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Coordination of the Environmental influences on Child Health Outcomes program: so the whole is greater than the sum of its parts

Smith, Brian; Knox, Susan; Benjamin, Daniel, K., Jr.

Current Opinion in Pediatrics: April 2018 - Volume 30 - Issue 2 - p 263–268
doi: 10.1097/MOP.0000000000000598

Purpose of review The Environmental influences on Child Health Outcomes (ECHO) program's mission is to enhance the health of children for generations to come. In this manuscript, we describe the structure of the ECHO Coordinating Center (ECHO-CC) and its role in developing the infrastructure for the ECHO program.

Recent findings The ECHO-CC supports ECHO's mission by developing the framework of the ECHO program, coordinating multiple levels of membership in the ECHO community, developing ECHO policies and procedures, and fostering communication and engagement inside and outside of ECHO.

Summary The ECHO-CC has used a number of innovative methods for organization, communication, and engagement to enable the ECHO program to become greater than the sum of its parts.

Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA

Correspondence to Brian Smith, MD, MPH, MHS, Duke Clinical Research Institute, PO Box 17969, Durham, NC 27715, USA. Tel: +1 919 668 8951; fax: +1 919 668 7058; e-mail:

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