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Mil Med. 2016 Mar;181(3):227-35. doi: 10.7205/MILMED-D-15-00044.

Expanding Health Care Access Through Education: Dissemination and Implementation of the ECHO Model.

Author information

1
UNM Health Sciences Center Project ECHO, Department of Neurosurgery, University of New Mexico School of Medicine, 1650 University Boulevard, Albuquerque, NM 87102.
2
Defense and Veterans Center for Integrative Pain Medicine (DVCIPM)/HJF, 11300 Rockville Pike, Suite 709, Rockville, MD 20852.
3
UNM Health Sciences Center Project ECHO, University of New Mexico School of Medicine, 1650 University Boulevard, Albuquerque, NM 87102.
4
Army Project ECHO, Rehabilitation & Reintegration Division (R2D), Office of the Surgeon General, Defense Health Headquarters, 7700 Arlington Boulevard, Room 3SW132B, Fall Church, VA 22042.
5
Department of Psychiatry, University of New Mexico School of Medicine, MSC 09 5030, 1 University of New Mexico, Albuquerque, NM 87131.
6
Department of Internal Medicine, University of New Mexico School of Medicine, MSC10 5550, 1 University of New Mexico, Albuquerque, NM 87131.
7
Office of Program Evaluation, Education and Research, University of New Mexico School of Medicine, MSC08 4550, 1 University of New Mexico, Albuquerque, NM 87131.
8
Defense and Veterans Center for Integrative Pain Management, Uniformed Services University, 1004 York Lane, Annapolis, MD 21403.
9
U.S. Army Research of Environmental Medicine, 15 Kansas Street, Building 42, Natick, MA 01760.
10
First Choice Community Healthcare, South Valley Family Health Commons, 2001 North Centro Familiar Southwest, Albuquerque, NM 87105.
11
UNM Health Sciences Center Project ECHO, Department of Internal Medicine, University of New Mexico School of Medicine, 1650 University Boulevard, Albuquerque NM, 87102.

Abstract

Project ECHO (Extension for Community Healthcare Outcomes) is an evidence-based model that provides high-quality medical education for common and complex diseases through telementoring and comanagement of patients with primary care clinicians. In a one to many knowledge network, the ECHO model helps to bridge the gap between primary care clinicians and specialists by enhancing the knowledge, skills, confidence, and practice of primary care clinicians in their local communities. As a result, patients in rural and urban underserved areas are able to receive best practice care without long waits or having to travel long distances. The ECHO model has been replicated in 43 university hubs in the United States and five other countries. A new replication tool was developed by the Project ECHO Pain team and U.S. Army Medical Command to ensure a high-fidelity replication of the model. The adoption of the tool led to successful replication of ECHO in the Army Pain initiative. This replication tool has the potential to improve the fidelity of ECHO replication efforts around the world.

PMID:
26926747
DOI:
10.7205/MILMED-D-15-00044
[Indexed for MEDLINE]

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