Project ECHO Frequently Asked Questions

Primary care providers from multiple locations connect at regularly scheduled times with a specialist or team of specialists through videoconferencing. During teleECHO™ sessions, providers present de-identified patient cases to specialists or expert teams who then mentor the providers as they learn to manage patients with complex conditions. These case-based discussions are supplemented with short didactic presentations to improve content knowledge and share evidence-based practices.

Healthcare Providers: This includes physicians, nurses, nurse practitioners, physician assistants, pharmacists, community health workers, and other allied health professionals.

Healthcare Organizations: Hospitals, clinics, health centers, academic institutions, and other healthcare facilities often participate in or host Project ECHO sessions.

Health Officials: Individuals involved in public health, epidemiology, and related fields may also participate in certain ECHO sessions focused on public health topics.

Researchers and Academics: Individuals involved in research or academia may also participate or contribute to ECHO sessions focused on advancing knowledge in healthcare.

Project ECHO's inclusive model aims to foster collaboration and knowledge sharing among various stakeholders in healthcare to improve patient outcomes, especially in underserved or remote areas where access to specialized care might be limited.

Enhancing Healthcare Capacity: Project ECHO aims to build the capacity of primary care providers and healthcare professionals by connecting them with specialists and experts in various fields. This collaboration helps providers gain knowledge, confidence, and skills to manage complex medical conditions and cases.

Improving Health Outcomes: By facilitating ongoing learning and mentoring relationships between specialists and primary care providers, Project ECHO aims to improve patient care and health outcomes, especially for individuals in underserved or remote communities.

Reducing Health Disparities: One of the core goals of Project ECHO is to address healthcare disparities by bringing specialized knowledge and expertise to areas where access to specialty care might be limited. This helps in providing equitable healthcare services to all individuals, regardless of their geographic location.

Promoting Interdisciplinary Collaboration: ECHO fosters interdisciplinary collaboration among healthcare professionals, researchers, academics, and other stakeholders. This collaborative model encourages the sharing of knowledge, best practices, and innovative approaches to healthcare challenges.

Expanding Access to Best Practices: Through the use of technology and teleconferencing, Project ECHO extends access to best practices, evidence-based guidelines, and the latest advancements in various healthcare fields to a wider audience, overcoming geographical barriers.

Building Sustainable Programs: Project ECHO works towards creating sustainable models of education and care delivery, empowering local healthcare providers and communities to continue learning and improving healthcare even after the completion of the program.

By achieving these goals, Project ECHO aims to create a more integrated and collaborative healthcare system, ensuring that all individuals, regardless of their location or socioeconomic status, receive high-quality and timely healthcare services.

Project ECHO covers a wide range of medical conditions, specialties, and healthcare topics. DHEC’s Project ECHO program will address cancer survivorship to also include:

  • Cancer prevention
  • Early detection and screening
  • Survivorship for patients receiving treatment and those in remission
  • Health equity
  • Epidemiology
  • Disease surveillance
  • Community health interventions

Register: https://forms.office.com/g/YSScahmM2x

Or:

Contact the coordinator:

Receive Confirmation and Access Information: Once registered, you'll receive confirmation of your participation and information on how to access the sessions. This will include login details for virtual meetings, schedules, and any pre-session materials or requirements.

Participate in Sessions: Attend the Project ECHO sessions as scheduled. Engage actively, ask questions, share experiences, and learn from the specialists and other participants involved in the sessions.

Provide Feedback and Stay Engaged: After participating in sessions, you might be asked to provide feedback about your experience. Staying engaged with the program, contributing to discussions, and continuing to participate will allow you to maximize the benefits of the Project ECHO sessions.

Video Conferencing Platforms: DHEC’s cancer ECHO sessions will occur via video Microsoft Teams videoconferencing. These tools allow for real-time interaction, discussion, and collaboration among participants regardless of their geographic locations.

Once Monthly: DHEC’s cancer ECHO sessions are scheduled for every first Wednesday of the month at 12:30 pm. Each session is scheduled for an hour.

Case-Based Learning: A fundamental aspect of ECHO sessions involves presenting real patient cases by participants. These cases serve as the basis for discussions, enabling participants to learn from each other's experiences, receive guidance from specialists, and collectively explore diagnosis, treatment, and management strategies.

Didactic Presentations: Expert specialists often deliver didactic presentations on specific topics, providing in-depth knowledge, evidence-based guidelines, and the latest updates in their respective fields. These presentations help participants enhance their understanding of cancer medical conditions or treatment modalities.

Panel Discussions: Panels comprising specialists, primary care providers, and other professionals discuss complex cases, guidelines, research findings, or broader healthcare topics. These discussions encourage diverse perspectives and foster collaborative problem-solving.

Peer Learning and Collaboration: Participants share their expertise, best practices, and local insights, promoting peer-to-peer learning. Collaboration among participants from different backgrounds and regions fosters a rich exchange of knowledge and experiences.

Q&A and Open Discussions: ECHO sessions often include dedicated time for participants to ask questions, seek clarifications, and engage in open discussions with specialists and peers. This interactive format encourages active participation and engagement.

Review of Evidence-Based Practices: ECHO sessions may involve reviewing evidence-based practices, guidelines, or research studies relevant to cancer medical conditions or healthcare challenges. This helps participants stay updated with the latest advancements and recommendations.

The combination of these learning activities within a supportive, collaborative environment is central to the success of Project ECHO sessions, enabling ongoing professional development and improving healthcare outcomes in underserved or remote areas.

Benefits for Healthcare Professionals:

Specialist Knowledge and Training: Healthcare professionals gain access to specialized knowledge and training sessions conducted by experts in cancer and other chronic diseases. This ongoing education helps professionals stay updated on the latest advancements and best practices.

Case-Based Learning: Participants present cases from their practice, receiving feedback and guidance from specialists and peers. This interactive learning approach enhances problem-solving skills and improves decision-making in patient care.

Increased Confidence and Competence: Exposure to diverse cases and ongoing support from specialists can boost confidence levels among healthcare professionals. This can lead to more competent care delivery in their respective communities.

Reduced Professional Isolation: Especially beneficial for healthcare workers in remote or underserved areas, Project ECHO fosters a sense of community and support by connecting them with a network of peers and experts.

Capacity Building: ECHO helps build the capacity of local healthcare systems by training local providers. This can potentially reduce the need for referrals to specialists and alleviate the burden on tertiary care centers.

Benefits for Patients:

Improved Access to Care: Patients, especially in underserved or remote areas, gain access to high-quality specialty care without having to travel long distances. This reduces barriers to accessing timely and appropriate treatment.

Continuity of Care: Local healthcare providers, equipped with specialist knowledge gained through ECHO sessions, can provide better ongoing care to patients with cancer and other chronic conditions, ensuring continuity and consistency in treatment.

Better Outcomes: Enhanced knowledge and skills among healthcare providers often translate to improved patient outcomes. Cancer patients receive care that aligns with current evidence-based practices, potentially leading to better health outcomes.

Reduced Health Disparities: By empowering local healthcare providers with specialized knowledge, Project ECHO contributes to reducing health disparities among different populations, ensuring more equitable access to quality care.

In summary, Project ECHO benefits healthcare professionals by providing continuous education and support, while patients benefit from improved access to specialized care, leading to better outcomes and reduced healthcare disparities.

Continuing Medical Education (CME) Credits: The Project ECHO Cancer Survivorship program provides CME credits. Participants, such as physicians, nurse practitioners, and other healthcare professionals, can earn CME credits by attending ECHO sessions, completing assessments if assigned, and meeting the requirements set forth by accrediting bodies.

Continuing Nursing Education (CNE) Credits: Like CME credits, Project ECHO Cancer Survivorship offers Continuing Nursing Education credits. Nurses and nurse practitioners can earn these credits by participating in ECHO sessions and meeting the program's specific criteria for credit issuance.

Post-Session Assessments or Evaluations: Project ECHO Cancer Survivorship requires participants to complete assessments or evaluations following sessions to demonstrate their understanding of the content presented. Successful completion of these assessments will contribute to earning continuing education credits.

During Project ECHO sessions, cases are presented and discussed in a structured and collaborative manner to facilitate learning and problem-solving among participants. The presentation and discussion of cases typically follow a format that encourages active participation and engagement. Here's an overview of how cases are presented and discussed in Project ECHO sessions:

Case Presentation:

Case Submission: Prior to the session, participants submit de-identified patient cases related to their practice or challenging scenarios they encounter.

Case Selection: DHEC Coordinators select specific cases for presentation during the session, ensuring relevance and diversity in the topics covered.

Case Presentation Format: The participant presenting the case provides a brief overview, including relevant patient history, symptoms, diagnostic findings, treatment approaches used or considered, challenges faced, and specific questions or areas needing guidance.

Interactive Discussion:

Feedback and Input: After the case presentation, the session facilitator(s), along with specialist teams and other participants, engage in an interactive discussion.

Collaborative Problem-Solving: Participants contribute their perspectives, share experiences, ask questions, and provide suggestions or recommendations for managing the presented case.

Evidence-Based Guidance: Specialists offer evidence-based guidance, best practices, and recommendations based on current research, guidelines, and their expertise.

Peer Learning: Participants learn from each other’s insights, diverse experiences, and approaches to similar cases, fostering peer-to-peer learning and collaboration.

Learning Objectives and Teachable Moments:

Identifying Learning Objectives: The discussion may revolve around specific learning objectives or key teaching points related to the presented case.

Teachable Moments: Facilitators seize opportunities within the case discussion to address broader educational topics, emerging trends, or relevant updates in the field.

Application of Knowledge:

Application to Practice: Participants are encouraged to apply the knowledge gained from the case discussions to their clinical practice, implementing the recommended approaches or strategies discussed.

Feedback and Follow-Up:

Feedback Loop: Participants receive feedback on their case presentations and the discussions, fostering continuous improvement and learning.

Follow-Up and Continued Support: There will be opportunities for follow-up discussions and ongoing support for implementing recommendations and addressing challenges encountered in practice.

Overall, the case presentation and discussion format in Project ECHO sessions emphasize collaborative learning, sharing of expertise, evidence-based guidance, and application of knowledge to improve patient care in diverse healthcare settings.

Maintaining patient confidentiality is paramount in Project ECHO sessions to comply with healthcare privacy regulations and ethical standards. Several measures are implemented to safeguard patient information while discussing cases and sharing clinical details during these sessions:

De-identification of Cases: Participants are instructed to remove any identifiable information from case presentations, such as patient names, addresses, specific dates, or other details that could potentially reveal the patient's identity.

Cases are presented using a structured format that focuses on clinical details while ensuring anonymity.

Use of Case Numbers or Codes: Instead of using patient names or identifiers, cases are referenced using unique numbers or codes to maintain confidentiality while discussing and referring to specific cases during the session.

Confidentiality Agreements and Training: Participants are required to sign confidentiality agreements acknowledging their responsibility to maintain patient confidentiality and not disclose any identifiable information shared during the sessions.

Training on patient confidentiality and privacy practices is provided to all participants, emphasizing the importance of safeguarding patient information.

Secure Communication Platforms: Project ECHO sessions are conducted using secure systems with encryption and other security measures to prevent unauthorized access to the discussions.

Access to these sessions is limited to registered and authorized participants to minimize the risk of data breaches.

Emphasis on Professional Conduct: Facilitators and moderators maintain a professional environment, reminding participants about the importance of respecting patient confidentiality and refraining from sharing any identifying information.

Case Studies are Not Recorded: Case study sessions will not be recorded during Project ECHO sessions at this time.

Continuous Monitoring and Compliance: Compliance with patient confidentiality regulations and ethical standards is continuously monitored and reviewed by program administrators to ensure adherence to privacy protocols.

By implementing these measures and emphasizing the importance of patient confidentiality, Project ECHO aims to create a secure and confidential environment for discussing cases while upholding ethical standards and legal requirements regarding patient privacy.

Yes, Project ECHO has been associated with numerous success stories and positive outcomes resulting from participation in its programs across various healthcare domains. Some notable success stories and outcomes include:

Improved Access to Specialty Care: Project ECHO has facilitated increased access to specialized healthcare services for underserved and rural populations. By empowering local providers with specialized knowledge, patients in remote areas can receive high-quality care without the need for extensive travel.

Enhanced Provider Knowledge and Confidence: Healthcare professionals participating in Project ECHO have reported increased confidence and competence in managing complex cases. Continuous education and guidance from specialists improve their ability to handle diverse patient scenarios.

Better Patient Outcomes: Studies and reports have shown that patients receiving care from providers participating in Project ECHO experience improved health outcomes. These outcomes often result from the application of evidence-based practices learned during ECHO sessions.

Reduced Health Disparities: Project ECHO initiatives have contributed to narrowing health disparities by ensuring that patients, regardless of their location or socioeconomic status, have access to high-quality care. This helps in addressing inequities in healthcare delivery.

Decreased Referral Rates: Empowering local healthcare providers with specialist knowledge through Project ECHO has led to reduced referrals to tertiary care centers. Many cases that previously required specialist care can now be managed effectively within the local community.

Expansion of Program Offerings: Because of DHEC’s success Project ECHO pilot in 2019-2020, the Centers for Disease Control (CDC) awarded the agency RFA-DP22-2202 funding to extend the project to address a broader range of healthcare needs.

Positive Provider and Patient Experiences: Both healthcare providers and patients have reported positive experiences with Project ECHO. Providers feel supported, connected, and more capable in managing complex cases, while patients appreciate receiving comprehensive care closer to home.

Research and Innovation: Project ECHO has also served as a platform for research and innovation in healthcare delivery. Insights gained from collaborative discussions and case presentations have led to improvements in clinical practices and healthcare policies.

These success stories and outcomes highlight the transformative impact of Project ECHO on healthcare systems, professionals, and patient care, emphasizing its role in improving access, knowledge dissemination, and ultimately, health outcomes for diverse populations.

Free Participation: Participation in Project ECHO sessions is offered at no direct cost to participants. Project ECHO aims to eliminate barriers to access and often operates on a no-cost model for healthcare providers, especially those in underserved areas or resource-limited settings.

Free Participation: Participating in Project ECHO requires certain basic resources and access to technology to engage in remote learning and collaboration. Here's what you need to participate in Project ECHO sessions:

Internet Access: A stable internet connection is essential to participate in Project ECHO sessions. High-speed internet access ensures smooth video conferencing and interaction during the sessions.

Computer, Laptop, or Mobile Device: You'll need a device such as a computer, laptop, tablet, or smartphone with a webcam, microphone, and speakers to join video conference sessions. A larger screen might enhance the viewing experience.

Web Conferencing Platform: Project ECHO sessions will be conducted using the web conferencing platform Microsoft Teams software. You might need to download and install the necessary software or app compatible with your device.

Email and Communication: Access to an email account is required for registration, communication with program coordinators, and receiving session invitations, reminders, or educational materials.

Registration and Consent: Participants will need to complete a registration process and provide consent or agree to confidentiality and participation guidelines.

Case Presentations (for Providers): If you're a healthcare provider planning to present cases during sessions, you'll need de-identified patient cases prepared for presentation according to the program's guidelines.

Engagement and Participation: Actively engaging in discussions, sharing experiences, and contributing to case presentations or discussions are essential aspects of participation in Project ECHO. Willingness to collaborate and learn from peers and specialists is key.

Continued Commitment: Commitment to attending sessions regularly and actively participating contributes to the success of the Project ECHO model. Consistent engagement allows for ongoing learning and knowledge sharing.

The primary model of Project ECHO revolves around virtual connections and tele-mentoring rather than physical visits by Project ECHO representatives to individual medical practices. The essence of Project ECHO is to facilitate knowledge sharing, mentoring, and case discussions through virtual platforms such as video conferencing.

Instead of Project ECHO representatives physically visiting medical practices, the Project ECHO model operates by connecting specialist teams or experts with healthcare providers and professionals in remote or underserved areas through regular virtual sessions. During these sessions, participants present cases, discuss clinical challenges, and receive guidance and mentoring from specialists and peers.

Yes, office staff members can participate in Project ECHO sessions, although the level of participation and involvement might differ compared to healthcare providers or clinicians. Project ECHO sessions typically aim to engage various professionals within healthcare settings to foster a comprehensive understanding of patient care, operational challenges, and collaborative approaches to addressing healthcare needs.

Office staff members, such as administrative assistants, practice managers, billing specialists, and other support personnel, can benefit from participating in Project ECHO in several ways:

Understanding Clinical Practices: Participating in sessions allows office staff to gain insights into clinical practices, challenges faced by healthcare providers, and the context in which patient care is delivered.

Learning about Patient Care Scenarios: Exposure to case discussions and presentations can help office staff understand various patient scenarios, treatment approaches, and the complexities of healthcare delivery.

Enhancing Support Services: Knowledge gained from ECHO sessions can enable office staff to better support healthcare providers in managing administrative tasks, patient communications, and coordinating care.

Improving Communication and Collaboration: Participation in Project ECHO can contribute to the professional development of office staff by expanding their knowledge base and understanding of healthcare practices.

Professional Development: If you're a healthcare provider planning to present cases during sessions, you'll need de-identified patient cases prepared for presentation according to the program's guidelines.

While the primary focus of Project ECHO sessions is often on clinical topics and case discussions relevant to healthcare providers, the inclusion of office staff members can offer a holistic view of the healthcare environment. Their participation contributes to a more comprehensive understanding of the challenges and opportunities in delivering quality patient care and can enhance the overall effectiveness of the healthcare team.

Physicians who are not actively practicing or are not involved in the decision-making process regarding the implementation of services like Project ECHO can still benefit from participating in these sessions. Although they might not directly oversee the adoption of such programs within a healthcare organization, their involvement can offer several advantages:

Continued Learning and Engagement: Even if not in an active clinical role, participating physicians can stay updated with advancements, best practices, and trends in healthcare. This ongoing education can be intellectually stimulating and help them stay connected to the field.

Networking and Collaboration: Project ECHO sessions provide opportunities for networking and collaboration with healthcare professionals across various specialties and settings. Engaging in discussions and sharing experiences fosters connections and peer-to-peer learning.

Advisory or Consultative Role: While not making direct decisions on implementation, their insights and perspectives gained from the ECHO sessions can be valuable when advising or consulting on healthcare matters within their organization or community.

Mentorship or Teaching Opportunities: Experienced physicians who are not in active practice can contribute their expertise by mentoring younger professionals or contributing as educators during ECHO sessions.

Contributing to Healthcare Improvement: Although not directly involved in decision-making, their participation indirectly supports the improvement of healthcare systems by staying informed, offering insights, and advocating for knowledge sharing and collaborative approaches.

Potential Influence on Decision-Making: In some cases, the knowledge gained and perspectives gathered from participating in initiatives like Project ECHO can indirectly influence decision-making processes as they engage with colleagues or leaders in the field.

Staying Engaged with Healthcare Communities: Participating in ECHO sessions allows them to remain engaged with healthcare communities, even if not actively practicing, fostering a sense of connection and continued involvement in the industry.

Physicians not actively practicing or involved in decision-making can contribute to and benefit from Project ECHO by staying informed, networking, sharing their expertise, and maintaining a connection with the healthcare community. Their involvement adds value through knowledge exchange and supporting the broader goals of improving healthcare delivery.