OVERVIEW What is ECHO? Why did our hospice become involved with - - PowerPoint PPT Presentation

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OVERVIEW What is ECHO? Why did our hospice become involved with - - PowerPoint PPT Presentation

Dec 11, 2022 399 likes •769 views

ECHO? E xtension O f C ommunity H ealthcare O utcomes OVERVIEW What is ECHO? Why did our hospice become involved with ECHO? How did we ECHO? What difference did it make? Outcomes from ECHO If you are interested. To share

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ECHO?

OVERVIEW

  • What is ECHO?
  • Why did our hospice become involved with ECHO?
  • How did we ECHO?
  • What difference did it make?
  • Outcomes from ECHO
  • If you are interested….

Extension Of Community Healthcare Outcomes To share our experience of project ECHO so you can decide if it is something that might fit with your future

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What is ECHO?

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Extension Of Community Healthcare Outcomes

What is ECHO? Moving knowledge not patients

ECHO IS…TELE-MENTORING ECHO IS… Building a Community of Practice ECHO IS…Democratising “specialist” knowledge

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5

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ECHO?

Extension Of Community Healthcare Outcomes

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What is ECHO? Moving knowledge not patients

Extension Of Community Healthcare Outcomes

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ECHO- Four ideas

  • 1. Multi point video technology
  • 2. Based on best practice (Pang Guidelines)
  • 3. Case based learning
  • 4. Use of IT to monitor quality improvements

WHAT?

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EXTENSION

  • To build up the strength and capacity of an

underserved community with a shared interest

  • To increase support for each other
  • To learn practically from case examples of complex

care

  • To reduce stress for patients and staff by providing

care which is informed by expert and peer multidisciplinary learning and sharing

WHAT?

EXTENSION OF COMMUNITY HEALTHCARE OUTCOMES

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COMMUNITY HEALTHCARE

  • Locally delivered care by well trained and supported staff

provide the best patient outcomes

  • MDT knowledge and support sharing provides holistic

framework of care

  • Sharing real practice and real challenges allows for real

learning, and real growth in confidence

  • Educational Governance Model

WHAT?

EXTENSION OF COMMUNITY HEALTHCARE OUTCOMES

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NO Antibodies

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OUTCOMES

  • Opportunity to monitor progress
  • Process effective? - -Attendance & Feedback
  • Impact on staff knowledge and skills
  • Impact on patient and staff needs
  • CPD for more isolated professionals

WHAT?

EXTENSION OF COMMUNITY HEALTHCARE OUTCOMES

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Why did we become involved?

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NI Hospice Community Teams

WHY?

Eight Community Nursing Teams, 35 Nurses under pressure Increased complexity Year on year increase patient load Vacant posts…. Need for Nursing CPD/revalidation We look after 1 in five people who die in Northern Ireland 3,500 /yr

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New England Journal of Medicine: Outcomes of treatment for hepatitis C virus infection by primary care providers. Arora S, Thornton K, Murata G, Deming P, Kalishman S, Dion D, Parish B, Burke T, Pak W, Dunkelberg J, Kistin M, Brown J, Jenkusky S, Komaromy M, Qualls C. [N Engl J Med. 2011 Jun 9;364(23):2199-207

Dr Sanjeev Arora

WHY?

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December 2015 Significant improvement in: Knowledge Self efficacy

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Opinions on ECHO after 6 months

  • 96% (25/26) reported gains in learning
  • 89% (25/28) felt that ECHO had improved the care

they provided for patients

  • 82% (23/28) would recommend ECHO to other CHNs
  • r other HCPs
  • 89% (24/27) found ECHO a good medium to access

teaching / education from a different location from where they worked despite 44.4% (12/27) having experienced technical difficulties –affected 2 out of 9 sites in particular (internet connectivity and bandwidth)

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How did we ECHO?

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ECHO PILOT NIH

  • Knowledge and support through a weekly ECHO

meeting every Friday 9-11 for six months – 15-30 minute teaching session – 2-3 case presentations and discussions with MDT

  • Hub at Hospice
  • Spokes at each of the eight Hospice Community

Teams

  • Curriculum of teaching chosen by the spokes

How?

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HUB - selected MDT

  • Palliative Medicine Consultant
  • Pharmacist
  • Social Worker
  • Senior Community Nurse
  • GP
  • AHP
  • Chaplain

Spokes

  • Other eight community teams

HOW?

Total cost for the nine computers, screens, cameras, etc =<£12,000

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ECHO

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ECHO Outcomes

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  • ECHO support for community teams now integrated into

community services. Monthly network meetings.

  • NI Hospice completed additional NEW MEXICO training to

become first project ECHO superhub in UK & Europe for training others

  • NI Government engaged NI Hospice to pilot and evaluate

five additional ECHO Networks, then this year to facilitate an additional 21 networks

Outcomes

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AUGUST 2015 MARCH 2016

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ECHO

Nursing Home Palliative ECHO

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ECHO

Nursing Home Palliative ECHO

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superhub

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Interested in ECHO?

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ECHO Engagement

Confirm interest and virtually sit in an ECHO meeting Read ECHO information View Introduction Video material Preliminary plan Spokes? Hub? Facilitator? Review ECHO agreement Come for three day emersion training within 8 weeks of projected start date

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  • info@echonorthernireland.co.uk
  • http://echonorthernireland.co.uk
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ECHO is about building capacity through relationships not technology

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It’s much more complicated than the tech… Its building a community

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Resources

NYT article: http://opinionator.blogs.nytimes.com/2014/06/11/the-doctor-will-stream-to-you-now/

  • ECHO as a Performance Optimizer: A great short video (1.5 minutes) to explain the ECHO model and build bu
  • TEDxABQ: Project ECHO – Changing the World, FAST http://www.youtube.com/watch?v=lY5nlJxac0g&list=PLsRN
  • Project ECHO: Spreading Access to Specialty Healthcare http://www.youtube.com/watch?v=2lBfyOlL4_s
  • ECHO website: http://echo.unm.edu/

Ted style talk in Albuquerque Sep. 2014 http://youtu.be/3OVVuFXoL0E

Education Department NI Hospice, (028 90781836)

http://www.nihospicecare.com/newsstory/PROJECT_ECHO_NORTHERN_IR ELAND_HOSPICE