Pediatrics . Addressing Emerging Needs Through the COVID-19 and Children With Medical Complexity ECHO

[tetano]

Pediatrics


. 2024 Jan 1;153(Suppl 1):e2023063424E.
doi: 10.1542/peds.2023-063424E. Addressing Emerging Needs Through the COVID-19 and Children With Medical Complexity ECHO

Christina Boothby[SUP] 1 [/SUP], Jennifer Lail[SUP] 2 [/SUP], Rishi Agrawal[SUP] 3 4 [/SUP], Peter Corcoran[SUP] 1 [/SUP], Meg Comeau[SUP] 5 [/SUP]



Affiliations

• PMID: 38165236
• DOI: 10.1542/peds.2023-063424E

Abstract

The COVID-19 and Children with Medical Complexity (CMC) Extension for Community Healthcare Outcomes (ECHO) was developed as a "just in time" learning format to respond to the vast number of challenges faced by health care clinicians, public health professionals, and families/caregivers of CMC during the coronavirus disease 2019 (COVID-19) pandemic. A unique aspect of the ECHO was the meaningful integration of family leaders who participated as faculty, learners, case study presenters, and guest lecturers. Another distinguishing feature of this ECHO was its inclusion within a Collaborative Improvement and Innovation Network. A mixed methods analysis found that the COVID-19 and CMC ECHO was associated with significant gains in knowledge and confidence in caring for CMC and their families during the COVID-19 pandemic. This article provides an overview of the results of the COVID-19 and CMC ECHO and provides recommendations related to utilizing the ECHO model as a rapid response mechanism for systems improvement, clinical practice improvement, and education during a public health emergency.


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[tetano]

Pediatrics


. 2024 Jan 1;153(Suppl 1):e2023063424B.
doi: 10.1542/peds.2023-063424B. The Collaborative Improvement and Innovation Network for Children With Medical Complexity

Meg Comeau[SUP] 1 [/SUP], Anna Maria Padlan[SUP] 2 [/SUP], Bethlyn Houlihan[SUP] 1 [/SUP], Cara Coleman[SUP] 3 [/SUP], Christopher Louis[SUP] 4 [/SUP], Treeby Brown[SUP] 2 [/SUP], Marie Mann[SUP] 5 [/SUP]



Affiliations

• PMID: 38165235
• DOI: 10.1542/peds.2023-063424B

Abstract

In response to a number of emerging issues, in 2017 the federal Maternal and Child Health Bureau funded its first collaborative quality improvement network aimed at improving the quality of life for children with medical complexity, the well-being of their families and the cost-effectiveness of their care. This paper is intended as a brief introduction to the Collaborative Improvement and Innovation Network to Advance Care for Children with Medical Complexity or CMC CoIIN project. In it, you will learn about the origins of the project, the guiding principles used to cocreate and promote measurable, meaningful family engagement in systems-level change efforts, its goals and objectives, the impact of the coronavirus disease 2019 pandemic on the project and some high-level learnings from our experiences, which have implications for future care delivery improvements for this growing and vulnerable population of children.


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