Evaluation Of Technology-Enabled Collaborative Learning And . - ASPE

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Appendix FEvaluation of Technology-EnabledCollaborative Learning and CapacityBuilding ModelsMaterials for a Report to CongressShira H. Fischer, Adam J. Rose, Ryan K. McBain, Laura J. Faherty,Jessica Sousa, Monique MartineauC O R P O R AT I O N

For more information on this publication, visit www.rand.org/t/RR2934Published by the RAND Corporation, Santa Monica, Calif. Copyright 2019 RAND CorporationR is a registered trademark.Limited Print and Electronic Distribution RightsThis document and trademark(s) contained herein are protected by law. This representation of RANDintellectual property is provided for noncommercial use only. Unauthorized posting of this publicationonline is prohibited. Permission is given to duplicate this document for personal use only, as long as itis unaltered and complete. Permission is required from RAND to reproduce, or reuse in another form, any ofits research documents for commercial use. For information on reprint and linking permissions, please visitwww.rand.org/pubs/permissions.The RAND Corporation is a research organization that develops solutions to public policy challenges to help makecommunities throughout the world safer and more secure, healthier and more prosperous. RAND is nonprofit,nonpartisan, and committed to the public interest.RAND’s publications do not necessarily reflect the opinions of its research clients and sponsors.www.rand.org

PrefaceTechnology-enabled collaborative learning and capacity-building models, such as ProjectECHO (Extension for Community Healthcare Outcomes), have spread rapidly over the last 15years across the United States, as well as into other countries. However, little is known about theoptimal conditions under which these models improve care and achieve other objectives, such asimproving workforce retention in medically underserved areas.This appendix provides an inventory of active ECHO and ECHO-like models (EELM) acrossthe United States and in select international countries, as well as the most frequently addressedfocus areas and funding sources. The report this appendix accompanies is the culmination of theproject “Expanding Capacity for Health Outcomes (ECHO) Act Report to Congress: A Study ofTechnology-Enabled Collaborative Learning and Capacity Building Models.” The Office of theAssistant Secretary for Planning and Evaluation (ASPE) engaged the RAND Corporation toassist in developing a report to Congress that responds to the ECHO Act.This research was funded by ASPE and carried out within the Payment, Cost, and Coverageprogram in RAND Health Care.RAND Health Care, a division of the RAND Corporation, promotes healthier societies byimproving health care systems in the United States and other countries. We do this by providinghealth care decisionmakers, practitioners, and consumers with actionable, rigorous, objectiveevidence to support their most complex decisions. For more information, seewww.rand.org/health-care, or contactRAND Health Care Communications1776 Main StreetP.O. Box 2138Santa Monica, CA 90407-2138(310) 393-0411, ext. 7775RAND Health-Care@rand.orgiii

ContentsPreface . iiiContents .ivAbbreviations . xxiiOverview . 1Alabama . 2Project ECHO: Autism .2Project ECHO: Pediatric Diabetes and Obesity .3Alaska . 4Alaska ECHO: Behavioral Analysis .4Alaska ECHO: Neurodevelopmental Disabilities .5Alaska ECHO: Traumatic and Acquired Brain Injury .6Alaska Native Tribal Health Consortium: Palliative Care ECHO .7ECHO Alaska: Psychiatry and Addiction Medicine .8University of Alaska Anchorage: Alaska LEND (Leadership Education in Neurodevelopmental andrelated Disabilities) Without Walls.9Arizona . 10Arizona Telemedicine Program: Rheumatology .10Mountain ECHO: Medication-Assisted Treatment .11North Country ECHO Program: Hepatitis C.12Project ECHO Pain: Arizona.13St. Joseph’s Hospital and Medical Center: Arizona Hepatitis C Program .14Arkansas . 15TMF Quality Innovation Network–Quality Improvement Organization–Project ECHO .15California . 16California Hub-and-Spoke System: Medication-Assisted Treatment Expansion Project .16Pacific Sickle Cell Regional Collaborative .17Project ECHO LA: Adult Psychiatry .18Project ECHO LA: American Academy of Physician Assistants Preventative Care Network.19Project ECHO LA: Geriatrics .20Project ECHO LA: Nephrology .21ResolutionCare: Palliative Care ECHO .22SCAN-ECHO: Hepatitis C .23SCAN-ECHO: Pressure Sores .24SCAN-ECHO: Women’s Health .25Stanford Medicine: Project ECHO Type 1 Diabetes.26Stanford University: Developmental-Behavioral Pediatrics Trainings for Northern California .27Tribal Medication Assisted Treatment Project.28University of California, Davis: ECHO Pain Management TeleMentoring .29University of California, Davis: Emergency Medical Services .30iv

University of California Leadership Education in Neurodevelopmental and Other Related Disabilities.31University of California, San Francisco: Hepatitis C Project ECHO .32University of California, San Francisco: San Joaquin Valley Collaborative Office Rounds.33Colorado . 34Children’s Hospital Colorado: Cancer Survivorship .34Children’s Hospital Colorado: Child Abuse and Neglect .35Children’s Hospital Colorado: Complex Care Pediatrics .36Children’s Hospital Colorado: Depression and Anxiety .37Children’s Hospital Colorado: Developmental Behavioral.38Children’s Hospital Colorado: Food Safety .39Children’s Hospital Colorado: Hepatitis C .40Children’s Hospital Colorado: Human Immunodeficiency Virus.41Children’s Hospital Colorado: Neurology .42Children’s Hospital Colorado: Nursing Practice Support .43Children’s Hospital Colorado: Obesity Prevention and Nutrition .44Children’s Hospital Colorado: Pediatric Epilepsy .45Children’s Hospital Colorado: Pharmacy Integration in Patient-Centered Medical Homes.46Children’s Hospital Colorado: Quality Improvement for Local Public Health .47Colorado Area Health Education Center: Point of Service Maintenance and Enhancement.48Colorado ECHO-CYE (Children and Youth with Epilepsy) .49ECHO Colorado Program Center .50ECHO Colorado: After Cancer Behavioral Health .51ECHO Colorado: After Cancer Community Support .52ECHO Colorado: After Cancer Treatment .53ECHO Colorado: Basic Skills for New Clinical Educators and Entry-Level Preceptors .54ECHO Colorado: Care Coordination for Improving Colorectal Cancer Screening .55ECHO Colorado: Diabetes Care Coordination .56ECHO Colorado: Leading Effective Coalitions .57ECHO Colorado: Oncology to Primary Care .58ECHO Colorado: Pediatric Abuse.59ECHO Colorado: School Nurses Managing Diabetes Care .60ECHO Colorado: Team-Based Care Coordination .61Project ECHO Colorado: Care Coordination for Diabetes .62Project ECHO Colorado: Child Welfare Policy .63Project ECHO Colorado: Coordinating After Cancer Behavioral Health Support .64Project ECHO Colorado: Food Safety Hypothesis Generation .65Project ECHO Colorado: IT MATTRS for Opioid Use Disorder .66Project ECHO Colorado: Pediatric Complex Care Management .67Project ECHO Colorado: Pediatric Psychiatry.68Project ECHO Colorado: Pediatric Sexual Abuse Assessment in Primary Care .69Project ECHO Colorado: Strategies for Behavioral Health Integration.70Project ECHO Colorado: Supporting Behavioral Health Providers .71Project ECHO Medicaid Learning Collaborative .72v

Project ECHO Pain: Colorado.73Rocky Mountain Public Health Training Center: Foodborne Illness .74Rocky Mountain Public Health Training Center: Healthy Eating and Active Living .75Rocky Mountain Public Health Training Center: HIV Prevention .76Rocky Mountain Public Health Training Center: Patient Navigation.77Rocky Mountain Public Health Training Center: Quality Improvement .78Rocky Mountain Public Health Training Center: Tobacco Control.79Rocky Mountain Public Health Training Center: Tuberculosis Management .80SCAN-ECHO Pain: Colorado .81University of Colorado, Denver: JFK Partners Colorado Leadership Education in NeurodevelopmentalDisabilities Program .82Connecticut . 83Community Health Center Inc.: Accountable Care Collaborative Chronic Pain Disease ManagementProgram.83SCAN-ECHO: Pain Management .84Weitzman Institute Pain Management Project ECHO .85Weitzman Institute Project ECHO: Colorado Pain .86Weitzman Institute Project ECHO: Complex Care Management .87Weitzman Institute Project ECHO: Hepatitis C .88Weitzman Institute Project ECHO: HIV Program .89Weitzman Institute Project ECHO: LGBTQ .90Weitzman Institute Project ECHO: LGBTQ—Arizona .91Weitzman Institute Project ECHO: Pediatric and Adolescent Behavioral Health .92Weitzman Institute Project ECHO: Primary Care Quality Improvement .93Weitzman Institute Rural Pain and Opioid Practice Transformation Network: Buprenorphine ECHOfor Opioid Dependency .94Weitzman Institute Rural Pain and Opioid Practice Transformation Network: Chronic Pain ECHO .95Yale University: Child Abuse TeleECHO Clinic .96Yale University: Psychosocial, Developmental, and Behavioral Health Program .97Delaware . 98Delaware Project ECHO Steps for Pain Management and Opioid Addiction Treatment Education.98District of Columbia . 99Howard University School of Social Work Behavioral Health Education and Training Program .99National Bone Health Alliance Fracture Liaison Service Bone Health ECHO .100Florida. 101Cybersight .101Florida/Caribbean AIDS Education and Training Center Project ECHO: Adolescent/PediatricsSpecialty Sessions .102Florida/Caribbean AIDS Education and Training Center Project ECHO: General HIV Care .103Florida/Caribbean AIDS Education and Training Center Project ECHO: General HIV Care–EnEspañol .104Florida/Caribbean AIDS Education and Training Center Project ECHO: HIV/HCV .105University of Florida Type I Diabetes ECHO .106vi

University of Miami Health Professional Support Program for Children with Congenital Zika VirusInfection .107Georgia . 108American Academy of Pediatrics ECHO: Pediatric Growth and Endocrinology .108Children’s Healthcare of Atlanta: Behavioral Health ECHO .109Children’s Healthcare of Atlanta: Cancer Survivorship ECHO .110Children’s Healthcare of Atlanta: Child Abuse and Neglect ECHO .111Children’s Healthcare of Atlanta: Child Abuse Pediatrics Fellowship ECHO .112Children’s Healthcare of Atlanta: Georgia Statewide Commercial Exploitation of ChildrenMultidisciplinary Team ECHO.113Children’s Healthcare of Atlanta: Headache ECHO .114Georgia State University: Georgia Leadership Education in Neurodevelopmental and RelatedDisabilities Program .115Hawaii. 116ECHO Hawai’i: Behavioral Health .116ECHO Hawai’i: Endocrinology and Diabetes .117ECHO Hawai’i: Geriatrics .118Hawaii Alzheimer’s Disease Initiative .119Hawaii Telegenetics Training Program.120University of Hawaii: Maternal and Child Health Leadership Education in Neurodevelopmental andRelated Disabilities Program .121Idaho . 122Project ECHO Idaho: Chronic Pain Management.122Project ECHO Idaho: Mental/Behavioral Health .123Project ECHO Idaho: Opioid Addiction and Treatment .124Illinois . 125American Academy of Pediatrics ECHO: Childhood Epilepsy .125American Academy of Pediatrics ECHO: Pediatric Environmental Health .126ECHO-Chicago Behavioral Health Integration: Management of Common Psychiatric Issues in PrimaryCare .127ECHO-Chicago Behavioral Health Integration: Systems Collaborative Care .128ECHO-Chicago: Child and Youth Epilepsy.129ECHO-Chicago: Complex Pediatric Asthma .130ECHO-Chicago: Comprehensive Care Learning Collaborative .131ECHO-Chicago: Geriatrics .132ECHO-Chicago: Geriatrics for Skilled Nursing Facilities .133ECHO-Chicago: Hepatitis C .134ECHO-Chicago: Hepatitis C Case Management and Clinic Capacity Building .135ECHO-Chicago: Obesity and Comorbidities .136ECHO-Chicago: Opioid Use Disorder .137ECHO-Chicago: Pediatric Attention Deficit Hyperactivity Disorder .138ECHO-Chicago: Resistant Hypertension .139ECHO-Chicago: Risk-Based Approach to Women’s Health Care .140ECHO-Chicago: Serious Mental Illness .141vii

ECHO-Chicago: Trauma-Informed Care .142Southern Illinois University ECHO: Resistant Hypertension .143STORM (Sickle Treatment and Outcomes Research in the Midwest) TeleECHO .144University of Illinois at Chicago: Illinois Leadership Education in Neurodevelopmental and RelatedDisabilities Program .145Indiana . 146Indiana University: Chronic Pain Management ECHO .146Indiana University: Hepatitis C ECHO Clinic .147Indiana University: HIV Treatment ECHO .148Indiana University: Opioid Use Disorders ECHO .149System for Telementoring with Augmented Reality (STAR) Project .150Iowa . 151Iowa Primary Care Association: Behavioral Health ECHO .151University of Iowa: Iowa Leadership Education in Neurodevelopmental and Related Disabilities .152Kansas. 153University of Kansas Medical Center: Airways ECHO .153University of Kansas Medical Center: Asthma ECHO .154University of Kansas Medical Center: Autism ECHO .155University of Kansas Medical Center: Behavioral Health Attention Deficit Hyperactivity DisorderECHO .156University of Kansas Medical Center: Child and Youth Epilepsy ECHO .157University of Kansas Medical Center: Child Behavioral Health Pediatric Psychopharmacology ECHO.158University of Kansas Medical Center: Opioid Addiction ECHO .159University of Kansas Medical Center: Pain Management ECHO .160University of Kansas Medical Center: Pediatric Obesity ECHO .161University of Kansas Medical Center: Pulmonary Fibrosis ECHO .162University of Kansas Medical Center: Problem Behaviors ECHO.163University of Kansas Medical Center: Telehealth Rural Outreach to Children of Kansas (TelehealthROCKS) .164Kentucky. 165International Gynecologic Cancer Society: Project ECHO–Global Virtual Tumor Boards .165University of Louisville, Kent School of Social Work: Behavioral Health Workforce and TrainingProgram Project ECHO .166Louisiana . 167Ochsner Health System Project ECHO: Liver Disease Management .167Maine . 168Maine Chronic Pain Collaborative: Project ECHO Pain .168MaineHealth Project ECHO Endocrinology and Diabetes .169Northern New England Network Project ECHO: Continuity of Care for Substance Use and ExposureDuring the Perinatal Period.170Maryland. 171Johns Hopkins University: Collaborative Office Rounds Pediatric and Child Psychiatry .171viii

Kennedy Kri

Technology-enabled collaborative learning and capacity-building models, such as Project ECHO (Extension for Community Healthcare Outcomes), have spread rapidly over the last 15 . Rocky Mountain Public Health Training Center: Quality Improvement .78 Rocky Mountain Public Health Training Center: Tobacco Control.79 Rocky Mountain Public .

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