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.
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.
Updated/reviewed September 2017
- Need: Rural hospitals and healthcare providers have less access to specialty care support.
- Intervention: A service was created at Avera Health that provides 24-hour virtual access to specialty care physicians, nurses and pharmacists.
- Results: Rural patients can receive specialty care without leaving their communities, and rural healthcare providers can get needed support in providing quality care to their patients.
Other Project Examples
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: 12/20/2017