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

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 our experience of project ECHO so you can decide if it is something that might fit with your future

What is ECHO?

E xtension O f C ommunity H ealthcare O utcomes What is ECHO? Moving knowledge not patients ECHO IS… Democratising “specialist” knowledge ECHO IS… TELE-MENTORING ECHO IS… Building a Community of Practice

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ECHO? E xtension O f C ommunity H ealthcare O utcomes

E xtension O f C ommunity H ealthcare O utcomes What is ECHO? Moving knowledge not patients

WHAT? 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? E XTENSION OF C OMMUNITY H EALTHCARE O UTCOMES 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? E XTENSION OF C OMMUNITY H EALTHCARE O UTCOMES 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

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WHAT? E XTENSION OF C OMMUNITY H EALTHCARE O UTCOMES 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

Why did we become involved?

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

WHY? 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. Dr Sanjeev Arora [N Engl J Med. 2011 Jun 9;364(23):2199-207

Significant improvement in: Knowledge Self efficacy December 2015

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 or 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)

How did we ECHO?

How? 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? HUB - selected MDT • Palliative Medicine Consultant • Pharmacist • Social Worker • Senior Community Nurse • GP • AHP • Chaplain Spokes • Other eight community teams Total cost for the nine computers, screens, cameras, etc =<£12,000

ECHO

ECHO Outcomes

Outcomes • 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

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ECHO Nursing Home Palliative ECHO

ECHO Nursing Home Palliative ECHO

superhub

Interested in ECHO?

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

• info@echonorthernireland.co.uk • http://echonorthernireland.co.uk

ECHO is about building capacity through relationships not technology It’s much more complicated than the tech… Its building a community 34

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