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.
Updated/reviewed April 2019
- 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.
Updated/reviewed March 2019
- 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.
Updated/reviewed April 2019
- 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.
Other Project Examples
Updated/reviewed October 2019
- 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 enhanced provider efficiency, improved healthcare quality, and lowered costs for patients.
Added July 2019
- 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 eight 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.
Updated/reviewed February 2019
- Need: To increase access and quality of care for Medicare, Medicaid, uninsured, and commercial patients in rural Maine.
- Intervention: Hospitals and Federally Qualified Health Centers in Maine formed the Community Care Partnership of Maine Accountable Care Organization (CCPM ACO).
- Results: CCPM serves about 100,000 patients in Maine. In addition, it implemented ACO shared savings plans with Maine Medicaid, Medicare, and five commercial health insurance and Medicare Advantage plans in the state.
Updated/reviewed January 2019
- Need: Easier access to wellness programs in a Maine county covering a large geographic area.
- Intervention: Healthy You was created to deliver 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.
Updated/reviewed August 2018
- 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.
Updated/reviewed June 2018
- Need: A tangible way for providers to increase patients' access to affordable healthy food.
- Intervention: With Wholesome Rx, a 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 Wholesome Rx prescriptions in rural and urban areas across 10 states.
Last Updated: 10/31/2019