Project echo is a form of telementoring that links primary-care doctors with multi-disciplinary teams. This method is designed to enhance the care provided to patients with complicated conditions especially in areas that are rural and unserved.
The ECHO model, developed in 2003 at the University of New Mexico, focuses on treating hepatitis C in prisons and in underserved populations. Since 2003 the ECHO model has been replicated in numerous clinical areas, including asthma, diabetes and chronic pain. The ECHO model is backed by the Robert Wood Johnson Foundation, the Agency for Healthcare Research and Quality as well as the GE Foundation, and the Leona M. and Harry B Helmsley Charitable Trust.
During ECHO sessions participants present de-identified case studies, and participate in group discussion with experts on content via videoconferencing. In this “all-teach and all-learn” style, instructors share expertise and knowledge to answer questions, provide feedback, and make recommendations.
The ECHO model also allows remote monitoring of the patient’s outcomes. Specialists from the University of New Mexico monitor each community provider’s plans for treatment to ensure their patients receive high-quality care. If a patient fails to follow the prescribed treatment, the specialists can recommend mid-course corrections. This can help avoid treatment failure and increases the likelihood of a positive outcome. Additionally, specialists can utilize the ECHO system to monitor data and identify gaps in care. The information is then given to local physicians to help them better serve their patients.