Virtual Peer-to-Peer Learning to Enhance and Accelerate the Health System Response to COVID-19: The HHS ASPR Project ECHO COVID-19 Clinical Rounds Initiative - 27/07/21

Doi : 10.1016/j.annemergmed.2021.03.035

Richard C. Hunt, MD ^a,^⁎ , Bruce B. Struminger, MD ^b, John T. Redd, MD ^a, Jack Herrmann, MSEd ^a, B. Tilman Jolly, MD ^a, Sanjeev Arora, MD ^b, Amy J. Armistad, MA ^b, Amanda M. Dezan, BA ^b, Celine A. Bennett, BA ^b, Jon R. Krohmer, MD ^c, Lawrence H. Brown, PhD ^d,^e
^a Office of the Assistant Secretary for Preparedness & Response, US Department of Health & Human Services, Washington, DC
^b ECHO Institute, University of New Mexico Health Sciences Center, Albuquerque, NM
^c National Highway Traffic Safety Administration, US Department of Transportation, Washington, DC
^d Dell Medical School at the University of Texas, Austin, TX
^e US Acute Care Solutions, Canton, OH

^∗Corresponding Author.

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Abstract

Tasked with identifying digital health solutions to support dynamic learning health systems and their response to COVID-19, the US Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response partnered with the University of New Mexico’s Project ECHO and more than 2 dozen other organizations and agencies to create a real-time virtual peer-to-peer clinical education opportunity: the COVID-19 Clinical Rounds Initiative. Focused on 3 “pressure points” in the COVID-19 continuum of care—(1) the out-of-hospital and/or emergency medical services setting, (2) emergency departments, and (3) inpatient critical care environments—the initiative has created a massive peer-to-peer learning network for real-time information sharing, engaging participants in all 50 US states and more than 100 countries. One hundred twenty-five learning sessions had been conducted between March 24, 2020 and February 25, 2021, delivering more than 58,000 total learner-hours of contact in the first 11 months of operation.

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Plan

Introduction

Background: Project Echo

COVID-19 Clinical Rounds

Presenters And Participants

Structure

Scope, Reach, And Initial Impact

Implications For The Continuing Response To Covid-19

Relationships Are Key

Limitations And Lessons Learned

A Model For Future Public Health Emergencies Or Disasters

	*Editor’s Note:* This article is part of a series that describes the many ways that the Department of Health and Human Services interacts with the emergency care system. The Department of Health and Human Services includes many divisions that are well known to the health care world, including the Centers for Medicare & Medicaid Services, the Health Resources and Services Administration, the National Institutes of Health, and the Agency for Healthcare Research and Quality. The goal of the series is to increase the visibility of federal emergency care–related activities within the emergency care community.
	Supervising editor: Brendan G. Carr, MD, MS. Specific detailed information about possible conflict of interest for individual editors is available at editors.
	Authorship: All authors attest to meeting the 4 ICMJE.org authorship criteria: (1) Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND (2) Drafting the work or revising it critically for important intellectual content; AND (3) Final approval of the version to be published; AND (4) Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
	Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (seewww.icmje.org). RCH, JTR, and JH are employed by HHS/ASPR which organized COVID-19 Clinical Rounds. BTJ is employed by Aveskha, Inc. and provides direct contract support to HHS/ASPR. BBS, SA, AJA, AMD, and CAB are affiliated with the ECHO Institute, which provides the platform for COVID-19 Clinical Rounds. JRK and LHB have stated that no such relationships exist. The ECHO Institute at the University of New Mexico Health Sciences Center is the recipient of funding from HHS/ASPR to provide administrative and technical support for COVID-19 Clinical Rounds.
	Disclaimer: The views expressed are those of the authors and do not necessarily represent the official policies of the Office of the Assistant Secretary for Preparedness & Response, US Department of Health & Human Services or the Office of EMS, National Highway Traffic Safety Administration, US Department of Transportation.