Colorado STREAM Rural Health Network

Strengthening Treatment, Referral, Engagement, Access & Medication Management

Care that flows closer to home.

Colorado STREAM is building a statewide network connecting community pharmacies, regional treatment centers, telehealth, and healthcare partners to expand access to opioid use disorder treatment, chronic disease management, and whole-person care in rural Colorado. 

ColoradoStreamlogo

Rural Colorado Faces Unique Healthcare Barriers

47

Colorado counties are rural or frontier

722,000

Coloradans live in rural communities

30+ Miles

Many residents live far from healthcare providers

12-15x

Patients see pharmacists far more often than primary care providers

Person picking up their medication

Growing Need for Better Access to Care

Across rural Colorado, thousands of residents face significant barriers to accessing the healthcare they need. Persistent shortages of healthcare providers, long travel distances to clinics and hospitals, and limited access to specialty and behavioral health services make it difficult for many individuals to receive timely, coordinated care. These challenges are compounded by rising rates of chronic diseases such as diabetes, hypertension, and cardiovascular disease, which require ongoing management and support.

Person counting pink pills in a blue container

Closing the Gaps in Opioid Treatment and Recovery

At the same time, the opioid epidemic continues to disproportionately impact rural communities, where access to evidence-based treatment and recovery services is often limited. Transportation barriers, workforce shortages, and fragmented care systems can delay or prevent people from receiving lifesaving medications and essential health services.

Female pharmacist taking blood pressure

Community Pharmacies: A Trusted Solution

Colorado STREAM was created to address these challenges by leveraging one of the state's most accessible healthcare resources—community pharmacies. By connecting trusted local pharmacists with regional treatment hubs, telehealth services, and coordinated care teams, Colorado STREAM is building a sustainable model that brings comprehensive, whole-person healthcare closer to where rural Coloradans live, work, and thrive. 

Mountain town with a dirt road

Building a Sustainable Future for Rural Healthcare 

Colorado STREAM is creating a scalable model that strengthens rural healthcare for the future. By investing in workforce development, data-driven evaluation, and strong partnerships, the initiative aims to improve health outcomes, support long-term sustainability, and expand access to medication management, chronic disease care, and other essential health services across Colorado's rural communities.

Our Vision

Every Coloradan deserves access to evidence-based healthcare close to home

To expand timely, coordinated, and person-centered access to medications for opioid use disorder and whole-person health services in rural Colorado by linking regional treatment hubs with trusted community pharmacies, telehealth, and a trained rural workforce.

Regional Treatment Hubs

Regional Treatment Hubs

Community Pharmacy Networks

Telehealth + Care Coordination 

Whole-Person Care 

Colorado STREAM Proposed Service Area Map

Colorado STREAM Service Area Map v1.0

Proud Partners

Denver Recovery Group Logo
University of Colorado Skaggs School of Pharmacy Logo

Albertsons Logo

Safeway logo
Kroger Logo
CPESN Colorado logo
buena vista drug
downtown drug pharmacy and giftshop

Meet The Leadership Team

Denise Vincioni

Regional Director
Denver Recovery Group

JK Costello MD, MPH

Director of Behavioral Health Consulting
Steadman Group

Robert Valuck PhD, RPh

Professor Executive Director of the Colorado Consortium for Prescription Drug Abuse Prevention
Department of Clinical Pharmacy

Wes Nuffer PharmD, BCPS, CDCES, BC-ADM

Professor, Assistant Director of Experiential Programs Diabetes, Community Practice
Department of Clinical Pharmacy

Sarah Billups PharmD, BCPS

Clinical Professor, Director of Population Health
Department of Clinical Pharmacy

Jess Angleson PharmD, MBA, BCPS

Director of Practice Advancement
Colorado Pharmacists Society