Leveling the Ground for Access to Best Practice Specialty Care in Rural Communities

2.50
Hdl Handle:
http://hdl.handle.net/10755/154997
Type:
Presentation
Title:
Leveling the Ground for Access to Best Practice Specialty Care in Rural Communities
Abstract:
Leveling the Ground for Access to Best Practice Specialty Care in Rural Communities
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Boyle, Jeanne, BSN
P.I. Institution Name:University of New Mexico Health Sciences Center
Title:Nurse Manager, Educator
Co-Authors:Sanjeev Arora, MD; Connie Fassler, BS; Joanna Katzman, MD, MPH
21st INRC [Evidence-Based Practice Presentation] The mission of Project ECHO is to safely, effectively treat chronic, common, complex diseases in rural, underserved areas and monitor outcomes. Providing such care in NM is challenging. Of 1.83 million people, 22% lack health insurance, over 52% are non-white Hispanic or Native American living in rural or frontier regions, served by fewer than 20% of clinicians. Technology leverages scarce healthcare resources. Sharing best practices via case based learning, rural primary care NPs, and MDs present cases to a chronic pain multidisciplinary team at the UNM, Project ECHO. Unlike traditional telemedicine, ECHO provides specialist guidance to rural providers without direct patient care. In 2003, Hepatitis C was the first disease approached utilizing the ECHO model. In 2009, six other diseases were targeted based on the successes of Hep C. This presentation focuses on one of the six targets: chronic pain. The Chronic Pain Team is multidisciplinary. Tele-ECHO clinic meets weekly during whichÿclinicians around the state phone in or utilize a video web bridge. Rural providersÿpresent cases. Written recommendations equip rural cliniciansÿwith case-based, Evidence-Based best practice specialty care. Advantages are many: Primary care follows their own patients, patients stay in their own communities with their own trusted providers, and specialty care is provided promptly and at no cost. Monitoring outcomes is an essential part of our mission. Hep C ECHO data demonstrate this model provides care and treatment to the rural patient equal to that received from a hepatologist. The Chronic Pain Team is currently measuring provider empathy, self efficacy, and knowledge of pain treatment modalities in a controlled trialÿprotocol. Patient pain levels and quality of life measures will be studied in 2010. With these data, we hope to show the ECHO model superior to the current modelÿof referring pain patients away from their own communities.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleLeveling the Ground for Access to Best Practice Specialty Care in Rural Communitiesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154997-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Leveling the Ground for Access to Best Practice Specialty Care in Rural Communities</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Boyle, Jeanne, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of New Mexico Health Sciences Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Manager, Educator</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jboyle@salud.unm.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sanjeev Arora, MD; Connie Fassler, BS; Joanna Katzman, MD, MPH</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Presentation] The mission of Project ECHO is to safely, effectively treat chronic, common, complex diseases in rural, underserved areas and monitor outcomes. Providing such care in NM is challenging. Of 1.83 million people, 22% lack health insurance, over 52% are non-white Hispanic or Native American living in rural or frontier regions, served by fewer than 20% of clinicians. Technology leverages scarce healthcare resources. Sharing best practices via case based learning, rural primary care NPs, and MDs present cases to a chronic pain multidisciplinary team at the UNM, Project ECHO. Unlike traditional telemedicine, ECHO provides specialist guidance to rural providers without direct patient care. In 2003, Hepatitis C was the first disease approached utilizing the ECHO model. In 2009, six other diseases were targeted based on the successes of Hep C. This presentation focuses on one of the six targets: chronic pain. The Chronic Pain Team is multidisciplinary. Tele-ECHO clinic meets weekly during which&yuml;clinicians around the state phone in or utilize a video web bridge. Rural providers&yuml;present cases. Written recommendations equip rural clinicians&yuml;with case-based, Evidence-Based best practice specialty care. Advantages are many: Primary care follows their own patients, patients stay in their own communities with their own trusted providers, and specialty care is provided promptly and at no cost. Monitoring outcomes is an essential part of our mission. Hep C ECHO data demonstrate this model provides care and treatment to the rural patient equal to that received from a hepatologist. The Chronic Pain Team is currently measuring provider empathy, self efficacy, and knowledge of pain treatment modalities in a controlled trial&yuml;protocol. Patient pain levels and quality of life measures will be studied in 2010. With these data, we hope to show the ECHO model superior to the current model&yuml;of referring pain patients away from their own communities.</td></tr></table>en_GB
dc.date.available2011-10-26T13:27:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:27:00Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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