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Project ECHO - Health Awareness presentation.pptx
- 1. Project ECHO MOH Lesotho
- 2. Background- Project ECHO • Extension for Community Health Outcome (ECHO) used where distance is a barrier to providing clinical mentorship, • Launched by University of New Mexico in 2003 by Dr. Arora • The approach deploys video-conferencing technology to create linkage between: • HCW at health facilities (SPOKES) • Subject Matter experts based at centres of excellence (HUB) • Tele-consulting: Case Management approach to help care for patients with complicated conditions that they would traditionally refer to the next level of care • Tele-mentoring: All teach, all learn approach
- 3. Project ECHO’s Aspirations Project ECHO mission is to democratize (expand) medical knowledge and dramatically improve access to best practice for common and complex diseases in rural and underserved areas and to monitor outcomes. Goal is to improve the lives of 1 billion people by 2025 .
- 4. The ECHO Model . 1. Use Technology • Multipoint videoconferencing to co-create platforms for enhanced communication and collaboration through virtual face-to-face communities of practice and learning • amplify scarce human resources, both specialists and primary care • empower the agency of local experts and practitioners 2. Case-Based Learning • Master complexity through collaborative management of patients and public health problems with subject matter experts at centers of excellence • guided practice [learning by doing] via tele- mentoring 3. Sharing Best Practices • Improve outcomes by reducing variation in processes of care • Brief didactic presentations [10-20 min] • Reinforcement of evidence-based guidelines, etc. 4. Web based database(iECHO) • to monitor and evaluate Outcomes • to promote continuous quality improvement
- 5. Project ECHO Hub & spokes
- 6. Making ECHO effective and Efficient- Collaborative effort Ministry of Health Gov’t led ECHO Program through MOH Didactic sessions /case presentations Stakeholders involvement Ability to rally together all relevant stakeholders (Form a consortium) Build capacity/Form a consortium Ensures sustainability Donors/ supporting/ Implementing Agencies Global fund has supported MOH to recruit key staff (ECHO coordinator/ chief facilitator/ IT Specialist) some IPs supported equipment installations Providing TA CDC and USAID supported equipment procurement through IPs Technical Agencies WHO and CDC Africa are implementing several ECHO sessions that Lesotho can tap into and disseminate to the lower units Lesotho is part of Southern Africa Regional ECHO (SARE)
- 7. MOH Project ECHO implementation and priorities Phase 1 spokes – 21- mostly hospitals Phase 2 spokes- 25 High volume facilities Priorities: TB HIV NCDs Session times Weekly, Wednesdays 2:30- 3:30PM
- 8. Expected etiquette during ECHO session During the ECHO session please remember the following: Do not share identifiable patient’s Private Health Information. Mute your microphone to minimize distractions unless you are talking. Keep the camera on throughout the session Identify yourself every time you speak If you want to ask a question or make a comment, indicate by raising your hand, alternatively, use the chat box
- 9. Project ECHO at glance - video links https://youtu.be/-XRDCYH5Fm8 https://youtu.be/VAMaHP-tEwk https://youtu.be/CVAcx0QFzPU https://youtu.be/ttA761LW7H4
- 10. Thank you
Editor's Notes
- Arora wanted exponential growth: a way to spread specialty medical knowledge with a multiplier effect at scale. He envisioned ECHO as a model of telementoring by which each team of specialists, or “hubs” (usually at academic medical centers), could mentor large numbers of clinicians, or “spokes,” who could treat increasing numbers of patients.