Rural Organizations Orchestrating Transformation for Sustainability

NC ROOTS Hub

Strengthening rural health through local partnership, collaboration, and community-led transformation

a female doctor standing infront of a rural landscape
A blue heart with an outline of a field inside. NC Rural Health Transformation Logo

About NC ROOTS

NC ROOTS (Rural Organizations Orchestrating Transformation for Sustainability) is a statewide initiative focused on improving health outcomes in rural communities across North Carolina. 

This work brings together local partners, providers, and community leaders to strengthen access to care, address health-related needs, and build long-term capacity in rural health systems. 

The NC ROOTS Hub model is designed to support collaboration, coordination, and community-informed solutions that reflect the unique needs of each region. 

For full program details, visit the North Carolina Department of Health and Human Services NC ROOTS page. 

a north carolina map showing all regions divided by colors

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Region 2 NC ROOTS Region 5 NC ROOTS

Your Voice Matters: Join an NC ROOTS Community Listening Session

Help shape the future of rural health in your community!

Trillium Health Resources invites you to join an upcoming NC ROOTS Community Listening Session to review early findings from the Regional Needs Assessment and community survey, share your perspectives, and help shape your region's NC ROOTS Hub Action Plan.

NC ROOTS invites community partners, organizations, and stakeholders to submit letters of interest for upcoming initiatives that advance our mission of strengthening resilience, opportunity, and equity across North Carolina. These letters help us identify aligned collaborators and ensure each initiative reflects the needs and priorities of the communities we serve. We welcome interest from groups committed to driving meaningful, community centered impact as we continue to grow and evolve this work.

Trillium’s Role

Trillium Health Resources is the NC ROOTS Hub Lead for Regions 2 and 5.

image of a diagram showing Trillium RoleAs part of this work, we help build strong local networks of partners who work together to improve health care in rural communities. Over the next five years, NC ROOTS Hubs will support rural communities by:

  • Improving mental health and substance use services
  • Helping doctors, clinics, and services work better together
  • Using digital tools to improve care and outcomes
  • Expanding access to primary care
  • Strengthening and growing the health care workforce

Trillium has long invested in people, communities, and new ways of delivering care. These efforts help more people get the care they need, reduce gaps in services, and support individuals and families to live healthier lives.

As a NC ROOTS Hub Lead, Trillium is proud to serve rural North Carolina. We will use our experience, partnerships, and resources to help strengthen local health care and support long-term improvements across the region.

Regional NC ROOTS Hubs

Together, we can strengthen rural health systems and support healthier communities across North Carolina.

NC ROOTS Regional Meetings Recordings

Recording of Rural Ready Now Roundtable July 2026, Region 2 & 5
See the recording for the kickoff meeting Region 2
See the recording for the kickoff meeting Region 5

Stay Connected

We invite partners, community members, and stakeholders to stay engaged as this work moves forward.

By joining our contact list, you’ll stay informed about opportunities to engage, collaborate, and help shape the future of rural health in your region.

Sign up for updates here

Stevens Amendment Disclosure:

This webpage is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $213,008,356.47 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.

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