Washington 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
Health Coaches for Hypertension Control
Updated/reviewed November 2025
- Need: A cost-effective approach to help rural patients with hypertension learn to manage their condition.
- Intervention: Community volunteers trained as health coaches provided an 8-session hypertension management training program to hypertension patients older than 60, with an optional supplemental 8 sessions focused on nutrition and physical activity.
- Results: Just 16 weeks after the program, participants had improved systolic blood pressure, weight, and fasting glucose, greater knowledge of hypertension, and improved self-reported behaviors.
Other Project Examples
Columbia Gorge Collective Impact Health Specialist
Updated/reviewed July 2025
- Need: To address the specific health needs of north-central Oregon and south-central Washington.
- Intervention: The Collective Impact Health Specialist identifies community needs, convenes community partners to design initiatives that address those needs, and secures funding for health-related initiatives.
- Results: Thanks to the CIHS, the Columbia Gorge region has received $35.4 million since 2014.
Targeted Rural Underserved Track (TRUST) Program
Updated/reviewed April 2025
- Need: There is a shortage of rural physicians in the Northwestern United States.
- Intervention: University of Washington medical students are receiving training through the TRUST program in rural communities across a five-state radius.
- Results: Long-lasting connections have been formed among regional communities, medical students, and rural health professionals, with the goal of producing more rural physicians.
Regional Initiatives in Dental Education (RIDE)
Updated/reviewed June 2024
- Need: Address oral health disparities in Washington's rural communities.
- Intervention: The University of Washington School of Dentistry (UWSOD) developed the Regional Initiatives in Dental Education (RIDE) program to increase the number of dentists prepared for the various languages and custom-specific attitudes concerning oral health in addition to the clinical competence required to practice in rural areas.
- Results: Since its start in 2009 and as of 2024, nearly 100 dentists have completed the program with over 81% practicing in rural communities.
Premera Rural Nursing Health Initiative at the University of Washington
Added January 2024
- Need: To create rural clinical placement and postgraduate fellowship opportunities for Doctor of Nursing Practice (DNP) students and recent Advanced Registered Nurse Practitioner (ARNP) graduates in Washington.
- Intervention: The Rural Nursing Health Initiative (RNHI), a program out of the University of Washington School of Nursing that created clinical placement opportunities for DNP students and a postgraduate fellowship program for ARNP graduates.
- Results: Rural clinical stipends have been awarded to 80 DNP students, and 12 ARNPs completed rural fellowships between 2021 and 2023.
Jefferson Healthcare Prescription CSA
Added July 2023
- Need: To increase food security among low-income patients living with cancer and diabetes in rural Jefferson County, Washington.
- Intervention: A local healthcare system partnered with a small organic farm to offer weekly produce boxes to eligible low-income patients.
- Results: 10 patients participated in the Jefferson Healthcare prescription CSA program in 2022. In 2023, the program grew to serve 15 patients.
Last Reviewed: 12/29/2023

