About the Model

Project ECHO (Extension for Community Healthcare Outcomes) is a collaborative model of medical education and care management developed by The University of New Mexico with the goal of empowering providers to provide expert care to their patients wherever they may be.

Project ECHO @ Joslin hosts virtual sessions that provide education and personalized advice for primary care teams.  Our goal is to inspire and embolden primary care teams to deliver professional, specialized diabetes care to their patients within their Medical home.

ECHO is a virtual case-based learning network using videoconferencing platform that is easily accessed anywhere across the United States and globally. Project ECHO @ Joslin focuses on diabetes care and aims to remove the barriers that exist between primary care providers and specialists. The Joslin team includes a lead endocrinologist specializing in diabetes care along with one or more experts on various topics related to diabetes management. This is classically referred to as the “hub and spokes” model, where Joslin is the hub and primary clinicians in local communities are the spokes.

ECHO sessions enable primary care providers to treat patients with complex diabetes in their own practices and their own communities.nAt each ECHO session, a primary care provider presents a de-identified HIPPA-compliant clinical case from their own practice for discussion.

  • A clinical case is presented followed by discussions about providing expert care.
  • Experts mentor and participate in mutual learning with primary care physicians regarding constraints in providing accessible diabetes care.
  • Experts give 10-minute didactic presentations on a general topic that is practical for diabetes care.
  • Cases that have been presented can be followed up in three months during another one of the ECHO rounds.

In addition to gaining a collaborative educational experience, participants joining the Project ECHO @ Joslin are eligible for CME credits.  Furthermore, members of the Project ECHO @ Joslin team develop a sense of community and teamwork that extends beyond the formal educational sessions.

Curriculum Highlights

ECHO sessions enable primary care providers to treat patients with complex diabetes in their own practices and their own communities.

  • ADA guidelines
  • Insulin initiation
  • Identifying types of diabetes
  • Cultural considerations for diet modification
  • Impacts of exercise
  • Weight management
    • Surgical interventions for treatment of type 2 diabetes
  • Medical Nutrition Therapy
  • Self-monitoring of blood glucose levels
  • Continuous glucose monitors (CGM)
  • Artificial pancreas
  • Sulfonylureas
  • Role of GLP 1 receptor agonists, DPP4 inhibitors
  • Affording medications
  • SGLT 2 inhibitors and diabetes/cardiovascular health
  • Lipid management – PCSK 9 inhibitors, statins, etc.
  • Cardiovascular outcomes of diabetes medications
  • Insulin analogues
  • Diabetic kidney disease
  • Microvascular/macrovascular complications
  • Neuropathy
  • Ocular complications
  • Foot health
  • Lipids & cholesterol
  • Effects of anxiety & depression on diabetes self-management
  • Diabetes burnout
  • Compliance with recommendations
  • Elderly populations
  • Young adults
  • Diabetes in pregnancy
    • Gestational diabetes
    • Pre-conception counseling for existing diabetes
  • Atypical presentations of diabetes
  • Latinos & diabetes

Questions? Contact Madeline Bennetti at 617-309-4458 or email project.echo [at] joslin.harvard.edu.