In 2013, the CDC reported the American Indian/Alaska Native (AI/AN) population as having the highest HCV-related mortality rate (12.2 deaths/100,000 population) by race/ethnicity (CDC Surveillance for Viral Hepatitis – United States, 2013). While treatment barriers are similar for all populations, approaches to care must address the socio-economic and cultural factors specific to the AI/AN context.

The Indian Health Service (IHS) has partnered with Project ECHO to connect HCV specialists with IHS and tribal clinicians to provide expert advice on the management of HCV patient cases. The IHS HCV TeleECHO Clinic meets every first Wednesday of the month from 12:00 – 1:00pm Mountain Time.

If you would like to join our e-mail distribution list to receive clinic announcements, send an email to:

New Clinician Training – Offered Monthly

The Project ECHO HCV program offers a one-day training for new clinicians. This training offers a face-to-face opportunity with our ECHO HCV Team to explore the tools and documents needed to participate in clinic. Participation in this training is highly encouraged for new clinicians, but not mandatory. For more information and upcoming training dates, please contact Scott Lockwood-Smith at

Continuing Education Credits

Project ECHO offers no cost continuing education units (CME, CEU, CPE, ACPE) for participation in teleECHO clinics, grand rounds and on-site training. In order to receive credits, you must request an account. Please click here for instructions and links


CDC Surveillance for Viral Hepatitis – United States, 2013 CDC Hepatitis C Online University of Washington’s HCV Online Course ACT-First: Free, Online CME Course for Primary Care Providers AASLD Curriculum and Training

Recommendations for Testing, Managing, and Treating Hepatitis C

The American Association for the Study of Liver Diseases (AALSD) and the Infectious Diseases Society of America (IDSA) offer guidelines for testing, managing, and treating hepatitis C. Recommended treatment strategies vary, depending on HCV genotype and where the patient is in the course of their illness. Patients can be referred to any of the clinicians who are part of the Project ECHO network of HCV “experts.” We encourage primary care physicians and midlevel clinicians to contact Project ECHO for training in how to treat HCV locally. Treatment and monitoring patients is becoming easier than ever before. For information on how to become an ECHO partner or to request a Grand Rounds presentation (with live CMEs) at your site, please contact Scott Lockwood-Smith:, 505-925-7754. Screening for Hepatitis C Virus Infection in Adults. A Systematic Review to Update the 2004 U.S. Preventive Services Task Force Recommendation. Addressing Viral Hepatitis in People with Substance Use Disorders (SAMHSA) Action Plan for the Prevention, Care and Treatment of Viral Hepatitis Quick Link to iHealth: ECHO’s Disease Management Application Quick Link to iECHO: ECHO’s TeleECHO Clinic Management Application


Karla Thornton

Karla Thornton, MD, MPH

Associate Director, Project ECHO Professor, Division of Infectious Diseases, Internal Medicine University of New Mexico Health Sciences Center
Paulina Deming

Paulina Deming, PharmD, PhC

Assistant Director of HCV Programs, Project ECHO Clinical Associate Professor, Department of Pharmacy Practice University of New Mexico Health Sciences Center

Jonathan Iralu, MD

IHS Chief Clinical Consultant for Infectious Diseases Department of Internal Medicine Gallup Indian Medical Center

Brigg Reilley, MPH

IHS National HIV Epidemiologist

Bruce Baird Struminger, MD, MA

Associate Director, Project ECHO Associate Professor of Medicine, Division of Infectious Disease University of New Mexico Health Sciences Center

Miranda Sedillo, MS

Program Planning Manager Project ECHO Direct: 505 272-0102

Amy Armistad, MA

Program Specialist Direct: 505-272-5811