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Project ECHO Sunflower Health Plan

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:

  1. Amplification: use technology to leverage the expertise of a multidisciplinary team.
  2. Best Practices: Share best practices to reduce disparities and standardize care.
  3. Case-Based Learning: Leverage case-based learning and guided practice to master complex cases.
  4. 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 Manager - Erin Pettera

Contact: projectECHO@sunflowerhealthplan.com

Sunflower Project ECHO

Continuing Education Credits Offered

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. Midwest Multistate Division Provider Number MO1022-6. Up to 1.0 contact hour will be awarded to all individuals who attend the entire session and complete the evaluation.

Sunflower Project ECHO: Behavioral Health and Addiction

We invite you to attend this series, which will focus on:

  • Broadening the understanding of Behavioral Health and Addiction
  • Understanding unique needs of members who have behavioral health needs
  • Understanding how to access supports related to addiction in Kansas.

Please plan to attend our Project ECHO sessions Wednesdays in March from noon to 1:00 PM via Zoom video conferencing.

Recommendations:

  • It may be helpful to seek a secondary opinion on the Rheumatoid Arthritis, especially with looking in to alternative treatments for pain management
    • No mention of a PCP, so getting established with one and having a good rapport can help with identifying proper treatment to manage the RA
    • Would she be eligible for a pain pump?
  • Medication consultation on the usage of suboxone for pain management, as she this is the medication that will be used for her MAT protocol
  • Further education or supports on managing Rheumatoid Arthritis could help with identifying alternatives to pain management- possibly connect with RA Foundation
  • Explore history of trauma and root cause of issues with family dynamics- this may have an impact on ongoing SUD and MH treatment
  • Peer Supports- find out if this is available at the current inpatient facility, which could then follow her once she transitions to outpatient services
    • This could also assist with counseling and education around following program to recovery
  • Narcotics Anonymous could provide member with additional supports and a sponsor to talk to as she’s working on recovery
  • Consider a stepdown to a Level 3.1 program after discharge from the inpatient facility
  • Develop a goal around identifying supports for employment- explore options available to her through Vocational Rehabilitation

Recommendations:

  • Ask this question to help drive conversations regarding treatment and recovery: What outcomes matter the most?
  • Consider a Dual Diagnosis Center with Medication-Assisted Therapy
  • Consider Medication-assisted therapy, potentially with suboxone
    • If an IV user, consider a monthly injectable
  • If the CMHC has a SOAR-trained worker, they can help member navigate benefits, including social security and Medicaid
  • Consider a conservator or payee
  • Ensure wraparound services through the CMHC, with the addition if substance-use treatment, as well as peer-supports
  • Look in to connecting to a community activity center as an opportunity to engage with different peers and develop new hobbies/interests
  • Consider drug court- this could potentially provide a court officer who could help with following through on requirements of a treatment program
  • Consider connecting with a support group like NA or finding a sponsor

Recommendations:

  • Connect with KC Care Clinic’s needle exchange program, member can utilize this program anonymously
    • Also the potential of additional services through there
  • Encourage member to have Narcan available at his residence
    • Can get this through KC Care Clinic
    • Can be picked up from a pharmacy at a low to no cost, depending on insurance coverage
  • Consider the addition of peer supports
  • Have a conversation with member about his own goals regarding employment, then connect with possible resources, such as Vocational Rehabilitation

Recommendations:

To be added

Register for the Sunflower Project ECHO: Behavioral Health and Addiction

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. Each participant must register individually.

Previous Series

Presentations and recommendations for previous Project ECHO sessions can be found on the Project ECHO archive page.