Podcasts about community healthcare outcomes

Providing high-quality cancer care to patients is the goal for any oncologist, yet there are many places across the globe that face multiple hurdles in achieving that goal. In this ASCO Education podcast we explore how one group is making a positive impact in the state of Surawak in Malaysia via the efforts of ASCO's International Cancer Corp Program (ICC).  Dr. Roselle de Guzman, past chair of the Asia Pacific Regional Council of ASCO, Dr Voon Pei Jaye medical oncologist and onsite director of the ICC Program at Sarawak and Dr. Evangelia D. Razis medical oncologist focused on neuro-oncology from Athens, Greece and ASCO volunteer of the ICC Malaysia Program describe the benefits of implementing the efforts of Project ECHO (Extension of Community Healthcare Outcomes) (3:38), the challenges in providing quality cancer care in Sarawak (8:31) and details on how to volunteer for the ICC program (19:45).  Speaker Disclosures Dr. Roselle de Guzman:  Honoraria - Roche Oncology (Philippines); AstraZeneca; Merck Serono, MSD Oncology Recipient, Boehringer Ingelheim, Zuellig Pharma Consulting or Advisory Role - Roche Recipient, Novartis, Boehringer Ingelheim, AstraZeneca, Zuellig Pharma (ZP) Therapeutics, Eisai Recipient, MSD Oncology Research Funding - Centus Biotherapeutics Travel, Accommodations, Expenses - Hospira (Philippines), Roche (Philippines), Merck Sharp & Dohme, Eisai, Boehringer Ingelheim, AstraZeneca, Pfizer Dr. Evangelia D. Razis: Honoraria Company - Servier pharmaceuticals. ESMO Research Funding – Tesaro, IQvia, AstraZeneca, Exelixis, PPD Global, MSD Travel, Accommodations, Expenses - Genesis Pharmaceuticals, Roche, Pfizer, Karyo Dr. Pei Jye Voon: Research Funding - Novartis Recipient, Boehringer Ingelheim, Viracta Therapeutics Inc,  ROCHE, Merck KGaA, Merck Sharp & Dohme, BeiGene, AstraZeneca, Janssen-Cilag, Johnson & Johnson Resources  If you liked this episode, please follow the show. To explore other educational content, including courses, visit education.asco.org. Contact us at education@asco.org. TRANSCRIPT Disclosures for this podcast are listed in the podcast page.  Dr. Roselle De Guzman: Providing high-quality cancer care to patients is the goal for any oncologist, yet there are many places across the globe that face multiple hurdles in achieving that goal. One such location has limited trained personnel, financial constraints, geographical challenges, and limited access to healthcare service in rural areas. The location, the state of Sarawak, located in the eastern part of Malaysia. The population is almost evenly split between urban and rural areas, which are the most dispersed in Malaysia.  The major challenge in Sarawak is the inadequate connectivity in the rural area and limited access to healthcare service. To address these issues, in 2020, a collaboration was formed between Sarawak General Hospital, University of Malaysia Sarawak and ASCO through ASCO's International Cancer Corp Program, or ICC for short. The ICC program is focused on three basic goals: incorporating a multidisciplinary approach into cancer care, integration of palliative care into oncology care, and quality improvement through ASCO's Quality Oncology Practice Initiative, or COPI program. This podcast will spotlight all the planning, activities, and results thus far of the ASCO ICC program in Malaysia. Hello, I'm Dr. Roselle de Guzman, past chair of the Asia Pacific Regional Council of ASCO. I am pleased to spotlight one of ASCO's collaborations with a lower-resource country to improve the quality of cancer care through a multifaceted approach. This year, we are focusing on Malaysia, where, through the ICC program, ASCO has been providing training in multidisciplinary care, palliative care, and quality measurement. Joining us later in the podcast will be medical oncologist Dr. Voon Pei Jye, who serves as the Onsite Coordinator for the ICC program at Sarawak.   First, we will speak to an ASCO volunteer of the ICC Malaysia Program, a medical oncologist focused on neuro-oncology, Dr. Evangelia Razis from Athens, Greece.  Welcome, Dr. Razis.  Dr. Evangelia Razis: Thank you. Thank you for the opportunity. Dr. Roselle De Guzman: First of all, Dr. Razis, what made you want to volunteer for the ICC Malaysia program, and what has been the most rewarding aspect of this service for you? Dr. Evangelia Razis: So, I've been actually collaborating with ICC for many years through ASCO and other programs as well, such as Honduras, and I find volunteering an extremely rewarding experience because you share and interact with colleagues from all over the world, you offer to those less fortunate, and you actually learn a lot through this process as well. So, volunteering is a very rewarding process for me, and I've been involved in it for many years. Plus, the opportunity to do something in neuro-oncology, which is very close to my heart, is very important, because this is a new field. I feel it needs to be exposed in all countries because it has many intricacies.  Dr. Roselle De Guzman: Well, that's really rewarding and must be really fulfilling work for you, Dr. Razis.   Dr. Razis, you also serve as a lead facilitator of the Project ECHO Neuro-Oncology Mock Tumor Board series, which delivers monthly online training to physicians from Malaysia. Can you tell us more about this project? What are mock tumor boards? Dr. Evangelia Razis: So, Project ECHO, the word stands for Extension of Community Healthcare Outcomes, and it's a project that has attempted to be near community healthcare delivered in low and middle-income countries through virtual media to support the healthcare in these areas. And in this particular effort, we are holding a neuro-oncology tumor board once a month since September with the Malaysia team. It's mock because we don't actually deliver specific patient advice for the purpose of patient care. We actually do it for educational purposes. So, we present cases and then discuss a topic.   The program has been set up for several months now by the Malaysia team based on their needs, which neuro-oncology topics they want to highlight. And we have a once a month, one-and-a-half-hour session, whereby cases are presented, and then an invited speaker from several places around the world, as I'll tell you in a minute, highlights this topic and then discusses the cases and discusses the questions that the group from Malaysia has.  And not only have we been able to be joined very regularly by the Sarawak team, but other parts of Malaysia have joined in, other centers in Malaysia have joined in different occasions. Now, the speakers have been experts from Europe and the United States based on their expertise in particular neuro-oncology topics.  Dr. Roselle De Guzman: So, Project ECHO is one of those innovative ways of delivering healthcare to extraordinarily challenging environments, those which are extremely remote or under-resourced areas. So to your knowledge, Dr. Razis, what improvements have been made since the implementation of Project ECHO? Dr. Evangelia Razis: Over the last nine months, I have noticed more insightful questions that show that some understanding of the standard neuro-oncology way of thinking, if you will, has come through to the colleagues that are joining us, though I must say that they were very knowledgeable from the beginning. I also hope that certain intricacies of neuro-oncology, such as, for example, the way to read scans and evaluate the fact that there may be pseudo progression or pseudoresponse, the way to integrate molecular parameters into the decision-making process, has now become part of the way they think about patients. And ultimately, the most important aspect has been the multidisciplinary approach to neuro-oncology and the constant use of all specialties to make a decision. Surgery, radiotherapy, radiology, pathology, all of these specialists need to come together to produce an appropriate decision for the patient. Dr. Roselle De Guzman: So one thing that's interesting as well is in 2013, Dr. Razis, your institution, HYGEIA Hospital in Athens, Greece, was one of the first outside the United States to join the Quality Oncology Practice Initiative or COPI program of ASCO. And your program was also the one to be accredited. So, Sarawak General Hospital in Malaysia is collaborating with ASCO as well for the COPI program that focuses on quality improvement. So, based on your experience, what benefits does the COPI program bring to an institution? Dr. Evangelia Razis: So, COPI, in fact, is an extremely useful way to streamline one's work and increase patient safety and patient satisfaction. I would also say that it helps reduce waste of resources, which is particularly important in resource-limited settings. And we do have a COPI version that is for limited resource settings. It's amazing, but just doing one's work lege artis does result not only in better outcomes but less waste. And that I think is extremely important for Sarawak. So, I think they will find it very useful to be streamlining their work through COPI. Dr. Roselle De Guzman: Thank you, Dr. Razis, for sharing your experience, your expertise, and your insights. Now, at this point, I would also like to introduce medical oncologist Dr. Pei Jye Voon, who serves as the Onsite Coordinator for the ICC program at Sarawak.  Dr. Voon, Welcome. Dr. Pei Jye Voon: Thank you so much.   Dr. Roselle De Guzman: Dr. Voon, can you describe what cancer care was like in this area of Malaysia for the past few years and what are the main challenges in providing quality cancer care? Dr. Pei Jye Voon: Yes, of course. So first of all, I would like to give a brief introduction of Sarawak, which is situated at the Borneo island of Malaysia and is the largest state in Malaysia with a very large land area populated by only 2.9 million people, meaning it is very sparsely populated. And for information, newly diagnosed cancer cases in our state is about 2300 cases a year, and the common cancer include breast cancer, followed by colorectal and lung cancer, as well as a cancer that is peculiar to our setting here: nasopharyngeal cancer.   Half of our 2.9 million population, as mentioned before, are residing outside the urban area, which causes the issue of accessibility of health care, particularly good cancer care, for this rural population. It has always been a great challenge as we have only one public comprehensive cancer center, and thus inequity of access to cancer care is one of the major hurdles in providing good quality cancer care in our state here. In addition, inadequate formally trained, for example, oncologists and palliative care physicians, as well as other healthcare personnel, like oncology nurses, perioperative nurses, which has also negatively impacted the quality of care that we are providing here.   Furthermore, limited availability of good, top-notch cancer infrastructures, especially at the district hospitals outside our capital city of Kuching, also poses a great challenge to us in developing good quality cancer care across the whole state. Moreover, similar to many parts of the world, the ever-increasing cost of cancer treatment, especially on the expensive new anti-cancer drugs, is another pressing issue for us as well.  In summary, I can say that inequity of access due to the geographical barrier, lack of human resources, inadequate infrastructure, and also the ever-increasing cost of cancer, are the major challenges that we are facing here in Sarawak.  Dr. Roselle De Guzman: Thank you, Dr. Voon. I'm sure the situation in Sarawak resonates with other countries, low- and middle-income countries. Of course, there are truly challenges, but of course, with the challenges come opportunities. So what benefits or changes have taken place through this collaborative ICC program? Dr. Pei Jye Voon: I have to say that participating in the ASCO ICC program is one of the greatest things that has happened to our radiotherapy oncology and palliative care department at Sarawak General Hospital. We have gained tremendously, definitely from that. And for instance, we have been actively participating in a highly personalized palliative care education program which is one of the highlights of this collaboration. Various projects have been successfully conducted, including the ASCO Palliative Care e-Course course, which subsequently led to the Train the Trainer's program. This program benefited not only the Sarawak team, but also healthcare providers across Malaysia as well. And this aspect of human development in palliative care was further consolidated with the in-person training by Dr. Frank Ferris as well as Dr Shannon Moore in November last year when they came to visit us physically. We are very grateful for that.  And in addition to enhancing palliative care, another very interesting project that is actively ongoing is the project ECHO Neuro-oncology Tumor Board Series, which delivers online monthly training to physicians across Malaysia on neuro-oncology care. This was discussed by Dr. Razis earlier on in the podcast, so I'm not going to elaborate at length here. But essentially, the idea of this project was conceived initially in view of the gap that we noted in our neuro-oncology management in our hospital, as compared to those of common cancers that we are actually treating. So through the diverse lectures and many case discussions of the recent in-person visit by the ASCO team that we saw, the management of our neuro-oncology cases has definitely been enhanced and we are looking forward to Dr. Razis coming to visit us physically as well.   At the same time, we are also looking forward to the incoming multidisciplinary board project under the ASCO ICC program on breast cancer management in August this year. I believe that Dr. Guzman is going to come to visit us, and we are looking very much forward for this as well. And at the same time, this exciting project is under active planning now. Furthermore, we are also eagerly awaiting the improvement of quality cancer care programs using evidence-based quality measures via the COPI project in the near future. Dr. Roselle De Guzman: Dr. Voon, it seems there is a lot of things happening with Sarawak General Hospital, and we know that there are so many patients globally that do not get the comforts and benefits of palliative care program. You have mentioned palliative care program. Has the ICC Sarawak program made a difference in patient quality of life thus far?  Dr. Pei Jye Voon: Again, the answer is yes. Definitely yes. So the ASCO Sarawak Palliative Care program has definitely made a great difference in the patient's quality of life. This collaborative work between SarGenHospital, our university, UNIMAS, and ASCO has been in its third year. And many important palliative care milestones in Sarawak have been accomplished. This specially designed program—I would say that this is a specially design program that fits us, that fits our needs—has been mentioned before and includes the ASCO e-course, Train the Trainer program, the mentorship program through the International Development and Education Awards through the Conquer Cancer Foundation, and last but not least is the translation of the ASCO Palliative Care Interdisciplinary Curriculum Resources to our national language to reduce the language barrier in training and education for our people here.   All these innovative programs have provided a fundamental framework of palliative care  education that is invaluable in equipping our oncologists as well as oncology trainees with the necessary knowledge and skill set to better identify and also meet the palliative care needs amongst our patients. It also ensures a more competent and timely palliative care provision at a general level by the oncology team of our hospital. I think that is extremely important. And it enables the team to incorporate the best palliative care management early in the course of the disease. We call this early introduction through palliative care in our hospital. And in some ways, actually, the ASCO collaboration has enhanced the teamwork and helped the oncology team to recognize our own limitations while providing general palliative care, thereby encouraging the timely palliative care referral whenever appropriate to ensure that patients with more complex physical, psychosocial, and spiritual needs have the necessary input and support from our palliative care team throughout the course of their illnesses.  Dr. Roselle De Guzman: So we have been discussing important points on the ICC program focusing on multidisciplinary cancer care management, palliative care program, and the COPI program. What do you think are other solutions? Are there others that exist to overcome hurdles to provide quality cancer care to people in Malaysia? Dr. Voon? Dr. Pei Jye Voon: Yes. Definitely yes as we have discussed in our conversation. So besides the ASCO ICC program, various existing and some projects which are in planning now to overcome hurdles to provide quality care to the people in Sarawak have been implemented or are currently in a very active planning phase. So in terms of inequity of access to good cancer care due to the geographical barrier, we have actually undertaken decentralization efforts of cancer care here in Sarawak. One of the actual efforts around initiatives is to host our senior long-term oncology liaison medical officers with adequate oncology experience to other district hospitals in Sarawak so that better cancer care could be delivered to patients closer to their homes. This was also consolidated with our regular visiting oncologists to these district hospitals as part of decentralization efforts as well. There is also a nursing training program for systemic treatment administration being conducted since last year in all major district hospitals, with the aim of credentialing all our nurses in the state managing cancer care patients with this essential nursing skill of administering systemic therapy in their own hospital.   In addition to that, weekly oncology and palliative care continuous medical education program across the state has been conducted since the fourth quarter of last year, to disseminate oncology knowledge rapidly to healthcare providers, especially those outside our capital city, who have inadequate exposure in oncology care. And upgrading of our cancer care infrastructure has also been actively planned and we are actually looking forward to a new comprehensive cancer center in our city in the next few years.   Besides that, our center is also robustly developing our clinical trial capacity in the hope that we can provide additional treatment options to our patients who have limited optional treatment due to cost constraints. In summary, I can say that various initiatives have been implemented to enhance the cancer care in Sarawak, and one thing for sure is the ASCO ICC program has been facilitating all this positive development. Dr. Roselle De Guzman: So many things are happening, so many things are being done. And with all your efforts, knowledge, and expertise, of course, nothing is impossible. And it's always helpful if you have a very dedicated and committed team, right? Dr. Pei Jye Voon: Yeah, definitely. We have a very dedicated team, that's for sure. Dr. Roselle De Guzman: So Dr. Voon, thank you for being with us today and for your onsite coordination of the program. And Dr. Evangelia Razis, thank you for volunteering your time and insights to the ICC program and to our podcast.  Malaysia is not the only location that the ICC program has been implemented in. There are currently nine sites in Asia, Africa, and South America currently accepting volunteers. Now I would like to give a brief information for volunteers wanting to participate. ASCO pairs eligible oncology professionals with a medical center whose needs match the expertise of the volunteer. Volunteers must be appropriately trained and credentialed medical professionals who specialize in oncology. This includes physicians specializing in medical, radiation, and surgical oncology, laboratory professionals, and nurses. Final-year oncology fellows may also participate if paired with an experienced volunteer. Volunteers spend one to four weeks on site. During that time, they teach and train staff, residents, and students, and gain insight into cancer management needs and challenges at that institution. As an added benefit, the program enables volunteers to form long-term supportive relationships with clinicians in participating countries. If you are interested in volunteering for the ASCO ICC program, please go to volunteer.asco.org - that's volunteer.asco.org - to apply. I'm Dr. Roselle De Guzman, past Chair of Asia Pacific Regional Council of ASCO.   Thank you for listening to this ASCO Education Podcast. The ASCO Education Podcast is where we explore topics ranging from implementing new cancer treatments and improving patient care to oncology well-being and professional development. If you have an idea for a topic or guest you would like to see on the show, please email us at education@asco.org. To stay up to date with the latest episodes and explore other educational content, visit education.asco.org.  The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions.   Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.    

Meet Sanjeev Arora.His WHY is Contribute.Sanjeev Arora, M.D., Project ECHO: Dr Sanjeev Arora is the founder and director of ProjectECHO, a non-profit that uses technology, a disease management model, case-based learning, and a web-based database to arm primary care providers with the knowledge needed to treat those with complex health problems that would otherwise need to travel for medical care.Project ECHO (Extension for Community Healthcare Outcomes) was developed to improve both capacity and access to specialty care for rural and underserved populations through service delivery, education, and evaluation. ECHO is a hub and spoke model and currently operates with hubs in 39countries and spokes in over 125 countries. Over 78,000 health and education professionals have participated in ECHO tele-mentoring networks.Dr. Arora is also a Distinguished and Regents’ Professor of Medicine with tenure in the department of Internal Medicine at the University of New Mexico Health Sciences Center.https://echo.unm.edu/ for more info. See acast.com/privacy for privacy and opt-out information.

In this episode we talked with the Project ECHO team based in Alaska, out of the Center for Human Development at the University of Alaska - Anchorage. An ECHO is Extension for Community Healthcare Outcomes, and this ECHO is focused on mental health and intellectual and developmental disabilities. Faith Kelly is the Coordinator for this ECHO project, and we also talked to several clinicians that have been involved in the project and working in clinical roles for many years. TranscriptLinks:Project ECHO AK What is an ECHO?Center for Human DevelopementBIOS:Marti Romero, Psy.D., LPC-SDr. Romero is a licensed psychologist and the Clinical Director at Assets, Incorporated – a non-profit organization in Anchorage, Alaska that provides treatment and supports to individuals who experience intellectual/developmental disabilities (I/DDs) and/or severe and chronic mental illness. She has dedicated her 30 year career to serving this underserved population. Dr. Romero received her B.S. in Sociology from San Diego State University, and her Masters and Doctorate degrees from Alaska Pacific University. She became interested in working with this population while studying for her undergraduate degree as she worked in an institutional setting for individuals who experienced I/DDs and severe behavioral challenges. She started her career doing direct supports and in so doing has developed a passion, and staunch advocacy for the work she does and the people with whom she works.In 2014/15 Dr. Romero seized the opportunity while completing her doctoral dissertation, to research the training provided to masters level clinicians (or lack thereof), to provide behavioral health services to individuals with I/DDs. In addition to this research, and from her experiences working with and supervising many clinicians over the years, she knew the training was sparse – especially in Alaska. As part of her dissertation, she developed an in depth training curriculum for clinicians who would be willing, and interested in serving this population. She has since utilized this training to assist clinicians, through a variety of venues, gain the skills needed to effectively provide behavioral health services to individuals who experience I/DDs.Dr. Romero is a life-long Alaskan, who enjoys spending time with family and friends; fishing, camping, hiking, playing softball – generally most things in the great outdoors.Laronsia ‘Ronnie’ ReynoldsRonnie was born in Florida and relocated to Anchorage, Alaska, in 1982. She attended Alaska Pacific University and completed her undergraduate degree and obtained a Master’s Degree in Counseling Psychology. Ronnie has worked the past 25 years in the non-profit sector performing various roles in Anchorage community health agencies. She has extensive experience working with children and adults who experience varying abilities, diagnosis, and challenging behaviors. She has worked successfully with those experiencing symptoms of Anxiety, Depression, ADHD, transitions, Dementia, serious mental illness, severe emotional disturbances, and intellectual and developmental disabilities. Adapting therapeutic treatment strategies and approaches has been key in her work. When not working, Ronnie enjoys spending her time with family and friends. She particularly enjoys being in the outdoors during the Summer and Fall seasons. She also enjoys playing sports and all types of word and board games. She believes there is nothing like doing work you are passionate about…….it makes it fun and not just a job. BreeAnn Davis was born and raised in Alaska. Professionally she has worked for a tribal social service agency for the past 7 years. Personally she is the parent of 4 children, two who experience a co-diagnosis of both a developmental disability and a mental health diagnosis. She has an AAS in Disability Services and a Children’s Behavioral Health endorsement through the University of Alaska. She also has an ACRE certificate and is a certified Career Development Coach. She is currently serving on the advisory board for the National Mental Health and Developmental Disability (MHDD) National Training Center. In her personal time, she loves to garden and volunteer in her community. Summer LeFebvre’s (LCSW BCBA LBA) 20 years of practice has been focused on working with individuals and families that have experienced complex trauma. Summer is the Clinical Director of the Effective Behavior Intervention (EBI) clinic at the University of Alaska Center for Human Development. The EBI program specializes in providing technical assistance and training in the development and use of person centered applied behavioral science interventions. In her role at the EBI program Summer has worked for six years across urban and rural Alaska within school districts and for health care providers who serve people adults, youth and children experiencing combinations of substance use disorders, behavioral health and developmental disabilities. Summer has a Master's in Social Work from the University of Alaska, Anchorage in 2005, a postgraduate certificate in Positive Behavioral Support from Northern Arizona University in 2014 and is Licensed Board Certified Behavior Analyst and a Licensed Clinical Social Worker in Alaska.Faith Brainerd Kelly joined the team at the Center for Human Development in Anchorage, Alaska, in early 2019. After studying fine art at Mount Holyoke College in Massachusetts, Faith headed North to Alaska where she worked in the field of disability support services for nearly 20 years. Raised in a large and loving family in Maine, she is grounded in the values of human rights and self-determination. For the past several years, Faith has served as a board member for the Key Coalition of Alaska, an organization promoting equality for Alaskans who experience disabilities through direct interaction with the state government. As for that art degree – Faith gets creative these days figuring out how to walk 3 dogs without tripping over their leashes. *Music Credit: Music for our podcast is licensed from Marmoset Music. Artist: Johnny Clay; Song "Looking Down the Road"

TPW is pleased to host this webinar in partnership with Co-Impact.COVID-19 has forced a pivot to alternative ways of providing healthcare while limiting exposure to the virus. With this has come a quick adoption of telemedicine--a tool involving remote health-related services such as monitoring, advice and education between doctors and patients online over a secure connection.Project ECHO (Extension for Community Healthcare Outcomes) takes telemedicine one step further. It moves knowledge instead of people so that millions of patients in dozens of countries across six continents can get the care they need.Project ECHO is an innovative telementoring program designed to create virtual communities of learners by bringing together healthcare providers and subject matter experts using videoconference technology, brief lecture presentations, and case-based learning, fostering an “all learn, all teach” approach. Participants are engaged in the bi-directional virtual knowledge network by sharing clinical challenges and learning from experts and peers. Project ECHO has been recognized globally as a successful tool to improve patient care outcomes. As the world responds to the rapidly evolving COVID-19 pandemic, Project ECHO's global partner network is uniquely positioned to provide a timely and effective platform to support and scale efforts to prepare for and respond to the spread of the virus, especially in vulnerable countries and regions. The ECHO Institute is working to coordinate and support the rapid development and implementation of ECHO telementoring programs worldwide, leveraging their existing network of ECHO hubs to rapidly disseminate information on COVID-19 preparedness and response in collaboration with local experts and community stakeholders. Join us for a conversation with Dr. Sanjeev Arora to understand how Project ECHO is taking health systems change to global scale.

El descanso, la dieta y el ejercicio son claves para enfrentar una infección causada por este virus o por cualquier otro, dijo en Sobreciencia la doctora Mariana Vaz. La especialista nombró un cuarto factor: mantener una actitud positiva frente a la vida. Por otra parte, abordamos el proyecto ECHO (Extension for Community Healthcare Outcomes) en Uruguay. De la mano de Henry Cohen descubrimos qué posibilidades de telemedicina tenemos en el país y cómo pueden servir en un contexto de pandemia. --- Send in a voice message: https://anchor.fm/mediospublicosu/message

Hi! This is going to be a seasonal podcast! Make sure you subscribe to it AND Type2andYou so you won't miss out on special updates or potential giveaways over the summer. AND, you'll be the first to know what's coming at the start of Season 2 this FALL! As a big thank you, I'll send you a FREE copy of my 5-Strategy Guide for Building Your Diabetes Confidence! Learn why diabetes isn't your fault, why you may have a different treatment plan than someone else, and more!Today, I share my interview someone who's had their foot on both sides of the fence---as a Certified Diabetes Care and Education Specialist and living with type 2 diabetes. And she has a message for you. A message of HOPE!Listen to Virginia's 2019 Outstanding Educator in Diabetes by the American Diabetes Association Speech!You can also grab Virginia's book, Diabetes, the New Type 2, here!About Virginia:Virginia Valentine, APRN-CNS, BC-ADM, CDE, FAADE, practices as a Diabetes Specialist with Clinica La Esperanza in Albuquerque managing a wide variety of clinical challenges in diabetes in a primary care group. She is also a faculty clinician with Endo ECHO with University of New Mexico. Project ECHO (Extension for Community Healthcare Outcomes) is a collaborative model of medical education and care management that empowers clinicians across New Mexico to provide better care to more people, right where they live. Ms. Valentine received her Master of Science in Nursing degree from the University of Oklahoma College of Nursing in Oklahoma City. She is board-certified in Advanced Diabetes Management and is a Certified Diabetes Educator. Read more about Virginia's amazing accomplishments, including her book, here.Take Away of The Day:How to turn today's topic into action. Find additional resources and supportive tools on Type2andYou.Org.

Hi! This is going to be a seasonal podcast! Make sure you subscribe to it AND Type2andYou so you won't miss out on special updates or potential giveaways over the summer. AND, you'll be the first to know what's coming at the start of Season 2 this FALL! As a big thank you, I'll send you a FREE copy of my 5-Strategy Guide for Building Your Diabetes Confidence! Learn why diabetes isn't your fault, why you may have a different treatment plan than someone else, and more!Today, I share my interview someone who's had their foot on both sides of the fence---as a Certified Diabetes Care and Education Specialist and living with type 2 diabetes. And she has a message for you. A message of HOPE!Listen to Virginia's 2019 Outstanding Educator in Diabetes by the American Diabetes Association Speech!You can also grab Virginia's book, Diabetes, the New Type 2, here!About Virginia:Virginia Valentine, APRN-CNS, BC-ADM, CDE, FAADE, practices as a Diabetes Specialist with Clinica La Esperanza in Albuquerque managing a wide variety of clinical challenges in diabetes in a primary care group. She is also a faculty clinician with Endo ECHO with University of New Mexico. Project ECHO (Extension for Community Healthcare Outcomes) is a collaborative model of medical education and care management that empowers clinicians across New Mexico to provide better care to more people, right where they live. Ms. Valentine received her Master of Science in Nursing degree from the University of Oklahoma College of Nursing in Oklahoma City. She is board-certified in Advanced Diabetes Management and is a Certified Diabetes Educator. Read more about Virginia's amazing accomplishments, including her book, here.Take Away of The Day:How to turn today's topic into action. Find additional resources and supportive tools on Type2andYou.Org.

Dr. Dixon and Dr. Berezin discuss an innovative model to integrate medication-assisted treatment (MAT) in rural primary care settings for patients with opioid use disorders, and how mental health professionals can prepare and respond to the mental health consequences of increasingly dangerous storms. The barriers and facilitators that affect engagement with Project ECHO (Extension for Community Healthcare Outcomes) to implement MAT in primary care settings [0:58] How mental health professionals can help individuals affected by hurricanes [12:24] We encourage listeners to donate to any trusted charity serving communities affected by Hurricane Dorian. Check out Editor's Choice, a new set of curated collections from the rich resource of articles published in the journal. Sign up to receive notification of new Editor's Choice collections. Other articles may be viewed at our web site. Be sure to let your colleagues know about the podcast, and please rate and review it wherever you listen to it. Listen to other podcasts produced by the American Psychiatric Association. Follow the journal on Twitter. E-mail us at psjournal@psych.org

Sherry L. Ball, PhD, is an HSR&D Research Health Scientist at the Louis Stokes Cleveland VA Medical Center, in Cleveland, OH. In this podcast, she discusses her poster, “Expanding Access to Pain Care: Promoting Specialist and Primary Care Provider Networks with SCAN-ECHO (Specialty Care Access Network Extension for Community Healthcare Outcomes).”

Project 'ECHO' (Extension for Community Healthcare Outcomes with guest Dr. Sanjeev Arora April 1, 2018 Yale Cancer Center visit: http://www.yalecancercenter.org email: canceranswers@yale.edu call: 203-785-4095

Project 'ECHO' (Extension for Community Healthcare Outcomes with guest Dr. Sanjeev Arora April 1, 2018 Yale Cancer Center visit: http://www.yalecancercenter.org email: canceranswers@yale.edu call: 203-785-4095

Project 'ECHO' (Extension for Community Healthcare Outcomes with guest Dr. Sanjeev Arora April 1, 2018 Yale Cancer Center visit: http://www.yalecancercenter.org email: canceranswers@yale.edu call: 203-785-4095

Dr. Dixon and Dr. Berezin discuss the controversial practice of outpatient commitment (community treatment orders or assisted outpatient treatment) and its effect on mortality, the use of the ECHO model (Extension for Community Healthcare Outcomes) in providing case-based training for health care providers via videoconferencing with a team of specialists, and whether mental health courts affect rates of recidivism. Articles may be viewed online at ps.psychiatryonline.org.

The Healthcare Innovators Podcast brings Dr. Sanjeev Arora to you this month to discuss how technology plays a role in improved access to care for rural areas. Dr. Arora is the Director of Project ECHO (Extension for Community Healthcare Outcomes). He developed the Project ECHO model as a platform for service delivery, education and evaluation. It took off in New Mexico; now it’s going around the globe. Dr. Arora is truly making a difference in healthcare today and we’re delighted he has stopped by to share his thoughts on healthcare access.

Date: July 9, 2015   Featuring:  Sanjeev Arora, MD, FACP, FACG, Director, Project ECHO (Extension for Community Healthcare Outcomes), Department of Internal Medicine, UNM School of Medicine Donald M. Berwick, MD, MPP, FRCP, President Emeritus and Senior Fellow, Institute for Healthcare Improvement There’s telemedicine, and then there’s Project ECHO. Founder and director, Dr. Sanjeev Arora, makes the distinction so we don’t miss what’s groundbreaking about Project ECHO’s approach. While telemedicine focuses on bridging geographic divides that can separate patients from needed specialists, Project ECHO is on a mission to bridge divides within the provider community itself that prevent medical expertise from being shared and distributed more widely.   With Project ECHO, primary care doctors and others working in underserved, isolated, or small community settings use videoconferencing to advance their skills and ability to handle complex cases because of what they learn from specialists some distance away. The goal is both simple and profound: a “democratization of knowledge” so that patients anywhere can receive the best care from the doctor or health care practitioner they have easiest access to, not the one they don’t.    What began in 2003 as a process for improving access to treatment for people in New Mexico suffering from Hepatitis C, now offers support and learning for 30 different diseases and conditions, impacting patients in some 22 states. A lot of observers believe Project ECHO’s approach to expanding access to specialty care is disruptive in the best sense. That’s why this WIHI took a good, hard look at what difference this effort is making to patients and providers alike.  

Welcome Medicare Nation! I interviewed clinicians and global experts in the bone health field gathered during the Interdisciplinary Symposium on Osteoporosis  held in Miami, Florida from May 12 to 15, 2016. May is the National Osteoporosis Awareness Month. Clinicians and Academicians Joined  the National Osteoporosis Foundation to Identify Solutions for Reducing the Two Million Broken Bones Caused by Osteoporosis Each Year. This conference was sponsored by the National Osteoporosis Foundation (NOF), the organization dedicated to preventing osteoporosis, promoting strong bones, and reducing human suffering through education, advocacy, and research.  NOF is committed to promoting bone health among the elderly through healthy diet and safe exercise.  Both can help stop the loss of bone mass and help prevent fractures.    Leading medical and scientific experts in the bone health field discussed  the latest information on preventing broken bones and lead in-depth educational sessions on the prevention, diagnosis and treatment of osteoporosis.   I met brilliant doctors, nurses, and therapists from all over the world and learned about:   Prevention and treatment of  osteoporosis  Education for prevention of people at risk There are 54 million Americans who suffer from osteoporosis  To address this significant care gap, the ISO 2016 included training on preventive care model that operates under the supervision of a bone health specialist and seeks to prevent repeat fractures.  The Fracture Liaison Service (FLS) Model of Care Training Course is designed to help doctors, nurse practitioners, physician assistants, registered nurses and other healthcare professionals improve the care management of post-fracture patients and navigate the complicated coordination of care process across hospitals, medical offices and multiple medical specialties through the application of best practices. The FLS model of care is the key to sparing millions of American from breaking bones due to osteoporosis. This 2016 ISO includes updated FLS training, and the introduction of Bone Health ECHO (Extension for Community Healthcare Outcomes), a strategy of telementoring FLS coordinators and healthcare professionals of all levels, with the aim of reducing the osteoporosis treatment gap  said E. Michael Lewiecki, MD, FACP, FACE, New Mexico Clinical Research & Osteoporosis Center, Co-Chair ISO Planning Committee 2016.  If you are over 50 and have hip or back fracture, then you have osteoporosis.  Secondary fractures can occur, too.  Every year, osteoporosis is responsible for two million broken bones, yet fewer than 25 percent of older women and men who suffer from a fracture are tested or treated for osteoporosis.  So many things can happen, secondary fracture, pneumonia,  You can find the best information about osteoporosis from  www.nof.org   National Osteoporosis Foundation.   Listen to the first part of a 2-part interview. Learn about food for the bones, calcium-enriched diet, safe exercises for the elderly.  We are on iTunes, and Google Play.  Please tell your friends about medicare nation, and the 3 other shows I have.  You shouldn’t be breaking your hip or back. If you get fractured, you have osteoporosis. Susan Randall     Osteoporosis  is the condition where the bone is weakened and impaired and more prone to rapture.   Causes of osteoporosis include: aging and decline in estrogen and testosterone Women and men both have the same hormones. Both lose these key  hormones as we age   These hormones influence other bodily functions.  As the hormones decline, bone strength and quality are affected  Treatment for breast cancer  put on a class of medications  that are aromataste  inhibitor  Primary and secondary causes of osteoporosis. It’s multifactorial    2.   Dr. Sanjeev Arora     Dr. Arora, MD,  is the Keynote speaker , head of Project ECHO and  Improving Health in Underserved Populations through Technology;   He is from the University of New Mexico;   Project ECHO,  Extension for  Community Health Outcome use the FLS model to improve efficiencies and democratize medical knowledge. Project ECHO uses video conferencing technology where conference participants  can talk  via skype about the best  treatment  in underserved nations.  It’s a new platform for medicine  Project ECHO is based on the  idea that a multidisciplinary team of providers  can attract outcome in the internet  The project targets meeting the medical needs of a billion people by 2020. It currently connects 13 countries and hundreds of universities and clinics. Additional ISO16 Highlights include: Sessions exploring the controversies in osteoporosis treatment and care; New tools for assessing fracture risk; Interactive sessions on safe exercises for people with osteoporosis; Evidence-based answers to the most common patient questions on osteoporosis and fracture prevention; Professional development workshops on patient education and new coding and reimbursement for osteoporosis;  3.  Karen Kemmis    Karen is a Physical Therapist specializing in safe exercises and movements. Silver sneakers – use  gyms medicare vantage plan  Some exercise and moves  could be dangerous for the elderly  Many fitness instructors are not well versed with  chronic  conditions we have to be careful  what is safe for their particular condition Anything in the upright position is safe  for the low-density bone mass Dangerous moves include forward bending  such as toe touches, twisting hard, full rotation, sit-ups   Safe exercise moves include  lying on the back;  lay grazing, isometric exercise,   To work safely with a fitness instructor  tell them about your bone concern, go to www. nof.org, search  positive exercises,  print those materials and bring to instructor  4.  Dr Maria Pesquera   Is a primary physician in Albany, New York  and has a lot of patients who have osteoporosis.  Her medical team is  having issues with medication used for treating osteoporosis She favors exercise alternatives such as yoga and pilates. She promotes a Holistic method of treatment that includes  healthy diet   Resources:    National Osteoporosis website:  www.nof.org  The best way to contact ECHO and Dr. Arora is via the website:  echo.unm.edu     I may answer one of your questions on the air! email me: support@themedicarenation.com Do you have questions or feedback? I’d love to hear it! I may answer one of your questions on the air! email me: support@themedicarenation.com Thank you for listening! If you enjoyed this podcast, please subscribe and leave a 5 star rating and review in iTunes! (Click here)     Find out more information about Medicare on Diane Daniel’s website! www.CallSamm.com      

Dr Baker talks to ecancertv at AORTIC 2015 about the telementoring scheme, Project ECHO (Extension for Community Healthcare Outcomes). Though the scheme originates in the USA, they have since teamed up with many institutions in Africa and elsewhere. People are mentored by experts via video conferencing. The scheme is free and relies on two key factors, she says - enthusiasm and an internet connection.