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Rural Project Examples: Native Hawaiian or Pacific Islander

Effective Examples

The Pacific Care Model: Charting the Course for Non-communicable Disease Prevention and Management
Updated/reviewed December 2019
  • Need: The U.S. Associated Pacific Islands (USAPI) needed an efficient, effective, integrated method to improve primary care services that addressed the increased rates of non-communicable disease (NCD), the regional-specific phrase designating chronic disease.
  • Intervention: Through specialized training, multidisciplinary teams from five of the region's health systems implemented the Chronic Care Model (CCM), an approach that targets healthcare system improvements, uses information technology, incorporates evidence-based disease management, and includes self-management support strengthened by community resources.
  • Results: Aimed at diabetes management, teams developed a regional, culturally-relevant Non-Communicable Disease Collaborative Initiative that addresses chronic disease management challenges and strengthens healthcare quality and outcomes.

Other Project Examples

CAPABLE (Community Aging in Place—Advancing Better Living for Elders)
Updated/reviewed July 2020
  • Need: To help older adults age in place.
  • Intervention: For five months, CAPABLE participants receive home visits from a registered nurse, occupational therapist, and home repair services.
  • Results: The CAPABLE site in rural Bath, Maine, has helped 15 clients so far, one of whom went from 15 falls and one hospitalization in the 6 months prior to starting the program to one fall and no hospitalizations. The site in Hawaii has served three clients in the last year and has reconnected clients with their families and communities.
Kūlana Hawai'i Weight Management Program
Updated/reviewed May 2019
  • Need: To improve the health status and overall well-being of Native Hawaiians and other medically underserved populations in rural areas of Hawaii.
  • Intervention: A comprehensive weight management program is led by an integrated team of health professionals who work with participants on making sustainable, lifelong changes.
  • Results: Patients reported statistically significant reductions in weight, BMI, blood pressure, and chronic disease and pain, along with increased physical activity and health knowledge.
Hawai'i Island Family Medicine Residency
Updated/reviewed December 2018
  • Need: Hawaii is experiencing a huge shortage of family medicine physicians.
  • Intervention: The Hawai'i Island Family Medicine Residency (HIFMR) program uses an interprofessional team-based approach so residents learn how to care for many types of patients in different healthcare settings.
  • Results: In 2017, the first class of residents graduated from a fully accredited program as Board-certified Family Medicine physicians. There were over 1,000 applicants to the residency program, and the residency increased its complement from 4 to 6 residents per year.