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American Academy of Pediatrics
Research Articles

Pediatric Project ECHO: Implementation of a Virtual Medical Education Program to Support Community Management of Children With Medical Complexity

Chitra Lalloo, Catherine Diskin, Michelle Ho, Julia Orkin, Eyal Cohen, Jo-Ann Osei-Twum, Amos Hundert, Annie Jiwan, Senthoori Sivarajah, Alyssa Gumapac and Jennifer N. Stinson
Hospital Pediatrics December 2020, 10 (12) 1044-1052; DOI: https://doi.org/10.1542/hpeds.2020-0067
Chitra Lalloo
aChild Health Evaluative Sciences,
bInstitute of Health Policy, Management and Evaluation,
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Catherine Diskin
cComplex Care Program,
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Michelle Ho
cComplex Care Program,
dLawrence S. Bloomberg Faculty of Nursing, and
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Julia Orkin
aChild Health Evaluative Sciences,
cComplex Care Program,
eDepartment of Pediatrics, Faculty of Medicine, University of Toronto, Ontario, Canada
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Eyal Cohen
aChild Health Evaluative Sciences,
bInstitute of Health Policy, Management and Evaluation,
cComplex Care Program,
eDepartment of Pediatrics, Faculty of Medicine, University of Toronto, Ontario, Canada
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Jo-Ann Osei-Twum
aChild Health Evaluative Sciences,
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Amos Hundert
aChild Health Evaluative Sciences,
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Annie Jiwan
fLearning Institute, and
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Senthoori Sivarajah
fLearning Institute, and
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Alyssa Gumapac
fLearning Institute, and
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Jennifer N. Stinson
aChild Health Evaluative Sciences,
dLawrence S. Bloomberg Faculty of Nursing, and
gChronic Pain Program, Hospital for Sick Children, Toronto, Ontario, Canada; and
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Abstract

OBJECTIVES: Health care providers (HCPs) require ongoing support to meet the evolving care needs of children with medical complexity (CMC). Project Extension for Community Healthcare Outcomes (ECHO) is a model for delivering technology-enabled medical education and cultivating a community of practice. In this study, we focused on developing, implementing, and evaluating the first ECHO program dedicated to the care of CMC. Specific objectives were to evaluate the program feasibility (participation and acceptability) and impact on perceived HCP knowledge, self-efficacy, and clinical practice after 6 months.

METHODS: A needs assessment was conducted to inform an interprofessional CMC curriculum. This curriculum was delivered through monthly virtual TeleECHO clinics (didactic and case-based learning) from January 2018 to 2020. The program was available at no cost to HCPs throughout Ontario. Surveys were distributed at baseline and 6 months to assess program acceptability, knowledge, self-efficacy, and practice impact by using 7-point Likert scales. Descriptive and inferential data analyses were conducted.

RESULTS: Twenty-four clinics were completed with a mean of 19 ± 6 attendees. Acceptability scores (n = 27) ranged from 5.0 ± 1.1 to 6.4 ± 0.6. Participants reported an improvement in their knowledge and self-efficacy across all probed topics and skills (P values ranged from <.001 to .006). These knowledge and self-efficacy scores related to “complex care support,” “feeding support,” and “respiratory support.” The majority of participants reported positive or very positive practice impacts, including enhanced ability to provide quality care to CMC.

CONCLUSIONS: Project ECHO is a feasible and acceptable model for virtual education of interprofessional HCPs in managing CMC. This program has the potential to increase system capacity to provide quality care to CMC close to home.

  • Copyright © 2020 by the American Academy of Pediatrics
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Hospital Pediatrics: 10 (12)
Hospital Pediatrics
Vol. 10, Issue 12
1 Dec 2020
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Pediatric Project ECHO: Implementation of a Virtual Medical Education Program to Support Community Management of Children With Medical Complexity
Chitra Lalloo, Catherine Diskin, Michelle Ho, Julia Orkin, Eyal Cohen, Jo-Ann Osei-Twum, Amos Hundert, Annie Jiwan, Senthoori Sivarajah, Alyssa Gumapac, Jennifer N. Stinson
Hospital Pediatrics Dec 2020, 10 (12) 1044-1052; DOI: 10.1542/hpeds.2020-0067

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Pediatric Project ECHO: Implementation of a Virtual Medical Education Program to Support Community Management of Children With Medical Complexity
Chitra Lalloo, Catherine Diskin, Michelle Ho, Julia Orkin, Eyal Cohen, Jo-Ann Osei-Twum, Amos Hundert, Annie Jiwan, Senthoori Sivarajah, Alyssa Gumapac, Jennifer N. Stinson
Hospital Pediatrics Dec 2020, 10 (12) 1044-1052; DOI: 10.1542/hpeds.2020-0067
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