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Project ECHO is aimed at developing capacity for safe and effective treatment of chronic, common and complex diseases in rural and underserved areas while monitoring outcomes to ensure quality of care. ILBS is the rst institute to replicate this model in India under the aegis of ILBS-ECHO program with a goal to identify, treat and manage liver related disorders across the country. Using state of the art tele health technology and clinical management tools ILBS-ECHO trains and supports physicians in the community to develop knowledge and self-efcacy on a variety of diseases not usually considered within their scope of practice. As a result, these physicians can deliver best practice care for complex health conditions in community-based sites where this specialty care was previously unavailable. Using the technology developed project ILBS- ECHO aims to build on and successfully implement the ECHO model to the Indian scenario.