The document discusses efforts by the University of New Mexico to address social determinants of health through decentralization and broadening the health team. It establishes Health Extension Rural Offices across New Mexico to link community health priorities with university resources and monitor programs' effectiveness. These offices serve as regional academic hubs and their community health worker programs have been successfully adopted and expanded through Medicaid managed care funding. The university also works to address health professional shortages in rural areas and social issues like nutrition through partnerships between Health Extension, Cooperative Extension and community health workers.