UPDATE:

ResolutionCare has launched its education portion, Project ECHO, in a nine-month pilot program, also in conjunction with Partnership HealthPlan of California.ย 

Project ECHO uses a hub and spoke model to ” demonopolizes the scarce resource of aย palliative care team,” according to a press release (see the illustration below, and read more about it here.)

ResolutionCare will provide teams with training and discussion at 10 Northern California health centers for 90 minutes, twice a month during the duration of the pilot program. Read the entire press release at the bottom of this post.

PREVIOUSLY:

ResolutionCare, a locally based palliative care program that the Journal wrote about last year, just announced a partnership with a Northern California healthcare group for a 6-month pilot program.

Michael Fratkin, the founder of ResolutionCare, launched a successful crowdfunding campaign last year, and has been working to create a program that will allow more and more people to receive care at home in the final moments of their lives. Fratkin’s model includes both in-person and telemedicine visits, as well as a networking and teaching component to spread palliative care knowledge among rural doctors and nurses.

The pilot program is in conjunction with Partnership HealthPlan of California, a state-contracted nonprofit that coordinates Medi-Cal care through local care providers, and is expected to provide in-home palliative care for 55 members of the company, which serves 14 Northern California counties, including Humboldt.

Here’s the press release, and you can read more about ResolutionCare and Fratkin by following the link above:

ResolutionCare, an innovator in providing hospice andย palliative care medicine (HPM) services today announced the launch of a pilot program toย provide access to comprehensive home-based palliative care for members of Partnershipย HealthPlan of California (PHC). PHC is a non-profit, community based health care organizationย that contracts with the State to administer Medi-Cal benefits through local care providers toย ensure Medi-Cal recipients have access to high-quality, comprehensive and cost- effectiveย healthcare. The organization has more than 530,000 members in 14 counties throughout Northernย California.

โ€œResolutionCare is leading the way in creating new care delivery models that are better alignedย with where our drastically changing healthcare system is going,โ€ said Michael D. Fratkin, MD,ย Founder/Director. โ€œThis important pilot program with PHC allows us to bring capable,ย compassionate palliative care to more people in their homes by combining in-person visits from aย highly experienced clinical team with the latest in telemedicine technologies to stay connectedย with those under our care in between live visits.โ€

The six-month pilot program with PHC will enable ResolutionCare to provide HPM services to atย least 55 PHC members throughout the 14 counties in its coverage area. At the end of the six-month pilot phase, the program may be extended to include more of the 530,000 PHC membersย who need palliative care services.
โ€œPrograms like this one with ResolutionCare enable the Partnership HealthPlan of California toย expand access to much needed medical care for our members and evaluate high quality healthcareย services providers,โ€ said Dr. Robert Moore, Chief Medical Officer of PHC. โ€œWe look forward toย a successful pilot program, and we hope we are able to expand our partnership withย ResolutionCare beyond the six-month pilot phase,โ€ he added.

About ResolutionCare

Founded in 2014, ResolutionCare is a pioneer and leader in community based palliative careย using telemedicine and telementoring to bring capable and compassionate care to everyoneย everywhere as life approaches completion. A tandem organization, ResolutionCare FUND, anย educational, not-for-profit, fiscally sponsored project of Community Initiatives andย ResolutionCare Professional Corporation, ResolutionCare is dedicated to providing and teachingย the highest quality of palliative care and harnessing the opportunities provided by cloud-basedย videoconferencing technology to care for people with serious illnesses entirely in their home.ย Team based and person-centered, ResolutionCare supports quality of life, empowered decisionย making, and self determination for people navigating lifeโ€™s greatest challenge. The company isย headquartered in Eureka, California.

About Partnership HealthPlan of California

Partnership HealthPlan of California (PHC) is a non-profit community based health careย organization that contracts with the State to administer Medi-Cal benefits through local careย providers to ensure Medi-Cal recipients have access to high-quality comprehensive cost-effectiveย health care. PHC provides quality health care to over 530,000 ย members. Beginning in Solanoย County in 1994, PHC now provides services to 14 Northern California counties – Del Norte,ย Humboldt, Lake, Lassen, Marin, Mendocino, Modoc, Napa, Shasta, Siskiyou, Solano, Sonoma,ย Trinity and Yolo.

The Project ECHO press release:

ResolutionCare Fund, an innovator in providing hospice andย palliative care medicine (HPM) services and fiscally sponsored project of Community Initiatives,ย working with Partnership HealthPlan of California (PHC) announced today that it will deploy aย unique learning model called Project ECHOยฎ in a nine-month pilot program to extend the reachย of limited specialist hospice and palliative care resources by training primary care teams asย โ€œPrimary Palliative Care Champions.โ€ PHC is a non-profit, community based health careย organization that contracts with the State to administer Medi-Cal benefits through local careย providers to ensure Medi-Cal recipients have access to high-quality, comprehensive and cost effectiveย healthcare. The organization has more than 530,000 members in 14 counties throughout
Northern California. Additional supporters of ResolutionCare Fund’s pilot program include theย California HealthCare Foundation, the Bertha Russ Lytel Foundation and the North Coastย Grantmaking Partnership.

โ€œAt a time when healthcare resources are limited, and specialist palliative care resources inย particular are severely stretched throughout this country, ResolutionCare Fund is looking at waysย that we can extend the reach of our first class clinical team and leverage them as an educationalย resource,โ€ said Michael D. Fratkin, MD, Founder/Director. โ€œPrimary care teams are now the soleย source of care for many Americans through most of their lives, and Project ECHO offers a uniqueย way for us to force multiply and train Primary Palliative Care Champions to address some of theย shortages we have in access to hospice and palliative medicine nationwide,โ€ he added.

Through a โ€œhub-and-spokeโ€ model, Project ECHO demonopolizes the scarce resource of aย palliative care team; distributing valuable interdisciplinary expertise with the use of ongoing case basedย learning via videoconferencing technology. By establishing a real-time connection to theย ResolutionCare Fund Team at the โ€œhubโ€ (physician, nurse, social worker, and chaplain) teams ofย learners at the โ€œspokesโ€ gather knowledge, confidence, and fulfillment as well as forming aย community of learning with other participants at other โ€œspokeโ€ sites. This model will be used toย train โ€œPrimary Palliative Care Championsโ€ within primary care practices nationwide to provideย high quality, compassionate hospice and palliative care medical services in communities whereย access to specialist palliative care teams is limited.

The nine-month pilot program with PHC will enable ResolutionCare Fund, using Project ECHOโ€™sย training model, to provide HPM training to primary care teams at 10 Federally Qualified Healthย Centers (FQHC) throughout Northern California. The pilot will include primary care and HPMย teams meeting twice monthly for 90 minutes via a Zoom videoconferencing platform.ย โ€œAs a healthcare organization with members dispersed throughout a large region with some veryย remote locations, the ability of Partnership HealthPlan of California to provide comprehensiveย high quality palliative care services to all of our members can be challenging,โ€ said Dr. Robertย Moore, Chief Medical Officer of PHC. โ€œOur partnership with ResolutionCare Fund, and theย implementation of Project ECHO, allows us to train our primary care teams to provide some ofย those services and meet this challenge, so we are very excited by this opportunity and are lookingย forward to its success,โ€ he added.

About Project ECHO

Project ECHO (Extension for Community Healthcare Outcomes) based at the University of Newย Mexico Health Sciences Center in Albuquerque, NM, is a collaborative model of medicalย education and mentoring that empowers clinicians everywhere to provide better care to moreย people, right where they live. The ECHO modelโ„ข does not actually โ€œprovideโ€ care to patients.

Instead, it dramatically increases access to specialty treatment in rural and underserved areas byย providing front-line clinicians with the knowledge and support they need to manage patients withย complex conditions such as hepatitis C, rheumatoid arthritis, chronic pain, and behavioral healthย disorders among many others. It does this by engaging clinicians in a continuous learning systemย and partnering them with specialist mentors at an academic medical center or hub. As the ECHOย model expands, it is helping to address some of the health care systemโ€™s most intractableย problems, including inadequate or disparities in access to care, rising costs, systemicย inefficiencies, and unequal or slow diffusion of best practices. Across the United States andย globally, policymakers are recognizing the potential of ECHO to exponentially expand workforceย capacity to treat more patients sooner, using existing resources. At a time when the health careย system is under mounting pressure to do more without spending more, this is critical.

Grant Scott-Goforth was an assistant editor and staff writer for The Journal from 2013 to 2017.

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