Table 2

ECHO concussion program alignments with integrated care

Integrated care levelIntegrated care definitionECHO concussion program examples
Micro-level“a person-focused perspective to improve someone’s overall well-being and not focus solely on a particular condition”
  • Case-based learning via patient case discussions

  • Development of adaptive expertise

Meso-levelProfessional integration: “interprofessional partnerships based on shared competences, roles, responsibilities, and accountability to deliver a comprehensive continuum of care to a defined population”
Organizational integration: the extent that services are produced and delivered in a linked-up fashion
  • Development of the “specialist generalist” and stronger interprofessional networks within their own clinics(organizational)

  • Development of professional networks between clinics (professional)

  • Development of empathy (professional)

Macro-levelThe approach to “enhance efficiency, quality of care, quality of life, and consumer satisfaction” through vertical integration (integration of care across sectors) and horizontal integration (focus on population-health through lateral peer-based networks across sectors)
  • Education of providers across sectors, from primary through to quaternary levels of care

  • Establishment of lateral peer-based networks across sectors as a result of participation in ECHO sessions with a focus on population-level health

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