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

ECHO® sessions

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.

NEW Kids Behavioural and Mental Health

Based on your feedback, we are launching a new Kids Behavioural and Mental Health series in mid-July.  This will be a comprehensive curriculum delivered over two ten-week blocks and will incorporate topics suggested by Queensland GPs including anxiety, behavioural management strategies, gender, sleep, autism, adolescence, self-harm, and bullying, amongst others.  The panel will include a Behavioural Paediatrician, Psychologist, and Child Psychiatrist from our e-CYMHS team, all of whom have experience in working with providers from across rural and remote Queensland.  We will also have a Social Worker, Guidance Officer and guest presentations from General and Developmental Paediatrics.

If you have previously completed the ADHD series, you can join the new Kids Behavioural and Mental Health series to present new or previously presented cases straight away.  In addition, Category 1 CPD points have also been applied for from the RACGP and ACRRM for participants to claim once they complete the minimum number of sessions with the broadened curriculum.

The Kids Behavioural and Mental Health series is delivered via weekly 60 minute ECHO® sessions.

The curricula is currently being finalised, but will incorporate a wider variety of topics including anxiety, behavioural management strategies, gender, sleep, autism, adolescence, self-harm, and bullying, amongst others as requested by Queensland General Practitioners.

  • Behavioural and Developmental Paediatrician
  • Psychologist
  • Child and Youth Psychiatrist
  • Social Worker
  • Guidance Officer
Each session consists of a 15 minute didactic presentation by a specialist followed by a case presentation from participating clinicians.

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

Series 1 (weeks 1-10): 19 July 2018 to 20 September 2018

Series 1 (weeks 11-20): 11 October 2018 to 3 December 2018

If you have previously completed the ADHD series, and would like to present a case for advice, you can join the new Kids Behavioural and Mental Health series to present new or previously presented cases straight away.

If you wish to enrol for Project ECHO® – Kids Behavioural and Mental Health please click here

For any other queries in relation to Project ECHO® Kids Behavioural and Mental Health please email: ECHO.CHQ@health.qld.gov.au

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 60 minute ECHO® sessions –

  • 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
  • General Paediatrician
  • Developmental Paediatrician
  • Developmental Psychologist
  • Senior Guidance Officer, Department of Education and Training
  • Parent Representative
Each session consists of a 15 minute didactic presentation by a specialist followed by a case presentation from participating clinicians.

These sessions are held on a Wednesday from 6 pm to 7 pm (AEST).

Series 6 (ADHD) 10 October 2018 to 12 December 2018

If you have previously completed the ADHD series, and would like to present a case for advice, you can join the new Kids Behavioural and Mental Health series to present new or previously presented cases straight away.

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 ECHO® sessions, 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 session consists of a 15 minute didactic presentation by a specialist followed by a case presentation from participating clinicians.

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

Series 2 (fortnightly) 27 August 2018 to 3 December 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 ECHO® sessions, 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
Each session consists of a 15-minute didactic presentation by a specialist followed by a case presentation from participating clinicians.

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

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 ECHO® sessions

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 session consists of a 15-minute didactic presentation by a specialist followed by a case presentation from participating educators.

These sessions 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

Paediatric Persistent Pain ECHO® sessions

Persistent pain affects one in five children and young people during their development, and can be associated with significant distress and disability. Recovery and effective self-management is possible for most patients and families with a multi-factored approach, and it is less disruptive and more sustainable when this can be done in the patient and families’ local community.

Our Paediatric Persistent Pain series is targeted towards General Paediatricians and their teams, particularly those working in regional and rural areas, and also to General Practitioners and other interested providers.  Participants will learn to perform assessments and deliver evidence based therapy for children and young people with persistent pain and their families.

  • Overview of paediatric persistent pain (including incidence, definitions, terminology and the sociopsychobiomedical model
  • Common presentations and patterns in paediatric persistent pain
  • Overview of physical and occupational assessment in paediatric persistent pain
  • Overview of mental health assessment in paediatric persistent pain
  • The child and their family system in persistent pain (Including brief attachment theory, family systems theory and parent response to child)
  • Developmental considerations in persistent pain (Including impact of chronic conditions on development, and social determinants of health on development)
  • Target concepts and misconceptions in pain understanding
  • Delivering pain education/talking about persistent pain with patients and families
  • How to parent the child with persistent pain
  • Paediatric Anaesthetist
  • Psychologist
  • Music Therapist
  • Physiotherapist
  • Occupational Therapist
Each session consists of a 15-minute didactic presentation by a specialist followed by a case presentation from participating educators.

These sessions are held fortnightly on Tuesday from 8 am to 9 am (AEST)

Series 1: 31 July 2018 –  4 December 2018

If you wish to enrol for Project ECHO® Paediatric Persistent Pain, please click here

For any other queries in relation to Project ECHO® Supporting Paediatric Persistent Pain, please email: ECHO.CHQ_Pain@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

  • Palliative Care
  • Indigenous Kids Health and Wellbeing

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