This proposal reflects a partnership between the Savitt Medical Library of the University of Nevada, Reno School of Medicine and the Office of Statewide Initiatives, University of Nevada, Reno School of Medicine. The overarching aim of this proposal, Expanding Health Information Services in a 95 Telehealth Outreach Program, is to make clinically important patient care information presented in teleheath videoclinics more widely accessible and to improve the ability of participating clinicians to engage with the archived content. This will be achieved through enrichment of a health information clearinghouse and recordings archive that has been developed as part of the already successful Project ECHO Nevada implementation of videoconference-based clinics. We intend to optimize the impact of the Project Echo Nevada by creating time-stamped indexes of archived video clinics; facilitating discovery of content through enriched annotation and descriptive indexing; and to create a detailed written description, or show note, for the video clinics to summarize a sessions clinical content, highlight the main points relevant to patient care, and provide links to information resources, screening tools, and guidelines covered in the presentation.