1. Moving Knowledge Instead of People

2. Project ECHO is an educational and guided practice model that provides access to best-practice information via case review. All information is HIPPA compliant and de-identified.

3. “One to Many” –Increase access to specialty care for complex conditions Hubs & Spokes - ECHO provides front-line providers with the knowledge and support ECHO links expert specialist teams at a specialty ‘hub’ with care providers in local communities – the ‘spokes’ of the model. Together, they participate in regularly scheduled teleECHO™ clinics ECHO HUB Team of Specialists ECHO SPOKE Providers CLIENT REACH

4. WHY ECHO? THE UNDERSERVED CLIENTS PROBLEM: Underserved clients have limited access to quality specialist care for common complex conditions such as dementia and intellectual disabilities SOLUTION: A model that offers mentoring and guided practice to build system capacity.

5. WHY ECHO? Providers PROBLEM: Wants to advance skills and relationships. Lack access to knowledge and training to provide specialty care for individuals with IDD. Often feel socially and professionally isolated. In New Mexico: More than 76k free CME/CE credits issued. SOLUTION: Caregivers engage in a learning community with like-minded providers and specialists within an interprofessional team. Develop specialized knowledge. 1. Arora S, Kalishman S, Thornton K, Dion D et al: Hepatology. 2010 Sept;52(3):1124-33

6. Use Zoom technology Sharing “best practices” via videoconferencing Case based learning

7. How is it different from telemedicine? Telemedicine ECHO Multidisciplinary expert team providing mentoring, advice, and support Multidirectional flow of knowledge Not usually billable Focus is on education and capacity building Usually Billable Usually one-to-one Focus is direct service

8.  ECHO--Extension for Community Healthcare Outcomes is a videoconferencing format through Zoom  FREE--Trinitas partners with University of New Mexico to offer Zoom for free to ECHO participants  Co-management of clients via case based learning  ECHO is a robust method to safely and effectively respond and better manage complex conditions.

9. 1. S-COPE ECHO held two Fridays per month for 1.5 hours focusing on adults 55+ with dementia or behavioral health challenges who reside in LTC

10. 2. CARES ECHO held two Fridays per month for 1.5 hours focusing on adults with disabilities and co- occurring behavioral health challenges

11. 3. GWEP ECHO held one Wednesday per month for 1.5 hours focusing on adults with disabilities who reside in DD Provider agencies and have dementia

12.  Complete a case template  Join scheduled ECHO session  Review of cases  Brief training module

13. ARE YOU A PARTNER?  Nursing facilities  Assisted Living  DD Provider Agencies  Support Coordinators  DD Case Management  Managed Care representatives  State psychiatric hospitals  Inpatient psychiatric unit

14. Inter-professional team members for the ECHOs include: ◦ Drs. Forsberg and White ◦ Lucy Esralew, Ph.D. ◦ Leone Murphy, APN ◦ Nicole Livingston, Ph.D. ◦ Ted Calefati, L.C.S.W. ◦ Kathryn Pears, M. Ed ◦ Mobin Chadha, L.C.S.W. ◦ Susan Fingerhut, APN ◦ Phil Caruso, LPC ◦ Bonny Life, MA

15.  SEE OUR TABLE in the Lobby for more information about our three ECHOs  SIGN UP for sample participation in an ECHO as a guest participant  Contact: Lucy Esralew, Ph.D lesralew@trinitas.orglesralew@trinitas.org or Mobin Chadha, L.C.S.W. mchadha@trinitas.orgmchadha@trinitas.org