From July 2001 to June 2023, Kentucky Homeplace served
189,338 clients and provided 5,310,246 services with a
combined medication and service value of $393,703,554.
The return on investment (ROI) is $11.51 saved for every
In a 2016-2018 pilot program offered by Kentucky
Homeplace and WellCare of Kentucky, Kentucky Homeplace
CHWs provided six-week health workshops to participants
with chronic disease diagnoses such as asthma, diabetes,
high blood pressure, or obesity. Workshops focused on
topics like nutrition, medication, exercise, and mental
health. Participants also received gas cards to help with
The pilot program reached almost 2,000 rural Kentuckians
in 30 counties. A year after the pilot, Kentucky
Homeplace reported that participants had a 10% reduction
in emergency room (ER) visits, a nearly 13% reduction in
non-emergency ER visits, and a 23% decrease in inpatient
admissions. Hospital inpatient days dropped by more than
27%, and WellCare estimates that the cost of healthcare
for participants dropped by 13.5%, or almost $2,300 per
WellCare compared healthcare service utilization one year
before and after the program: For participants with
diabetes, ER visits dropped by 16% and hospital
admissions were reduced by almost 29%. Costs fell by
16.9%, or $3,424 per member per year. Participants with
diabetes and asthma had 22% fewer non-emergency ER
For more specific, recent information on the statewide
impact of Kentucky Homeplace, view the latest
Kentucky Homeplace has received numerous awards and
recognition over the years, including the National Rural
Health Association's 2008 Outstanding Rural Health
Program Award. See a list of
Kentucky Homeplace was a collaborating partner in
C-Change, an organization that assembles key cancer
leaders from private, public, and not-for-profit sectors
and from across the cancer continuum: prevention, early
detection, treatment, and quality of life.
In 2014, Congressman Hal Rogers presented a Health Impact
Award to Kentucky Homeplace for its Improving Diabetes
Outcomes (I DO) Campaign. Funded by a grant from the
Anthem Foundation, I DO is a nurse-led outreach
initiative coordinated by CHWs to educate patients about
their diabetes. This is important because 31 of the 38
Kentucky Homeplace counties that participated in I DO are
located in the "National Diabetes Belt." In that region,
11% or more of adults had been told by a healthcare
professional they have diabetes, yet the belt has the
lowest number of certified diabetic educators to help
individuals live healthy lives.
Kentucky Homeplace has been recognized by the U.S.
Department of Health and Human Services' Healthy People
2020 initiative for its work to improve colorectal cancer
For more detailed program
Cardarelli, R., Horsley, M., Ray, L., Maggard, N.,
Schilling, J., Weatherford, S., … & Gilliam, K. (2018).
Reducing 30-Day Readmission Rates in a High-Risk
Population Using a Lay-Health Worker Model in Appalachia
Kentucky. Health Education Research, 33(1),
Cardarelli, R., Roper, K.L., Cardarelli, K., Feltner,
F.J., Prater, S., Ledford, K.M., ... & Cantrell, C.
Community Perspectives for a Lung Cancer Screening
Awareness Campaign in Appalachia Kentucky: the Terminate
Lung Cancer (TLC) Study. Journal of Cancer
Education, 32(1), 125-134.
Cardarelli, R., Reese, D., Roper, K.L., Cardarelli, K.,
Feltner, F.J., Studts, J.L., ... & Shaffer, D. (2017).
Lung Cancer (TLC) Study – a Mixed-Methods Population
Approach to Increase Lung Cancer Screening Awareness and
Low-Dose Computed Tomography in Eastern Kentucky.
Cancer Epidemiology, 46, 1-8.
Feltner, F., Thompson, S., Baker, W., & Sloane, M.
(2017). Community Health Workers Improving Diabetes
Outcomes in a Rural Appalachian Population. Social
Work in Health Care, 56(2), 115-123.
Kitzman, P., Hudson, K., Sylvia, V., Feltner, F., &
Lovins, J. (2017). Care
Coordination for Community Transitions for Individuals
Post-Stroke Returning to Low-Resource Rural
Communities. Journal of Community Health,
Feltner, F.J., Ely, G.E., Whitler, E.T., Gross, D., &
Dignan, M. (2012). Effectiveness of Community Health
Workers in Providing Outreach and Education for
Colorectal Cancer Screening in Appalachian Kentucky.
Social Work in Health Care, 51(5), 430-440.
Tarasenko, Y.N., Schoenberg, N.E., & Bennett, K.L.
Emergency Department as a Potential Intervention
Recruitment Venue among Vulnerable Rural Residents.
Journal of Primary Care & Community Health,
Whitler, E.T., Feltner, F., Owens, J., & Gross, D.A.
(2005). Kentucky Homeplace Defeat Diabetes Screening
Test: an Analysis of Rural Kentucky's Challenge to
Overcome the Growing Diabetes Epidemic. Journal of
the Kentucky Medical Association, 130(7), 307-314.
Schoenberg, N.E., Campbell, K.A., Garrity, J.F., Snider,
L.B., & Main, K. (2001). The Kentucky Homeplace Project:
Family Health Care Advisers in Underserved Rural
Communities. Journal of Rural Health, 17(3),
Kentucky Homeplace is also featured in RHIhub's
Community Health Workers Toolkit Program