Facilitators and barriers to implementing the Project ECHO model: perspectives of 8 ECHO implementation teams

Area of Science:

• Healthcare education
• Medical telementoring
• Implementation science

Background:

• Project ECHO is a leading telementoring model for continuing medical education, especially in rural/underserved areas.
• While ECHO's efficacy is documented, determinants of its implementation require further study.

Purpose of the Study:

• To assess facilitators and barriers to implementing the Project ECHO model.

Main Methods:

• Virtual focus groups were conducted with 29 individuals from eight Project ECHO implementation teams across the US.
• The Consolidated Framework for Implementation Research (CFIR) guided the exploration of implementation experiences, facilitators, and barriers.

Main Results:

• Participants valued ECHO's virtual, learner-centric, case-based approach.
• Key facilitators included skilled presenters, balancing didactics with case discussions, and support from the ECHO Institute.
• Barriers included scheduling challenges and funding for sustainability; tailoring session length, frequency, and participant numbers can improve engagement.

Conclusions:

• Addressing identified barriers proactively can optimize Project ECHO implementation.
• Tailoring programs will leverage resources, maximize attendance, expand reach, and improve healthcare outcomes.