Pioneering Transformation: Treating Chronic and Complex Disease in Underserved Areas
April 8, 2011
A second meeting in the Forum’s Pioneering Transformation series, this session showcased Dr. Sanjeev Arora, who has created a new model for treating common, chronic, and complex disease in underserved populations. Project ECHO (for extension of community healthcare outcomes) uses videoconferencing technology, best practice protocols, co-management of patients, and case-based learning to teach front-line providers who serve low-income, rural, or other underserved populations to manage and treat targeted chronic conditions that may be outside their expertise. The program recruits local physicians, nurses, pharmacists, and other professionals, partners them with academic health center specialists, and trains them to treat and co-manage targeted diseases. Data are collected and outcomes monitored; program effectiveness is assessed on an ongoing basis. From its origin with hepatitis C, the program has moved on to address other chronic diseases and conditions, such as asthma, high-risk pregnancy, pediatric obesity, and mental illness. From its New Mexico base, it has also expanded geographically, and is now being piloted in Washington state and Chicago.
Sanjeev Arora, MD, Director, Project ECHO, Professor of Medicine, University of New Mexico Health Sciences Center
Dr. Arora's slides are available for download.
See also a summary of Project ECHO and a short video featuring Dr. Arora on the Robert Wood Johnson website