Project ECHO

Through technology-enabled collaborative learning, Project ECHO® (Extension for Community Healthcare Outcomes) creates access to high-quality specialty care in local communities.

This hub and spoke model connects providers monthly via video conference for a didactic presentation and case reviews. Project ECHO is designed to help MaineHealth practitioners:

  • Share best practices and discuss hypothetical patient scenarios and treatment strategies with other providers
  • Create a network of qualified physicians willing to share knowledge and information to assist in achieving positive outcomes for patients across the state
  • Increase capacity and decrease unnecessary referrals
  • Receive Continuing Medical Education (CME) credits at no cost
  • Receive Continuing Education Units (CEUs) at no cost

*Non-physician participants will receive a certificate of attendance upon completion of the activity and an on-line evaluation confirming their participation. Participants should submit that certificate to their own credentialing board (nursing, pharmacy, social work, etc.) to see if they can obtain transferrable CEUs from that board.

ECHO Calendar

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Current ECHO Projects

Cardiology

Clinical Leader:

Schedule: 3rd Tuesday of each month, 7:00-8:00 am

Overview: The care of patients with cardiovascular disease can be challenging. To help you address practical clinical questions and to provide continuing medical education, the MaineHealth Cardiovascular Service Line is rolling out a new education & case review forum. Cardio Project ECHO® will connect you and your colleagues, on a monthly basis, with a panel of cardiovascular specialists. Each session will include a brief update on topics that span the breadth of cardiovascular disease in a friendly, interactive environment that can be accessed from the comfort of your own office or home.

Learning Objectives:

  1. Participants will get updates on the management of a wide spectrum of cardiovascular diseases.
  2. Participants are encouraged to submit clinical cases or questions that they can discuss with our cardiovascular specialists. New knowledge and information can be directly applied to improve the care of your patients.
  3. Participants will learn about the cardiovascular resources available to providers across the health system.


Sample Curriculum Topics
:

  • Heart failure: Managing diuretics
  • Endocarditis: Diagnosis, management, when to refer/transfer
  • Atrial fibrillation: The importance of risk factor control and prevention
  • Antiplatelets and anticoagulants: Which drugs and for how long?

 

Register here!


For more information, email: CardioECHO@mainehealth.org or call: 207-661-7399.

Endocrinology

Clinical Leader:

  • Irwin Brodsky, MD, Maine Medical Partners - Endocrinology and Diabetes Center
  • Email: brodsi@mmc.org 

Schedule: 2nd Tuesday of each month, 7:30-8:30 am


Overview: Endo ECHO sessions provide primary care physicians and other clinicians with the opportunity to learn about and discuss a broad range of disorders in the fields of endocrinology and diabetes. Participants will discuss nuanced solutions to commonly-encountered problems, such as methods for choosing the appropriate osteoporosis therapy or methods for using new diabetes drugs and technology in the primary care environment. Complex patient cases will be presented at each session for in-depth discussion by the group. 


Learning Objectives


  1. Participants will learn new information about treating/managing diabetes and endocrine conditions.
  2. Participants will learn about criteria for referring or not referring patients with diabetes and endocrine conditions.
  3. Participants will learn about treatment and management of diabetes and endocrine conditions through actual case examples.

Sample Curriculum Topics:


  • Choosing medications for type 2 diabetes
  • Therapy of type 1 diabetes, including diabetes technologies
  • Thyroid nodules and thyroid cancer
  • Evaluating hypercalcemia
  • Osteoporosis-diagnosis and treatment

 

Register here!


For more information, email: MHEndoECHO@mainehealth.org or call: 207-661-7399.

IMAT (Integrated Medication Assisted Treatment)

Clinical Leaders:

  • Kristen Silvia, MD, Maine Medical Partners - Scarborough Family Medicine
  • Email: silvik@mmc.org

Schedule: November 21 and December 19, 12:00 - 1:00 pm


Overview: Through didactic and case-based learning, IMAT ECHO sessions focus on the pharmacologic and non-pharmacologic evidence-based treatment of patients with opioid use disorder. It is open to MaineHealth system hospitals and affiliates interested in, or already, providing IMAT in our "hub-and-spoke" system. 


Learning Objectives:

  1. Participants will learn behavioral strategies for working with patients with opioid use disorder (OUD).
  2. Participants will enhance their understanding of using medications (buprenorphine and naltrexone) to treat OUD.
  3. Participants will gain an understanding of MaineHealth's hub and spoke approach to providing a continuum of care for patients with OUD.

Sample Curriculum Topics:

  • Buprenorphine formulations
  • Care of the pregnant patient
  • Marijuana and MAT
  • Health screening and vaccination recommendations
  • Addressing stigma in the care of people with SUDs

For more information, and to register, please email: IMATECHO@mainehealth.org or call: 207-661-7399.

Palliative Care

Clinical Leader:

Schedule: 1st Thursday of each month, 7:30 - 8:30 am 


Overview: The goal of the Palliative Care Project ECHO is to increase access to palliative care knowledge and skills in under-served areas throughout the MaineHealth service area. By exposing primary and specialty care providers to this new sub-specialty, it is hoped that patients and families living with serious illness will achieve the best possible quality of life, consistent with their self-reported goals. An overarching goal is to foster the development of a regional palliative care learning community through:


  • Formation of collaborative relationships
  • Exploration of interdisciplinary richness
  • Sharing of evidence-based and best practices 

This new field of practice focuses on living well, in spite of serious and life-limiting illness.


Learning Objectives:

  1. Participants will learn new information about Palliative Care
  2. Participants will learn palliative care strategies to support patients
  3. Participants will gain confidence in identifying and meeting the palliative care needs of patients and their families

Sample Curriculum Topics:

  • What is palliative care?
  • Pain Management
  • Pediatric Palliative Care: Children are not just small adults.
  • What is spiritual pain?
  • Communication Part I: What are the critical elements of communicating serious news?

 

Register here!


For more information, email: PalliativeCareECHO@mainehealth.org or call: 207-661-7399.

Hepatitis and HIV/AIDS

Clinical Leader:

Schedule: 3rd Thursday of each month, 12:00 - 1:00 pm 

Overview: Hepatitis/HIV ECHO sessions provide education, support, and recommendations to clinicians caring for people with Hepatitis/HIV. Our goal is to share best practices for hepatitis/HIV care in areas where virology specialists may not be available - enabling primary care providers to care for their patients close to home.

 Learning Objectives:

  1. Participants will learn to manage their patients diagnosed with Hepatitis C or HIV
  2. Participants will learn about treatment options and guidelines through actual case examples.
  3. Participants will learn best practices and up-to-date information regarding Hepatitis C and HIV/AIDS

Sample Curriculum Topics:


  • Chronic hepatitis C-the basics
  • Managing injection drug use in the primary care office
  • Acute viral hepatitis
  • Nutrition and liver disease
  • Chronic hepatitis C – when to refer to a specialist

 

Register here!


For more information, email: HepECHO@mainehealth.org or call: 207-661-7399.

Geriatrics

Clinical Leader:

  • Heidi Wierman, MD, Maine Medical Partners – Geriatric Medicine
  • Email: WIERMH@mmc.org

Schedule: 2nd Wednesday of the month, 7:30 - 8:30 am

Target Audience: Primary care providers and care teams

Overview: The overarching goal of the Geriatrics Project ECHO is to increase knowledge and ability to manage older adults within their own communities using the IHI Age Friendly Health System framework of the 4Ms:

  • What Matters
  • Mentation
  • Mobility
  • Medications

By bringing together clinicians working with older adults, we will provide an opportunity to better manage the complex issues associated with aging. We expect to improve the care of older adults within their communities by promoting evidenced-based attention on areas that are particularly challenging to manage including dementia, depression, and functional decline. This collaboration will include health care providers, but will also provide relevant linkages to community-based organizations and include consideration of social determinants as well as caregiver needs that impact ability to aging in place.

Learning Objectives:

  1. Improved understanding of illness in the context of aging and multiple co-morbidities
  2. Incorporate the 4Ms of age-friendly health care into the approach of caring for older adults
  3. Understand health system and community resources available to promote healthy aging


Sample Curriculum Topics:

  • Dementia (MCI, early, middle, late)
  • Tools for cognitive assessment
  • Driving
  • Medications (for treatment and avoidance)
  • Safety/Prevention in Dementia (Falls, wandering, hospitalization/delirium, etc)
  • Depression and other “behaviors” associated with Dementia
  • Advanced care planning at different stages
  •  

    Register here!


    For more information, email: GeriatricsECHO@mainehealth.org or call: 207-661-7399.

Dermatology

Clinical Leader:

  • Elizabeth (Vinny) Seiverling, MD – Maine Medical Partners Dermatology
  • Email: ESeiverlin@mmc.org

Schedule: Varying Wednesday afternoons, 1:00 - 2:00 pm

Target Audience: Residents who have completed the dermatoscope training, and their faculty supervisors

Overview: Many patients present to their primary care physician for evaluation of a skin condition. Dermatology training in medical school and residency is not always robust or comprehensive. We aim to improve primary care knowledge with respect to dermatologic conditions via project ECHO. One major area of emphasis for this ECHO is skin cancer detection. Early detection of skin cancer allows for cure of even the most deadly type of skin cancer, melanoma. This ECHO will incorporate new technology, dermoscopy, and build on prior training primary care physicians have had with respect to the benefits of dermoscopy for skin growths.

Learning Objectives:

  1. Increase the use of dermoscopy
  2. Become more confident in their ability to detect skin cancer
  3. Retain the dermoscopic knowledge from the TADA training


Sample Curriculum Topics:

  • Building on TADA: Basal Cell Carcinoma
  • Common Benign Skin Growths: Introduction to TADA and How to operate a dermatoscope
  • TADA Dermoscopy: Skin Cancer
  • Staph, Fungi, Pox, and other common skin infections
  • Psoriasis and other pink scaly rashes 

For more information and to register, please email: DermECHO@mainehealth.org or call: 207-661-7399.

Children's Health

Clinical Leader:

Schedule: 1st Monday of each month, 12:00 - 1:00 pm

Overview: The Barbara Bush Children's Hospital and MaineHealth Telehealth are launching a Children's Health ECHO. The goal is to improve communication and knowledge, and to achieve
consistency of approach in delivery of care and treatment for children in Maine.

Learning Objectives:

  1. Increase your capacity to diagnose and treat children with anxiety and depression
  2. Understand how anxiety and depression impact care and outcomes for your patients with chronic illness
  3. Increase your capacity to diagnose and treat children with conditions that are commonly referred to sub-specialists
    - Clinical experts from the fields of gastroenterology, endocrinology, and pulmonology are scheduled to present this year.
  4. Enhance co-management of your patients with chronic illness between their medical home and sub-specialty offices.

Sample Curriculum Topics:

  • SSRIs – What to watch for when you’re on SSRIs
  • How to use the PHQ
  • How to simplify/prioritize management of ADHD and anxiety
  • Normal child psychiatry/ development psychology in children

 

Register here!


For more information, email: ChildrensHealthSL@mainehealth.org or call: 207-661-7399.

MOM (Maternal Opioid Misuse)

Clinical Leader:

Schedule: 2nd Tuesday of the month, 12:00- 1:00 PM

Target Audience: Prenatal care providers and care team

Overview: The Maternal Opioid Misuse (MOM) ECHO aims to connect with participants across MaineHealth system to identify and improve the perinatal care needs of patients with Opioid Use Disorder and their families. MOM is a forum for the dissemination of best practices focused on readiness, recognition and prevention, response, and reporting/systems learning. Multidisciplinary teams lead brief didactic presentations based on the bundle components. Each session also includes a case presentation provided by network participants addressing patient care or systems adaptation scenarios that provide opportunities for all network participants to engage in discussion-based learning and mentoring. The overall goal is to assure pregnant and postpartum women with opioid use disorder (OUD) are screened, and can access coordinated prenatal care and integrated medication assisted treatment (iMAT), as well as comprehensive postpartum care for women, babies and their families.


Learning Objectives:

  1. Participants will learn new information about the Maternal Opioid Misuse model.
  2. Participants will review and align with NNEPQIN guidelines for perinatal care of women with substance use disorders.
  3. Participants will strategize to ensure pregnant and postpartum women have access to comprehensive care that is coordinated and/or co-located.
  4. Participants will gain confidence, training, resources, and support to address the prenatal and postpartum care needs of patients with OUD and their families.


Sample Curriculum Topics:

  • Coordinating prenatal care and medication assisted treatment
  • IMAT for pregnant and postpartum women
  • SUD screening in pregnancy
  • Managing transitions of care
  • Postpartum Care and follow up

 

Register here!


For more information, email: MOMECHO@mainehealth.org or call: 207-661-7399.

Breast Cancer Genetics

Clinical Leader:

Schedule: First Wednesday of each month 12:00-1:00 pm

Overview: The Cancer Genetics ECHO program aims to increase access to cancer genetic services for newly diagnosed and metastatic breast cancer patients. Our goal is to provide oncology clinicians with the support and tools needed to deliver point-of-care cancer genetic care to their patients. Monthly sessions include a didactic component led by the Jackson Laboratory Clinical and Continuing Education team, which covers topics from indications for a genetics assessment to genetic testing and management of patients with positive test results. This is followed by patient cases presented for in-depth group discussion facilitated by the Maine Medical Center Cancer Risk and Prevention team. The goal of these sessions is to empower clinicians and to build genetic counseling knowledge and capacity.

Learning Objectives:

  1. Learn new information about hereditary breast cancer
  2. Learn genetic counseling strategies to support patients
  3. Gain confidence in identifying and meeting the needs of hereditary breast cancer patients and their families

Sample Curriculum Topics:

  • Identifying candidates for HBOC genetic testing
  • Pretesting counseling
  • Selecting the best genetic testing for the patient’s scenario
  • Identifying treatments and clinical trials for gene-positive patients
  • Interpreting and managing negative and VUS results
For more information, and to register, please email: MIESFS@mmc.org or call: 207-661-7399.