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Introduction to NW AETC ECHO. Christian B. Ramers, MD, MPH. Presentation prepared & presented by: Christian Ramers, MD, MPH, Kent Unruh, PhD, Mary Annese, MPA, and Laurie Conratt, MBA Last Updated: April 3, 2012. NW AETC ECHO Telehealth Program. NW AETC ECHO Mission. - PowerPoint PPT Presentation
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NORTHWEST AIDS EDUCATION AND TRAINING CENTER
Introduction to NW AETC ECHO
Christian B. Ramers, MD, MPH
Presentation prepared & presented by: Christian Ramers, MD, MPH, Kent Unruh, PhD, Mary Annese, MPA, and Laurie Conratt, MBALast Updated: April 3, 2012
NW AETC ECHO Mission
NW AETC ECHO Telehealth Program
• Build capacity to maximize treatment of chronic HIV infection in underserved areas, monitoring outcomes
• Catalyze knowledge sharing between clinicians developing treatment expertise across the Pacific Northwest region
• Disseminate treatment innovations quickly across a network of clinicians
• Maximize HIV care in local communities (FQHC’s, community clinics), treating patients locally with expert knowledge
BACKGROUND
The History of Project ECHO
NW AETC ECHO Telehealth Program
2002 – Frustration
• 30,000 patients 6 month wait
2002-2008 – Roll-Out
•Ashoka Changemakers Award•AAMC Spencer Foreman Award for Outstanding Community Service
2009 – Expansion
•UW, U of Chicago, Harvard
2011 – Legitimacy
• Landmark NEJM ArticleDr. Sanjeev Arora
Evidence Supporting Project ECHO
NW AETC ECHO Telehealth Program
Arora S, et al. Outcomes of Treatment for Hepatitis C Virus Infection by Primary Care Providers. NEJM 2011
• Similar Hepatitis C treatment outcomes at ECHO clinics and UNM academic clinics (SVR 58.2 vs. 57.5, P = 0.89)
• Decreased professional isolation
• Increased provider knowledge & self-efficacy
SET UP
NW AETC ECHO Groundwork
NW AETC ECHO Telehealth Program
• Utilize collaborators and partner networks to recruit eligible clinic sites for participation
• Develop tools to meet AETC Telehealth program needs
• Develop web-based resources
• Identify NW AETC ECHO multidisciplinary team
• Develop curricula blocks for didactic sessions
• Conduct site visits with interested sites: - Foster buy-in with clinicians and administrators
- Baseline needs assessment
- Technology assessment
Adobe Connect Streaming Live Video
Didactic & Cases | Questions via Text
Full Live Video InteractionDidactic + Case Consultation
Tier 1
Tier 2
Tier 3
On-Demand Access to mini-Didactics Only in ECHO Archive
NW AETC ECHO Telehealth Program
Tiered Concentric Participation Model
Mechanics of Weekly Telehealth Sessions
NW AETC ECHO Telehealth Program
Mini-Didactics•Focused clinical topic•First 15 minutes of each session•Additional 5 minutes for discussion•Recorded/archived for future viewing
Case consultations•Remainder of session•Goal 3-4 cases per session•Each site should contribute at least one case per month
Resources for Participants
NW AETC ECHO Telehealth Program
• Presenting Cases!!!• Mini-Didactics (live or archived)• Availability of NW AETC ECHO Specialists 24/7• Additional resources via email
- Hot topics & Articles of interest
• Website: www.nwaetcecho.org- Streaming archive of videos (additional topics!)- Forms , Faculty & contact info- Curriculum, Upcoming session information
• CME and CNE available for participants
EVALUATION PLAN
Program Evaluation
NW AETC ECHO Telehealth Program
Clinic Level Assessment •Q12 months•Clinic goals•Standard clinical quality measures
Provider Level Assessment •Q6 months•Individual provider goals•Knowledge, Self-Efficacy, Community of Practice
Within-Session Tracking•Case presentations, Participation•Recommendations and peer-to-peer interactions
PRELIMINARY RESULTS
NW AETC ECHO Telehealth Program
ALASKAWASHINGTON
OREGON
IDAHO
MONTANA
ECHO - Chronic Pain27 sites
ECHO - Integrated Addiction and Adult Psychiatry, 42 sites
ECHO – HCV, 21 sites
NW AETC ECHO Sites
www.nwaetcecho.org
NW AETC ECHO Telehealth Program
Clinic Level Assessment •Q12 months
Specialist
Panel:
ID – Hep C
PharmD
Case Manager
ID – HIV
Psychiatry
ID – HIV
Family Medicine
Informatics
Nursing
ID - HIV
Seattle, WA
Snowmass,
CO
Anchorage, AK
Pocatello, ID
Bozeman, MT
Medford, OR
Springfield, OR
Twin Falls, ID
Spokane, WA
Barriers and Solutions
NW AETC ECHO Telehealth Program
• Provider Buy-in- Perceived need for weekly time commitment
• Administrative Buy-in- Allowing providers to participate for 1 hour every week- IT barriers
• Face-to-face site visit- Build relationships with clinic and providers – program champions- Obtain baseline assessment information- Assess clinic workflow and technology- Case review (level IV training) in clinician’s own environment
• Target Audience- Tiered participation model, recorded mini-didactics- Ensuring a diversity of content: basic cutting edge
Resources
NW AETC ECHO Telehealth Program
• www.nwaetcecho.org • Recorded Didactics• Curriculum• Staff/Faculty
• To join a session: 1. Let us know you’ll be joining:
• Christian Ramers: [email protected]• Kent Unruh: [email protected]
2. At 12:00 PST, log in to uwsom.adobeconnect.com/echohiv• Sign in as a ‘guest’• Provider your name & credentials
• Any further questions: [email protected]
How is this relevant to your work?
Can you envision an ECHO-like program within your training & mentoring programs?
How can ECHO foster cross-FTCC collaboration?
Questions & DiscussionQuestions & Discussion
