In addition to virtual clinics, we are steadily growing the number of tools and resources that are freely available

Tele-ECHO sessions are the cornerstone of the Project ECHO Skin and Wound Care program. These virtual clinic sessions are held weekly using web conferencing so clinicians across Ontario can participate via the internet.

We host the Tele-ECHO sessions at the Hub studio, which is physically located at the Toronto Regional (Dermatology) & Wound Healing Specialty Clinic in Mississauga, Ontario. The clinic has a conference room, as well as Ontario Telemedicine Network capabilities. RNAO BPSO staff join each session either at the Toronto RNAO office or remotely if working off-site. We use Zoom to connect HUB personnel and consultants across Ontario.

The sessions are expert-led virtual clinics, with a capacity for up to 25 participants. In each session, a clinician presents a case relating to the subject matter. For example, if the section is on diabetic foot care, members will introduce de-identified case studies. We aim to review three cases per session, consisting of two new cases and one follow-up case.

In addition to the virtual clinics, several Project ECHO tools can be used to support your practice. These are just a part of the growing library of Project ECHO resources.

1. Case Intake Form

The Case Intake Form standardizes case management and populates a wound care case ‘bank’. It is based on previous ECHO case intake forms and modified for established wound care variables, for example, HbA1c level, ABPI index, suggested wound diagnosis. We review cases in advance to make sure no identifiable information will be included on the forms or in the case bank.

2. Tele-ECHO Case Database

We are building a case library, which is a computerized data system that matches documents cases with new cases. The database also provides data on patient outcomes for the Best Practice Service Organization (BPSO) RNAO Centre, the BPSOs and for the Hub and members.

3. Best Practice Enablers

Best Practice Enablers are summary tools used to condense practical knowledge efficiently. These are uploaded to the members’ document centre as the RNAO BPSO Centre develops them.

4. Session Summaries

After each session, a summary of the discussion is prepared and sent to all participants via email. We also post them in the members’ document centre, and a forum topic is set up for online discussion.

5. Case Reviews

After each joint case review, we post a suggested care plan summary to the members’ document centre. They act as an aide-mémoire to help optimize care for future patients.

6. Clinician Self-Efficacy Questionnaire

The questionnaire assesses confidence in abilities, skills and knowledge, and is completed via a secure web-based survey.

7. Knowledge Tests

These evaluate the extent of iterative learning and the effect of knowledge networks. They are administered both before and after exposure to the ECHO model. We track the number of CME credits or other types of educational credits (as determined) and post them to your member profile.

These are just some of the resources that we are developing. In addition to the wound care cases bank for members, there are always new resources publicly available for download in the Hub Library. And when you subscribe for updates or apply to be a Project ECHO Ontario Skin and Wound Care Spoke member, you have the option of getting weekly updates on new resources by email.

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