sarafina Robinson, Faaiza Manzoor, Mandy Lamb, Adriana Rojas, Ariel Porto, Daren Anderson

Project ECHO Bibliography

Background

Despite the positive effects of community health workers (CHWs) on addressing social determinants of health, improving patient health outcomes, and decreasing overall healthcare costs, there is a lack of standardization in training and certifying this workforce, resulting in different approaches to integrating this role into medical home models. The purpose of the current study is to evaluate the application of Project ECHO (Extension for Community Healthcare Outcomes) in enhancing CHWs’ capacity to address health and social issues of vulnerable populations.

Methods

An explanatory sequential mixed methods design was applied in which all participants (N = 49) completed pre …

Covid-19 And Telehealth, Education, And Research Adaptations., N Romesh Wijesooriya, Vimal Mishra, Paul L P Brand, Bruce K Rubin

Project ECHO Bibliography

For decades, there have been government funded services to provide healthcare telephonically to remote sites both on the earth and in the air. This capability has evolved into what we now know as telehealth. The use of telehealth dramatically accelerated as a result of concerns for patient and healthcare provider safety during the SARS-CoV2 pandemic. Similarly, concerns regarding transmission of infection have required medical schools to provide robust, easily accessible virtual education options. At short notice, faculties have had to develop new telehealth focused curriculum components. However, telehealth, online education, and internet enabled research should not be simply a new …

Telemedicine In Liver Disease And Beyond: Can The Covid-19 Crisis Lead To Action?, Marina Serper, Allen W. Cubell, Mary Elisabeth Deleener, Tara K. Casher, Dale J. Rosenberg, Dale Whitebloom, Roy M. Rosin

Project ECHO Bibliography

Evidence strongly supports that access to specialty gastroenterology or hepatology care in cirrhosis is associated with higher adherence to guideline-recommended care and improves clinical outcomes. Presently, only about one half of acute care hospitalizations for cirrhosis-related complications result in inpatient specialty care, and the current hepatology workforce cannot meet the demand of patients with liver disease nationwide, particularly in less densely populated areas and in community-based practices not affiliated with academic centers. Telemedicine, defined as the delivery of health care services at a distance using electronic means for diagnosis and treatment, holds tremendous promise to increase access to broadly specialty …

The Rare Bone Disease Teleecho Program: Leveraging Telehealth To Improve Rare Bone Disease Care., Laura L. Tosi, Elmer N. Rajah, Michael H. Stewart, Austin P. Gillies, Tracy S. Hart, E Michael Lewiecki

Project ECHO Bibliography

PURPOSE OF REVIEW: Rare bone diseases constitute ~ 5% of all known rare diseases and can require complex, multidisciplinary care. Advancing access to current medical knowledge is an important strategy for improving care for rare bone diseases throughout the world. To support this goal, the Rare Bone Disease Alliance launched the Rare Bone Disease TeleECHO in 2019.

RECENT FINDINGS: The Rare Bone Disease TeleECHO is a monthly video teleconference that fosters a collegial community of practice and opportunities for active learning through interactive case-based learning. TeleECHO relies on a hub-and-spoke model, where medical professionals at the "hub" provide support and …

The Influence Of Telehealth For Better Health Across Communities., Jane A. Mcelroy, Tamara M. Day, Mirna Becevic

Project ECHO Bibliography

Rapid spread of coronavirus disease 2019 (COVID-19) forced an abrupt shift in the traditional US health care delivery model to meet the needs of patients, staff, and communities. Through federal policy changes on telehealth, patient care shifted from in-person to telephone or video visits, and health care providers reached out to patients most at risk for exacerbation of chronic disease symptoms. ECHO (Extension for Community Healthcare Outcomes), a videoconferencing peer learning application, engaged health care providers across Missouri in the treatment and management of complex COVID-19-positive patients. Re-envisioning health care in the digital age includes robust utilization of telehealth to …

Factors Influencing The Retention Of Participants In Online Cancer Screening Training Programs In India, Kavitha Dhanasekaran, Roshani Babu, Vipin Kumar, Shalini Singh, Roopa Hariprasad

Project ECHO Bibliography

Background

Online courses have broken the boundaries in imparting knowledge. While in western countries e-learning in medical education is well accepted, it is still an upcoming field in low- and middle-income countries like India. Attrition is a major threat to online courses world-wide. The objective of this article is to share the experiences in conducting online cancer screening courses, reasons for attrition and ways to improve retention.

Methods

Online training program in preventive oncology for medical professionals is being conducted since 2017, which is 14-week long with weekly one-hour sessions and specific curriculum for healthcare professionals. Since the retention of …

Covid-19, Medical Education, And Bone Health: Insights From Project Echo, E Michael Lewiecki, Micol S. Rothman

Project ECHO Bibliography

No abstract provided.

2020-05-27 A Message From Chancellor Roth, Paul B. Roth

HSC Messages from the Chancellor

No abstract provided.

Building Regional Expertise: Perspectives From Show-Me Echo Participants., Melissa Warne-Griggs, Lea Brandt, Kimberly Hoffman, Tracy Greever-Rice, E Rachel Mutrux

Project ECHO Bibliography

This article highlights four primary care providers that practice in underserved areas in Missouri. Show-Me ECHO (Extension for Community Healthcare Outcomes) provides colleagues opportunities for consultation and Continuing Medical Education (CME) around particular conditions. Through their participation, these providers have 1) enhanced their comfort and skill in diagnosis and treatment, 2) become important regional resources for patients and other providers, and 3) improved access to specialty services in their community.

Embracing The Power Of Show-Me Echo Learning Communities To Transform Clinical Practice In Missouri., Lea Brandt, Melissa Warne-Griggs, Kimberly Hoffman, Lori Popejoy, E Rachel Mutrux

Project ECHO Bibliography

Show-Me ECHO, a state-funded project, provides access to education within a community of learners in order to optimize healthcare for the citizens of Missouri. Through videoconferencing and case-based review, ECHO shifts professional development from learning about medical problems in isolation to experiential learning as part of a multidisciplinary team. The establishment of a statewide COVID-19 ECHO is allowing a rapid response to this novel, unprecedented, and unanticipated health care crisis. There are many ongoing opportunities for clinicians from across the state to join a Show-Me ECHO learning community as a means to elevate their practice and improve ability to respond …

Telehealth And Outreach In The Post Covid-19 World: The Mu Show-Me Echo Program As A National Model., Karen Edison

Project ECHO Bibliography

No abstract provided.

Patient-Doctor Telemedicine: Virtual Care In The Era Of Covid-19 And Beyond., Steven Zweig

Project ECHO Bibliography

No abstract provided.

Accelerating Care Through Echo: Case Examples From The Field., Mirna Becevic, Emmanuelle Wallach, Lincoln R. Sheets, Hope Misterovich, Susan Norris, Evelyn Aboagye, Jonathan A Dyer, Bruce R Bacon, Karen Edison, Kristin Sohl

Project ECHO Bibliography

In this article, we describe three life-changing patient cases demonstrating high-quality and timely care they received in their communities, thanks to the Show-Me ECHO project. Early autism diagnosis, a potentially deadly tumor manifesting as a benign-looking rash, a recalcitrant case of hepatitis C: rural and underserved Missourians now have access to state-of-the-art care through their local providers receiving interdisciplinary telementoring on evidence based practices.

Integrating The Lived Experience Conditions And Care In The Echo Model., Tracy Greever-Rice, Lea Brandt, Melissa Warne-Griggs, Kimberly Hoffman

Project ECHO Bibliography

Show Me ECHO has introduced a 'lived experience' role by including patients and caregivers into some of its ECHO Hub Teams. Grounded in the patient-centered care model, this role provides insights into the lived experience of patients and caregivers experiencing chronic conditions. The goals are to improve patient outcomes, strengthen authentic communication and partnership between providers, patients, and patients' support systems, and to enhance local communities' ability to support its members dealing with chronic conditions.

Assessing And Expanding The Evidence Base For Project Echo And Echo-Like Models: Findings Of A Technical Expert Panel., Laura J Faherty, Adam J Rose, Andre Chappel, Caroline Taplin, Monique Martineau, Shira H Fischer

Project ECHO Bibliography

BACKGROUND: In 2003, Project ECHO (Extension for Community Healthcare Outcomes) began using technology-enabled collaborative models of care to help general practitioners in rural settings manage hepatitis C. Today, ECHO and ECHO-like models (EELM) have been applied to a variety of settings and health conditions, but the evidence base underlying EELM is thin, despite widespread enthusiasm for the model.

METHODS: In April 2018, a technical expert panel (TEP) meeting was convened to assess the current evidence base for EELM and identify ways to strengthen it.

RESULTS: TEP members identified four strategies for future implementors and evaluators of EELM to address key …

Echo Telementoring For Pain, Palliative Care, And Opioid Management: Progress, Challenges, And Future Goals, Joanna G. Katzman

Project ECHO Bibliography

The article in this issue of Pain Medicine by Flynn et al., “Pain Management Telementoring, Long-term Opioid Prescribing, and Patient-Reported Outcomes,” demonstrates patient-level reductions in opioid doses in patients whose clinicians actively participate in pain telementoring as compared with patients whose clinicians participate in pain telementoring at a low level. These outcome data reflect the growing body of evidence that telementoring may improve opioid prescribing and pain management practices.

Need For Palliative Care Education In India: Can Online Palliative Care Education Bridge These Needs?, Naveen Salins

Project ECHO Bibliography

No abstract provided.

Expanding Access To Medications For Opioid Use Disorder In Primary Care: An Examination Of Common Implementation Strategies, Lauren Caton, Hanyang Shen, Mehret T. Assefa, Tammy Fisher, Mark P. Mcgovern

Project ECHO Bibliography

Objective: Buprenorphine, a medication for opioid use disorder, remains vastly underutilized despite its proven efficacy. This study sought to evaluate which strategies, within a system that employed a variety of concurrent strategies, effectively increased access to buprenorphine.

Methods: Over the course of 15 months, 25 federally qualified health centers were invited to participate in four commonly used implementation strategies. This study examines the impact of clinic attendance at strategy events on change in numbers of patients prescribed buprenorphine and numbers of buprenorphine-waivered providers by clinic.

Results: There was a nearly three-fold increase (2.84) in patients on buprenorphine and two-fold increase …

Executive Decision-Making: Piloting Project Echo® To Integrate Care In Queensland, Perrin Moss, Nicole Hartley, Jenny Ziviani, Dana Newcomb, Trevor Russell

Project ECHO Bibliography

Introduction: A Queensland project team secured grant funding to pilot Project ECHO®, a telementoring model, to drive vertical and horizontal integration across paediatric, education and primary care services. This study sought to understand what influenced healthcare executives’ decision-making processes to organisationally commit to and financially invest in the pilot proposal within an organisational context.

Theory and Methods: A phenomenological approach methodology was adopted to investigate healthcare executives’ conscious decision-making processes. Semi-structured interviews with key stakeholders were conducted alongside project documentation analyses to create a thematic framework.

Results: The qualitative thematic analysis identified five key themes that influenced the decision-making processes …

Echo Care: Providing Multidisciplinary Specialty Expertise To Support The Care Of Complex Patients, Miriam Komaromy, Judy Bartlett, Andrea Zurawski, Sarah R. Gonzales-Van Horn, Summers G. Kalishman, Venice Ceballos, Xi Sun, Martin Jurado, Sanjeev Arora

Project ECHO Bibliography

BACKGROUND: Programs for high-need, high-cost (HNHC) patients can improve care and reduce costs. However, it may be challenging to implement these programs in rural and underserved areas, in part due to limited access to specialty consultation.

AIM: Evaluate the feasibility of using the Extension for Community Health Outcomes (ECHO) model to provide specialist input to outpatient intensivist teams (OITs) dedicated to caring for HNHC patients.

SETTING: Weekly group videoconferencing sessions that connect multidisciplinary specialists with OITs.

PARTICIPANTS: Six OITs across New Mexico, typically consisting of a nurse practitioner or physician assistant, a registered nurse, a counselor or social worker, and …

Early Psychosis Intervention-Spreading Evidence-Based Treatment (Epi-Set): Protocol For An Effectiveness-Implementation Study Of A Structured Model Of Care For Psychosis In Youth And Emerging Adults, Nicole Kozloff, George Foussias, Janet Durbin, Sanjeev Sockalingam, Jean Addington, Donald Addington, Augustina Ampofo, Kelly K. Anderson, Melanie Barwick, Sarah Bromley, Jasmyn E A Cunningham, Simone Dahrouge, Lillian Duda, Catherine Ford, Sheila Gallagher, John D. Haltigan, Joanna Henderson, Alexia Jaouich, Dielle Miranda, Patrick Mitchell, Josette Morin, Claire De Oliveira, Valeria Primeau, Eva Serhal, Sophie Soklaridis, Diana Urajnik, Krista Whittard, Juveria Zaheer, Paul Kurdyak, Aristotle N. Voineskos

Project ECHO Bibliography

Introduction While early psychosis intervention (EPI) has proliferated in recent years amid evidence of its effectiveness, programmes often struggle to deliver consistent, recovery-based care. NAVIGATE is a manualised model of EPI with demonstrated effectiveness consisting of four components: individualised medication management, individual resiliency training, supported employment and education and family education. We aim to implement NAVIGATE in geographically diverse EPI programmes in Ontario, Canada, evaluating implementation and its effect on fidelity to the EPI model, as well as individual-level outcomes (patient/family member-reported and interviewer-rated), system-level outcomes (captured in provincial administrative databases) and engagement of participants with lived experience.

Methods and …

Implementation Of The Hub And Spoke Model For Opioid Use Disorders In California: Rationale, Design And Anticipated Impact., Gloria M. Miele, Lauren Caton, Thomas E. Freese, Mark Mcgovern, Kendall Darfler, Valerie Pearce Antonini, Marlies Perez, Richard Rawson

Project ECHO Bibliography

As part of the State Targeted Response to the opioid epidemic, California has adopted the Hub and Spoke model to expand access to medications for opioid use disorder, particularly buprenorphine, throughout the state. By aligning opioid treatment programs as hubs with primary care, office-based practitioners, and other health care settings as spokes, a broader treatment model can reach more people with opioid use disorder, improve access to medications for opioid use disorders, and decrease overdose deaths. Expanding access requires expanding knowledge and intensive implementation support of new practices. This paper describes the rationale, specific activities and anticipated impact of the …

West Virginia's Model Of Buprenorphine Expansion: Preliminary Results, Erin L Winstanley, Laura R Lander, James H Berry, James J Mahoney, Wanhong Zheng, Jeremy Herschler, Patrick Marshalek, Sheena Sayres, Jay Mason, Marc W Haut

Project ECHO Bibliography

West Virginia (WV) is situated at the epicenter of the opioid epidemic with the highest rates of overdose deaths and some of the lowest rates of access to life saving evidence-based medication assisted treatment (MAT) for patients with opioid use disorder (OUD). WV used a modified hub-and-spoke model to build organizational capacity for facilities to use buprenorphine to treat patients with OUD and to provide ongoing case consultation. The purpose of this study is to 1) describe the group-base model of buprenorphine treatment and the model used to build organizational capacity, 2) to describe the preliminary results of buprenorphine expansion …