Telemedicine, telementoring, and ECHO (Extension for Community Healthcare Outcomes) platforms provide virtual opportunities to improve the quality of clinical STD care delivery. Experts currently working with this technology will provide information and share their experiences with these novel approaches to promote quality care and share examples from STD and related fields. Presentations will feature programs that use telehealth approaches to “democratize” health care information. Bruce Struminger will help define this class of telehealth technologies and illustrate program models— highlighting the ECHO model that combines virtual communities of practice convened by web-based videoconferencing, case-based learning, and promotion of best-practice via short didactics—that may be particularly relevant to supporting STD clinical care. Bruce Maeder will describe the University of Washington’s STD Prevention Training Center’s adaptation of the ECHO model to support the STD Clinical Services Technical Cooperation Group - an interactive working group involving a variety of medical provider types focusing on practical approaches to high impact HIV prevention, STD clinical issues in addition to optimizing clinic infrastructure and management. Daren Anderson will describe a National Association of Community Health Centers, Fenway Health, and the Weitzman Institute program that assists Federally Qualified Health Centers from across the country to better serve their LGBT patients. Speakers will describe their program models in detail, lessons learned about implementation, outcomes obtained, and future plans.