Enhancing Healthcare Access through Telehealth and Show-Me EHCO Program

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Missouri Telehealth Network and the Show-Me EHCO Program by the University of Missouri School of Medicine aim to improve healthcare access via telehealth solutions. The Extension for Community Healthcare Outcomes (ECHO) initiative facilitates knowledge sharing among specialists, empowering community providers to deliver enhanced patient care locally. Through teleconferencing technology, these programs address clinical shortages, reduce costs, and offer quality healthcare and education, benefiting communities in Missouri and beyond.


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  1. Overview of Telehealth and Show-Me EHCO Program for Columbia South Rotary Club July 31, 2020

  2. Missouri Telehealth Network University of Missouri- School of Medicine Started in 1994 We educate and train people interested in starting their own telehealth program. We hold training conferences and meetings. We have technical, clinical, operational, legal & regulatory and evaluation telehealth expertise. We have state, federal, grant, membership, and institutional funding. Show-Me ECHO

  3. Missouri Telehealth Network exists to develop, study, and use telehealth solutions that improve access by providing high-value, patient-centered health care and medical education in Missouri and beyond. Project ECHO s mission is to democratize medical knowledge and get best practice care to underserved people all over the world.

  4. Because clinical shortages & clinician maldistribution. To increase access to high quality healthcare. To decrease travel, cost, & hardship. Because early dx prevents suffering, saves lives & $$. To provide clinical education & training. To provide economic development- keeping health dollars local.

  5. ECHO is Extension for Community Healthcare Outcomes

  6. What is ECHO? ECHO (Extension for Community Healthcare Outcomes) is an educational program that uses videoconferencing technology to create communities of learning focused on specialists sharing their expertise with community providers, who can give their patients improved care in their own communities. Extension for Community Healthcare Outcomes Telementoring project that creates communities of learning.

  7. Hub Spokes Technology Project ECHO Increased capacity Increased access Reduced costs

  8. Hub & Spokes

  9. Didactic Case Discussion Recommendations

  10. During ECHO session- participant presents Case Participant sends in a de- identified case Case & recommend -ation forms are kept in secure Box Expert hub reviews case prior to ECHO Hub lead facilitates discussion Recommen- dations are made

  11. Expert Hub Operations Evaluation 5-10%FTE Each hub member Average 5 team members per ECHO Coordination Technology Recruitment Marketing Contracting Oversight Data Analysis Surveys Focus Groups CE

  12. Some of the Positive Outcomes from Show-Me ECHO Program

  13. SHOW-ME ECHO TOPICS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Impact Asthma ECHO Asthma Care & Education (ACE) Asthma Care Accelerator (ACA) Autism ECHO Austism: Behavior Solutions Certified Peer Specialist Child Psych ECHO Chronic Pain Management ECHO Community Health Worker COVID-19 Dermatology ECHO Dermatology: Urban Specialty Developmental Disabilities 14. 15. 16. 17. 18. 19. 20. Pain Management 21. Telemedicine ECHO 22. SEMO Diabetes 23. Trauma Informed Schools 24. Certified Peer Specialist Hep C ECHO Head Start Hypertension Kidney Disease Opioid Use Disorder ECHO Oral Health

  14. Self-efficacy Survey Results

  15. Dermatology Case Study ECHO Video

  16. How do you sign up? go to: showmeecho.org

  17. Questions?

  18. Thank you, we know your time is valuable and appreciate that you shared some of it with us.

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