All Teach, All Learn – Minnesota Collaborative, National Nursing Home COVID Action Network Echo (NNHCAN)

Teresa McCarthy, MD, MS
University of Minnesota
Roberta Meyers, MD, MPH
Hennepin Healthcare
Rajean Moone, PhD
University of Minnesota
Greg Leierwood, APRN, CNP
Hennepin Healthcare

Purpose of the NNHCAN

  • Rapid transmission of complex and changing information between "experts" and community providers during the COVID emergency
  • Goal to reach all 15,000+ nursing homes
  • Incorporate sustainable QI principles
  • National collaboration:
    • University of New Mexico Echo Institute
    • IHI – Institute for Health Care Improvement
    • AHRQ – funder
  • Recruited 100+ teaching programs

ECHO model of education

  • Connects groups of community providers with specialists in real-time collaborative learning sessions via video technology
  • Sessions are topic-specific with a case-based learning scenario

Echo Motto: All teach. All learn.

Upper Midwest Nursing Home COVID-19 ECHO collaborative

  • U of M/ Hennepin Healthcare Collaboration
  • Goal to reach all of the nursing homes in the state (n=300+)
  • Collaborate rather than compete
  • Coordinate content
  • Share resources/content experts
  • Linked via ZOOM
  • NH paid to participate

Our Motto: “Best 90 minutes of the week”

Faculty team

  • Academic geriatricians/NP
  • School of Nursing
  • Nursing Home Administrator Director
  • Moderator
  • Content experts
  • QI consultant (IHI provided)

Initial Phase

  • 90 minute weekly sessions
  • Cohort facilities
  • Clinical and QI content
    • Didactic PPT/Video
    • Regulatory update
    • Case presentation
    • Polls/surveys/cloud
    • Small group
    • Breakouts
    • Office hours


  • Cohorts recruited with assistance of Leading Age and Care Providers
  • Informal discussion shows high satisfaction with the program
  • Continuation phase funded by AHRQ for additional 32 weeks of new content

Required Topics

  • Prevention
  • PPE
  • Cohorting
  • Environmental Safety
  • Cleaning and disinfection
  • Testing
  • Screening
  • Work return
  • Managing COVID illness
  • ACP
  • Transitions
  • Visitation
  • CNA role
  • Social isolation
  • Emotional well being
  • Leadership

This project was funded under Contract No. 75Q80120C00003 from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services (HHS). The authors of this document are responsible for its content. The content does not necessarily represent the official views of or imply endorsement by AHRQ or HHS.