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What if everyone could get the high-quality services they need, from local people they know and trust?

Project ECHO was launched in 2003 by Sanjiv Arora,MD a liver disease specialist at the University of New Mexico Health Sciences Center in Albuquerque, New Mexico. He was frustrated that he could only serve a fraction of the hepatitis C patients in the state. He wanted to serve as many patients with hepatitis C as possible, so he created a free, educational model and mentored rural community providers in how to treat the condition.

How ECHO Works

ECHO WorkingUsing proven adult learning techniques and interactive video technology, the ECHO Model™ connects groups of community providers with specialists at centers of excellence in regular real-time collaborative sessions.


The sessions, designed around case-based learning and mentorship, help local workers gain the expertise required to provide needed services.


Providers gain skills and confidence; specialists learn new approaches for applying their knowledge across diverse cultural and geographical contexts. As the capacity of the local workforce increases, lives improve.



The Principles of the ECHO Model

The ECHO Model

  • Amplification - use technology to leverage scarce resources
  • Best practices - to reduce disparity
  • Case-based learning - to master complexity
  • Data - monitor outcomes with our web-based database





All Teach, All Learn

RWJF ECHO Knowledge Network Graph

When all the principles are applied, a learning community in which "All Teach and All Learn" comes together. This includes:

  • Interactive Components
  • Guided Practice
  • Ongoing Mentorship
  • Peer-to-Peer Learning
  • Collaborative Problem Solving
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