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 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.
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
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.
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.
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.
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.
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.
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.
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