• Margaret McLain McDonnell, Nancy C Elder, Ron Stock, Miriam Wolf, Anna Steeves-Reece, and Tuesday Graham.
• From Oregon Rural Practice-based Research Network at Oregon Health & Science, University, Portland (MMM, NCE, RS, MW, AS-R, TG). mclainma@ohsu.edu.
• J Am Board Fam Med. 2020 Sep 1; 33 (5): 789-795.

AbstractTwo key advancements in improving the quality of primary care have been practice-based research networks (PBRNs) and Project Extension for Community Health care Outcomes (ECHO). PBRNs advance quality through research and transformation projects, often using practice facilitation. Project ECHO uses case-based telementoring to support community clinicians to deliver best-practice care. Although some PBRNs sponsor ECHO programs, the Oregon Rural Practice-based Research Network (ORPRN) has created a statewide network for ECHO programs (Oregon ECHO Network [OEN]). We facilitated a unique funding stream for the OEN by partnering with payers and health systems. The purpose of this article is to share our experience of how OEN programs and ORPRN research and transformation projects enhance practice recruitment and retention and improve financial stability. We describe the synergy between ORPRN projects and ECHO programs using 3 examples: tobacco cessation, chronic pain and opioid prescribing, and diabetes management. We highlight challenges and opportunities in these examples, beginning with their development, their implementation, and their ultimate alignment, despite varied funding streams and timelines. We believe that incorporating the OEN within ORPRN has been a success for both PBRN research and Project ECHO programs, allowing us to better support primary care practices across the state.© Copyright 2020 by the American Board of Family Medicine.

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