ArticleJournal of general internal medicine2020
ECHO Care: Providing Multidisciplinary Specialty Expertise to Support the Care of Complex Patients.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Higher suicidality among primary care patients who have opioid use disorder and co-occurring depression and/or PTSD.BMC primary care · 2026Article
- The extent and improvement of patient complexity in referrals to hospital family physicians from community healthcare-related centers in Japan: a retrospective cohort study.Family practice · 2025Article
- Project Extension for Community Healthcare Outcomes Intervention Evaluations: A Scoping Review of Research Methods.The Journal of continuing education in the health professions · 2025Article
- Comparative Effectiveness of a Complex Care Program for High-Cost/High-Need Patients: a Retrospective Cohort Study.Journal of general internal medicine · 2021Article
- Design of CLARO (Collaboration Leading to Addiction Treatment and Recovery from other Stresses): A randomized trial of collaborative care for opioid use disorder and co-occurring depression and/or posttraumatic stress disorder.Contemporary clinical trials · 2021Article
- Delivering Complex Care: Designing for Patients and Physicians.Journal of general internal medicine · 2021Article
- The Promise of Virtual Complex Care Management.Journal of general internal medicine · 2020Article
- A Novel Curriculum for Internal Medicine Residents to Care for High-Need, High-Cost Patients.Journal of medical education and curricular developmentArticle
- Patient perspectives on barriers to care and the perceived value of a direct-to-patient virtual learning program for chronic intestinal failure.Intestinal Failure (New York, N.Y.)Article
- Telemedicine, COVID-19 and liver diseases: Revamping remote care initiatives in hepatology.Annals of hepatologyArticle
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrograms for high-need, high-cost (HNHC) patients can improve care and reduce costs. However, it may be challenging to implement these programs in rural and underserved areas, in part due to limited access to specialty consultation.
aimEvaluate the feasibility of using the Extension for Community Health Outcomes (ECHO) model to provide specialist input to outpatient intensivist teams (OITs) dedicated to caring for HNHC patients.
settingWeekly group videoconferencing sessions that connect multidisciplinary specialists with OITs.
participantsSix OITs across New Mexico, typically consisting of a nurse practitioner or physician assistant, a registered nurse, a counselor or social worker, and at least one community health worker. PROGRAM DESCRIPTION: OITs and specialists participated in weekly teleECHO sessions focused on providing the OITs with case-based mentoring and support. PROGRAM EVALUATION: OITs and specialists discussed 427 highly complex patient cases, many of which had social or behavioral health components to address. In 70% of presented cases, the teams changed their care plan for the patient, and 87% reported that they applied what they learned in hearing case presentations to other HNHC patients. DISCUSSION: Pairing the ECHO model with intensive outpatient care is a feasible strategy to support OITs to provide high-quality care for HNHC patients.
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