When Alina Tudor, a nurse care manager at Adventist Medical Center (AMC) in Portland, Ore., met with a patient named Margaret, she discovered a need beyond typical medical care. Margaret found it impossible to navigate the steps to her home without help. She needed a ramp to her front door. Alina began brainstorming with Don Ingram, AMC engineer for clinics. They connected with Ben Raines, a local Home Depot assistant manager, who offered the necessary materials.