 Project Extension for Community Health Outcomes, ECHO, is a telehealth model designed to connect specialists with community providers to provide education on best clinical practices. It uses a hub and spoke knowledge sharing system for core principles, and unites clinicians from across the country to collaborate on de-identified patient cases. Since its launch in 2018, ECHO has reached over 118 clinicians in 62 clinics in Pennsylvania, providing a total of 268 CME hours. These clinicians have treated 2,294 patients and reported improved knowledge, decreased sense of professional isolation, and improved ability to provide patient care after completing an ECHO series. This model provides a powerful tool for improving access to quality healthcare, especially in rural areas. This article was authored by Erika Francis, Jennifer Krasniewski, Ruth Hogan-Togler, and others.