| |
Child & Adolescent Psychiatry
Child & Adolescent Psychiatry services have been identified by primary care and other health care clinicians as an extremely valuable, but unfortunately extremely limited resource. The Child & Adolescent Psychiatry TeleECHO Clinic supports health care clinicians from diverse clinical backgrounds who provide care to children and adolescents with behavioral health disorders. The clinic functions as a knowledge network and learning focuses on behavioral disorders in youth. It provides education on the clinical characteristics and treatment strategies of behavioral health disorders in youth, and allows clinician participation through the presentation of specific cases for consultation.
David Graeber, MD, Medical Director
John Brown, MA, LMHC, Program Operations Director
Child, Adolescent, Family, and Community Psychiatry
An Integral component to the recovery of children and adolescents with behavioral disorders is the support and care that they receive from families, peers, educators, care clinicians, and communities. The Child, Adolescent, Family, and Community Psychiatry Clinic allows community clinicians in rural and underserved areas to receive consultative advice and training from specialists regarding the treatment of patients with mental health disorders. Interviews and conversations are facilitated between participants, and psychoeducation regarding behavioral disorders and their treatment is provided. The clinic incorporates a number of invaluable social resources to co-create a strength based therapeutic community.
Avron Kriechman, MD, Medical Director
Chronic Pain & Headache
Pain management is a significant issue in healthcare today, with upwards of 70% of emergency room visits constituting pain concerns. In addition, community clinicians often times have a knowledge gap as it relates to pain management. The Chronic Pain & Headache TeleECHO Clinic facilitates a multifaceted approach to chronic pain by incorporating a team of specialists that support primary care clinicians in rural communities who lack the resources necessary to sufficiently understand the management of pain. The clinic includes didactic presentations on specific topics of interest by specialists, and in-depth case-based presentations by community clinicians for feedback and recommendations. Clinicians are given access to evidence based educational resources and are encouraged to express any suggestions or comments that they have regarding the clinic. An environment of group learning and best practice protocols is established that reduces variation in care and improves outcomes for patients experiencing chronic pain.
Joanna Katzman, MD, Medical Director
Jeannie Boyle, RN, BSN, Nurse Manager
Candida Pullen, Administrative Assistant III
Diabetes is a chronic progressive disorder which requires an interprofessional approach to prevent complications in morbidity and mortality. Many rural and underserved clinics lack sufficient resources to create and maintain a comprehensive approach to diabetes care.
The Diabetes & Cardiovascular Risk Reducation TeleECHO Clinic (CRRC) allows specialists to discuss patient cases that are presented by community clinicians throughout the state. Case-based learning is initiated by recommendations for management of the patient’s condition, including medication and lifestyle changes, which are provided by specialists, and through dialogue that occurs among participants during the clinic. Patient outcomes and quality follow-ups are assured through subsequent re-presentation of patient cases by clinicians. Participating clinicians and clinics receive advantages in training, capacity-building, and improved diabetes care and confidence.
Kathleen Colleran, MD, Medical Director
Billie Jo Kipp, PhD
Erika Harding, MA, Program Coordinator
Laura Marsh, MSN, RN, MBA, Nurse Educator
Lisa Finley, BA, Community Education Coordinator
Hepatitis C Community - [Click here for more information]
Project ECHO was created with the goal to effectively treat Hepatitis C and to monitor outcomes. Once a combination of patient information is presented to the Hepatitis C TeleECHO Clinic, the community clinician is given a plan for treatment by the specialist. After Hepatitis C treatment protocol is established, frequent follow-ups are conducted to present the patient’s treatment status, to relay health related issues that may impede on treatment, and to alter the treatment plan as needed to maximize the patient’s chance for a cure. Through the use of technology, best practice protocols, and co-management of case-based learning; rural primary care clinicians deliver Hepatitis C care that is as safe and effective as that given in a university clinic.
Sanjeev Arora, MD, Medical Director
Karla Thornton, MD, Associate Medical Director
Terry Holmes, RN, BA, Nurse Educator
Camille Chapman, Administrative Assistant III
Hepatitis C Corrections
Every inmate admitted into the New Mexico Department of Corrections is given the opportunity to be tested for Hepatitis C. It has been found that between 43-47% of the inmates have the disease. Before the development of the Corrections HCV TeleECHO Clinic, not a single Hepatitis C inmate had been treated. Since the initiation of the clinic, thousands of inmates have been presented and hundreds have been treated. During the TeleECHO clinic, corrections medical clinicians interact with experts in the field of hepatology, presenting inmate cases. Best practice guidelines are used, recommendations are made by specialists, and a plan of care is established. Over 50% of inmates treated have had sustained viral response. Inmates are monitored closely through re-presentation of cases and they have access to enhanced quality of Hepatitis C care through co-management of the disease.
Sanjeev Arora, MD, Medical Director
Karla Thornton, MD, Associate Medical Director
Camille Chapman, Administrative Assistant III
HIV/AIDS
There is overwhelming research evidence showing that people living with HIV/AIDS achieve better healthcare outcomes when they are treated by clinicians that are knowledgeable in HIV, as well as when they are treated in their own communities.
The HIV/AIDS TeleECHO Clinic unites a multidisciplinary team of experts in HIV/AIDS care at a central conferencing site with healthcare clinicians treating HIV/AIDS patients in rural, underserved, and key population areas. Individual cases are presented by the treating clinician and discussed by the group in order to provide consultative advice on the clinical management of HIV/AIDS patients. Relevant peer- reviewed articles, literature, and resources are circulated to participants to enhance their knowledge base and continuing education credits are provided.
Elaine Thomas, MD, Medical Director
Karla Thornton, MD, Associate Medical Director
Bonnie Kraybill, RN, BA, Nurse Manager
High-Risk Pregnancy
Rural areas with limited resources are faced with the major problem of not having access to medical care for complicated obstetrics. Collaboration between specialists and rural clinicians help to overcome the barriers and challenges that patients are faced with when attempting to access state-of-the-art healthcare.
By making innovative use of technology, the High Risk Pregnancy TeleECHO Clinic provides evidence-based guidelines, continuing education, and expanded community support for physicians and mid-level clinicians. The clinic allows obstetric clinicians the opportunity for best practices for selected conditions and peer-review of high-risk cases, which helps to assure optimal outcomes of high-risk pregnancies. The structure of the clinic includes didactic presentations, a period for questions and discussion, and subsequent introduction of case studies from community clinicians. Comments and suggestions for future topics of interest are welcomed.
Luis Ben Curet, MD, Medical Director
Diana Clokey, MSRD, RPh, CDE, Program Coordinator
[Special annoucement: Buprenorphine Training and Certification]
The Integrated Addictions & Psychiatry TeleECHO Clinic was created to expand access to high-quality and effective treatment for addiction in rural and underserved communities. The program focuses on both the medical and behavioral treatment of addiction, and addresses psychiatric problems that frequently occur with addiction.
The program has trained and obtained certification for more than 100 physicians to use the medication buprenorphine for treatment of opiate addiction, and weekly tele-video conferences provides ongoing training to clinicians at all levels that treat addiction. The clinic supports primary care clinicians by presenting them with a knowledge network that is necessary to identify and treat addiction and psychiatric illnesses in their patients, and supplies the groundwork that is essential to the use of buprenorphine and other medications. Through didactic presentations, on-site training of office staff, production of educational DVD’s, and provision of funding that allows indigent patients to be treated with buprenorphine; Project ECHO takes a multifaceted approach to promoting addiction treatment.
Miriam Komaromy, MD, Medical Director
Leslie Hayes, MD, Associate Medical Director
Bonnie Kraybill, RN, BA, Nurse Manager
Medical Ethics
Medical ethics issues and effective problem-solving can have a significant impact on the health care of patients, the training of health professionals, and research in the health sciences. During the Medical Ethics TeleECHO Clinic community clinicians will learn best practices in healthcare ethics consultations through didactic presentations and “learning loops” in which they apply ethical principles, state and federal laws, and critical thinking to facilitate a resolution in ethical dilemmas. The knowledge gained will help them avoid or negotiate through similar situations in the future. Participants have an opportunity to develop both content knowledge and self-efficacy through presenting current ethics consultation cases during the clinic. Experts will apply their inter-disciplinary expertise in ethics, medicine, legal, and religious/cultural issues to model effective decision making and problem solving. Learning from other community-based clinicians from similar settings and with similar barriers is facilitated by the network’s clinician interaction, shared case management, and the inclusion of issues specific to New Mexico’s cultural dynamics.
Anne Simpson, MD, Medical Director
Barbara Mathis, JD, Program Coordinator
There is a growing demand for primary care clinicians who are knowledgeable about the workers compensation process to help meet the needs of injured or ill workers. These same clinicians lack access to the limited number of occupational medicine specialists available in our state. The Occupational Medicine TeleECHO Clinic provides a convenient source of information and consultation for primary care clinicians confronted with clinical problems of an occupational nature. The goal of the clinic is to increase rural practitioners comfort level in dealing with occupational medicine cases and the associated workers’ compensation process. Community clinicians can present cases to be reviewed and discussed by specialists, and they are provided with ongoing educational resources of the clinical characteristics and treatment strategies of occupational related health issues.
Phillip Wagner, MD, Medical Director
Kathy Moseley, RN, MS, Nurse Manager
Karen Luttecke, BA, Administrative Assistant III
Pediatric Obesity
The prevalence of childhood obesity has tripled from the late 1970’s to 2003-2004, and is one of the leading health issues facing children and adolescents today. The high prevalence of childhood and adolescent obesity in addition to the short-term and potential long-term health implications has accentuated the need for obesity-related clinical services including assessment, treatment, and preventive care for children and adolescents.
The UNM Department of Pediatrics’ Envision NM and Project ECHO offer COMM-TC (Childhood Overweight Medical Management Telehealth Consultation). COMM-TC links multiple pediatric sub-specialists with primary care clinicians for consultation on the care of overweight children and adolescents. The clinic includes numerous specialists and relevant didactic topics that help clinicians address both the challenging socio-behavioral aspects of pediatric obesity as well as the daunting medical management that accompanies complex co-morbidities.
Kirsten Bennett, MS, RD, LD, Program Manager
Clancy Tarbox, Program Coordinator
Psychotheraphy
The Psychotherapy TeleECHO Clinic allows for meaningful improvements in outcomes for patients undergoing psychotherapy in rural and underserved areas. Community clinicians participating in the clinic gain up-to-date information on various paradigms of psychodynamic psychotherapy, and can collaborate and interact with like-minded colleagues as well as state and national experts on psychotherapy. The clinic provides a forum for therapists with an interest and background in psychodynamic psychotherapy to present cases via telephone or video conferencing and receive thoughtful feedback regarding psychodynamic formulation and treatment considerations from specialists. Overall quality of care is enhanced as a result of the ongoing training that community clinicians receive in current psychotherapy best practice techniques and through the improved access to educational resources. The TeleECHO clinic allows feedback from multiple clinicians, many of whom have considerable background in providing psychodynamic psychotherapy. Participants may present cases or listen in to the cases presented.
Jeffrey Katzman, MD, Medical Director
Yolanda Hubbard, Community Education Coordinator
Asthma & Pulmonary - [Helpful links]
The goal of Project ECHO’s Asthma & Pulmonary TeleECHO Clinic is to make an impact in the care of pulmonary patients throughout New Mexico. The clinic includes both educational presentations and opportunities for case presentations from care clinicians including, respiratory therapists and school nurses. This helps to identify barriers to clinician use of best practice guidelines and enhance clinician self-efficacy in the management and treatment of many pulmonary diseases including, COPD, asthma, and pnuemonia. Training is also coordinated for individuals interested in becoming certified asthma educators so that they can go back to their communities and help to monitor and care for asthmatics. Recruitment of community partners in asthma care will focus on the regions with the highest hospitalization rates, and will collaborate with ongoing community and New Mexico Department of Health planning efforts. The Asthma & Pulmonary TeleECHO Clinic is a resource to provide individuals living in rural and underseved areas with optimal pulmonary care.
Michelle Harkins, MD, Medical Director
Hengameh Raissy, Pharm. D
Kathy Moseley, RN, MS, Nurse Manager
Karen Luttecke, BA , Administrative Assistant III
Rheumatology
There are over 100 arthritic or rheumatologic musculoskeletal diseases and conditions effecting thousands of New Mexicans. Sero-positive and sero-negative conditions like arthritis, lupus, fibromyalgia, and the genetic predispositions of some New Mexicans to certain rheumatologic disorders can lead to diminished quality of life and disability if left untreated.
Rheumatology is a rapidly evolving medical specialty, and treatment of chronic rheumatological disorders is improving with the introduction of self-management programs, new forms of treatment, and through early diagnosis. The Rheumatology TeleECHO Clinic is designed to provide a consultative link between specialists and community clinicians. Its goal is to provide rheumatology consultations regarding any rheumatologic disease condition, and to train clinicians at distant sites to become experts in the care of these conditions and become a local resource for rheumatologic disease care.
Arthur Bankhurst, MD, Medical Director
Jeannie Boyle, RN, BSN, Nurse Manager
Candida Pullen, Administrative Assistant III
|
