Addressing Emerging Needs Through the COVID-19 and Children With Medical Complexity ECHO
Christina Boothby1, Jennifer Lail2, Rishi Agrawal3,4
1American Academy of Pediatrics, Itasca, Illinois.
Insights
The COVID-19 and Children with Medical Complexity (CMC) Extension for Community Healthcare Outcomes (ECHO) program significantly improved healthcare knowledge and confidence. This rapid response learning model effectively supported clinicians and families during the pandemic.
Area of Science:
- Public Health
- Medical Education
- Healthcare Systems
Background:
- The COVID-19 pandemic presented unprecedented challenges for healthcare providers and families of Children with Medical Complexity (CMC).
- A "just in time" learning approach was needed to address these emergent issues.
- Existing healthcare education models required adaptation for rapid response scenarios.
Purpose of the Study:
- To evaluate the effectiveness of the COVID-19 and CMC Extension for Community Healthcare Outcomes (ECHO) program.
- To assess the impact of integrating family leaders into a healthcare education initiative.
- To explore the utility of the ECHO model for rapid system and clinical practice improvement during public health emergencies.
Main Methods:
- A mixed methods analysis was employed to assess the ECHO program's outcomes.
- The study incorporated data from clinicians, public health professionals, and family leaders.
- The COVID-19 and CMC ECHO was implemented within a Collaborative Improvement and Innovation Network.
Main Results:
- The COVID-19 and CMC ECHO demonstrated significant improvements in participants' knowledge and confidence in caring for CMC during the pandemic.
- The meaningful integration of family leaders as faculty and learners was a key distinguishing feature.
- The ECHO model proved effective as a rapid response mechanism for healthcare education and improvement.
Conclusions:
- The COVID-19 and CMC ECHO successfully provided timely education and support to healthcare professionals and families.
- The ECHO model is a valuable tool for rapid response education and systems improvement during public health crises.
- Recommendations are provided for leveraging the ECHO model in future emergency situations.
Abstract:
The COVID-19 and Children with Medical Complexity (CMC) Extension for Community Healthcare Outcomes (ECHO) was developed as a "just in time" learning format to respond to the vast number of challenges faced by health care clinicians, public health professionals, and families/caregivers of CMC during the coronavirus disease 2019 (COVID-19) pandemic. A unique aspect of the ECHO was the meaningful integration of family leaders who participated as faculty, learners, case study presenters, and guest lecturers. Another distinguishing feature of this ECHO was its inclusion within a Collaborative Improvement and Innovation Network. A mixed methods analysis found that the COVID-19 and CMC ECHO was associated with significant gains in knowledge and confidence in caring for CMC and their families during the COVID-19 pandemic. This article provides an overview of the results of the COVID-19 and CMC ECHO and provides recommendations related to utilizing the ECHO model as a rapid response mechanism for systems improvement, clinical practice improvement, and education during a public health emergency.
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