Project echo is a model of telementoring that connects primary care physicians with multidisciplinary teams of specialists. This model is designed to improve the treatment of patients with complicated conditions especially in areas that are rural and unserved.
The ECHO model was created at http://www.projectechonevada.com 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 then, the ECHO model has been replicated across a variety of clinical areas such as asthma, diabetes and chronic pain. The ECHO model is backed by the Robert Wood Johnson Foundation, the Agency for Healthcare Research and Quality, the GE Foundation, and the Leona M. and Harry B Helmsley Charitable Trust.
During ECHO sessions participants present de-identified case studies and engage in group discussions with experts in the field using videoconferencing technology. In this “all teach and all learn” format, experts share their knowledge and experience with other experts to help them answer questions, provide feedback, and provide clinical recommendations.
The ECHO model allows remote monitoring of patient outcomes. Specialists from the University of New Mexico monitor the plans of each community provider’s treatment to ensure their patients receive the highest quality of care. If a patient is unable to adhere to the prescribed treatment experts can suggest mid-course corrections. This can help stop treatment failure and increases the likelihood of a positive outcome. Specialists can also make use of the ECHO system to track data and identifying areas of care that are not being met. This information is then fed back to the local clinics, enabling them to better assist their patients.
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