Project ECHO (Project Extension for Community Healthcare Outcomes): A National and Global Model for Continuing Professional Development

Arora, Sanjeev; Kalishman, Summers; Thornton, Karla; Komaromy, Miriam; Katzman, Joanna G.; Struminger, Bruce; Rayburn, William F.

doi:10.1097/ceh.0000000000000097

Cited by 74 publications

(51 citation statements)

References 4 publications

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“…Efforts to address access to care for HCV in rural and underserved communities through the Extension for Community Healthcare outcomes (ECHO) program have been successful [37]. This program implements teleconsulting and telementoring partnerships between specialists and providers in rural and underserved communities [38]. These programs provide a viable mechanism for improving access to best practices for cancer and risk factor prevention, early detection, and treatment in the AI/AN community.…”

Section: Discussionmentioning

confidence: 99%

Incidence of primary liver cancer in American Indians and Alaska Natives, US, 1999–2009

Melkonian

Jim

Reilley

et al. 2018

Cancer Causes Control

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Section: Discussionmentioning

confidence: 99%

Incidence of primary liver cancer in American Indians and Alaska Natives, US, 1999–2009

Melkonian

Jim

Reilley

et al. 2018

Cancer Causes Control

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“…This online community serves as a guided practice model for increasing PCP self-efficacy and ability to manage complex conditions. 12,13 ECHO follows a hub-and-spoke model, connecting topicspecific specialty teams (the hub) with PCP sites (the spokes) to facilitate knowledge dissemination from academic health science centers to community-based providers. The ECHO model was originally developed at the University of New Mexico in 2003 to support rural care of patients with hepatitis C and has subsequently expanded as a global teleeducation model for primary care support and capacity building in a range of chronic and complex medical conditions.…”

Section: Introductionmentioning

confidence: 99%

The Role of Tele-Education in Advancing Mental Health Quality of Care: A Content Analysis of Project ECHO Recommendations

Sockalingam

Kirvan

Pereira

et al. 2021

Telemedicine and e-Health

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Introduction: Project Extension for Community Healthcare Outcomes (Project ECHO Ò ) is a global-guided practice initiative aimed at building primary care capacity and improving health care quality for underserved populations. This teleeducation model brings together primary care providers and subject-matter specialists in online communities of practice to share knowledge, discuss complexities in patient care, and collaborate to reduce health disparities. Methods: Using co-generated clinical care recommendations from ECHO Ontario Mental Health, a mental health focused ECHO program, we explored alignment of recommendations across the Institute of Medicine's (IOM) six domains of health care quality to characterize its impact. A total of 417 recommendations, made for 32 patient cases, were analyzed using a modified directed content analysis method. Each recommendation was coded with one or multiple codes, representing each of the six IOM domains. Key examples of recommendations within each domain are described. Results: An average of 13 recommendations were generated per patient case. The effective domain occurred at least once in each complete set of patient care recommendations. The next highest occurring domain was safe (71.9%), followed by patient-centered (68.8%), efficient (40.6%), equitable (18.8%), and timely (12.5%). Recommendation distribution across the entire data set was effective (97.8%), safe (15.6%), patient-centered (12.0%), efficient (3.6%), equitable (1.9%), and timely (1.4%). Discussion: As the first study to characterize ECHO's impact using health care quality domains, the study highlights ECHO's significant focus on effective, safe, and patient-centered care.These findings can inform ways for ECHO to target quality improvement and measure impact in additional health care quality domains, such as efficient, equitable, and timely.

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“…• Hybrid mode: Initial onsite training followed up by online training using both synchronous and asynchronous methods (includes both in-person and online interactions). (16). It offers the following two types of digital courses incorporating both synchronous and asynchronous modes of learning.…”

Section: Resultsmentioning

confidence: 99%

Tele-Mentoring and Monitoring of the National Mental Health Program: A Bird’s-Eye View of Initiatives from India

Gajera

Malathesh

Nirisha

et al. 2021

TMT

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Objective: To provide a glimpse of various digital programs and modules that are being implemented across the country by the National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India (an institution of national importance under the Ministry of Health and Family Welfare, Government of India; one of its mandates is to develop innovative strategies to improve mental health capacity building as part of the National Mental Health Program, a publicly funded health program to cater to the public health need posed by psychiatric disorders). Design: The information is presented in a narrative fashion by organizing the activities into three categories of digital training methods: webinar mode, blended mode and hybrid mode. Results: Cadres ranging from lay-counsellors (volunteers in the community), non-specialist health workers to professionals including medical officers are covered with these initiatives. During the period from August 2016 till December 2020, more than 16 million man hours of training is delivered for more than 35,000 participants from across the country. Conclusions: These have a tremendous potential to exponentially increase skilled human resources capable of providing quality care to hitherto unserved remote areas of the rural hinterland and ultimately reduce the burgeoning treatment gap. In-depth outcome assessments are the need of the hour.

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Project ECHO (Project Extension for Community Healthcare Outcomes): A National and Global Model for Continuing Professional Development

Cited by 74 publications

References 4 publications

Incidence of primary liver cancer in American Indians and Alaska Natives, US, 1999–2009

Incidence of primary liver cancer in American Indians and Alaska Natives, US, 1999–2009

The Role of Tele-Education in Advancing Mental Health Quality of Care: A Content Analysis of Project ECHO Recommendations

Tele-Mentoring and Monitoring of the National Mental Health Program: A Bird’s-Eye View of Initiatives from India

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