380 Project ECHO (Extension for Community Healthcare Outcomes): Knowledge Networks Expand Access to Hepatitis C (HCV) Treatment with Pegylated Interferon and Ribavirin in Rural Areas and Prisons. Care Is As Safe and Effective As a University HCV Clinic

Arora, Sanjeev; Murata, Glen H.; Thornton, Karla; Parish, Brooke; Jenkusky, Steven M.; Dunkelberg, Jeffrey C.; Hoffman, Richard M.; Komaromy, Miriam

doi:10.1016/s0016-5085(08)60243-7

Cited by 8 publications

(11 citation statements)

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“…Growing evidence demonstrating Project ECHO's effectiveness and the recent introduction of the ECHO Act have contributed to the recent growth of ECHO, [1][2][3][4][5][8][9][10][11][12][13]23 but limited studies have been conducted on what keeps health and public health professionals engaged throughout the course of an ECHO series despite the time commitment and known competing priorities. ECHO Colorado uses the RE-AIM Framework 14,15 to provide robust assessments of several program dimensions and continuously strives to identify areas for improvements as well as those that are working optimally and should be expanded or replicated in future initiatives.…”

Section: Discussionmentioning

confidence: 99%

“…Various studies have demonstrated Project ECHO's effectiveness in achieving treatment outcomes comparable to those obtained through specialist visits and in improving participants' self-efficacy, knowledge, and behaviors as well as cost-effectiveness. 1,3,[9][10][11][12] While the ECHO model has been established as a successful way to support PCPs to use best and promising practices to improve health outcomes across numerous health conditions and specialties, most ECHO sites do not retain all of their participants throughout the course of a learning series, as these series require a significant commitment of time and thus commitment from participating organizations to support consistent attendance of their providers. In addition, given the many fixed costs associated with implementing an intervention like ECHO, identifying strategies for increasing participant engagement and retention is critical to ensuring the program achieves its optimal impact.…”

Section: Development Of a Diversified And Blended Funding Model That mentioning

confidence: 99%

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Strengthening the Health Workforce through the ECHO Stages of Participation: Participants’ Perspectives on Key Facilitators and Barriers

Shimasaki

Bishop

Guthrie

et al. 2019

Journal of Medical Education and Curricular Development

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Introduction:Project Extension for Community Health Outcomes (ECHO) was originally developed by the University of New Mexico’s Health Science Center (UNMHSC) to build the capacities of primary-care providers and to increase specialty-care access to rural and underserved populations. ECHO Colorado, a replication site at the University of Colorado Anschutz Medical Campus (CUAMC), was developed with the same purpose and to help build the health workforce of Colorado. The CUAMC and its community-based partners recognized that by reducing unnecessary referrals to the medical campus and building primary-care capacity in communities, both would increase their scope and expand overall capacity. This study examines the key factors that influence participant engagement, how participants value the ECHO experience, and the utility of the ECHO Colorado experience according to participants.Methods:This study used a mixed-methods approach including 42 interviews and 34 completed surveys. Transcribed interview recordings were coded in NVivo 11, and codes were queried in NVivo and Excel to identify key themes. Survey responses were analyzed in SPSS. Data were examined between and across four attendance groups and triangulated to assess the reliability of the data and validity of overall findings.Findings:Key factors increasing registrant engagement included relevant and practical curriculum content; strong and supportive relationships among learners, ECHO faculty, and workplace colleagues; and innovative learning approaches that included opportunities for active, virtual participation through technology, participant management activities, and ECHO’s unique curriculum design.Conclusion:Findings from this study validated many of the important elements of ECHO Colorado that make it unique from other iterations of the model being implemented nationally and internationally and identified participant-driven strategies for further amplifying its impact.

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Section: Discussionmentioning

confidence: 99%

Section: Development Of a Diversified And Blended Funding Model That mentioning

confidence: 99%

Strengthening the Health Workforce through the ECHO Stages of Participation: Participants’ Perspectives on Key Facilitators and Barriers

Shimasaki

Bishop

Guthrie

et al. 2019

Journal of Medical Education and Curricular Development

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“…ECHO is a disruptive innovation that allows access to the centralized wealth of subspecialist knowledge and skills found at UNMHSC, the state’s only academic medical center (Arora et al, 2007a; Arora et al, 2007b; Arora et al, 2008). First piloted for the treatment of HCV in June 2003, ECHO applies the inter-disciplinary expertise of specialty providers to the growing public health problems of chronic, complex diseases.…”

Section: Description Of the Echo Modelmentioning

confidence: 99%

Expanding access to hepatitis C virus treatment-Extension for Community Healthcare Outcomes (ECHO) project: Disruptive innovation in specialty care

et al. 2010

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The Extension for Community Healthcare Outcomes (ECHO) Model was developed by the University of New Mexico Health Sciences Center (UNMHSC) as a platform to deliver complex specialty medical care to underserved populations through an innovative educational model of team-based inter-disciplinary development. Using state-of-the-art telehealth technology, best practice protocols, and case based learning, ECHO trains and supports primary care providers to develop knowledge and self-efficacy on a variety of diseases. As a result, they can deliver best practice care for complex health conditions in communities where specialty care is unavailable. ECHO was first developed for the management of hepatitis C virus (HCV), optimal management of which requires consultation with multi-disciplinary experts in medical specialties, mental health and substance abuse. Few practitioners, particularly in rural and underserved areas, have the knowledge to manage its emerging treatment options, side effects, drug toxicities and treatment-induced depression. In addition data was obtained from observation of ECHO weekly clinics and database of ECHO clinic participation and patient presentations by clinical provider, evaluation of the ECHO program incorporates annual survey integrated into the ECHO annual meeting and routine surveys of community providers about workplace learning, personal and professional experiences, systems and environmental factors associated with professional practice, self-efficacy, facilitators and barriers to ECHO. The initial survey data show a significant improvement in provider knowledge, self-efficacy and professional satisfaction through participation in ECHO HCV clinics. Clinicians reported a moderate to major benefit from participation. We conclude that ECHO expands access to best practice care for underserved populations, builds communities of practice to enhance professional development and satisfaction of primary care clinicians, and expands sustainable capacity for care by building local centers of excellence.

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“…Launched in 2003 at the University of New Mexico Health Center, ECHO aims to facilitate knowledge sharing, capacity building and expanded access to best practice care to reduce treatment disparities in underserved populations. The ECHO Model was rst developed under the name Project ECHO (© 2020, The University of New Mexico, Albuquerque, NM, USA; http://www.hsc.unm.edu/echo) to support primary care providers in rural and carceral settings in managing patients infected by the hepatitis C virus [28][29][30][31][32][33]. Since then, the model has been replicated for dozens of diseases and health conditions and it now operates at more than 100 academic medical health centres across multiple continents [7].…”

Section: Description and Conceptual Representation Of The Echo Modelmentioning

confidence: 99%

Effectiveness of the Extension for Community Healthcare Outcomes (ECHO) Model of continuing tele-education and influence of key learning conditions on the development of competencies in healthcare professionals: Protocol for a mixed methods systematic review

Chicoine

Côté

Pépin

et al. 2021

Preprint

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BackgroundThe Extension for Community Healthcare Outcomes (ECHO) Model of continuing tele-education is an innovative guided-practice model aiming at amplifying healthcare professionals’ competencies in the management of chronic and complex health conditions. While data on the effectiveness of the ECHO Model is increasingly available in the literature, the influence of key learning conditions on the model effectiveness remains unclear. Therefore, the overarching aim of this systematic review is to identify, appraise and synthesize the available quantitative (QUAN) and qualitative (QUAL) evidence regarding the effectiveness of the ECHO Model and the influence of key learning conditions on the development of competencies in healthcare professionals.MethodsThis proposed systematic review will be conducted in accordance with the Joanna Briggs Institute (JBI) methodology for Mixed Methods Systematic Reviews (MMSR) and will follow a convergent segregated approach. A systematic search will be undertaken using QUAN, QUAL and mixed methods (MM) studies of ECHO-affiliated programs identified in five databases. A publication date filter will be applied to find the articles published from 2003 onwards. Sources of unpublished studies and grey literature will be searched as well. Retrieved citations will be screened by two review authors independently. Disagreements will be resolved through discussion until a consensus is reached, or by including a third reviewer. Studies meeting the predefined inclusion criteria will be assessed on methodological quality and the data will be extracted using standardized data extraction forms. Separate QUAN and QUAL synthesis will be performed, and findings will be integrated using a matrix approach for the purpose of comparison and complementarity.DiscussionThis MMSR will fulfill important gaps in the current literature on the ECHO Model, as the first to provide estimates on its effectiveness and consider simultaneously the influence of key learning conditions on the development of competencies in healthcare professionals. As implementations of the ECHO Model greatly vary depending on the context, topic and targeted professional group, a better understanding of the conditions that contribute to competencies’ development in healthcare professionals is crucial to inform the design and implementation of the model.Systematic review registration:This MMSR protocol is pending registration in the International Prospective Register of Ongoing Systematic Reviews PROSPERO (submitted October 21, 2020; ID Number: 197579).

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380 Project ECHO (Extension for Community Healthcare Outcomes): Knowledge Networks Expand Access to Hepatitis C (HCV) Treatment with Pegylated Interferon and Ribavirin in Rural Areas and Prisons. Care Is As Safe and Effective As a University HCV Clinic

Cited by 8 publications

References 0 publications

Strengthening the Health Workforce through the ECHO Stages of Participation: Participants’ Perspectives on Key Facilitators and Barriers

Strengthening the Health Workforce through the ECHO Stages of Participation: Participants’ Perspectives on Key Facilitators and Barriers

Expanding access to hepatitis C virus treatment-Extension for Community Healthcare Outcomes (ECHO) project: Disruptive innovation in specialty care

Effectiveness of the Extension for Community Healthcare Outcomes (ECHO) Model of continuing tele-education and influence of key learning conditions on the development of competencies in healthcare professionals: Protocol for a mixed methods systematic review

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