Technology plays a crucial role in bridging gaps between patients and providers. In North Carolina, Project ECHO (Extension for Community Healthcare Outcomes), has emerged as a vital tool for improving care in underserved communities.  

Though there are several Project ECHOprograms throughout the state, no centralized directory currently exists. As a result, PEN-NC is working to understand the current landscape of Project ECHO in North Carolina, and to create a comprehensive directory of both previous and existing programs. 

Purpose of the ECHO™ Landscape 

As we work towards creating a comprehensive ECHO directory, PEN-NC aims to leverage the landscape in the following areas: 

1. Landscape Analysis 

One of the primary goals of the Project EHCO landscape is to identify priority communities within North Carolina that face disparate access to quality care. Broadly, fifty-three rural counties throughout the state are designated as both Health Professional Shortage Areas (HPSAs) and Medically Underserved Areas (MUAs). In identifying these high-priority areas, PEN-NC aims to advance equitable access to health care and to Project ECHO programs. More specifically by identifying the gaps in the ECHO landscape and increasing opportunities to reach and engage health care workers in these priority communities to encourage ECHO recruitment. 

Rural counties designated as HPSAs & MUAs 

Location of Project ECHO™ Hubs 

2. Community Engagement 

PEN-NC is working to broaden the network and identify hubs hosting Project ECHO programs throughout the state. At every stage of development, PEN-NC aims to ensure that the needs and interests of ECHO hubs are centered throughout decision-making. Thus, PEN-NC will leverage the Project ECHO landscape to identify key stakeholders for collaboration, including advisory group engagement from participants in several areas throughout the state.  

3. Network & Recruiting 

As more ECHO hubs join the PEN-NC network, we aim to use participation data to determine the various organizations represented as ECHO spokes. This data will allow PEN-NC to tailor recruitment strategies to better engage health care workers and providers serving high-priority areas. Furthermore, PEN-NC can also streamline participation in Project ECHO programs by developing a comprehensive directory of programs throughout the state. Many existing ECHO hubs and their respective programs can be found on the PEN-NC network map below.  

4. Coordinated Resources and Supports 

One of PEN-NC’s primary goals is to identify opportunities for new ECHO programs, given identified gaps. PEN-NC also aims to provide technical assistance and support for newly established hubs, ensuring that every hub is sufficiently prepared to meet the needs of ECHO programs. Additionally, PEN-NC will use the Project ECHO landscape to coordinate learnings between ECHO programs, further improving accessibility to emerging best practices.  

Note: the network map below identifies the health care topics predominantly addressed by ECHO programs in North Carolina. 

5. Research & Evaluation 

Through the Project ECHO landscape, PEN-NC aims to demonstrate the significant impact of Project ECHO programs on North Carolina’s population health by showcasing their contributions to addressing statewide health priorities. More specifically, PEN-NC leverages population-level indicators and date to inform the development, implementation, and evaluation of Project ECHO programs.  

6. Sustainability 

The Project ECHO landscape will allow PEN-NC to visualize the evolution of North Carolina ECHO programs over time. These insights can support us in identifying facilitators and barriers to Project ECHO implementation, the capacity of Project ECHO hubs to respond to emerging community health needs, and opportunities for replication and scalability.  

In conducting the Project ECHO landscape, PEN-NC aims to become responsive to the needs of ECHO programs throughout the state, ensuring the ongoing, long-lasting success of Project ECHO in North Carolina.  

Below, you will find a network map of the 24 previous and existing, identified Project ECHO hubs in North Carolina. Note: this map is in progress and will be updated as ECHO programs are launched and identified.  

Don’t see your organization or Project ECHO program? We’d love to connect and learn about your work, and explore how we PEN-NC can best support you!