Indian Country Programs

Indian Country HCV is the 1st and 3rd Wednesday of each month/12:00 - 1:00 PM (MT).
Indian Country HIV is the 2nd Wednesday of each month/12:00 - 1:00 PM (MT).
IHS TB (Navajo Nation only) is the 3rd Thursday of each month/1:00 - 2:30 PM (MT).

For more information contact us at:

Program Description

The ECHO Institute collaborates with various partners across Indian Country to deliver HCV, HIV and tuberculosis (TB) expertise to rural and underserved areas by linking Indian Health Service (IHS), tribal health and Urban Indian Health (I/T/U) providers with a panel of multi-disciplinary experts as well as their peers. ECHO collaborates with the IHS to provide expert advice on the management of HCV patient cases during our Indian Country HCV TeleECHO sessions.

ECHO, IHS, Gallup Indian Medical Center and the New Mexico regional partner site of South Central AIDS Education and Training Center collaborate to provide a multidisciplinary team of HIV experts during our Indian Country HIV TeleECHO sessions. The IHS TB TeleECHO serves the Navajo Nation through a collaboration with New Mexico, Arizona and Navajo Nation departments of health, and the IHS to support a comprehensive TB case management approach for the patient care teams.

These partnerships, through the use of the ECHO model, build a community of learning and practice among the I/T/U providers and increase access to high quality specialty care in areas where patients may not otherwise have access.


Target Audience

  • Physicians
  • Advanced Practice Providers
  • Pharmacists
  • Nurses


  • Medical Assistants
  • Case Managers
  • Community Health Workers
  • and other Healthcare Professionals


Program Team

Michelle Iandiorio, MD
Medical Director, NM AETC HIV TeleECHO Clinic
Associate Professor, UNM Dep. of Internal Medicine, Div. of Infectious Diseases

Jonathan Iralu, MD
IHS Chief Clinical Consultant for Infectious Diseases
Department of Internal Medicine
Gallup Indian Medical Center

Karla Thornton, MD
Associate Director, Project ECHO
Medical Director, Indian Country Hepatitis-C TeleECHO Clinic
Associate Professor, Department of Internal Medicine

Paulina Deming, MD
Medical Director, Indian Country Hepatitis-C TeleECHO Clinic
Clinician Educator Associate Professor, Pharmacy Practice & Administrative Sciences


Amy Armistad, MA
ECHO Institute, Program Planning Manager

Tracy Jungwirth, MA
ECHO Institute, Senior Program Manager
NM Regional Partner of SCAETC, Director

Amanda Dezan, BA
ECHO Institute, Operations Specialist
NM Regional Partner of SCAETC, Program Coordinator

Eva Montoya, BA
ECHO Institute, Program Coordinator 

Bruce Struminger, MD
Associate Director, Project ECHO
Associate Professor, Infectious Diseases, Department of Internal Medicine