A Project ECHO and Community Health Worker Intervention for Patients with Diabetes

Blecker, Saul; Paul, Margaret M.; Jones, Simon A.; Billings, John; Bouchonville, Matthew F.; Hager, Brant W.; Arora, Sanjeev; Berry, Carolyn A.

doi:10.1016/j.amjmed.2021.12.002

Cited by 10 publications

(6 citation statements)

References 30 publications

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“…Despite the widespread implementation of Project ECHO Ò programs to address a variety of health care issues, there appear to be few published studies of the costs of these programs [11] and even fewer still with regard to using Project ECHO Ò to improve outcomes in people with diabetes [12]. Moreover, Project ECHO Diabetes employed diabetes support coaches, which is a relatively novel addition to traditional Project ECHO Ò programs [13]. Additionally, some hub team time and resources were spent recruiting, training, and managing the diabetes support coaches in both the capacity of acting as a peer support coach and in research-specific activities.…”

Section: Discussionmentioning

confidence: 99%

Project ECHO Diabetes Cost Modeling to Support the Replication and Expansion of Tele-mentoring Programs in Non-research Settings

Lewit

Herndon²,

Maahs

et al. 2023

Diabetes Ther

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Introduction: Project ECHO Diabetes is a teleeducation learning model for primary care providers (PCPs) seeking to improve care for patients with diabetes from marginalized communities. Project ECHO Diabetes utilized expert ''hub'' teams comprising endocrinologists, dieticians, nurses, psychologists, and social workers and ''spokes'' consisting of PCPs and their patients with diabetes. This Project ECHO Diabetes model provided diabetes support coaches to provide additional support to patients. We sought to estimate the costs of operating a Project ECHO Diabetes hub, inclusive of diabetes support coach costs. Methods: Data from Project ECHO Diabetes from June 2021 to June 2022 and wages from national databases were used to estimate hub and diabetes support coach costs to operate a 6-month, 24-session Project ECHO Diabetes Project ECHO Diabetes Research Team members' names are listed in the ''Acknowledgement'' section.

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Section: Discussionmentioning

confidence: 99%

Project ECHO Diabetes Cost Modeling to Support the Replication and Expansion of Tele-mentoring Programs in Non-research Settings

Lewit

Herndon²,

Maahs

et al. 2023

Diabetes Ther

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“…However, in long-term follow-up, PWD treated by ECHO-trained clinicians were more likely to achieve an A1c of less than 8% than community peers. 53 Practitioners in this program participated in more than 25 sessions, but attendance may be attributed to financial compensation for their time. Of note, this program also trained community health workers to provide support for PWD whose clinicians participate in their program, so results are reflective of this dual intervention.…”

Section: The Echo Model: Telementoring Primary Care Professionals To ...mentioning

confidence: 99%

Telementoring With Project ECHO: A New Era in Diabetes-Related Continuing Education for Primary Care to Address Health Disparities

Ehrhardt

Bouchonville

Peek

et al. 2023

J Diabetes Sci Technol

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Project ECHO® is a telementoring workforce development model that targets under-resourced communities lacking access to specialty care. The model builds virtual communities of practice, including specialists and community primary care professionals (PCPs) to combat clinical inertia and health disparities. While the ECHO model has gained global recognition, implementation of the model related to diabetes is lagging compared to other specialty conditions. This review highlights diabetes-endocrine (ENDO)-focused ECHOs using data reported in the ECHO Institute’s centralized data repository (iECHO) and the learning collaborative for diabetes ECHOs. It also describes the implementation of diabetes ECHOs and their evaluation. Learner and patient-centered outcomes related to diabetes ECHOs are reviewed. Program implementation and evaluations have demonstrated utility of the ECHO model for diabetes programs to (1) address unmet needs of diabetes care in the primary care setting, (2) improve knowledge and confidence in managing complex diabetes and change provider prescribing habits, (3) improve patient outcomes, and (4) address diabetes quality improvement practices in primary care. More studies with broader collaboration among sites are needed to evaluate the model related to diabetes, especially applied to addressing therapeutic inertia, adoption of diabetes technology, and reducing health disparities.

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“…3 Project ECHO now has expanded to connect community clinicians across the United States and globally to specialists who treat other chronic conditions. 4 More information about Project ECHO can be found at hsc.unm.edu/echo. ic conditions with interdisciplinary care that can improve health outcomes.…”

Section: What Is Project Echo?mentioning

confidence: 99%

24-year-old woman • large joint arthralgias • history of type 1 diabetes, seizures, migraines • Dx?

George

2023

The Journal of Family Practice

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A Project ECHO and Community Health Worker Intervention for Patients with Diabetes

Cited by 10 publications

References 30 publications

Project ECHO Diabetes Cost Modeling to Support the Replication and Expansion of Tele-mentoring Programs in Non-research Settings

Project ECHO Diabetes Cost Modeling to Support the Replication and Expansion of Tele-mentoring Programs in Non-research Settings

Telementoring With Project ECHO: A New Era in Diabetes-Related Continuing Education for Primary Care to Address Health Disparities

24-year-old woman • large joint arthralgias • history of type 1 diabetes, seizures, migraines • Dx?

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