Measuring the Success of a Project ECHO Implementation: Results from an International e-Delphi Study

Moss, Perrin; Hartley, Nicole; Newcomb, Dana; Russell, Trevor

doi:10.1007/s43477-022-00050-7

Cited by 3 publications

(3 citation statements)

References 40 publications

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“…Each network highlighted in Table 1 below has provided CHQ with the opportunity to experiment with the model's application in a variety of contexts to support the identified workforce needs [11]. This has generated valuable learnings on the model's utility across different target audiences, participant learning objectives, and measures of network success [42]. Since the early focus on capacity building for primary care providers, the value of interprofessional and crosssector collaboration has been realised in the quality and sustainability of subsequent CHQ ECHO Networks.…”

Section: Discussion Chq Echo Network Outcomesmentioning

confidence: 99%

“…This process also enables participants to develop new skills to manage complexities as they exist in their local context [26,27]. While much of the published literature about integrated care cites gaps and barriers that reinforce fragmented systems, CHQ's ECHO Networks continue to serve as a universal demonstrator that historically disparate workforce can be effectively connected to integrate care [5,9,11,42].…”

Section: The Process Of Developing Echo Networkmentioning

confidence: 99%

“…With the ECHO model's origins firmly based within the healthcare sector, it has since grown to over 1000+ licensed organisations globally across 68 countries[46]. Historically, the ECHO Institute, based at the University of New Mexico (UNM) in the United States of America, centrally managed the licensing and training of all new organisations implementing the ECHO model globally[42]. It was identified that this single training centre limited UNM's capacity to meet demand.…”

mentioning

confidence: 99%

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Turning Strategy into Action – Using the ECHO Model to Empower the Australian Workforce to Integrate Care

Moss

Nixon²,

Baggio

et al. 2023

International Journal of Integrated Care

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Introduction:Children's Health Queensland (CHQ) established a telementoring hub in Queensland, using the Project ECHO® model, to pilot and scale a range of virtual communities of practice (CoP) to empower the Australian workforce to integrate care. Description:The establishment of the first Project ECHO hub in Queensland facilitated the implementation of a variety of child and youth health CoP that strategically aligned to the organisation's approach to integrate care through workforce development. Subsequently, other organisations nationally have also been trained to implement and replicate the ECHO model to effect more integrated care through CoPs in other priority areas.Discussion: Findings from a database audit and desktop analysis of project documentation highlighted that using the ECHO model was effective in establishing co-designed and interprofessional CoP to support a cross-sector workforce to deliver more integrated care. Conclusion:CHQ's use of Project ECHO highlights an intentional approach to establishing virtual CoP to build workforce capability to integrate care. The approach explored in this paper highlights the value of workforce collaboration amongst nontraditional partners to foster more integrated care.

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Section: Discussion Chq Echo Network Outcomesmentioning

confidence: 99%

Section: The Process Of Developing Echo Networkmentioning

confidence: 99%

mentioning

confidence: 99%

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Turning Strategy into Action – Using the ECHO Model to Empower the Australian Workforce to Integrate Care

Moss

Nixon²,

Baggio

et al. 2023

International Journal of Integrated Care

Self Cite

View full text Add to dashboard Cite

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Experiences of Allied Health Clinicians Accessing a Pilot Project ECHO® Program to Support Learning in Pediatric Feeding

Marshall,

Moss,

Raatz

et al. 2024

J Contin Educ Health Prof

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Introduction: Pediatric feeding disorder is increasing in prevalence, yet low clinician confidence regarding its management is a barrier to care. Targeted clinician training is needed as traditional didactic training programs are limited in both their accessibility and capacity to provide opportunities for the application of theory-based learning. Methods: This study examined the experiences of a group of clinicians involved in a multidisciplinary PedFeed ECHO® network, a virtual community of practice established to support speech pathologists, occupational therapists, dieticians, and psychologists in Queensland, Australia, working with children with pediatric feeding disorder. Sixteen clinicians (34% of the total PedFeed ECHO network) from different professional backgrounds, clinical settings, and locations participated in semistructured interviews three months post completion of eight ECHO sessions. Results: Inductive thematic analysis revealed three themes: (1) broad-ranging outcomes of PedFeed ECHO, (2) participant experiences of PedFeed ECHO, and (3) facilitators for future success. PedFeed ECHO was viewed very positively and provided participants with a valuable opportunity for information sharing and collaboration as a multidisciplinary team. Participants described impacts on their professional practice, knowledge, confidence, and professional isolation, as well as service and patient-level impacts. Several facilitators for the success of future PedFeed ECHO cohorts were provided. Discussion: Insights from participants will serve to improve the design and delivery of ECHO training for future cohorts. Monitoring clinical skill development over a longer period of time and exploring clinician perceptions regarding direct impact on patient care are needed to further validate the impact of ECHO.

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Project ECHO®: a global cross-sectional examination of implementation success

Moss,

Hartley,

Russell

2024

BMC Health Serv Res

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Background Organizations implement innovations to disrupt the status quo and create value. Within sectors such as healthcare, innovations need to navigate large scale system and organizational factors to succeed. This research explores the implementation of a global innovation– Project ECHO®. Project ECHO® is a validated virtual communities of practice model organizational teams implement to build workforce capacity and capability. Project ECHO® has experienced broad global adoption, particularly within the healthcare sector, and is experiencing growth across other sectors. This study sought to examine the state of implementation success for Project ECHO® globally, to understand how these implementations compare across geographic and sectoral contexts, and understand what enablers/barriers exist for organizational teams implementing the innovation. Methods An empirical study was conducted to collect data on 54 Project ECHO® implementation success indicators across an international sample. An online survey questionnaire was developed and distributed to all Project ECHO® hub organizations globally to collect data. Data was analyzed using descriptive statistics. Results The 54 implementation success indicators measured in this survey revealed that the adoption of Project ECHO® across 13 organizations varied on a case-by-case basis, with a strong rate of adoption within the healthcare sector. Implementation teams from these organizations successfully implemented Project ECHO® within 12–18 months after completing Immersion partner launch training and operated 51 ECHO® Networks at the time of data collection. Implementation teams which liaised more regularly with ECHO® Superhub mentors often went on to launch a higher number of ECHO® Networks that were sustained over the longer term. This suggests that these implementation teams better aligned and consolidated their Project ECHO® pilots as new innovations within the local context and strategic organizational priorities. Access to research and evaluation capability, and a more automated digital client relationship management system were key limitations to showcasing implementation success outcomes experienced by the majority of implementation teams. Conclusions These findings make a valuable contribution to address a knowledge gap regarding how a global sample of organizations adopting Project ECHO® measured and reported their implementation successes. Key successes included pre-launch experimentation and expansion, Superhub mentorship, stakeholder engagement, and alignment to strategic priorities.

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Measuring the Success of a Project ECHO Implementation: Results from an International e-Delphi Study

Cited by 3 publications

References 40 publications

Turning Strategy into Action – Using the ECHO Model to Empower the Australian Workforce to Integrate Care

Turning Strategy into Action – Using the ECHO Model to Empower the Australian Workforce to Integrate Care

Experiences of Allied Health Clinicians Accessing a Pilot Project ECHO® Program to Support Learning in Pediatric Feeding

Project ECHO®: a global cross-sectional examination of implementation success

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