Marcum and Wallace Hospital is located in northeastern Kentucky and services 21 rural counties, 3 of which were the focus of its RROE project. Marcum and Wallace Hospital worked with Carter, Lee, and Morgan Counties to establish a QRT in each, which provided services to nearly 2,300 people in 1 year. Marcum and Wallace Hospital also hosted overdose awareness events, distributed naloxone, and conducted community outreach and education around SUD and treatment options.