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P-65 Project ECHO™: programme management of a disruptive innovation – project managers’ perspective
  1. Tracey McTernaghan1 and
  2. Hazel Webb2
  1. 1Hospice UK, Belfast, UK
  2. 2Hospice UK, London, UK


Background Project ECHO™ (Extension for Community Healthcare Outcomes) is a tele-mentoring programme that uses video-conferencing technology to share evidence-based knowledge, best practice and education by using case-based learning. Hospice UK’s strategic plan is to extend the reach of hospice care (Hospice UK, 2017), with the Project ECHO™ model being identified as vehicle of innovation and a methodology to achieve this. Engagement with hospices throughout the United Kingdom commenced in 2017 and by April 2018, Hospice UK delivered its first three-day training programme ‘Immersion Training’ to two hospices. As of June 2019 a further 15 hospices have completed this training programme in either London or Belfast.

The Hospice UK Project Managers for the Project ECHO™ programme, based in London and Belfast, support the operational delivery of the training programme. With additional organisational support from a Programme Management working group, consisting of clinical, finance, ICT, governance, communication and fundraising staff.

Aim To examine the experiences and tools used by the Project Managers to deliver the Hospice UK Project ECHO™ Programme.

Method The Project Managers developed and implemented the following successful tools: Project plan; pre-training support tools/guidelines which hospices use to establish ‘readiness’ to commit to training; operation/programme management guidelines; stakeholder analysis; issue log; fortnightly operational meetings (to map activity against key milestones).

Results The Project Managers have established successes and challenges:

  • Success: staff appointed whose sole focus is to manage the Project ECHO™ programme. Engagement with hospices who have thoroughly analysed the ‘strategic fit’ of Project ECHO™ by using the pre–training support tools/guidelines;

  • Challenges: recommended key personnel to include, a champion, a facilitator, an admin/co–ordinator and IT support, who do not attend training.

Conclusions The Hospice UK Project ECHO™ continues to develop its programme management tools to meet the demands of its customers.

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