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New Hampshire 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)
Updated/reviewed October 2019
  • 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 higher quality of life and lower rates of depression and (caregiver) burden.

Other Project Examples

Healthy Monadnock
Added December 2019
  • Need: Improved health outcomes for Monadnock Region, a rural area of New Hampshire.
  • Intervention: A wide-scale effort across multiple sectors is aiming to make the region the "healthiest community in the nation."
  • Results: Indicators were established to track health tends in the community. Progress on their goals such as diabetes reduction, increasing the number of residents with healthcare coverage, and smoking cessation have been made.
Together With Veterans Rural Suicide Prevention Program
Added December 2019
  • Need: Suicide among veterans has been steadily increasing, and rural veterans have a 20% increased risk of death by suicide compared to urban veterans.
  • Intervention: A program called Together With Veterans was formed to help rural communities address and prevent suicides among veterans. The initiative is veteran-led, collaborative, evidence-based, and community-centered.
  • Results: The program is currently in 6 states and reaches over 1,500 veterans every quarter while nurturing connections between agencies and community members.
funded by the Federal Office of Rural Health Policy Plymouth Area Transitions Team (PATT)
Updated/reviewed December 2017
  • Need: Prepare medically complex patients for care needs after hospital discharge.
  • Intervention: A program focused on hospital discharges and care transitions for patients located in three New Hampshire counties
  • Results: Decreased high-risk patient readmissions and establishment of continuous care coordination focus.

Last Updated: 12/31/2019