title: Expanding Health Care Access Through Education: Dissemination and Implementation of the ECHO Model.
abstract: Project ECHO (Extension for Community Healthcare Outcomes) is an evidence-based model that provides high-quality medical education for common and complex diseases through telementoring and comanagement of patients with primary care clinicians. In a one to many knowledge network, the ECHO model helps to bridge the gap between primary care clinicians and specialists by enhancing the knowledge, skills, confidence, and practice of primary care clinicians in their local communities. As a result, patients in rural and urban underserved areas are able to receive best practice care without long waits or having to travel long distances. The ECHO model has been replicated in 43 university hubs in the United States and five other countries. A new replication tool was developed by the Project ECHO Pain team and U.S. Army Medical Command to ensure a high-fidelity replication of the model. The adoption of the tool led to successful replication of ECHO in the Army Pain initiative. This replication tool has the potential to improve the fidelity of ECHO replication efforts around the world.
authors.affiliation: UNM Health Sciences Center Project ECHO, Department of Neurosurgery, University of New Mexico School of Medicine, 1650 University Boulevard, Albuquerque, NM 87102.
authors.forename: Joanna G
authors.initials: JG
authors.lastname: Katzman
authors.affiliation: Defense and Veterans Center for Integrative Pain Medicine (DVCIPM)/HJF, 11300 Rockville Pike, Suite 709, Rockville, MD 20852.
authors.forename: Kevin
authors.initials: K
authors.lastname: Galloway
authors.affiliation: UNM Health Sciences Center Project ECHO, University of New Mexico School of Medicine, 1650 University Boulevard, Albuquerque, NM 87102.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Olivas
authors.affiliation: Army Project ECHO, Rehabilitation & Reintegration Division (R2D), Office of the Surgeon General, Defense Health Headquarters, 7700 Arlington Boulevard, Room 3SW132B, Fall Church, VA 22042.
authors.forename: Kimberly
authors.initials: K
authors.lastname: McCoy-Stafford
authors.affiliation: Department of Psychiatry, University of New Mexico School of Medicine, MSC 09 5030, 1 University of New Mexico, Albuquerque, NM 87131.
authors.forename: Daniel
authors.initials: D
authors.lastname: Duhigg
authors.affiliation: Department of Internal Medicine, University of New Mexico School of Medicine, MSC10 5550, 1 University of New Mexico, Albuquerque, NM 87131.
authors.forename: George
authors.initials: G
authors.lastname: Comerci
authors.affiliation: Office of Program Evaluation, Education and Research, University of New Mexico School of Medicine, MSC08 4550, 1 University of New Mexico, Albuquerque, NM 87131.
authors.forename: Summers
authors.initials: S
authors.lastname: Kalishman
authors.affiliation: Defense and Veterans Center for Integrative Pain Management, Uniformed Services University, 1004 York Lane, Annapolis, MD 21403.
authors.forename: Chester C
authors.initials: CC
authors.lastname: Buckenmaier
authors.affiliation: U.S. Army Research of Environmental Medicine, 15 Kansas Street, Building 42, Natick, MA 01760.
authors.forename: Laura
authors.initials: L
authors.lastname: McGhee
authors.affiliation: Defense and Veterans Center for Integrative Pain Medicine (DVCIPM)/HJF, 11300 Rockville Pike, Suite 709, Rockville, MD 20852.
authors.forename: Kristin
authors.initials: K
authors.lastname: Joltes
authors.affiliation: UNM Health Sciences Center Project ECHO, University of New Mexico School of Medicine, 1650 University Boulevard, Albuquerque, NM 87102.
authors.forename: Andrea
authors.initials: A
authors.lastname: Bradford
authors.affiliation: First Choice Community Healthcare, South Valley Family Health Commons, 2001 North Centro Familiar Southwest, Albuquerque, NM 87105.
authors.forename: Brian
authors.initials: B
authors.lastname: Shelley
authors.affiliation: UNM Health Sciences Center Project ECHO, University of New Mexico School of Medicine, 1650 University Boulevard, Albuquerque, NM 87102.
authors.forename: Jessica
authors.initials: J
authors.lastname: Hernandez
authors.affiliation: UNM Health Sciences Center Project ECHO, Department of Internal Medicine, University of New Mexico School of Medicine, 1650 University Boulevard, Albuquerque NM, 87102.
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Arora
mesh_terms: D003153:Community Health Services / Q000379:methods*; D004502:Education, Medical, Continuing; D019317:Evidence-Based Medicine; D058015:Health Communication / Q000379:methods*; D006297:Health Services Accessibility; D006801:Humans; D008611:Mentors; D008887:Military Medicine / Q000193:education*; D017145:Models, Educational; D059408:Pain Management; D017216:Telemedicine / Q000379:methods*; D014481:United States