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UW ECHO in Rural/Frontier Care Transitions

Project ECHO is a model for lifelong medical learning and collaborative practice that links front-line healthcare providers with specialist care teams to manage patients who have chronic conditions requiring complex care.  It is transforming the way medical knowledge is shared and translated into everyday practice – and, in the process, enabling thousands of people in remote and medically underserved communities to get care they couldnt’t easily get before, if at all. 

WyCOA has partnered with Mountain Pacific Quality Health to implement and facilitate the Rural/Frontier Care Transitions network. The goals are:

  • to encourage best practices, increased knowledge, and practice change in the field of care transitions

  • decrease hospital readmission and admissions as well as emergency depart-ment use

  • develop a community of hub team members and spoke sites to foster positive relationships and increased support for rural frontier providers

  • and increase provider participation in care coordination

Professional Education Credits are available, and PARTICIPATION IS FREE


Our Specialist Care team:

Jane Brock, MD, MSPH Physician Quality Innovation Network National Coordinating Center (QIN NCC): Denver, CO

Tonja Woods, PharmD, BCGP Geriatric Pharmacist UW Clinical Associate Professor: Laramie, WY

Pam Myrum, MS, RN Clinical Development Specialist WY Institute of Population Health: Cheyenne, WY

Marion Smith, MD Primary Care Physician QIN-QIO Wyoming Medical Director: Torrington, WY

Martha Hayward Public and Patient Engagement Institute for Healthcare Improvement: Cambridge, MA

Maya Pignatore, PhD Psychologist Cheyenne VA: Cheyenne, WY



May-August 2018 Schedule

Brochure for download

 Module 4: End-of-Life in Care Transitions

Thursday as noted below: 12noon-1pm MST to view each network

Please download the Statement of Collaboration and return upon joining the network.

DATE 2018



May 17th

Supporting End-of-Life in Rural Areas

Jessica Carrasquillo

May 31st

Rural Palliative Care Model


June 14th

Advanced Care Planning

Faith Jones

June 28th

 End-of-Life:  The Family Connection

Martha Hayward

July 12th

Advanced Planning Documents:  Advanced Directives, Living Will, Power of Attorney, POLST, etc

Maya Pignatore

July 26th

New Approaches in Rural Communications to End-of-Life:  Telehospice/remote hospice


Aug 9th

Chronic Care Management/Transitional Care Model

Faith Jones

Aug 23rd

Chronic Care Management:  How YOu Can Get Involved

Faith Jones/WyCOA

~ Seeking Patient Cases for Clinic ~

We welcome your presentations of patient cases for consultation at our upcoming networks!

Benefits of presenting a case: FREE case consultation from care transition experts in their field including sharing of resources including evidence based practice strategies to assist you in your routine practice, increased care transition knowledge and outcomes, learn from others sharing similar challenges, Continuing Education credits, and networking with other professionals!

Quotes from participating spokes:

  • “I truly appreciated the excellent feedback during the session-what phenomenal resources!”

  • “Thank you. Please pass on to the team how beneficial their guidance has been. I’ve been able to utilize the info/recommendations to many of the professionals I work with. We are proceeding with their recommendations!”

  • “Thanks a million for the copy of the recommendations.”

  • “It really is for our benefit, for our residents, and what a wonderful opportunity!!”

If you would like to present a case at our network

download the Case Presentation Form, and return

Resources and powerpoint slides from previous ECHO Networks can be found on the iECHO Website with access via your iECHO ID and password provided by WyCOA. 
You can also request materials by emailing

Click here to see more information on Mountain Pacific Quality Health.

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Wyoming Center on Aging

1000 E University Ave

Laramie, WY 82071

Phone: (307) 766-2829

Fax: (307) 766-2734



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