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Project Echo – Telementoring for Complex Health Conditions

Project echo is a model of telementoring which connects primary care practitioners with multidisciplinary teams of specialists. This method is designed to improve the care of patients with complex medical conditions especially in areas that are rural and unserved.

The ECHO model, which was developed in 2003 at the University of New Mexico, is a treatment for hepatitis C in prisons and in underserved populations. Since 2003, the ECHO model has been replicated in a variety of clinical areas including asthma, chronic pain and diabetes. The ECHO model has been supported 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 cases that have been identified and engage in group discussions with experts in you can try this out the field via videoconferencing technology. In this “all teach all learn” format, experts share their knowledge and experiences with others to help answer questions, provide feedback, and offer clinical recommendations.

The ECHO model also allows remote monitoring of patient outcomes. Specialists from the University of New Mexico follow the treatment plans of each community provider to ensure that their patients receive high-quality care. If a patient does not follow the prescribed treatment experts can suggest mid-course corrections. This helps to prevent treatment failure and enhances the chance of having a positive outcome. Specialists can also make use of the ECHO system to monitor data and identifying areas of care that are not being met. This information is given to local physicians to help them better serve their patients.

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