Project Echo – Telementoring for Complex Health Conditions

http://www.projectechonevada.com

Project echo is a model of telementoring that connects primary care doctors with inter-disciplinary teams of specialists. This model is designed to improve the care of patients with complex health issues, particularly in rural areas that are not well-served.

The ECHO model, which was developed in 2003 by the University of New Mexico, focuses on treating the hepatitis C in prisons and populations that are underserved. The ECHO model has since been replicated throughout the world in numerous areas of clinical practice including diabetes, asthma, chronic pain and Rheumatology. The ECHO model has been backed by the Robert Wood Johnson Foundation as well as the Agency for Healthcare Research and Quality (AHRQ) and the GE Foundation and the Leona M. and Harry B Helmsley Charitable Trust.

During ECHO sessions Participants present de-identified cases and participate in group discussions with experts in the field via videoconferencing. In this “all-teach and learn” format, the experts share their knowledge and experience to answer questions, give feedback, and make recommendations.

The ECHO model allows remote monitoring of patient outcomes. Specialists from the University of New Mexico monitor the plans of each community provider’s treatment to ensure their patients receive the highest quality of care. Specialists can make mid-course adjustments if a patient does not adhere to the prescribed therapy. This helps avoid treatment failure and increases the chance of an outcome that is positive. Moreover, specialists can use the ECHO system to track patient data and spot gaps in treatment. This information is shared with local healthcare professionals to enable them to better serve their patients.

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