Massachusetts Models and Innovations

Evidence-Based Examples

Sickness Prevention Achieved through Regional Collaboration (SPARC, Inc.®)

Updated/reviewed July 2023

• Need: Population-based rates of adult vaccinations and cancer screenings are low. Delivery rates are lower still in low-income and minority communities.
• Intervention: SPARC was established to develop and test new community-wide strategies to increase the delivery of clinical preventive services.
• Results: Across the United States in both rural and urban communities, SPARC programs, which broaden the delivery of potentially life-saving preventive services, have been successfully launched, improving residents' health.

Effective Examples

Health Coaches for Hypertension Control

Updated/reviewed September 2023

• 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.

Promising Examples

Communities that Care Coalition

Updated/reviewed April 2023

• Need: To improve the health, well-being, and equity of young people in the rural area of Massachusetts's Franklin County and North Quabbin, and to reduce youth drug and alcohol use.
• Intervention: A community-based prevention coalition was formed to improve youth health, well-being, and equity and reduce youth drug and alcohol use use. The coalition brings together stakeholders from across the community and uses the Communities That Care evidence-based community planning system.
• Results: CTC has seen significant reductions in substance abuse among local youth in the 30 rural towns they serve.

Other Project Examples

CAPABLE (Community Aging in Place—Advancing Better Living for Elders)

Updated/reviewed July 2024

• Need: To help older adults age in place.
• Intervention: For five months, CAPABLE participants receive home visits from a registered nurse, occupational therapist, and home repair services.
• Results: There are currently 42 CAPABLE sites across the country, 14 of which are located in rural communities.

The Massachusetts Department of Public Health TeleSANE Center

Updated/reviewed June 2024

• Need: Clinicians in rural and underserved areas are often unprepared to provide comprehensive medical-forensic examinations for patients who present for care following a sexual assault.
• Intervention: The MDPH TeleSANE Center uses secure telehealth software to connect sexual assault nurse examiners to clinicians and patients in hospitals across Massachusetts — including four in rural counties — offering expert clinical guidance and support before, during, and after examinations.
• Results: Clinicians report that the service gives them increased confidence throughout the examination process. To date, the MDPH TeleSANE Center has assisted in the care of over 960 patients.

Moms Do Care EMPOWER (MDC-E)

Added February 2024

• Need: To support pregnant or new parents in rural Massachusetts affected by substance use or on medication for opioid use.
• Intervention: This program offers a medical and behavioral health home, providing trauma-informed support before, during, and after childbirth.
• Results: Six months after enrollment, there was a 20% increase in the number of participants who felt socially connected and a 5% increase in abstinence from all substances.

Outer Cape Health Services Community Resource Navigator Program

Updated/reviewed March 2023

• Need: Improving outcomes for Outer and Lower Cape Cod residents in need of social, behavioral health, and substance use disorder services while reducing the burden and costs to town agencies and hospital emergency rooms.
• Intervention: The Community Resource Navigator Program works with local social services, town agencies, faith-based institutions, hospitals, the criminal justice system, and others to identify and connect clients to needed services.
• Results: Clients are gaining access to the care they were once lacking, as measured by improvements in self-sufficiency. The program also helps community partners and stakeholders work together to reduce the impact of risks associated with behavioral health symptoms, substance use disorder, and social determinants of health.