Project ECHO®

Project ECHO® (Extension for Community Healthcare Outcomes) is a collaborative model of medical education and care management that empowers clinicians everywhere to provide better care to more people, right where they live.

The ECHO® model does not actually “provide” care to patients. Rather, it exponentially increases access to specialty-level care in rural and underserved areas by providing front-line clinicians with the knowledge and support they need to manage complex patients. It does this by engaging clinicians in a revolutionary model of telementoring, collaborative education and case presentations.

As the ECHO® model expands world-wide, it is helping to address some of the healthcare system’s most intractable problems, including inadequate or inequitable access to care, rising costs, systemic inefficiencies, and unequal or slow diffusion of best practices. ECHO® presents an opportunity to exponentially expand workforce capacity to treat more patients sooner, using existing resources. At a time when the health care system is under mounting pressure to do more without spending more, this is critical.

“Participating in ECHO® is like having a friendly weekly check-in with an expert panel to round out your complex consultations. The value to my patients in providing a well-rounded opinion to them after presenting their child’s complex presentation to the ECHO® panel is amazing. It has opened up my mind to the possibilities of multidisciplinary case conferences where I previously thought them an impossible dream for general practice.”
Dr Aaron Chambers MBBS BSc DCH FRACGP, Grow Medical
“It has been wonderful to get actual multidisciplinary teaching on this very common condition! One of the things that has really struck me is the amount allied health can really contribute to the management of ADHD. This includes not just dietitians, OTs and psychologists but also social workers and school guidance counsellors. Not only have I learnt a lot about ADHD, I have also learnt so much about holistic patient care.”
Dr Melita Cullen MBBS BSc(Hons) RACGP DCH, Majellan Medical Centre

Tele ECHOTM clinics

CHQ is committed to improving outcomes for our state’s children and young people by implementing ECHO® for a range of common, chronic and complex conditions.

ADHD

ADHD is a common condition which is often associated with poor long term outcomes. It affects whole families, and GPs are the clinicians best able to deliver holistic patient and family centred care. When ADHD is stable, treatment can be safely delivered in primary care with specialist support and research shows that GPs want a more significant role in managing ADHD in these instances.

Download the ADHD brochure

Download the ADHD case template

The ADHD series is delivered via weekly 90 minute tele ECHOTM clinics –

  • Spectrum of childhood behavioural problems – an approach in a general practice
  • ADHD overview and diagnostic processes
  • Behavioural strategies for ADHD management
  • School support for children with ADHD
  • Medication versus behavioural strategies: when and where?
  • Stimulant prescription and medication management
  • Side effects, monitoring and pitfalls
  • Co-morbid developmental conditions
  • ADHD and Sleep
  • Suspecting anxiety or depression in a child with ADHD
  • Dr Vishal Kapoor (Facilitator), General Paediatrician
  • Dr Alison Harris, Developmental Paediatrician
  • Dr Jennifer Lancaster, Developmental Psychologist
  • Marie De Daunton, Senior Guidance Officer, Department of Education and Training
  • Emma Dunlop, Parent Representative
  • Harlan Gephart, Emeritus Professor of Paediatrics , University of Washington School of Medicine (Seattle)
Each clinic consists of a 15 minute didactic presentation by a specialist followed by a case presentation from participating clinicians.

These clinics are held on a Tuesday from 8 am to 9.30 am (AEST).

Series 5 (ADHD) 17 April 2018 to 19 June 2018

Series 6 (ADHD) 17 July 2018 to 18 September 2018

Series 7 (ADHD) 9 October 2018 to 11 December 2018

If you wish to enrol for Project ECHO® – ADHD please click here

For any other queries in relation to Project ECHO® ADHD please email: ECHO.CHQ@health.qld.gov.au

Foot Anomalies

Paediatric Foot Anomalies require care that often requires families to travel in order to receive specialist treatment at metropolitan centres. In many cases these patients may be able to be safely assessed and treated closer to home by local physiotherapists supported by Project ECHO®. Lady Cilento Children’s Hospital’s Physiotherapy Department have partnered with the CHQ Project ECHO® Hub to deliver a case-based education program to rural and regional physiotherapists, to facilitate the provision of safe and effective patient triage and management.

Download the Foot Anomalies brochure

Download the Foot Anomalies case template

The Foot Anomalies series is delivered via fortnightly 90 minute teleECHOTM clinics, covering the following aspects –

  • Common terminology of foot anomalies
  • Differential diagnosis e.g. congenital and postural talipes equinovarus, positional calcaneovalgus/ vertical talus, metatarsus adductus
  • Assessment tools and scoring
  • Pitfalls of the Ponseti method
  • Identifying relapse in infants and children
  • Managing the child with a relapse
  • Follow-up and supporting the family through the bracing stage
  • Common errors of management
  • Case based problem solving – ‘All teach, all learn’
  • Wendy Poulsen (Facilitator), Advanced Practice Physiotherapist
  • Steph Manning, Senior Orthopaedic Physiotherapist
Each clinic consists of a 15 minute didactic presentation by a specialist followed by a case presentation from participating clinicians.

These clinics are held on a Monday from 1.00 to 2.30 pm (AEST).

Series 1 (fortnightly) 5 February 2018 to 14 May 2018

For any other queries in relation to Project ECHO® Foot Anomalies please email: ECHO.CHQ_Foot_Anomalies@health.qld.gov.au

Childhood Overweight and Obesity

Childhood Obesity is a significant health, economic and social problem and 1 out of 4 Queensland children are overweight or obese.  It substantially increases the risk of developing both medical and psychological comorbidities and is considered a chronic disease in its own right. Effective weight management in childhood and adolescence is essential to minimise the risk of overweight and obesity persisting into adulthood.

Download the Childhood Obesity brochure

The Childhood Overweight and Obesity series is delivered via weekly 60 minute teleECHOTM clinics, covering the following aspects –

  • Orientation/introduction to childhood obesity: practical primary approaches & scope of the problem
  • Counselling: defining and identifying childhood overweight and obesity, 5As Paradigm
  • Counselling: Raising and discussing weight with a child and family
  • Counselling: Nutrition action plan including assessment and goal setting
  • Counselling  & Common co-morbidities: psychosocial problems including COS
  • Common co-morbidities: Hypertension , Hyperlipidaemia,  Obstructive Sleep Apnoea Impaired Glucose Metabolism, Polycystic Ovaries Syndrome, Secondary Causes of Obesity in Children
  • Counselling: Physical Activity (PT) including discussion Re screen time and sleep
  • Advocacy for a Healthier Environment and Staff wellness (Health professionals ‘walk the walk’) Evaluate the group’s needs/wishes – wrap-up and cases
  • Associate Professor Robyn Littlewood, (Clinic Facilitator)
  • Dr Anne Kynaston, General Paediatrician
  • Natalie Imrie, Dietitian
  • Dr Ashleigh Wright, Psychologist
Each clinic consists of a 15-minute didactic presentation by a specialist followed by a case presentation from participating clinicians.

These clinics are held on a Thursday from 8am to 9am (AEST).

Series 2: 19 April to 7 June 2018
Series 3: 19 July to 6 September 2018
Series 4: 11 October to 29 November 2018

If you wish to enrol for Project ECHO® – Childhood Overweight and Obesity please click here

For any other queries in relation to Project ECHO® Childhood Overweight and Obesity please email: ECHO.CHQ_obesity@health.qld.gov.au

Early Years Development Program

Parent Evaluation of Developmental Status (PEDS) Training

PEDS is an established, cost-efficient, evidence-based universal screening tool.  When used appropriately, PEDS supports early identification of developmental and behavioural concerns.  Training is targeted at staff within Early Learning Centres who have a qualification in childcare and are permanent employees or expecting to be working at the centre in the medium term.   Participating in PEDS training will provide you with the knowledge and skills to use PEDS in your centre.

PEDS is a two-hour face-to-face course which is run at various locations and times.  If you have a group of staff to be trained, we are more than happy to arrange training at your centre at a time convenient to you.   If you would like to undertake PEDS training please email ECHO.CHQ_developmental_screening@health.qld.gov.au.

PEDS tool is a 10-item standardised questionnaire designed to elicit parental concerns regarding their child’s development in the areas of:

  • Language expression and comprehension
  • Fine and gross motor skills
  • Behaviour
  • Social/emotional skills
  • Self-help
  • Learning
  • Identifies children with or at risk of development difficulties
  • Quick reliable developmental screen
  • Builds rapport with families and children
  • Improves health education
  • Provides clear and consistent pathways for action

Once PEDS training has been completed, ongoing support will be provided via TeleECHO™ clinics:

The Child Development series is delivered via 60-minute TeleECHO™ clinics

  • Sharing PEDS results with families
  • Typical Development in children
  • Managing difficult conversations with families
  • Supporting development in the early childhood setting
  • Child Development Clinician
  • Nurse
  • Educator
Each clinic consists of a 15-minute didactic presentation by a specialist followed by a case presentation from participating educators.

These clinics are held on a Wednesday from 1pm to 2pm (AEST)

For more information please email ECHO.CHQ_developmental_screening@health.qld.gov.au

Supporting refugee kids teleECHO™ Clinic

Children and young people from refugee or displaced backgrounds may display a range of behaviours that are symptomatic of traumatic experiences. These behaviours will vary according to age, developmental stage and the refugee experience. Project ECHO® uses a guided-practice model to link specialists in refugee health and wellbeing with front-line educators.  ECHO® will provide a forum for educators to access professional guidance and support to respond to the complex needs of refugee families impacted by significant trauma.

Download the Supporting refugee kids teleECHO™ Clinic brochure

  • Trauma and child development
  • Children of culturally and linguistically diverse (CALD) background and stress-related disorders
  • Challenging behaviours – differential diagnosis
  • Trauma symptoms in the classroom
  • Navigating specialised services in the community for children of refugee background – QPASTT and others
  • Complexity of assessment and treatment in refugee kids
  • How to work successfully with interpreters
  • General paediatrician
  • Child and Youth Mental Health Service representative
  • Senior guidance officer
  • QPASTT representative
  • A representative from the refugee community.
Each clinic consists of a 15-minute didactic presentation by a specialist followed by a case presentation from participating educators.

These clinics are held on a Monday from 3 pm to 4 pm (AEST)

Series 1: 23 July 2018 –  3 September 2018

If you wish to enrol for Project ECHO® Supporting Refugee Kids, please click here

For any other queries in relation to Project ECHO® Supporting Refugee Kids, please email: ECHO.CHQ_Refugee@health.qld.gov.au

Why participate in ECHO®?

Participating in ECHO® allows you to provide the best possible care for your patients and further develop your professional skill set. Join ECHO® to:

  • acquire new skills and competencies and accrue CPD points*
  • gain ongoing access to multidisciplinary advice for your patients
  • increase your professional satisfaction and become part of an engaged community of practice.

*The ADHD and Obesity series attracts 40 Category 1 points for GPs, accredited as an active learning module through the RACGP QI&CPD Program (2017-2019 Triennium).

Upcoming clinics

Paediatric Persistent Pain

We gratefully acknowledge the financial support provided by the Clinical Excellence Division which has allowed us to launch this program through the Minister for Health and Minister for Ambulance Services’ Integrated Care Innovation Fund.

Proudly supported by Queensland Health’s Clinical Excellence Division.

Quick links

Project ECHO® video

UNM ECHO

Changing the World, Fast: Dr. Sanjeev Arora at TEDxABQ

Setting up Zoom

Etiquette

Contact us

To enrol for, or to obtain further information on a specific clinic, please scroll down to the clinic of your interest.

For general enquiries, please email: ECHO.CHQ@health.qld.gov.au