Purpose: In Albania, regular epidemiological telephone conferences (EpiTel) between surveillance staff from national (Institute of Public Health, IPH) and subnational levels (12 prefectures and 24 districts) are a new tool for communicating, discussing, linking information related to infectious diseases events. Following the experience of Germany, Albania developed and established EpiTel in May 2017 in the scope of the German Global Health Protection Programme. After seven months of implementation, IPH conducted an evaluation in order to measure usefulness and identify strengths and weaknesses of EpiTel. Methods & Materials: In a first step, IPH analyzed the level of participation, reporting, and the most frequently discussed events from the weekly EpiTel minutes. In parallel, standardized email questionnaires targeting all EpiTel participants at national, prefecture and district level were used to assess the process further. They included open and closed questions rating logistics, content, minutes and usefulness of information exchanged. Results: In total, 28 weekly minutes were analyzed. Mean participation rate per prefecture was 86%. At IPH next to surveillance staff, the laboratory participated in 82% of conferences, the vaccination program and other sectors in 54%and 7.2%, respectively. On average, each prefecture presented an event in 59% of conferences. The most frequent international topics in EpiTel were Measles, Influenza, West Nile virus and Yellow Fever, while from the national and subnational level events reported via syndromic surveillance, influenza, a nationwide measles outbreak and challenges related to contact tracing and vaccinations were most frequently discussed. Overall, 10/15 staff members at national level, all prefectures and 50% of districts completed the questionnaires. The organization of the conference was found to be very well managed and Skype was agreed to be the best medium for communication. The information exchanged and shared was evaluated as accurate, informative, timely and facilitating the harmonization of control measures. All participants rated EpiTel as very useful for their daily work. Conclusion: EpiTel is an efficient way to communicate and discuss international and national infectious disease events routinely and in a condensed way between all levels of the public health system in Albania. The participatory process fosters horizontal exchange within an otherwise centralized surveillance system.