- Outreach Programs
- Project ECHO
Project ECHO® (Extension for Community Healthcare Outcomes) is a teleconsulting and telementoring partnership between MD Anderson specialists and providers in rural and underserved communities.
Our Goal
Build capacity among community based clinicians via case-based learning and co-management of patients by using videoconferencing technology integrated with clinical management tools to connect primary care providers in rural and underserved areas with specialty consultants.
Overview and Proof of Concept
Project ECHO was developed in 2003 by Dr. Sanjeev Arora of the University of New Mexico (UNM) in response to a high prevalence of untreated Hepatitis C (HCV) in the state. Dr. Arora conducted weekly videoconferences with primary care providers in 16 community clinics and 5 prisons in New Mexico. Patient cases were presented, and a multidisciplinary team at the UNM provided clinical mentoring, evidence-based advice on patient management and regular didactic education sessions. At the end of the three year period, the outcomes of patients treated by primary care providers who participated in Project ECHO were no different than patients treated by specialists at UNM. The results of this study were published in 2011 in the New England Journal of Medicine and concluded that the ECHO model is safe and effective in helping to manage patients with HCV in underserved communities.
The Project ECHO model has since expanded to manage over 100 complex conditions including infectious diseases, rheumatologic diseases, chronic pain, addiction, HIV, diabetes, complex multisystem disease, cancer prevention and hospice care. Currently over 320 academic centers around the U.S. and globally serve as ECHO hubs.
MD Anderson expands global oncology efforts through new agreement with Zambia Ministry of Health
The University of Texas MD Anderson Cancer Center today announced the further expansion of its global oncology efforts by signing a memorandum of understanding with the Ministry of Health of Zambia. The new, five-year agreement aims to enhance cancer prevention, treatment, research and education, thereby improving access to quality cancer care and reducing the cancer burden in Zambia.
"This collaboration with the Zambian Ministry of Health represents a significant step forward for MD Anderson's global strategy and our mission to end cancer," said Peter WT Pisters, M.D., president of MD Anderson. "Through this joint effort, we can improve training, education and cancer research in Zambia, ultimately elevating the standard of cancer care through a sustainable approach."
MD Anderson began collaborating with Zambia’s Cancer Diseases Hospital in Lusaka in 2013, with a particular focus on radiation oncology. The institution will now work directly with the Ministry of Health to support its national cancer control planning and implementation, and also to expand capacity-building efforts across the country. Focus areas include breast and cervical cancers, in alignment with the World Health Organization's (WHO) global priorities in adult cancer.
Zambia, like many other low- and middle-income countries, faces significant challenges with high cancer rates. The incidence of cancer is increasing, with the most common types including cervical cancer, breast cancer, prostate cancer and Kaposi sarcoma. High cancer mortality rates in Zambia often are due to a lack of public awareness, limited cancer prevention services, late-stage diagnoses, and limited access to advanced medical care and treatment options.
According to WHO, Zambia has the third highest burden of cervical cancer in the world. Cervical cancer accounts for about 23% of all new cancer cases in the country and is the leading cause of cancer-related death for Zambian women. In coordination with the Ministry of Health, MD Anderson provides training for Zambian health care professionals to expand cervical cancer screening and treatment of pre-invasive disease. Additionally, MD Anderson is training Zambian radiologists in breast cancer imaging and diagnosis.
"By formalizing our collaboration with Zambia’s Ministry of Health, we are deepening our commitment to enhancing cancer training and capacity building throughout the region,” said Kathleen Schmeler, M.D., associate vice president of Global Oncology and professor of Gynecologic Oncology and Reproductive Medicine. “This collaboration signifies a pivotal step forward in our collective efforts to empower health care professionals and to enhance cancer prevention, diagnosis and treatment in Zambia."
MD Anderson’s Strategy, aimed at making the greatest impact on humanity in the institution’s work to end cancer, is advanced by aligning with others to provide expertise in medically underserved settings. As part of its Global Oncology program, MD Anderson collaborates with governments and mission-aligned organizations to advance cancer education, training, public policy and research initiatives in low- and middle-income countries.
MD Anderson previously has announced international collaborations aimed at advancing global cancer care. These efforts include an agreement with WHO to reduce the global burden of women’s cancers and an agreement with the Pan American Health Organization (PAHO) to strengthen cancer prevention and control across the Americas. Additionally, MD Anderson has been named an International Atomic Energy Agency (IAEA) Collaborating Centre and has formed agreements with both the Mozambique and Indonesia Ministries of Health.
Train to become an ECHO hub for oncology.
Becoming an ECHO Partner for MD Anderson programs
Follow these steps to become a member:
- Find a program you would like to participate in
- Contact the program manager or Melissa Lopez Varon to receive the meeting invitations and information about the ECHO clinics
- Set up the free videoconferencing software (Zoom) and any required hardware that is needed for participation
- Connect to your first ECHO clinic
Videoconferencing (Zoom) Instructions
Follow these steps to connect to a clinic:
- Download the free app at www.zoom.us/download
- Sign up for free at www.zoom.us
- Test your hardware (microphone, speaker and webcam) at www.zoom.us/test
- Access your meeting invitation and follow the meeting link on the day of the clinic
- Email us with any questions
Frequently Asked Questions
What are the benefits to clinicians?
- Evidence-based, best practice guidance from specialists
- Case-based "learning-loop"
- Clinical updates and presentations from specialists
- No cost CME, CEU, CNE for participation
- Live Q&A
- Opportunity to translate new knowledge into practice to improve outcomes for patients in their community.
What is the cost?
All of our sessions are free, but require a commitment to actively engage in the peer learning community by sharing their experience and presenting cases.
What equipment is needed?
ECHO MD Anderson uses an internet-based video technology called Zoom. Participants can connect to the video sessions through their phone, tablet, laptop, or a computer with a webcam. Technical support is provided.
Is this only for physicians?
Any health care professional interested in engaging around a topic, sharing their experience, and learning from their peers can attend ECHO sessions. We welcome physicians, nurses, psychologists, counselors, social workers, healthcare administrators, certified tobacco treatment specialists, patient navigators, pharmacists, and public health practitioners.
How can I be sure that the case presentation I share in a session remains confidential?
Only non-identifiable information is shared during the sessions. Our sessions are HIPAA safe and a secure place to share information.
Can I get CME, CNE or CEUs for attending?
All non-international sessions include continuing education credit for attending.
How do patients make an appointment at ECHO?
Patients do not attend and are not seen during Project ECHO sessions. Instead, these sessions facilitate a way in which community providers connect to specialists who help co-manage patients. Participants can present cases to a specialist or simply join others in the spirit of learning.
Contact Information
MD Anderson Project ECHO Staff
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Ellen Baker, M.D., M.P.H.
ebaker1@mdanderson.org
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Jessica Milan
jmilan@mdanderson.org
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Reina Guerrero
rcguerrero@mdanderson.org
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Melissa Lopez Varon, P.h.D., M.S.
mslopez1@mdanderson.org
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