{Reference Type}: Journal Article {Title}: ECHO+: An Innovative Technology-Enabled Collaborative Learning and Quality Improvement Program Strengthening Rural Primary Care in Arkansas, West Virginia, and Oklahoma. {Author}: Schmitt HL;Robinson SK;Meisinger K;Phillips RS;Fontaine M;Krueger J;Eaton B;Balasubramony S;Hines M;Briscoe K;Duong DB; {Journal}: J Health Care Poor Underserved {Volume}: 35 {Issue}: 2 {Year}: 2024 {Factor}: 1.28 {Abstract}: In this paper, we describe the Project Extension for Community Healthcare Outcomes+ (ECHO+) model and evaluation plan for incorporating changes to primary care delivery, improving patient and clinician outcomes, and making long-term system improvements.