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Performance Of A1c Versus Ogtt For The Diagnosis Of Prediabetes In A Community-Based Screening, Jenny E. Camacho, Vallabh O. Shah, Ronald Schrader, Craig S. Wong, Mark R. Burge

Pediatrics Research and Scholarship

OBJECTIVE: Reliable identification of individuals at risk for developing diabetes is critical to instituting preventative strategies. Studies suggest that the accuracy of using hemoglobin A1c as a sole diagnostic criterion for diabetes may be variable across different ethnic groups. We postulate that there will be lack of concordance between A1c and the oral glucose tolerance test (OGTT) for diagnosing prediabetes across Hispanic and non-Hispanic white (NHW) populations.

METHODS: A total of 218 asymptomatic adults at risk for type 2 diabetes (T2D) were assessed with A1c and OGTT for the diagnosis of prediabetes. Glucose homeostasis status was assigned as no diabetes …

Evaluation Of American Indian Health Service Training In Pain Management And Opioid Substance Use Disorder, Joanna G. Katzman, Chris Fore, Snehal Bhatt, Nina Greenberg, Julie Griffin Salvador, George C. Comerci, Christopher Camarata, Lisa Marr, Rebecca Monette, Sanjeev Arora, Andrea Bradford, Denise Taylor, Jenny Dillow, Susan Karol

Project ECHO Bibliography

We examined the benefits of a collaboration between the Indian Health Service and an academic medical center to address the high rates of unintentional drug overdose in American Indians/Alaska Natives. In January 2015, the Indian Health Service became the first federal agency to mandate training in pain and opioid substance use disorder for all prescribing clinicians. More than 1300 Indian Health Service clinicians were trained in 7 possible 5-hour courses specific to pain and addiction. We noted positive changes in pre- and postcourse knowledge, self-efficacy, and attitudes as well as thematic responses showing the trainings to be comprehensive, interactive, and …

Impact Of A Videoconference Educational Intervention On Physical Restraint And Antipsychotic Use In Nursing Homes: Results From The Echo-Age Pilot Study, Stephen E. Gordon, Alyssa B. Dufour, Sara M. Monti, Melissa L P Mattison, Angela G. Catic, Cindy P. Thomas, Lewis A. Lipsitz

Project ECHO Bibliography

OBJECTIVES: US nursing homes care for increasing numbers of residents with dementia and associated behavioral problems. They often lack access to specialized clinical expertise relevant to managing these problems. Project ECHO-AGE provides this expertise through videoconference sessions between frontline nursing home staff and clinical experts at an academic medical center. We hypothesized that ECHO-AGE would result in less use of physical and chemical restraints and other quality improvements in participating facilities.

DESIGN: A 2:1 matched-cohort study comparing quality of care outcomes between ECHO-AGE facilities and matched controls for the period July 2012 to December 2013.

SETTING: Eleven nursing homes in …

Project Echo (Extension For Community Healthcare Outcomes): A New Model For Educating Primary Care Providers About Treatment Of Substance Use Disorders, Miriam Komaromy, Dan Duhigg, Adam Metcalf, Cristina Carlson, Summers Kalishman, Leslie Hayes, Tom Burke, Karla Thornton, Sanjeev Arora

Project ECHO Bibliography

BACKGROUND: Project ECHO (Extension for Community Healthcare Outcomes) trains and mentors primary care providers (PCPs) in the care of patients with complex conditions. ECHO is a distance education model that connects specialists with numerous PCPs via simultaneous video link for the purpose of facilitating case-based learning. This article describes a teleECHO clinic based at the University of New Mexico Health Sciences Center that is focused on treatment of substance use disorders (SUDs) and behavioral health disorders.

METHODS: Since 2005, specialists in treatment of SUDs and behavioral health disorders at Project ECHO have offered a weekly 2-hour Integrated Addictions and Psychiatry …

Bone Health Echo: Telementoring To Improve Osteoporosis Care, E Michael Lewiecki, Matthew F. Bouchonville, David H. Chafey, Arthur Bankhurst, Sanjeev Arora

Project ECHO Bibliography

Extension for Community Healthcare Outcomes creates knowledge networks that enable a transition from centralized specialty care at academic institutions to empowerment of primary care providers to provide more highly skilled care closer to home.

Proceedings Of The 2015 Santa Fe Bone Symposium: Clinical Applications Of Scientific Advances In Osteoporosis And Metabolic Bone Disease, E Michael Lewiecki, Roland Baron, John P. Bilezikian, Robert E. Gagel, Mary B. Leonard, William D. Leslie, Michael R. Mcclung, Paul D. Miller

Project ECHO Bibliography

The 2015 Santa Fe Bone Symposium was a venue for healthcare professionals and clinical researchers to present and discuss the clinical relevance of recent advances in the science of skeletal disorders, with a focus on osteoporosis and metabolic bone disease. Symposium topics included new developments in the translation of basic bone science to improved patient care, osteoporosis treatment duration, pediatric bone disease, update of fracture risk assessment, cancer treatment-related bone loss, fracture liaison services, a review of the most significant studies of the past year, and the use of telementoring with Bone Health Extension for Community Healthcare Outcomes, a force …