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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.

Evidence-Based Examples

Project ENABLE (Educate, Nurture, Advise Before Life Ends)
Added May 2017
  • Need: To enhance palliative care access to rural patients with advanced cancer 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.

Promising Examples

Patient Care Connect
Added September 2016
  • 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

Medical Advocacy and Outreach
Updated/reviewed November 2017
  • Need: Rural Alabama residents with HIV face stigmas, poverty, and transportation barriers, limiting their access to expert HIV health care. Health professional shortages and an increase in the number of new diagnoses contribute to the lack of care available as well.
  • Intervention: Telemedicine is utilized to remove these barriers and offer cost-effective care to rural patients with HIV.
  • Results: This telehealth network is expanding its services to numerous rural communities in Alabama and patients are staying enrolled in this care due to its convenience and cost-effectiveness.
Alabama Public Health Telehealth Network
Added August 2017
  • Need: To increase access to healthcare for Alabama patients.
  • Intervention: The Alabama Department of Public Health (ADPH) has created telehealth communications to increase efficiency among ADPH statewide programs and to partner with external healthcare partners to use county health departments as telehealth originating sites.
  • Results: The Alabama Public Health Telehealth Network is currently available in 21 of 66 county health departments, with plans to expand to as many as 59 counties by December 2018.
Alabama Partnership for TeleHealth
Updated/reviewed April 2017
  • Need: To increase access to healthcare via telehealth in the rural, underserved areas of Alabama.
  • Intervention: A nonprofit organization that promotes and supports new and existing telehealth programs across the state of Alabama.
  • Results: The establishment and support of many telehealth networks at multiple sites across Alabama providing telehealth services for a variety of organizations.
Kid One Transport: Transporting Children to Better Health
Updated/reviewed March 2017
  • 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 335,000 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: 11/7/2017