Alabama Models and Innovations
These stories feature model programs and successful rural projects that can serve as a source of ideas. Some of the projects or programs may no longer be active. Read about the criteria and evidence-base for programs included.
Updated/reviewed September 2018
- Need: To enhance palliative care access to rural patients with advanced cancer or heart failure and their family caregivers.
- Intervention: Project ENABLE consists of: 1) an initial in-person palliative care consultation with a specialty-trained provider and 2) a semi-structured series of weekly, phone-delivered, nurse-led coaching sessions designed to help patients and their caregivers enhance their problem-solving, symptom management, and coping skills.
- Results: Patients and caregivers report lower rates of depression and burden along with higher quality of life.
Updated/reviewed November 2018
- Need: Rural Alabama residents with HIV/AIDS face stigma, poverty, and transportation barriers, limiting their access to expert HIV/AIDS healthcare.
- Intervention: Medical Advocacy & Outreach utilizes telemedicine to remove these barriers and offers cost-effective care to rural patients living with HIV/AIDS.
- Results: This telehealth network has expanded to reach rural patients in 12 Alabama counties. Patients are staying engaged due to its convenience and cost-effective nature.
Updated/reviewed December 2017
- Need: Cancer patients living in the Deep South encounter multiple barriers in accessing regular cancer treatment.
- Intervention: The University of Alabama at Birmingham Comprehensive Cancer Center developed a program that uses lay patient navigators to support and direct patients to appropriate resources to overcome barriers to accessing care.
- Results: The program has become a model for improving cancer care quality, decreasing unnecessary utilization (ER visits and hospitalizations), removing barriers to care, and enhancing patient satisfaction.
Other Project Examples
Updated/reviewed April 2019
- Need: To increase access to healthcare via telehealth in the rural, underserved areas of Alabama.
- Intervention: A nonprofit organization that promotes and supports telehealth programs across Alabama.
- Results: The establishment and support of telehealth networks at multiple sites across Alabama providing clinical telehealth services including behavioral health, stroke/neurology, and cardiology.
Updated/reviewed August 2018
- Need: To increase access to healthcare throughout Alabama.
- Intervention: The Alabama Department of Public Health (ADPH) has created telehealth communications at county health departments.
- Results: ADPH telehealth services are currently available in 48 of 66 county health departments.
Updated/reviewed March 2018
- Need: Transportation to medical appointments for children and expectant mothers living in rural Alabama.
- Intervention: Kid One Transport provides rides to medical appointments for clients who otherwise have no other means of transportation.
- Results: The program has transported 360,000 children and expectant mothers to and from medical appointments. Children have recovered from life-threatening illnesses and are experiencing a higher quality of life.
Last Updated: 4/12/2019