Joy Hayes, Registered Dietitian Nutritionist (RDN) and Certified Diabetes Educator (CDE), works on the Population Health team for the Minneapolis Heart Institute Foundation®. Specifically, her work has focused on healthcare initiatives within Hearts Beat Back: The Heart of New Ulm Project. Now in its final year, this 10-year research project has offered a unique environment for studying how various interventions, systems and environmental improvements, along with policy changes, can impact the health of an entire community (New Ulm, Minnesota). As a health coach for the project, Joy helped residents at highest risk for having a heart attack set clinical and behavioral goals based on the latest evidence-informed guidelines. A unique aspect of this telemedicine program was the use of a physician-approved protocol that allowed health coaches to initiate and titrate blood pressure and lipid medications. Most recently she served as an interventionist of a randomized controlled trial to answer the question—Does a RDN-led telemedicine program utilizing a medication protocol improve diabetes optimal care outcomes? The ENHANCED study utilized a combination of medical nutrition therapy and a provider-approved medication protocol for lipids, blood pressure and blood glucose to help patients achieve the Minnesota Community Measurement’s Diabetes ‘D5’ treatment goals. The ENHANCED study offered a convenient way for patients to access diabetes self-management education while reducing the burden of already time-constrained primary care providers.