Form 8 Appendix H: ECHO Call Protocol

Appendix H – ECHO Call Protocol

Form Approved
OMB No. xxxx-xxxx
Exp. Date xx/xx/20xx

Appendix H – ECHO Call Protocol

ECHO Call – Collaborative Practice Community for Measure Dx Resource

The purpose of this call is to foster bi-directional learning among participating organizations, to check site progress during the implementation period and to understand “real-time” challenges, successes and lessons learned. Each call will start with a presentation on a component of the resource. We will then engage in a process of shared learning and discussion to support implementation of the resource. Challenges and outcomes will also be explored. Standard questions for each ECHO session (n=6) will be:

1. What is one challenge that you have faced?

2. What is one thing that has surprised you?

3. What goal do you have before the next session?

Burden – 60 minutes per practice champion (n=10 total champions; 1 per practice x 10 practices), 1 session per month for 6 months (n=6 total sessions)

This survey is authorized under 42 U.S.C. 299a. The confidentiality of your responses to this survey is protected by Sections 944(c) and 308(d) of the Public Health Service Act [42 U.S.C. 299c-3(c) and 42 U.S.C. 242m(d)].  Information that could identify you will not be disclosed unless you have consented to that disclosure. Public reporting burden for this collection of information is estimated to average 60 minutes per response, the estimated time required to complete the survey. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-XXXX) AHRQ, 5600 Fishers Lane, Room #07W42, Rockville, MD 20857.