The Extension for Community Healthcare Outcomes (ECHO) Model was developed by the University of New Mexico Health Sciences Center (UNM-HSC) as a platform for both service delivery and research. Using state-of-the-art telehealth technology, ECHO is designed to train primary care providers from underserved areas (such as rural communities) to develop knowledge and self-efficacy in best practice care for complex health conditions. ECHO'S """"""""learning loops"""""""" and other provider training components were designed based on case-based learning used in medical education and a theoretical framework that includes Social Cognitive Theory and situated learning. Four inter-disciplinary research teams will assess the ability of the ECHO Model to train community providers, while they receive mentoring in six major content areas through both ongoing consultation with senior faculty and a structured training curriculum. This will expand the capacity of these minority faculty to conduct health services research.
The specific aims of each of the four research arms parallel the following broad aims for the overall project. ? ? 1. To increase the capacity of minority faculty to become independent, externally-funded researchers by providing them with leadership, skills and knowledge. ? 2. To assess ECHO'S robustness to train inter-disciplinary teams of health care providers, by replicating and testing it on a broad range of complex health problems/conditions. ? 3. To assess ECHO'S capability to increase provider knowledge and self-efficacy in current best practices. ? 4. To improve clinical outcomes for underserved patients by expanding access to best practice care. ? The proposed research will replicate and test the ECHO Model for four complex health issues. ? Research Arm on Diabetes, PI Kathleen Colleran, MD ? Research Arm on Pediatric Overweight, PI Keri Bolton Oetzel, PhD, MPH, LPC ? Research Arm on Buprenorphine, PI Miriam Komaromy, MD ? Research Arm on Medical Ethics, PI Anne Simpson, MD, CMD ? ? ?

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Resource-Related Research Projects (R24)
Project #
1R24HS016510-01A1
Application #
7347159
Study Section
Special Emphasis Panel (ZHS1-HSR-F (02))
Program Officer
Benjamin, Shelley
Project Start
2007-09-21
Project End
2010-08-31
Budget Start
2007-09-21
Budget End
2008-08-31
Support Year
1
Fiscal Year
2007
Total Cost
Indirect Cost
Name
University of New Mexico
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
868853094
City
Albuquerque
State
NM
Country
United States
Zip Code
87131
Rattay, Thilo; Dumont, Ian P; Heinzow, Hauke S et al. (2017) Cost-Effectiveness of Access Expansion to Treatment of Hepatitis C Virus Infection Through Primary Care Providers. Gastroenterology 153:1531-1543.e2
Komaromy, Miriam; Duhigg, Dan; Metcalf, Adam et al. (2016) Project ECHO (Extension for Community Healthcare Outcomes): A new model for educating primary care providers about treatment of substance use disorders. Subst Abus 37:20-4
Arora, Sanjeev; Thornton, Karla; Komaromy, Miriam et al. (2014) Demonopolizing medical knowledge. Acad Med 89:30-2
Arora, Sanjeev; Thornton, Karla; Murata, Glen et al. (2011) Outcomes of treatment for hepatitis C virus infection by primary care providers. N Engl J Med 364:2199-207
Arora, Sanjeev; Kalishman, Summers; Dion, Denise et al. (2011) Partnering urban academic medical centers and rural primary care clinicians to provide complex chronic disease care. Health Aff (Millwood) 30:1176-84
Arora, Sanjeev; Kalishman, Summers; Thornton, Karla et al. (2010) Expanding access to hepatitis C virus treatment--Extension for Community Healthcare Outcomes (ECHO) project: disruptive innovation in specialty care. Hepatology 52:1124-33