In 2013, myself and the Perch team was hired by MaineHealth as the communication and marketing team for a statewide project involving seven community hospitals in seven of Maine’s most rural counties. The goal of this project was to increase access to healthy choices in each of the seven communities, with the long-term goal of reducing the burden of chronic disease across the state. Each community’s work was tailored to its unique needs and executed according to its own capacity, increasing the overall effectiveness of the grant-funded project by not prescribing a single approach.