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Maine 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.

Effective Examples

Midcoast Maine Prescription Opioid Reduction Program
Updated/reviewed March 2017
  • Need: Reduction in the number of emergency department dental patients abusing opioid prescriptions in rural southeastern Maine.
  • Intervention: Using a one-page opioid prescription guideline, opioid prescribing and emergency room visits for dental pain decreased.
  • Results: The rate of opioid prescription dropped nearly 20% after implementation, and in comparing the 12-month period before and after implementation, dental pain emergency department visits decreased from 26 to 21 per 1,000.
Franklin Cardiovascular Health Program (FCHP)
Added March 2015
  • Need: To develop sustainable, community-wide prevention methods for cardiovascular diseases in order to change behaviors and healthcare outcomes in rural Maine.
  • Intervention: Local community groups and Franklin Memorial Hospital staff studied mortality and hospitalization rates for 40 years in this rural, low-income area of Farmington to seek intervention methods that could address cardiovascular diseases.
  • Results: A decline in cardiovascular-related mortality rates and improved prevention methods for hypertension, high cholesterol, and smoking.

Other Project Examples

Beacon Health Accountable Care Organization
Updated/reviewed November 2017
  • Need: To implement coordinated healthcare to improve patient health, increase patient engagement, and reduce the overall cost of medical services in Maine.
  • Intervention: The Beacon Health Network was launched to focus on patient-centered care to improve overall wellness and reduce ever-increasing healthcare costs.
  • Results: Through care coordination, Beacon Health has improved provider efficiency, increased healthcare quality, and lowered costs for patients.
funded by the Federal Office of Rural Health Policy MaineGeneral Harm Reduction Program
Added July 2017
  • Need: To reduce deaths from opioid overdoses in rural Maine.
  • Intervention: The MaineGeneral Harm Reduction Program provides community education and training for healthcare staff and first responders in rural Kennebec and Somerset counties.
  • Results: During the grant period, MaineGeneral trained 45 deputies and 246 healthcare staff and educated 60 community members.
Fruit and Vegetable Prescription Program (FVRx)
Updated/reviewed April 2017
  • Need: A tangible way for providers to increase patients' access to affordable healthy food.
  • Intervention: With the Fruit and Vegetable Prescription Program, providers prescribe vouchers for patients to redeem for fruits and vegetables at local healthy food retailers.
  • Results: Over 10,000 people have received FVRx prescriptions in rural and urban areas across 10 states.
funded by the Federal Office of Rural Health Policy Community Care Partnership of Maine Accountable Care Organization
Added February 2017
  • Need: To increase access and quality of care for Medicare, Medicaid, uninsured, and commercial patients in rural Maine.
  • Intervention: 3 hospitals and 8 Federally Qualified Health Centers in Maine formed the Community Care Partnership of Maine Accountable Care Organization (CCPM ACO).
  • Results: CCPM serves about 70,000 patients in Maine. In addition, it implemented ACO shared savings plans with Maine Medicaid, Medicare, and five commercial health insurance payers in Maine.
Healthy You
Updated/reviewed November 2016
  • Need: Easier access to wellness programs in a county covering a large geographic area.
  • Intervention: A program that delivers wellness programming in 6 locations throughout the county, rotating for 2 months of the year to each location, with programming customized to the needs of each community.
  • Results: Over 5,000 community members annually participate in wellness programs.
funded by the Federal Office of Rural Health Policy TUSM-MMC Program Longitudinal Integrated Clerkship
Added February 2016
  • Need: To fill vacant medical positions in Maine's rural medical facilities.
  • Intervention: The Tufts Maine Track LIC program offers clerkships in rural medical facilities, exposing medical school students to the positives and possibilities that rural practices have to offer.
  • Results: The program has seen an increase in students' interest to practice in rural Maine. The majority have pursued medical careers in one of the 6 core specialties studied during their clerkship.
funded by the Federal Office of Rural Health Policy Downeast Maine Diabetes Prevention Program
Added September 2015
  • Need: To address the prevalence of diabetes in rural, Downeast Maine.
  • Intervention: A comprehensive continuum of care was developed that focuses on healthy lifestyle changes and diabetic self-management.
  • Results: BMI levels have been lowered, A1C levels have been reduced, and participants have lost weight, decreasing the risk of diabetes.

Last Updated: 11/6/2017