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Journal of Public Health Policy

, Volume 39, Issue 2, pp 203–216 | Cite as

Extension for Community Healthcare Outcomes (ECHO): a new model for community health worker training and support

  • Miriam Komaromy
  • Venice Ceballos
  • Andrea Zurawski
  • Thomas BodenheimerEmail author
  • David H. Thom
  • Sanjeev Arora
Original Article

Abstract

More than 50,000 community health workers (CHWs) are employed in the United States (US), a country with no national accreditation or certification program. In the US, CHWs are trained, formally and/or on-the-job, and rarely is long-term mentoring included. We developed a CHW training program using the Extension for Community Healthcare Outcomes (ECHO) model™, distance education using video teleconferencing to support case-based learning, and mentoring of healthcare providers from medically underserved communities. We describe the ECHO model for CHW training and mentoring using case examples and pre/post-surveys from our obesity prevention and addiction recovery programs. Using the ECHO model to train and support CHWs offers advantages over traditional training methods, and can be adapted in other countries to support CHWs to improve health in their communities.

Keywords

Community health worker ECHO model Distance education Obesity prevention Addiction recovery 

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Copyright information

© Macmillan Publishers Ltd., part of Springer Nature 2017

Authors and Affiliations

  • Miriam Komaromy
    • 1
  • Venice Ceballos
    • 1
  • Andrea Zurawski
    • 1
  • Thomas Bodenheimer
    • 2
    Email author
  • David H. Thom
    • 2
  • Sanjeev Arora
    • 1
  1. 1.ECHO Institute, University of New Mexico Health Sciences CenterAlbuquerqueUSA
  2. 2.Center for Excellence in Primary CareUniversity of CaliforniaSan FranciscoUSA

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