Journal
JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
Volume 38, Issue 2, Pages 145-151Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/CEH.0000000000000195
Keywords
project ECHO; capacity building; case-based learning; community of practice; primary care; medical education; telemedicine; implementation outcomes; organizational readiness; implementation checklist; Consolidated Framework for Implementation Research
Funding
- Ontario Ministry of Health and Long-Term Care
- Canadian Institutes of Health Research [PJT-152899]
Ask authors/readers for more resources
The Project Extension for Community Healthcare Outcomes (ECHO) model expands primary care provider (PCP) capacity to manage complex diseases by sharing knowledge, disseminating best practices, and building a community of practice. The model has expanded rapidly, with over 140 ECHO projects currently established globally. We have used validated implementation frameworks, such as Damschroder's (2009) Consolidated Framework for Implementation Research (CFIR) and Proctor's (2011) taxonomy of implementation outcomes, combined with implementation experience to (1) create a set of questions to assess organizational readiness and suitability of the ECHO model and (2) provide those who have determined ECHO is the correct model with a checklist to support successful implementation. A set of considerations was created, which adapted and consolidated CFIR constructs to create ECHO-specific organizational readiness questions, as well as a process guide for implementation. Each consideration was mapped onto Proctor's (2011) implementation outcomes, and questions relating to the constructs were developed and reviewed for clarity. The Preimplementation list included 20 questions; most questions fall within Proctor's (2001) implementation outcome domains of Appropriateness and Acceptability. The Process Checklist is a 26-item checklist to help launch an ECHO project; items map onto the constructs of Planning, Engaging, Executing, Reflecting, and Evaluating. Given that fidelity to the ECHO model is associated with robust outcomes, effective implementation is critical. These tools will enable programs to work through key considerations to implement a successful Project ECHO. Next steps will include validation with a diverse sample of ECHO projects.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available