Project ECHO Sunflower Health Plan
Collaborative Learning Opportunity with FREE CEUs:
About Project ECHO
Project ECHO® (Extension for Community Healthcare Outcomes) is a self-paced lifelong learning and guided practice model that revolutionizes medical education and exponentially increases workforce capacity to provide best-practice specialty care and reduce health disparities.
Project ECHO creates a bridge to allow collaboration and knowledge sharing. The heart of the ECHO model™ is its hub-and-spoke knowledge-sharing networks, led by expert teams who use multi-point videoconferencing, such as Zoom, to conduct virtual clinics with community providers. In this way, primary care doctors, nurses, and other clinicians learn to provide excellent specialty care to patients in their own communities.
The ECHO model is not traditional “telemedicine” where the specialist assumes care of the patient, but is instead tele-mentoring, a guided practice model where the participating clinician retains responsibility for managing the patient.
Project ECHO is not just a learning and mentoring network; it is also a professional community. Participants are encouraged to ask questions, provide input and guidance to one another, and engage actively in discussions, both during and after a session.
For more information please visit the ECHO Institute at the University of New Mexico's Health Science Center.
Four principles comprise the Project ECHO model. The combination of these principles results in a unique and successful approach for improving clinician satisfaction, enhancing clinician knowledge and self-efficacy, and improving patient satisfaction and outcomes:
- Amplification: Use technology to leverage the expertise of a multidisciplinary team.
- Best Practices: Share best practices to reduce disparities and standardize care.
- Case-Based Learning: Leverage case-based learning and guided practice to master complex cases.
- Database: Apply web-based tools to monitor outcomes.
What is a hub?
A regional center where a team of subject matter experts for an ECHO program is located, replicates the ECHO Model™ and runs their own ECHO program. Sunflower Health Plan is a Project ECHO hub.
What is a Case Study?
Project ECHO is a case-based learning option for care providers. A case is an overview of an individual’s medical history and overall health.
How much does it cost to participate?
Participation is free. You generally only need to have standard internet connections and a computer.
Is continuing education available?
Case by case basis depending on the program. This information will be listed for each ECHO series.
How is patient or member information protected?
All the patient/member information presented in a session are de-identified and reviewed before the session. A HIPAA announcement is given prior to the start of each session to remind both specialists and clinicians about the importance of preserving patient confidentiality.
Who should participate?
Individual clinicians of all levels are welcome and highly encouraged to participate in sessions, including physicians, physician assistants, nurse practitioners, registered nurses, psychiatrists, social workers, community health workers and pharmacists. Team participation is encouraged, as team-based care is the ideal model for enabling higher-level care delivery and task shifting.
Sunflower Health Plan Project ECHO Team
Mohamed Radhi, MD; Nan Perrin, PhD, BCBA-D, LBA; Kristine Meier
- Chair - Dr. Nan Perrin, PhD, BCBA-D, LBA
- Co-Chair - Dr. Mohamed Radhi, MD
- Facilitator - Kristine Meier, M.S. Ed
- Project Support - Jenny Davis
Contact: projectECHO@sunflowerhealthplan.com
Accreditation
The Office of Continuing Education, School of Medicine, University of Missouri is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The Office of Continuing Education, School of Medicine, University of Missouri designates this live educational activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should only claim the credit commensurate with the extent of their participation in the activity.
University of Missouri Sinclair School of Nursing is approved as a provider of nursing continuing professional development by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 1.0 contact hour will be awarded to all individuals who successfully complete this activity.
Successful Completion
Successful completion of this activity — includes participating in the educational offering, the evaluation process and completing the verification of attendance — enables the learner to satisfy the requirements for continuing education.
Sunflower Project ECHO: Foster Care
We invite you to attend this series, which will focus on:
- Broadening Understanding of Complexity of Foster Care
- Broadening Understanding of Care Gaps in Relation to Foster Care
- Understanding How to Access Supports within the State
Please plan to attend our Project ECHO sessions Thursdays — March 30 and April 6, 13 & 20 from 12:00 – 1:00 PM CT via Zoom video conferencing.
Topics include:
- March 30 – Care Coordination for Individuals in Foster Care
- April 6 – Crisis Lines
- April 13 – MyStrength
- April 20 – CMHC Foster Care Services & SED
Dates to vary by speaker availability.
March 30 – Care Coordination for Individuals in Foster Care (PDF)
- Case Study (PDF)
- Case Recommendations
- Consider looking for a BH provider familiar with Trauma-Focused Therapy to address sexual trauma
- Consider an updated psych evaluation for diagnostic clarity
- Consider visiting with a neurologist to look into the possibility of a Tuberous Sclerosis diagnosis
- Look in to a motivation system or other positive behavior support strategies to help with medication adherence and school engagement
- Explore her strengths and interests and build connections around these
- Consider a medication review
- Geodon has to be taken with food, otherwise it may cause stomach discomfort
- Focalin would need to have a good balance as it could also cause hyperfocus
- Look at possible side effects of medication and see how these could possibly be presenting as challenging behaviors
- Since school is currently her most consistent support, consider partnering with them for implementation of interventions
April 6 – Crisis Lines
- DCF Family Crisis Response Helpline Background and Functionality - Carelon (PDF)
- 988 Presentation (PDF)
- Overview of 988 for Helping Professionals (PDF)
- Case Study (PDF)
- Case Recommendations
- Coordinate behavioral health services with school so there is a collaborative approach in helping him reach his goal to graduate school
- Consider using MTS (Multisystemic Therapy)
- Offer parent support through the CDF Contractor while in custody and ensure continued supports after release
- Consider genetic testing to rule out other underlying genetic conditions possibly contributing to behavior challenges
- Consider a new psychological evaluation for diagnostic clarity, then revisit medication efficacy based on new evaluation
- Provide crisis supports information to the youth, his family and support system
- DCF Crisis Line for youth 20 years old or younger 1-833-441-2240
- 988
April 13 – MyStrength (PDF)
- Case Study (PDF)
- Case Recommendations
- Refer for a Functional Behavior Assessment to help team with identifying functions of behavior, and recommendations for function-based interventions
- Parsons State Hospital Dual Diagnosis Outreach
- Since she has an autism diagnosis, could also access a BCBA (Board Certified Behavior Analyst)
- Incorporate FBA recommendations within a crisis/safety plan that can be developed along with her providers at the CMHC
- Provide crisis resources
- 988
- DCF Crisis Line for youth 20 years old or younger - 1-833-441-2240
- Look in to using myStrength app - provider can also help her access this
- Explore vocational goals
- Pre-ETS (Pre-Employment Transition Services) could be accessed through school
- Use person-centered planning tools to help her make a trajectory map for future planning
- LifeCourse Tools
- Person-Centered Thinking
- Look in to an updated psychological evaluation for diagnostic clarity- particularly looking in to processing speed as this could impact her frustration with communicating with others
- With regards to medication, watch for long-term side effects of Depakote, be working with the med provider on this
- Refer for a Functional Behavior Assessment to help team with identifying functions of behavior, and recommendations for function-based interventions
April 20 – CMHC Foster Care Services & SED (PDF)
- School District-CMHC List (XLSX)
- Case Study (PDF)
- Case Recommendations:
- Involve case team and individual/family therapy provider in conversations regarding permanency plans
- Help youth with preparation and understanding for if reintegration with biological family is the plan
- Assist youth and foster family with follow up with dental work
- Pain could increase behavioral health symptoms and likelihood of aggression
- Consider accessing an Occupational Therapist to evaluate sensorimotor needs
- Provide tools for foster parents
- TBRI: Trust-Based Relational Intervention
- PCIT: Parent-Child Interaction Therapy
- CPI: Crisis Prevention
- Depending on results of psychological evaluation, connect with the local CDDO (Community Developmental Disabilities Organization) if an Intellectual or Developmental Disability diagnosis is identified
- Involve case team and individual/family therapy provider in conversations regarding permanency plans
Register for the Sunflower Project ECHO: Foster Care
Note: After registering you will be given the opportunity to save the series to your calendar of choice. You will also receive an invite via email.
Please do not forward your invite, as it is specific to each person.
To receive clinician continuing education credit from the University of Missouri or certificate of completion from Sunflower Health Plan, each participant must register individually.
Previous Series
Presentations and recommendations for previous Project ECHO sessions can be found on the Project ECHO archive page.