Our vision is optimal wound care for all Ontarians. The Project will strive to ensure that all interested health care providers in Ontario have the knowledge and support they need to manage patients with wounds safely and effectively.


The Evaluation Committee leads the project evaluation framework and meets four times per year.  Members who are experts in research, education, knowledge translation, and inter-professional team development provide direction to the Project Team.


The Mississauga Halton LHIN provides financial management, project oversight and outcomes monitoring on a regular, mutually agreed-upon basis.

Objectives & Activities


  1. Increase interprofessional, coordinated skin and wound care capacity in Ontario
  2. Facilitate access to skin and wound care expertise found in urban and academic settings to underserved community practices, including rural, remote, Northern and indigenous communities
  3. Develop interprofessional Key Opinion Leaders (KOLs)/BPSO Leads and assessment teams/best practice guidelines (BPG) Implementation Teams for complex wounds
  4. Engage interprofessional teams to identify patients with high-risk diabetic feet and prevent lower extremity amputations through comprehensive assessments and coordinated treatment of foot ulcers
  5. Evaluate the impact of this transformational project on professional satisfaction and effectiveness, using relevant structure, process and outcome indicators e.g. RNAO’s Nursing Quality Indicators for Reporting and Evaluation® (NQuIRE®) data system.


  1. Offer a total of 64 sessions of tele-ECHO for acute and chronic wounds. These will be held in three annual cycles
  2. Offer a total of 4 in-person boot camp sessions across the province where skills and interprofessional collaborative principles of care are taught in a hands-on environment
  3. Present 2-3 cases per session
  4. Enable participants to collect Continuing Medical Education (CME) or other Continuing Education credits for non-physician participants
  5. Link interested ECHO participants with the IIWCC course at the Dalla Lana Faculty of Public Health/the Michener Institute at UHN, the University of Toronto Masters of Science in Community Health in Prevention and Wound Care and the RNAO’s Wound Care Institute
  6. Enhance and evaluate provider diagnostic and management knowledge to improve the capacity among primary care providers to an advanced level using RNAO BPSO methodology and NQuIRE
  7. Enhance provider satisfaction
  8. Facilitate provider self-efficacy
  9. Catalogue and publish sessions with summaries and enablers and tools for practice to link new knowledge to practice
  10. Utilize implementation science and best practices

The Project ECHO Movement

Project ECHO, The University of New Mexico

Project ECHO started as a way to meet local health care needs. Sanjeev Arora, M.D. was determined that all patients in need of treatment should get it. In 2003, he created Project ECHO so that primary care clinicians could treat hepatitis C in their own communities.


Project ECHO Ontario Mental Health at CAMH and UofT have partnered with ECHO Ontario at UHN to form a collective ECHO Ontario Superhub. The Superhub provides training to support replication and the successful implementation of new ECHO hubs while maintaining fidelity to the ECHO model.

Project ECHO Ontario

All Project ECHO Ontario Hubs can be accessed through the centralized website. ECHO Ontario also hosts the collective Hub session calendar, ECHO news feed, and downloadable communications materials.

Project ECHO Skin and Wound Care Partners