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Rural Health Information Hub

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

funded by the Federal Office of Rural Health Policy

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

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.
funded by the Health Resources Services Administration

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.
funded by the Health Resources Services Administration

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.

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.

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