Project ECHO Nevada Telementoring Providers to Help Improve

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Project ECHO Nevada: Telementoring Providers to Help Improve Antimicrobial Stewardship August 15, 2017

Project ECHO Nevada: Telementoring Providers to Help Improve Antimicrobial Stewardship August 15, 2017

Comparing Telemedicine and the ECHO Model 2

Comparing Telemedicine and the ECHO Model 2

Anytime, Anywhere, Any Device 3

Anytime, Anywhere, Any Device 3

Project ECHO New Mexico • 2003 - Sanjeev Arora identified the need to treat

Project ECHO New Mexico • 2003 - Sanjeev Arora identified the need to treat patients with Hepatitis C living in remote NM communities • Envisioned the use of videoconferencing to create a knowledge network of like providers • Received a Health Care Innovation award from RWJ Foundation • Demonstrated improved provider satisfaction and self-efficacy • Proved identical outcomes between care by rural PCPs + ECHO and ordinary care at academic medical center • Published results in NEJM, June, 2011 • >100 ECHO hubs world-wide 4

Project ECHO Nevada Background • Planning began in late 2010 • Rural road trips/site

Project ECHO Nevada Background • Planning began in late 2010 • Rural road trips/site visits/needs assessment during July and August 2011 • First clinic launched April 2012 – Diabetes ECHO • Currently 11 active ECHO clinics + 3 inactive 5

Project ECHO Nevada Today 1, 900+ 50+ CME/CE credits provided for FREE in Nevada

Project ECHO Nevada Today 1, 900+ 50+ CME/CE credits provided for FREE in Nevada Participating sites in Nevada 6 350+ Participating medical professionals including more than 165 primary care providers

Medical and Surgical Specialties Number of MDs per 100, 000 Population – 2013 Source:

Medical and Surgical Specialties Number of MDs per 100, 000 Population – 2013 Source: AMA. Physician Characteristics and Distribution in the U. S. (2015). 7

More primary care provided by a lower licensed workforce Sources: Nevada State Board of

More primary care provided by a lower licensed workforce Sources: Nevada State Board of Medical Examiners (2016). Nevada State Board of Nursing (2016). Sources: AMA. Physician Characteristics and Distribution in the U. S. (2015). Unpublished data from the Nevada State Board of Medical Examiners (2016). 8

Project ECHO Nevada Clinics for Primary Care Providers • Antibiotic Stewardship • Behavioral Health

Project ECHO Nevada Clinics for Primary Care Providers • Antibiotic Stewardship • Behavioral Health in Primary Care* • Diabetes/General Endocrine (x 2)* • Gastroenterology • Geriatrics* • Medication Assisted Therapy (MAT) (x 2)* • Pain Management (x 2)* • Public Health • Sports Medicine *behavioral health specialist(s) 9 on interdisciplinary team

Contact Chris Marchand, MPH Program Coordinator, Project ECHO Nevada (775) 682 -8476 cmarchand@med. unr.

Contact Chris Marchand, MPH Program Coordinator, Project ECHO Nevada (775) 682 -8476 cmarchand@med. unr. edu @ECHONevada /ECHONevada 10

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