1. PUTTING IT ALL TOGETHER
Slides used and adapted with permission from
Project ECHO UNM and the University of Chicago
ECHO SUPERHUB TEAM
JUNE 15, 2018

2. RECAP

3. Phase 4: Process Improvement
Replication
Phase 1: Getting Ready
Phase 2: Immersion
Phase 3: Replication
Phase 4: Process Improvement

4. Phase 4: Process Improvement
Replication
Phase 1: Getting Ready
Phase 2: Immersion
Phase 3: Replication
Phase 4: Process Improvement
Steps:
Attend ECHO Introduction and Orientation
Become familiar with ECHO model and gain buy-in / support from key stakeholders
Sign Project ECHO partnership documents (see next slide)
Identify core Hub Team members
Information security and technology

5. Phase 4: Process Improvement
Replication
Phase 1: Getting Ready
Phase 2: Immersion
Phase 3: Replication
Phase 4: Process Improvement
Steps:
Select dates and register for immersion training
Confirm Project ECHO approval of partnership documents
Continue reviewing and revising ECHO planning worksheet
Participate in existing ECHO session
Become familiar with ECHO documents
Participate in the MetaECHO community

6. Phase 4: Process Improvement
Replication
Phase 1: Getting Ready
Phase 2: Immersion
Phase 3: Replication
Phase 4: Process Improvement
Steps:
Finalize planning worksheet and initiate Hub setup
Curriculum development
Evaluation
Develop budget
Incentives and continuing medical education
IT prep and training
Recruit and obtain commitments from community participants (spokes)
Branding, advertising, graphics, design strategy
Launch and feedback

7. Phase 4: Process Improvement
Replication
Phase 1: Getting Ready
Phase 2: Immersion
Phase 3: Replication
Phase 4: Process Improvement
Steps:
Revisit and reinforce all Hub Team teleECHO activities and skills
Periodically review and revise the case presentation form and curriculum
Continue outreach to recruit and train more participants
Evaluate, evaluate, evaluate!

8. Activity: In your ECHO team,
Review the work that you have done on your ECHO thus far, Is everything aligned?
Work on the next aspect of your proposal/ launch plan
ECHO staff will be available to answer your questions.

9. Lessons Learned (Recap)
Hurdles to successful replications
Not following the ECHO Model but calling it ECHO
Presuming ECHO is just curbside consultation instead of educational capacity building
Presuming ECHO is easy
Assuming superiority over primary care or generalists
Assuming that collegiality occurs without effort
Being inaccessible to partners
Not optimizing videoconferencing connectivity, or user support
Not engaging interprofessional team

10. Lessons Learned (Recap)
Successful Replication
Face to face relationships are crucial before technology is introduced
Always focus on the needs of your learners - Well thought out needs assessment
Get good help and train them well
Get technical assistance from experienced ECHO clinicians
Careful planning for the desired outcomes
Don’t depend on philanthropy: look for third-party (insurance) payers and government revenue sources
Champions – organization, hub, and spoke

11. You are not alone ECHO Ontario Mentoring Collaborative
Ontario Conference (Feb 1, 2019)
Project ECHO Community
MetaECHO newsletters (contact:
Monthly meetings (last Friday of each month – 11:30-12:30ET)
Collaboratives (i.e. cancer, bone health, HIV etc.)
MetaEcho Conference (every 18 months)
Box – tons of resources
- Strategies for Success video:(

12. THANK YOU! We hope you found the training meaningful.
State one word/phrase on how you feel now (after the training) about starting your ECHO