Aims/Purpose: Present a framework for ongoing evaluation of impact of undergraduate nursing student service learning projects on health behaviors and health outcomes. Rationale/Background: The 2010 Affordable Care Act represents the broadest health care overhaul since 1965. According to an IOM report, nurses face barriers which limit their full participation in meaningful change to improve health outcomes. Tangible evidence related to program development and community engagement has been documented. However, methods and processes to measure improvement of health behaviors and health outcomes attributed to student service learning projects and interventions do not exist. Description of Undertaking: Two Oregon Health & Science University (OHSU) School of Nursing faculty in collaboration with three community clinical partners piloted a project to identify a methodology for assessing impact of student led projects on health behaviors and health outcomes in two rural Oregon counties in 2012. Outcomes achieved: Four themes emerged as a result of the pilot project: access, feasibility, metrics and consistency. These four themes serve as a conceptual framework for ongoing evaluation of impact of nursing student service learning projects on health behaviors and health outcomes. Conclusion: Clinical curriculum should include activities which engage students to actively evaluate health outcomes of the clients they serve. A framework addressing feasibility, access, metrics, and consistency is essential for outcome measurement.