keyword
https://read.qxmd.com/read/36696286/strategies-to-increase-primary-care-provider-capacity-for-hepatitis-c-care-the-california-echo-plus-study
#1
JOURNAL ARTICLE
Norah A Terrault, Jennifer Slepin, Rachel Kanner, Keri Gailloux, Lisa Catalli, Jeff McKinney, Stephanie Straley, Portia Morris, Rebecca Hluhanich, Alicia Gonzalez-Flores, Jennifer Dodge, Souvik Sarkar
Expanding capacity to screen and treat those infected with the hepatitis C virus (HCV) is an essential element of the global elimination strategy. We evaluated the hub-and-spoke Project ECHO training versus telementoring models to educate, train and support HCV care by primary care providers in 13 targeted counties in northern California. A novel provider engagement strategy was used. Provider engagement and retention, time to readiness to treat HCV, and knowledge and confidence were the outcomes of interest...
January 25, 2023: Journal of Viral Hepatitis
https://read.qxmd.com/read/35702985/use-of-fetal-tele-echo-at-small-regional-hospitals-increases-the-rate-of-prenatal-diagnosis-of-congenital-heart-disease
#2
JOURNAL ARTICLE
Jenna Meiman, Charlie Zhang, Brian Holland
BACKGROUND: To improve the rate of prenatal diagnosis of congenital heart disease in Kentucky, 4 fetal tele-echocardiography sites were established at regional hospitals in Kentucky: Ashland in 2011, Paducah in 2014, Lexington in 2014, and Owensboro in 2016. METHODS: A 13-year retrospective review of medical records at Norton Children's Hospital was performed to identify patients with CHD who had cardiac surgery or intervention prior to one year of age. The rate of prenatal diagnosis prior to establishing any fetal tele-echocardiography sites was compared to the rate of prenatal diagnosis after sites were established...
June 15, 2022: Prenatal Diagnosis
https://read.qxmd.com/read/34159643/learn-intestinal-failure-tele-echo-project-an-innovative-online-telementoring-and-case-based-learning-clinic
#3
REVIEW
Marion F Winkler, Kelly A Tappenden, Michelle Spangenburg, Kishore Iyer
Intestinal failure (IF) is a rare chronic disease requiring intravenous (IV) fluids or parenteral nutrition (PN) dependency for optimal patient health and sustenance. The complex care is best managed by specialized multidisciplinary teams. Patients who have limited access to intestinal rehabilitation centers often receive IV/PN care from clinicians lacking specialty expertise. An innovative videoconferencing project was launched in May 2019 to provide online telementoring and case-based learning in IF. The Extension for Community Healthcare Outcomes (ECHO) model was adopted to provide education and virtual support via the Learn Intestinal Failure Tele-ECHO (LIFT-ECHO) project...
June 23, 2021: Nutrition in Clinical Practice
https://read.qxmd.com/read/33533531/disseminating-knowledge-in-intestinal-failure-initial-report-of-the-learn-intestinal-failure-tele-echo-lift-echo-project
#4
JOURNAL ARTICLE
Kishore Iyer, Marjorie Nisenholtz, David Gutierrez, Marion Winkler, Kelly Tappenden, Douglas Seidner, Donald F Kirby, Michelle Spangenburg, Ronald Potts, Anthony Bonagura, Joan Bishop, Lisa Metzger, Sanjeev Arora
BACKGROUND: Intestinal failure is defined as an ultra-rare disease, with an estimated prevalence of about 25,000 cases in the United States. There is a suspicion of disparities in outcomes in intestinal failure care, likely related to widespread lack of expertise. The ECHO™ model originally described by Dr Sanjeev Arora has been used to disseminate knowledge and best practices in many chronic diseases to improve outcomes. We examined our initial experience with using the ECHO™ model to disseminate learning in intestinal failure...
February 3, 2021: JPEN. Journal of Parenteral and Enteral Nutrition
https://read.qxmd.com/read/32339918/profile-of-cases-discussed-in-innovative-tele-echo-mentoring-program-on-addiction-management
#5
JOURNAL ARTICLE
Karishma Khan, Akanksha Mathur, Sandeepa Kaur, Aurobind Ganesh, Prabhat Chand
NIMHANS ECHO (Extension for Community Healthcare Outcomes) model uses a video conferencing app to connect multiple community health care teams simultaneously with addiction treatment specialists and builds treatment capacity via mentorship and case-based learning. The aim was to investigate the characteristics of 102 cases discussed by remote community health providers in 28 weekly tele-ECHO addiction clinics between January to July 2019. Among the presented cases, the lifetime and current use of alcohol was 80 % and 71 %, respectively, and that of tobacco was 60 % and 56 %...
April 18, 2020: Asian Journal of Psychiatry
https://read.qxmd.com/read/31480816/tele-echo-for-point-of-care-ultrasound-in-rural-kenya-a-feasibility-study
#6
JOURNAL ARTICLE
Lindsay Dreizler, Grace W Wanjiku
BACKGROUND: Geographical isolation limits continuous point-of-care ultrasound (PoCUS) education for healthcare providers in rural Kenya. This study evaluates the use of the Project ECHO (Extension for Community Healthcare Outcomes) videoconference platform to connect health care providers in rural Kenya with PoCUS trainers at Brown University. METHODS: Twelve PoCUS trainees from 11 clinics were included in the study. Every week, trainees participated in a 2-hour Tele-ECHO session via Zoom...
September 3, 2019: Rhode Island Medical Journal
https://read.qxmd.com/read/30581211/innovative-telementoring-for-addiction-management-for-remote-primary-care-physicians-a-feasibility-study
#7
JOURNAL ARTICLE
Mallikarjun Rao Sagi, G Aurobind, Prabhat Chand, A Ashfak, C Karthick, N Kubenthiran, Pratima Murthy, Miriam Komaromy, Sanjeev Arora
Objective: Addiction is a growing public health problem which affects the person, the whole family, and society. The primary care physician (PCP) is often the first point of contact in the health care and can play a significant role in the early detection and intervention. It is well established that early intervention is associated with better outcomes. In the formal medical training, PCPs receive no formal training on drug addiction management. In this pilot study, we developed an innovative telementoring model and looked at feasibility as well as acceptability among remote PCPs on drug addiction management...
October 2018: Indian Journal of Psychiatry
https://read.qxmd.com/read/30086513/effectiveness-of-nimhans-echo-blended-tele-mentoring-model-on-integrated-mental-health-and-addiction-for-counsellors-in-rural-and-underserved-districts-of-chhattisgarh-india
#8
JOURNAL ARTICLE
Kanika Mehrotra, Prabhat Chand, Mrunal Bandawar, Mallikarjun Rao Sagi, Sandeepa Kaur, Aurobind G, Aravind Raj, Sumi Jain, Miriam Komaromy, Pratima Murthy, Sanjeev Arora
The present study was conducted to ascertain the effectiveness of Project ECHO, a Hub and Spokes tele-mentoring model to bridge the urban-rural divide in mental health and addiction care in the context of a developing country like India. The Counsellors from 11 rural and underserved districts of Chhattisgarh were periodically connected to NIMHANS multidisciplinary specialists by smartphone app and underwent virtual mentoring to learn and translate "best practices" in Mental health and Addiction by using "patient-centric learning", a core component of NIMHANS ECHO model...
August 2018: Asian Journal of Psychiatry
https://read.qxmd.com/read/27860542/successful-fetal-tele-echo-at-a-small-regional-hospital
#9
JOURNAL ARTICLE
Julianna Brown, Brian Holland
BACKGROUND: Prenatal diagnosis of complex congenital heart disease (CHD) has been shown to improve newborn outcomes. The rate of prenatal diagnosis and access to fetal echocardiography vary widely across the United States. INTRODUCTION: A clinical fetal tele-echo service was established at King's Daughters Medical Center (KDMC) in Ashland, KY, a region in eastern Kentucky that is 3 h from the nearest congenital heart surgeon. The aim of this study was to determine if fetal tele-echo utilizing local sonographers at a small regional hospital can accurately and efficiently identify fetuses with complex CHD...
June 2017: Telemedicine Journal and E-health
https://read.qxmd.com/read/25306222/value-of-interactive-scanning-for-improving-the-outcome-of-new-learners-in-transcontinental-tele-echocardiography-vision-in-tele-echo-study
#10
JOURNAL ARTICLE
Manish Bansal, Shaanemeet Singh, Puneet Maheshwari, David Adams, Marti L McCulloch, Tanuj Dada, Shantanu P Sengupta, Ravi R Kasliwal, Patricia A Pellikka, Partho P Sengupta
BACKGROUND: Point-of-care (POC) echocardiography may be helpful for mass triage, but such a strategy requires adequately trained sonographers at the remote site. The aim of this study was to test the feasibility of using a novel POC echocardiography training program for improving physicians' imaging skills during preanesthetic cardiac evaluations performed in a community camp organized for treating cataract blindness. METHODS: Seventeen physicians were provided 6 hours of training in the use of POC echocardiography; nine were taught on site and eight were taught online through a transcontinental tele-echocardiography system...
January 2015: Journal of the American Society of Echocardiography
https://read.qxmd.com/read/23101483/remote-diagnosis-of-congenital-heart-disease-in-southern-arizona-comparison-between-tele-echocardiography-and-videotapes
#11
COMPARATIVE STUDY
Jessica E Haley, Scott E Klewer, Brent J Barber, F John Meaney, Richard L Donnerstein, Ronald S Weinstein, Elizabeth Krupinski, Gregory Warda, Ana Maria Lopez, Daniela Lax
OBJECTIVE: We report our experience with tele-echocardiography and echocardiograms recorded digitally or on videotape (recorded-echos) at The University of Arizona from August 2006 to December 2010 and compare their quality and diagnostic accuracy. MATERIALS AND METHODS: Tele-echocardiograms (tele-echos) were transmitted from the Yuma Regional Medical Center to The University of Arizona via a T-1 and aT-3 line at a bandwidth of 768 kilobits per second. Recorded-echos were shipped for interpretation to The University of Arizona by overnight mail...
December 2012: Telemedicine Journal and E-health
https://read.qxmd.com/read/19948507/remote-diagnosis-of-congenital-heart-disease-the-impact-of-telemedicine
#12
MULTICENTER STUDY
Brian Grant, Gareth J Morgan, Brian A McCrossan, Grainne E Crealey, Andrew J Sands, Brian Craig, Frank A Casey
OBJECTIVES: To determine the accuracy of remote diagnosis of congenital heart disease (CHD) by real-time transmission of echocardiographic images via integrated services digital network (ISDN) lines, to assess the impact on patient management and examine cost implications. DESIGN: Prospective comparison of echocardiograms on infants with suspected significant CHD performed as follows: (1) hands-on evaluation and echocardiogram by a paediatrician at a district general hospital (DGH) followed by (2) transmission of the echocardiogram via ISDN 6 with guidance from a paediatric cardiologist and finally (3) hands-on evaluation and echocardiogram by a paediatric cardiologist...
April 2010: Archives of Disease in Childhood
https://read.qxmd.com/read/18444361/field-testing-of-a-remote-controlled-robotic-tele-echo-system-in-an-ambulance-using-broadband-mobile-communication-technology
#13
JOURNAL ARTICLE
Ryohei Takeuchi, Hiroshi Harada, Kohji Masuda, Gen-ichiro Ota, Masaki Yokoi, Nobuyasu Teramura, Tomoyuki Saito
We report the testing of a mobile Robotic Tele-echo system that was placed in an ambulance and successfully transmitted clear real time echo imaging of a patient's abdomen to the destination hospital from where this device was being remotely operated. Two-way communication between the paramedics in this vehicle and a doctor standing by at the hospital was undertaken. The robot was equipped with an ultrasound probe which was remotely controlled by the clinician at the hospital and ultrasound images of the patient were transmitted wirelessly...
June 2008: Journal of Medical Systems
https://read.qxmd.com/read/10409539/application-of-a-low-cost-telemedicine-link-to-the-diagnosis-of-neonatal-congenital-heart-defects-by-remote-consultation
#14
JOURNAL ARTICLE
H C Mulholland, F Casey, D Brown, N Corrigan, M Quinn, B McCord, J Rogers, B G Craig
OBJECTIVE: To determine whether accurate remote echocardiographic diagnosis of congenital heart disease could be achieved using a low cost telemedicine system. DESIGN: Echocardiographic images obtained by a paediatrician from neonates suspected of having congenital heart disease were transmitted by a telemedicine link across two integrated service digital network (ISDN) lines to a regional paediatric cardiology unit for interpretation by a consultant paediatric cardiologist...
August 1999: Heart
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