Common to Complex: Anxiety (Project ECHO) - Fall 2024 Cohort

Monday, September 9, 2024, 6:30 PM - Monday, October 28, 2024, 7:45 PM, Online

Anxiety is common in children and adolescents presenting to pediatric primary care settings; however, identification and treatment can be complex. Our Anxiety ECHO provides an efficient and collaborative way to learn and practice. The learning is supported by a psychologist, psychiatrist, and primary care provider peers to enhance knowledge and skills related to in-office interventions and medication management of these complex cases. The goal of ECHO is to improve primary care providers’ comfort with identification and management of the treatment of anxiety in the primary care setting, while also providing a network of resources to ensure patients receive the right care in the right place at the right time.

The Fall 2024 cohort will be weekly for 75 minutes on Monday evenings from 6:30 PM to 7:45 PM (ET)
Mark your calendars now for the following dates.

Dates

September 9, 16, 23, 30
October 7, 14, 21, 28

Session Topics

Session 1: Overview of Anxiety Disorders
Session 2: Screening & Diagnosis Within Pediatric Primary Care
Session 3: Safety
Session 4: Psychoeducation about Anxiety
Session 5: First-Line Interventions (CBT + Medication) *
Session 6: Starting Medications *
Session 7: Follow-Up Visit *
Session 8: Mind/Body Interventions 

*APRN Pharmacotherapeutic Eligible

How to Participate?
The next cohort is scheduled to begin Monday, September 9, 2024. Registration will open mid-August.
     • Participate via video-conference
     • Eight- 75 minute sessions, held on Monday evenings.
     • We will use a web-based video platform (Zoom) to conduct sessions. There is no cost to participants for this platform.
     • Due to registration demand, practices may be limited to one participant per cohort.
     • Cohorts will be limited to approximately 25 participants.
     • Participants must be able to participate in at least 80% of sessions and submit at least 1 case
     • Session dates: 9/9, 9/16, 9/23, 9/30, 10/7, 10/14, 10/21, 10/28

Why should I participate?
Primary Care Providers (PCP) can access pediatric specialists for professional collaboration through regular teleECHO sessions, which are like an interactive grand round presentation. During a session, the specialist will present a brief didactic.  PCPs present cases to the "learning network," which includes the specialist team and other participants, to receive feedback.

Benefits for Participating Clinicians:
     • Participate from the convenience of your office or home
     • Face-to-face networking and collaboration with colleagues
     • Sessions led by sub-specialist
     • Receive expert opinions on cases

Featured Faculty
Rachel Mathews, PhD
Dr. Mathews is a licensed psychologist in the Division of Behavioral Medicine & Clinical Psychology (BMCP) at Cincinnati Children’s Hospital Medical Center. Dr. Mathews provides direct clinical care through the outpatient mental health service line, and also conducts psychological assessment through the testing service line at CCHMC. Dr. Mathews’ clinical and research interests include Obsessive-Compulsive and Related Disorders (OCRDs), tic disorders, food allergy anxiety (FAA), and Avoidant-Restrictive Food Intake Disorder (ARFID). 

Emily Harris, MD, MPH, FAAP
Dr. Harris is board certified in pediatrics, adult psychiatry, and child and adolescent psychiatry. She provides direct clinical care at Cincinnati Children’s as a Primary Care Pediatrician, as well as an outpatient child and adolescent psychiatrist.

John Strader, MD
Dr. Strader is a child and adolescent psychiatrist at Cincinnati Children's.  He provides clinical care as a consult/liaison psychiatrist in the hospital and evaluates and treats children in crisis in the emergency department and in outpatient bridge clinic at the Cincinnati Children's Burnet campus.

What is “Common to Complex”?
“From Common to Complex: Utilizing Telehealth to Connect Primary Care Providers to Pediatric Specialists” is a project to look at using technology and case-based learning to improve knowledge, self-efficacy and have a positive impact on care. Cincinnati Children’s will use the Project ECHO methodology to offer telehealth based learning for primary care providers over a 6-12-month period.  Project ECHO, Extension for Community Healthcare Outcomes, is a virtual learning network method that enables information sharing regarding best practices and access for specialty care in all areas, especially rural or underserved areas.

How Project ECHO Works
Project ECHO – Extension for Community Healthcare Outcomes – uses technology, Project ECHO bridges the gap between healthcare specialists and community-based clinicians. The Project ECHO model is based on four principles:
     • Use technology to leverage scarce resources
     • Share “best practices” to reduce disparities
     • Apply case-based learning to master complexity
     • Evaluate and monitor outcomes

During Project ECHO sessions, healthcare clinicians present cases using a case-based format using video conferencing equipment. Project ECHO specialist and other participants discuss patient cases and recommendations are made regarding a treatment plan.  Specialists and community clinicians hear various case presentations, as well as follow-up and outcomes, and over time greatly increase their knowledge and experience in the evaluation and treatment of anxiety.

 What Clinicians and Partners say about Project ECHO:
     • “I feel more confident, and it makes providing care easier. This project allows for increased opportunities to learn, and patients to get better care.”

     • “Project Echo has been a valuable learning experience for me, and I have learned and incorporated new ideas into my practice as a direct result of my participation. I find that sharing in a group setting and seeing how others approach problems to be a good way of synthesizing how I would or might approach things in my daily practice.  I highly recommend participation in Project Echo learning opportunities as they come available."

Information about Project ECHO
https://www.cincychildrensecho.com/

1. Screen for pediatric health concerns
2. Utilize best evidence/treatment algorithms to identify treatment options
3. Describe the referral pathway of pediatric diagnoses if not treatable in the community setting
4. Discuss roles/responsibilities for the healthcare team when treating and referring
5. Communicate with the healthcare team

In support of improving patient care, Cincinnati Children’s Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician:  Cincinnati Children’s designates this live activity for a maximum of 10 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is designed for the additional hours required for APRNs & PAs with prescriptive authority in Ohio.

Nursing:   This activity is approved for a maximum 10 continuing nursing education (CNE) contact hours. This activity is designed for the additional hours required for APRNs & PAs with prescriptive authority in Ohio.

MOCpt2: Successful completion of this CME activity, which includes participation in the activity and individual assessment of and feedback to the learner, enables the learner to earn up to 10 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

IPCE: This activity was planned by and for the healthcare team, and learners will receive 10 Interprofessional Continuing Education (IPCE) credits for learning and change. 

AMA PRA Category 1 Credits™ (1.25 hours), ABP MOC Part 2 (1.25 hours), CME - Non-Physician (Attendance) (1.25 hours), IPCE (1.25 hours), Nursing CE (1.25 hours)

The registration form for this activity is currently unavailable.

Mitigation of Relevant Financial Relationships

Cincinnati Childrens Hospital Medical Center adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

No faculty are available for this activity at this time.