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RESEARCH POSTER PRESENTATION DESIGN © 2011
www.PosterPresentations.com
BACKGROUND
PROGRAM AUDIENCE AND SIZE
ASTHMA BEST PRACTICES
MISSOURI ECHO® KEY PURPOSES
2017 ASTHMA ECHO© STATS
ACKNOWLEDGEMENTS
Using Teleconferencing for Workforce Development Programs to Improve Asthma Care in Missouri Communities Tammy Rood DNP, CPNP-PC, AE-C and Ben Francisco PNP, PhD, AE-C
Asthma Ready® Communities, University of Missouri Health Care, Columbia, MO
.
1. “Safely & effectively treat common & complex conditions in rural & underserved areas”
2. “Decrease treatment delays and the need for patients to travel to see specialists”
3. “Utilize community health care workers to address social determinants, improve adherence and health outcomes”
There are three workforce development programs available to improve
asthma care statewide. IMPACT Asthma ECHO® began September
2015, and gives an overview of asthma best practices over four 90-
minute sessions for clinical and community-based professionals. In
2017, 24 sessions were done, including 45 cases with 130 unique
participants. Asthma Care and Education (ACE) ECHO® (2017) is
10 one-hour sessions offered bi-monthly for asthma educators and
home assessors interested in preventive asthma services. Finally,
Asthma Care Accelerator® (ACA) ECHO (2018) is eight bi-weekly
one-hour sessions yearly to support practice-based quality
improvement to enable providers to implement asthma guidelines
through adoption of best practices.
Funding and support were provided by the following partners:
Each education program provides unique education credits: IMPACT
ECHO® offers free continuing medical education credits (Category
I); ACE ECHO® offers 10 contact hours annually; and ACA
ECHO® offers free Part 2 and 4 Maintenance of Certification credit.
ACA® ECHO offers participants free asthma tools to measure
airflow and assess inhalation technique, and access to Asthma Risk
Panel Reports® to monitor patient outcomes. Medicaid administrative
claims analysis for >10,000 children with asthma is incorporated as
performance feedback for participants in ACA ECHO®.
Asthma is a leading chronic illness and frequent cause of hospitalizations
among children in the United States. ECHO® (Extension for
Community Health Care Outcomes) is an educational program using
videoconferencing technology to create communities of learning where
specialists share expertise with primary care providers and others to give
improved care in their own communities. Favorable policy changes have
occurred in Missouri affecting asthma care and education, including a
Medicaid state plan amendment for preventive asthma services. Show-
Me ECHO® is funded by a state appropriation and federal grants.
Participants join from across Missouri, including physicians, nurses,
nurse practitioners, respiratory therapists, care managers, home
environmental specialists, and community health workers.
ASTHMA EDUCATION TOOLS
Asthma Ready® Communities
www.asthmaready.org
University of Missouri Healthcare
Child Health-Pulmonary Department
404 N. Keene St. Suite 115
Columbia, MO 65201
573-884-8629
BUILD YOUR TEAM! Clinical AND Community Partners
Asthma Care & Education ECHO®
Care managers, clinical and community disease
management providers RN, LPN, MA, RT, CHW, etc.
(asthma educators, home environmental assessors,
school nurses). Cross-pollinate, share strategies
8 sessions a year, noon until 1 pm, 0.8 CEUs, focus on
health home touches, clinic-based education, and
reimbursable community preventive asthma services
CHANGE YOUR PRACTICE! Data Driven, Local Quality Improvement
Asthma Care Accelerator ECHO®
For clinic-based asthma champions - pediatricians,
family physicians and internists seeking maintenance
of certification & NPs or PAs who lead local asthma
quality improvement;
8 sessions per calendar year, Tuesday, noon until 1
pm, focus - quality improvement with 3 data sources
and activities as required by ABP, ABFM and ABIM,
cohorts of asthma champions
GET ON BOARD! Primary Care Health Home Support
IMPACT Asthma© ECHO®
4 weeks, Tuesdays, noon until 1:30 pm, 6
hours Category One CME. Aim - use de-
identified case studies and didactics to review the
essentials of guidelines-based care for health care
providers and other members of the clinical team
Series is offered 6 times annually, January,
February, May, June, September, October
How Do We Implement Best Practices?
Implementing Asthma Guidelines Using Practice Facilitation and Local Learning Collaboratives:
A Randomized Controlled Trial https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4018371/
*University of Missouri Health System. (2017). Missouri Telehealth Network 2017 Annual
Report. Retrieved from
http://www.bluetoad.com/publication/?i=480476&pre=1#%22{%22
Project ECHO® (Extension for
Community Healthcare Outcomes)
helps democratize medical
knowledge and develops specialty
care capacity in underserved
communities.
Using a revolutionary model of
telementoring, collaborative
medical education and care
management, Project ECHO
empowers front-line primary care
professionals to provide the right
care, in the right place, at the right
time.
THE TRANSFORMATIVE MODEL IN
MEDICAL EDUCATION AND CARE
DELIVERY https://www.youtube.com/watch?v=VAMaHP-tEwk
Testimonials: • “This program can help keep children from
falling through the cracks and prevent
unnecessary ER visits, hospitalization and
missed school days by educating the
parent/caregiver about how to use
medications correctly and environmental
triggers that affect the health of the child in
their care.”
• “The cases are being presented in a precise
way and the whole ECHO is so engaging
and so educational.”
• “I like the presentation of unique cases
and the efforts that the providers give as
options from their point of view.”
• Great information. Clinically relevant.
Well organized.”
• “I have really enjoyed participating in the
Asthma ECHO series. Very good
information. Knowledgeable clinicians.
Thank you for offering this educational
opportunity!”
Asthma ECHO is part of Show-Me ECHO,
and is primarily funded by a state appropriation
and federal grants.
