Four Seasons Compassion for Life, in Flat Rock, NC, received a $750,000 grant from The Duke Endowment to expand access to palliative care across North and South Carolina based on the Project ECHO (Extension for Community Healthcare Outcomes) model.  Four Seasons plans to train and mentor both palliative care teams led by nurse practitioners or physician assistants, and primary care providers, in rural communities in the Carolinas, in collaboration with Duke University Medical Center, Delta Care Rx, and the ECHO Institute. “My hope is that demonstration of the value of the ECHO model regionally will allow national expansion, and that persons with serious illness in rural settings will have access to high quality palliative care,” Four Seasons Chief Medical Officer Janet Bull, MD, said.