scholarly journals Melanoma Extension for Community Healthcare Outcomes: A Feasibility Study of Melanoma Screening Implementation in Primary Care Settings

Cureus ◽  
2021 ◽  
Author(s):  
Mirna Becevic ◽  
Emily Smith ◽  
Mojgan Golzy ◽  
Ramakrishna Bysani ◽  
Adam Rosenfeld ◽  
...  
Keyword(s):  
Primary Care ◽  
Feasibility Study ◽  
Healthcare Outcomes ◽  
Community Healthcare ◽  
Primary Care Settings ◽  
Melanoma Screening

scholarly journals Impact of Sleep Telementorship in Primary Care: Sleep VA-ECHO (Veterans Affairs-Extension for Community Healthcare Outcomes)

2021 ◽  
Vol 18 (18) ◽  
pp. 9914
Author(s):  
Brian N. Palen ◽  
Elizabeth A. Mattox ◽  
Ken He ◽  
Lauren A. Beste ◽  
Joleen Borgerding ◽  
...  
Keyword(s):  
Primary Care ◽  
Sleep Disorders ◽  
Nurse Practitioners ◽  
Veterans Affairs ◽  
Program Participation ◽  
Healthcare Outcomes ◽  
Community Healthcare ◽  
Team Members ◽  
Pharmacologic Management

Sleep VA-ECHO (Veterans Affairs–Extension for Community Healthcare Outcomes) is a national telementorship program intended to improve knowledge about sleep disorders among non-specialty providers. The project goal was to describe the characteristics of Sleep VA-ECHO participants from primary care and their use of program-obtained knowledge in practice. Sleep VA-ECHO consisted of 10 voluntary, 75-min teleconference sessions combining didactics and case discussion. Out of 86 participants, 21 self-identified as primary care team members and completed a program evaluation. Participants self-reported their application of knowledge gained, including changes to practice as a result of program participation. These 21 participants represented 18 sites in 11 states and attended a median of 5.0 sessions. They included physicians (29%), nurse practitioners (24%), and registered nurses (24%). Nearly all participants (95%) reported using acquired knowledge to care for their own patients at least once a month; 67% shared knowledge with colleagues at least once a month. Eighty-five percent reported improved quality of sleep care for their patients, and 76% reported an expanded clinical skillset. The greatest self-reported change in practice occurred in patient education about sleep disorders (95%) and non-pharmacologic management of insomnia (81%).

Dermatology ECHO: A case presentation demonstrating benefits of specialty telementoring in primary care

2018 ◽  
Vol 25 (8) ◽  
pp. 506-509 ◽  
Author(s):  
Ryan Ladd ◽  
Mirna Becevic ◽  
Hope Misterovich ◽  
Karen Edison
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
Healthcare Outcomes ◽  
Care Providers ◽  
Community Healthcare ◽  
Rural Primary Care ◽  
Timely Access ◽  
New Treatment ◽  
Allergic Contact ◽  
Improve Patient

Allergic contact dermatitis (ACD) is a common dermatologic disorder that is estimated to affect 15–20% of the general population. Because of its prevalence, it may be expected that ACD should be easily recognized. However, it can present with many clinical variations that may complicate diagnosis. Although ACD is a treatable condition, patients from rural and underserved areas suffer if timely access to specialty care is limited. Dermatology Extension for Community Healthcare Outcomes (Dermatology ECHO) telemedicine sessions were created to mentor rural primary care providers (PCPs). To illustrate their benefit, we present the case of a 19-year-old female patient who suffered from worsening undiagnosed ACD for over nine months following a laparoscopic appendectomy. During that time, the surgeon and multiple PCPs treated her with antibiotics, antivirals, and Scabicide without improvement in her condition. The de-identified patient case was presented by her PCP during the Dermatology ECHO session. The Dermatology ECHO specialty team mentored and educated the PCP in the diagnosis and treatment of ACD. After making the diagnosis, the patient received new treatment and her condition improved significantly. Dermatology ECHO provides a knowledge-sharing network for participating PCPs that may improve patient outcomes and reduce patient suffering.

scholarly journals Democratizing type 1 diabetes specialty care in the primary care setting to reduce health disparities: project extension for community healthcare outcomes (ECHO) T1D

2021 ◽  
Vol 9 (1) ◽  
pp. e002262
Author(s):  
Ashby F Walker ◽  
Nicolas Cuttriss ◽  
Michael J Haller ◽  
Korey K Hood ◽  
Matthew J Gurka ◽  
...  
Keyword(s):  
Primary Care ◽  
Type 1 Diabetes ◽  
Diabetes Care ◽  
Primary Care Providers ◽  
Health Centers ◽  
Medical Decision ◽  
Diabetes Knowledge ◽  
Healthcare Outcomes ◽  
Community Healthcare

IntroductionProject ECHO (Extension for Community Healthcare Outcomes) is a tele-education outreach model that seeks to democratize specialty knowledge to reduce disparities and improve health outcomes. Limited utilization of endocrinologists forces many primary care providers (PCPs) to care for patients with type 1 diabetes (T1D) without specialty support. Accordingly, an ECHO T1D program was developed and piloted in Florida and California. Our goal was to demonstrate the feasibility of an ECHO program focused on T1D and improve PCPs’ abilities to manage patients with T1D.Research design and methodsHealth centers (ie, spokes) were recruited into the ECHO T1D pilot through an innovative approach, focusing on Federally Qualified Health Centers and through identification of high-need catchment areas using the Neighborhood Deprivation Index and provider geocoding. Participating spokes received weekly tele-education provided by the University of Florida and Stanford University hub specialty team through virtual ECHO clinics, real-time support with complex T1D medical decision-making, access to a diabetes support coach, and access to an online repository of diabetes care resources. Participating PCPs completed pre/post-tests assessing diabetes knowledge and confidence and an exit survey gleaning feedback about overall ECHO T1D program experiences.ResultsIn Florida, 12 spoke sites enrolled with 67 clinics serving >1000 patients with T1D. In California, 11 spoke sites enrolled with 37 clinics serving >900 patients with T1D. During the 6-month intervention, 27 tele-education clinics were offered and n=70 PCPs (22 from Florida, 48 from California) from participating spoke sites completed pre/post-test surveys assessing diabetes care knowledge and confidence in diabetes care. There was statistically significant improvement in diabetes knowledge (p≤0.01) as well as in diabetes confidence (p≤0.01).ConclusionsThe ECHO T1D pilot demonstrated proof of concept for a T1D-specific ECHO program and represents a viable model to reach medically underserved communities which do not use specialists.

scholarly journals Extension for Community Healthcare Outcomes Uruguay: A New Strategy to Promote Best Primary Care Practice for Autism

2019 ◽  
Vol 6 ◽  
pp. 2333794X1983373 ◽  
Author(s):  
Gustavo Giachetto ◽  
Ana Laura Casuriaga ◽  
Anabella Santoro ◽  
Virginia Kanopa ◽  
Gabriela Garrido ◽  
...  
Keyword(s):  
Primary Care ◽  
Best Practice ◽  
Care Practice ◽  
Healthcare Outcomes ◽  
Self Perception ◽  
Community Healthcare ◽  
Project Echo ◽  
New Strategy ◽  
Primary Care Clinicians ◽  
Clinical Cases

Introduction. In Uruguay, the special care required for children with neurodevelopmental disorders presents difficulties including lack of access to specialists and rehabilitation services. Project ECHO (Extension for Community Healthcare Outcomes) connects primary care clinicians from remote areas to specialists to enable them to treat complex conditions through ongoing education and mentoring. Objective. To share the experience of the ECHO Autism program during the first 2 years of implementation. Methods. Analysis of ECHO Autism clinics from June 2015 to June 2017 including clinical cases presented participants’ self-perception of changes in skills and competences. Results. Twenty clinical cases were presented: mean age 4.5 years; 15 were males; and 17 with medical and psychiatric comorbidities. After ECHO Autism implementation, a statistically significant improvement in participants’ self-perception of skills and competences was observed. Conclusions. ECHO Autism in Uruguay is a meaningful approach to autism care and offers improved access to best practice care.

ECHO Autism

2016 ◽  
Vol 56 (3) ◽  
pp. 247-256 ◽  
Author(s):  
Micah O. Mazurek ◽  
Rachel Brown ◽  
Alicia Curran ◽  
Kristin Sohl
Keyword(s):  
Primary Care ◽  
Self Efficacy ◽  
Pilot Project ◽  
Primary Care Providers ◽  
Autism Spectrum ◽  
Healthcare Outcomes ◽  
Care Providers ◽  
Care Needs ◽  
Community Healthcare ◽  
Screening Guidelines

Children with autism spectrum disorder (ASD) have complex medical problems, yet they are at high risk for unmet health care needs. Primary care providers are perfectly positioned to meet these needs; however, they often lack training in ASD. This pilot project developed and tested a new model for training primary care providers in best-practice care for ASD using the Extension for Community Healthcare Outcomes (ECHO) framework. The 6-month ECHO Autism pilot project consisted of 12 biweekly clinics focused on screening and identification of ASD symptoms and management of medical and psychiatric comorbidities. Participants completed measures of practice behavior and self-efficacy in screening and management of children with ASD at baseline (pretest) and after 6 months of ECHO Autism (posttest). Statistically significant improvements were observed in self-efficacy, in adherence to ASD screening guidelines, and in use of ASD-specific resources. Participants also reported high satisfaction with the program.

scholarly journals Successes and Challenges of Fostering Age-Friendly Health Systems Through a Long-Term Services and Supports ECHO

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 533-533
Author(s):  
Cherie Brunker ◽  
Jorie Butler ◽  
Jacqueline Telonidis ◽  
Yin-Shun Chiu
Keyword(s):  
Primary Care ◽  
Health Systems ◽  
Health Workers ◽  
Primary Objective ◽  
Direct Care ◽  
Healthcare Outcomes ◽  
Term Care ◽  
Community Healthcare ◽  
Services And Supports

Abstract Launched in June 2016, the Utah Geriatric Education Consortium (UGEC) inter-professional Learning Community was developed by faculty in collaboration with primary care and community partners with a focus on Long Term Care. In 2019, UGEC expanded to include Assisted Living, Home Care and Hospice -5 primary care and 6 community long-term services and supports (LTSS) partners in rural and urban Utah with a primary objective of developing and training existing LTSS healthcare providers and direct care workers on the elements of age-friendly health systems (“4Ms”: mentation, medication, mobility, and what matters) to enhance care and improve outcomes for older adults across the continuum of LTSS. Attendance in the monthly distance learning sessions averages 27.5. Sessions are rated highly and engage nurses, behavioral health workers, administrators, physicians, nursing assistants, occupational and physical therapists. The process, challenges, successes of transitioning to a LTSS ECHO (Extension for Community HealthCare Outcomes) will be discussed.

Sign in / Sign up

Export Citation Format

Share Document