The Montana HealthCARE project used the following strategies to address the gap between the state's educational capacity and healthcare employers' demands: (1) Create statewide healthcare pathways characterized by stacked and latticed credentials and contextualized curricula; (2) Address Montana's nursing shortages by providing accelerated pathways to credential completion; (3) Increase success for students by providing services that better prepare adult learners for college; accelerate credential completion; coach students in pathway navigation; and provide access to distance education, and (4) Engage the healthcare industry, education, workforce programs, and other stakeholders in healthcare workforce transformation; on-the-job and apprenticeship opportunities; rapid response cycle regional planning; and data driven approaches.