If there are days when you doubt the value of knowledge management, take a closer look at Project ECHO: it saves lives by sharing specialist knowledge from teaching hospitals with a wide network of primary care physicians in far-flung areas. As a a result, the patients in those areas get the benefit of cutting edge medical treatment without having to travel hundreds of miles to academic centers.
Founded by Dr. Sanjeev Arora and his colleagues at the University of New Mexico, Extension for Community Healthcare Outcomes (Project ECHO) has become a shining model for innovative medical practices and for Knowledge Management.
>V Mary Abraham, Above and beyond Knowledge Management
http://aboveandbeyondkm.com/
>In 2003, nearly 30,000 New Mexicans were infected with Hepatitis C, yet only 5 percent were able to access treatment which is available almost exclusively through specialists at the University of New Mexico (UNM) in Albuquerque. The plight of these underserved patients inspired Sanjeev Arora, one of the top Hep C specialists in the country to develop a plan to deliver state of the art treatment to these communities through Project ECHO (Extension for Community Healthcare Outcomes).
Project ECHO creates a one-to-many “knowledge network” of specialists and … rural providers, who meet by videoconference to co-manage specific patients and share two-way teachings in which the ECHO staff works with remote clinics to coordinate and educate. Sanjeev calls this aspect of ECHO the “workforce multiplier.” Through the “knowledge networks” of the clinics, specialists co-manage patients and teach rural medical professionals to be mini-specialists, to whom patients from that area are increasingly referred, This eventually saturates the state with the ability to treat Hep C and also helps deconstruct stereotypes and prejudices that often have existed between specialists and providers.
By pushing the ability to treat chronic, complex diseases down the work chain, ECHO is not only bringing specialized treatment to thousands of patients who would have otherwise gone untreated, but it is also keeping remote providers where they are most needed. Retention rates for rural medical professionals in New Mexico are notoriously low, and Sanjeev’s work is changing this by empowering isolated providers with stimulating, practical, cost-effective continuing education.