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North Dakota Rural Community-Based Palliative Care
Originally, the North Dakota Rural Community-Based
Palliative Care project was a multi-state (North Dakota,
Wisconsin, Minnesota, and Washington), multi-faceted
project to increase access to palliative care services in
rural communities to improve quality of life and quality
of care for those with advanced illness and complex care
The North Dakota Rural Community-Based Palliative Care
project was one of three projects chosen by Stratis
Health in a multi-state effort to increase access to
palliative care services in rural communities. Community
team efforts in North Dakota will be supported by the
University of North Dakota's Center for Rural Health,
Medicare Rural Hospital Flexibility (Flex) grant program,
a Health Resources and Services Administration funded
communities received support to build a rural
community-based palliative care philosophy and services
in their rural area.
Among the goals of the project were:
Completed (2016) state environmental palliative
assessment with the North Dakota Palliative Care Task
Force (PCTF) and continue participation in PCTF.
Eight rural communities were identified to
participate in the North Dakota Rural Community-Based
Palliative Care project.
A community-based team of interdisciplinary
representatives from rural hospitals, clinics, home
health agencies, nursing homes, hospice programs, and
other community organizations formed in each of the eight
Participants were asked to complete an asset and gap
analysis related to palliative care services
implementation at the beginning and end of the project.
Project activity included networking opportunities,
planning workshops with community teams, and providing
ongoing mentoring calls.
A community action plan for developing and or
enhancing palliative care services was developed and
Success for each of the participating rural communities
and individual care providers depended on the mutual
commitment and collaborative efforts of both the Center
for Rural Health, Flex Program, and the participating
organizations beginning February 2018 and continued
through December 2020.