E-Mail INDIANAPOLIS -- More than 230 nursing homes from across Indiana are signed up for a program to assist facilities in dealing with COVID-19 and its challenges. The Indiana Nursing Home COVID-19 Action Network (NHCAN) Extension of Community Healthcare Outcomes (ECHO) helps nursing homes improve COVID-19 preparedness, safety and infection control. Indiana is among the first states to launch the program. COVID-19 is a serious challenge for nursing homes. As of Fall 2020, nearly one-quarter of the known COVID-19 deaths in the United States have been nursing home residents and staff. The 16-week ECHO program offers weekly calls for nursing home leaders to hear from subject matter experts and to discuss their own experiences with each other.