Appendix F Evaluation of Technology-Enabled Collaborative Learning and Capacity Building Models Materials for a Report to Congress Shira H. Fischer, Adam J. Rose, Ryan K. McBain, Laura J. Faherty, Jessica Sousa, Monique Martineau C O R P O R A T I O N For more information on this publication, visit www.rand.org/t/RR2934 Published by the RAND Corporation, Santa Monica, Calif. © Copyright 2019 RAND Corporation R® is a registered trademark. Limited Print and Electronic Distribution Rights This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to duplicate this document for personal use only, as long as it is unaltered and complete. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please visit www.rand.org/pubs/permissions. The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities throughout the world safer and more secure, healthier and more prosperous. RAND is nonprofit, nonpartisan, and committed to the public interest. RAND’s publications do not necessarily reflect the opinions of its research clients and sponsors. www.rand.org Preface Technology-enabled collaborative learning and capacity-building models, such as Project ECHO (Extension for Community Healthcare Outcomes), have spread rapidly over the last 15 years across the United States, as well as into other countries. However, little is known about the optimal conditions under which these models improve care and achieve other objectives, such as improving workforce retention in medically underserved areas. This appendix provides an inventory of active ECHO and ECHO-like models (EELM) across the United States and in select international countries, as well as the most frequently addressed focus areas and funding sources. The report this appendix accompanies is the culmination of the project “Expanding Capacity for Health Outcomes (ECHO) Act Report to Congress: A Study of Technology-Enabled Collaborative Learning and Capacity Building Models.” The Office of the Assistant Secretary for Planning and Evaluation (ASPE) engaged the RAND Corporation to assist in developing a report to Congress that responds to the ECHO Act. This research was funded by ASPE and carried out within the Payment, Cost, and Coverage program in RAND Health Care. RAND Health Care, a division of the RAND Corporation, promotes healthier societies by improving health care systems in the United States and other countries. We do this by providing health care decisionmakers, practitioners, and consumers with actionable, rigorous, objective evidence to support their most complex decisions. For more information, see www.rand.org/health-care, or contact RAND Health Care Communications 1776 Main Street P.O. Box 2138 Santa Monica, CA 90407-2138 (310) 393-0411, ext. 7775 [email protected] iii Contents Preface ........................................................................................................................................... iii Contents .......................................................................................................................................... iv Abbreviations ............................................................................................................................. xxii Overview ......................................................................................................................................... 1 Alabama ........................................................................................................................................... 2 Project ECHO: Autism .............................................................................................................................. 2 Project ECHO: Pediatric Diabetes and Obesity ........................................................................................ 3 Alaska .............................................................................................................................................. 4 Alaska ECHO: Behavioral Analysis ......................................................................................................... 4 Alaska ECHO: Neurodevelopmental Disabilities ..................................................................................... 5 Alaska ECHO: Traumatic and Acquired Brain Injury .............................................................................. 6 Alaska Native Tribal Health Consortium: Palliative Care ECHO ............................................................ 7 ECHO Alaska: Psychiatry and Addiction Medicine ................................................................................. 8 University of Alaska Anchorage: Alaska LEND (Leadership Education in Neurodevelopmental and related Disabilities) Without Walls ..................................................................................................... 9 Arizona .......................................................................................................................................... 10 Arizona Telemedicine Program: Rheumatology ..................................................................................... 10 Mountain ECHO: Medication-Assisted Treatment ................................................................................. 11 North Country ECHO Program: Hepatitis C ........................................................................................... 12 Project ECHO Pain: Arizona ................................................................................................................... 13 St. Joseph’s Hospital and Medical Center: Arizona Hepatitis C Program .............................................. 14 Arkansas ........................................................................................................................................ 15 TMF Quality Innovation Network–Quality Improvement Organization–Project ECHO ....................... 15 California ....................................................................................................................................... 16 California Hub-and-Spoke System: Medication-Assisted Treatment Expansion Project ....................... 16 Pacific Sickle Cell Regional Collaborative ............................................................................................. 17 Project ECHO LA: Adult Psychiatry ...................................................................................................... 18 Project ECHO LA: American Academy of Physician Assistants Preventative Care Network ............... 19 Project ECHO LA: geriatrics ................................................................................................................. 20 Project ECHO LA: Nephrology .............................................................................................................. 21 ResolutionCare: Palliative Care ECHO .................................................................................................. 22 SCAN-ECHO: Hepatitis C ...................................................................................................................... 23 SCAN-ECHO: Pressure Sores ................................................................................................................ 24 SCAN-ECHO: Women’s Health ............................................................................................................. 25 Stanford Medicine: Project ECHO Type 1 Diabetes ............................................................................... 26 Stanford University: Developmental-Behavioral Pediatrics Trainings for Northern California ............ 27 Tribal Medication Assisted Treatment Project ........................................................................................ 28 University of California, Davis: ECHO Pain Management TeleMentoring ........................................... 29 University of California, Davis: Emergency Medical Services .............................................................. 30 iv University of California Leadership Education in Neurodevelopmental and Other Related Disabilities .......................................................................................................................................................... 31 University of California, San Francisco: Hepatitis C Project ECHO ..................................................... 32 University of California, San Francisco: San Joaquin Valley Collaborative Office Rounds .................. 33 Colorado ........................................................................................................................................ 34 Children’s Hospital Colorado: Cancer Survivorship .............................................................................. 34 Children’s Hospital Colorado: Child Abuse and Neglect ....................................................................... 35 Children’s Hospital Colorado: Complex Care Pediatrics ....................................................................... 36 Children’s Hospital Colorado: Depression and Anxiety ......................................................................... 37 Children’s Hospital Colorado: Developmental