creating learning loops for providers to share knowledge and best practices through hub (expert team) and spoke (PCP) collaboration • Exponentially increasing clinical capacity at the community level • Reshapes care delivery and quality by moving knowledge not patients Project ECHO ® originated at the University of New ECHO ® Autism: Bringing Best Autism Care to Primary Care Kristin Sohl, MD, Micah Mazurek, PhD, Alicia Curran, BS, Rachel Brown, MBBS, Sheila Chapman, RD, Jennifer Hallman, MSW University of Missouri-Columbia Purpose Increase access to comprehensive medical care for children with ASD in underserved communities Increase Primary Care Providers (PCP) self-efficacy with identification of ASD symptoms in children between 12 months and 18 years Increase PCP self-efficacy in assessing and treating common medical and psychiatric comorbidities in children with autism Mentor PCPs in underserved communities to provide best practice autism care Apply well-established Project ECHO ® model to Autism Spectrum Disorder Builds local capacity Increases access to care for individuals with autism in underserved communities Fosters earlier diagnosis and earlier access to intervention Reduces costs to families (travel, missed work) Reduces wait for specialty care services Improves retention of rural health care No-cost continuing medical education credits ECHO ® Autism Hub Developmental/Behavioral Pediatrician Clinical Child Psychologist Child /Adolescent Psychiatrist Pediatric Dietician Family Resource Navigator Parent Partner/Educator Acknowledgements This Network activity was supported by Autism Speaks and cooperative agreement UA3 MC11054 through the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Research Program to the Massachusetts General Hospital. This work was conducted through the Autism Speaks Autism Treatment Network. Support from Wellcare and the Sears Trust supports this work. Working collaboratively across North America, to address the physical health of children and adolescents with autism. ECHO ® Autism Hub Team ECHO ® Autism Spoke Site Partners Thank you to the Missouri Telehealth Network and Project ECHO ® for the support and partnership. In addition, thank you to the ECHO Autism participating providers. ECHO ® Autism in Missouri based on county population ECHO ® Autism Structure Biweekly 2 hour clinic 1. Introductions 2. PCP Case #1 3. Didactic 4. PCP Case #2 5. Wrap Up • PCPs share clinical cases from their practices with the hub team and others for next steps recommendations • 15-20 minute high yield didactic related to screening, diagnosis, medical and psychiatric co-occurring conditions, resources, and family-centered care Collaborating with the ATN To obtain access to the ATN Custom Forms or for information on collaborative research activities, please go to: www.asatn.org

Kristin Sohl - ECHO Autism: Bringing Best Autism Care to Primary Care

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Extension for Community Healthcare Outcomes (ECHO) is a model of telehealth that increases local capacity by teaching best practices using case-based learning, video technology, and outcome evaluation. ECHO Autism is engaging primary care providers around the country in evidence based screening, identification and treatment of children with autism spectrum disorders

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Performance on List-Learning as a Predictor of Localized Brain Dysfunction

Project ECHO ModelThe ECHO model:Uses video conferencing technologyDe-monopolizes specialists knowledge by creating learning loops for providers to share knowledge and best practices through hub (expert team) and spoke (PCP) collaborationExponentially increasing clinical capacity at the community level Reshapes care delivery and quality by moving knowledge not patients

Project ECHO originated at the University of New Mexico with Dr. Sanjeev Arora and his work with improving care for Hepatitis C patients. ECHO Autism: Bringing Best Autism Care to Primary CareKristin Sohl, MD, Micah Mazurek, PhD, Alicia Curran, BS, Rachel Brown, MBBS, Sheila Chapman, RD, Jennifer Hallman, MSWUniversity of Missouri-Columbia PurposeIncrease access to comprehensive medical care for children with ASD in underserved communities

Increase Primary Care Providers (PCP) self-efficacy with identification of ASD symptoms in children between 12 months and 18 years

Increase PCP self-efficacy in assessing and treating common medical and psychiatric comorbidities in children with autism

Mentor PCPs in underserved communities to provide best practice autism care

Apply well-established Project ECHO model to Autism Spectrum DisorderValueBuilds local capacity Increases access to care for individuals with autism in underserved communitiesFosters earlier diagnosis and earlier access to interventionReduces costs to families (travel, missed work)Reduces wait for specialty care servicesImproves retention of rural health care providers through ECHO learning communityNo-cost continuing medical education creditsECHO Autism HubDevelopmental/Behavioral PediatricianClinical Child PsychologistChild /Adolescent PsychiatristPediatric DieticianFamily Resource NavigatorParent Partner/EducatorAcknowledgementsThis Network activity was supported by Autism Speaks and cooperative agreement UA3 MC11054 through the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Research Program to the Massachusetts General Hospital. This work was conducted through the Autism Speaks Autism Treatment Network. Support from Wellcare and the Sears Trust supports this work.

Working collaboratively across North America, to address the physical health of children and adolescents with autism.

ECHO Autism Hub TeamECHO Autism Spoke SitePartnersThank you to the Missouri Telehealth Network and Project ECHO for the support and partnership. In addition, thank you to the ECHO Autism participating providers. ECHO Autism in Missouri based on county population ECHO Autism StructureBiweekly 2 hour clinicIntroductions PCP Case #1 DidacticPCP Case #2Wrap Up

PCPs share clinical cases from their practices with the hub team and others for next steps recommendations15-20 minute high yield didactic related to screening, diagnosis, medical and psychiatric co-occurring conditions, resources, and family-centered careCollaborating with the ATNTo obtain access to the ATN Custom Forms or for information on collaborative research activities, please go to: www.asatn.org