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Project Echo – Telementoring for Complex Health Conditions

Project echo is a telementoring view publisher site model that connects primary care doctors with inter-disciplinary teams of specialists. This method is designed to improve the care for patients suffering from complicated health conditions, particularly in rural areas and those who are underserved.

The ECHO model was developed at the University of New Mexico in 2003 with a focus on treating hepatitis C patients who are in populations that are not served and prisons. 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 backed by the Robert Wood Johnson Foundation as well as the Agency for Healthcare Research and Quality (AHRQ) as well as 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 the field via videoconferencing. In this “all-teach, all-learn” format, the experts share their information and experience to address questions, give feedback, and provide recommendations.

The ECHO model allows remote monitoring of the patient’s outcomes remotely. Specialists from the University of New Mexico monitor the plans of each community provider’s treatment to ensure their patients receive high-quality care. If a patient is unable to adhere to the prescribed treatment the doctors can suggest mid-course corrections. This can help avoid treatment failure and increases the chances of a positive outcome. Specialists can also use the ECHO system for tracking data and identifying any gaps in care. This information is then given to local physicians so that they can better serve their patients.

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