Skip to main content

Rural Health Models and Innovations Funded by the Health Resources and Services Administration

A collection of rural health projects that received support from a part of the Health Resources and Services Administration other than the Federal Office of Rural Health Policy:

Effective Examples

New Mexico Mobile Screening Program for Miners
Updated/reviewed December 2017
  • Need: To increase access to medical screening for miners in New Mexico.
  • Intervention: A mobile screening clinic with telemedicine capability screens miners for respiratory and other conditions.
  • Results: In a recent survey, 92% of miners reported their care as very good, while the other 8% reported it as good. Since 1989, the program has served 6,685 miners.
Appalachian Preceptorship Program
Updated/reviewed October 2016
  • Need: To prepare future physicians for practicing in rural southern Appalachia.
  • Intervention: The Appalachian Preceptorship Program offers medical students clinical preceptorships to give them experience practicing in rural, underserved communities of southern Appalachia.
  • Results: Students who participate in this preceptorship are more than 3 times as likely to practice medicine in a rural location.

Promising Examples

Learning Exchange Reverse Demonstration (LERD) Model
Updated/reviewed July 2017
  • Need: To make it easier for rural nurses to continue their education by decreasing the need to travel.
  • Intervention: An innovative, online health assessment course uses telehealth to allow rural RN-BSN students to demonstrate skills acquisition.
  • Results: Rural participants had similar learning outcomes to those participating in the onsite version of the course, with fewer travel costs, less time away from work, and higher overall satisfaction.

Other Project Examples

NC-REACH: NC-Rurally Engaging and Assisting Clients who are HIV positive and Homeless
Added October 2017
  • Need: Provision of medical care access and follow-up for rural North Carolina HIV patients with mental health, substance abuse, and unstable housing/homelessness challenges.
  • Intervention: Medical home staff model expanded to a care coordination program with a core Network Navigator and Continuum of Care Coordinator assisting with medical, behavioral health, and basic life needs.
  • Results: To date, the program has advanced three aspects of medical home patient care for this target population: provided further understanding of the spectrum of homelessness, including “hidden” homelessness; implemented outreach with creation of new community partnerships and a community housing coalition; and integrated medical care and behavioral health care for HIV.
Health-e-Schools
Updated/reviewed August 2017
  • Need: Rural school children lack proper healthcare resources within the school setting.
  • Intervention: Health-e-Schools provides health services to students via teleconferencing using video conferencing and special equipment.
  • Results: Health-e-Schools increases access to primary healthcare, increases attendance in the classroom, and decreases the amount of time that parents or guardians must take off of work to bring their child to health-related appointments.
Outer Cape Health Services Community Resource Navigator Program
Updated/reviewed August 2017
  • Need: Improving outcomes for Outer and Lower Cape Cod residents in need of social, behavioral health, and substance abuse services while reducing the burden and costs to town agencies, hospital emergency rooms.
  • Intervention: The Community Resource Navigator Program works with local social services and town agencies, faith-based institutions, hospitals, the criminal justice system, and others to identify and connect clients to needed services.
  • Results: Clients are gaining access to the care they were once lacking. The program also helps community partners and stakeholders work together to reduce the impact of risks associated with behavioral health symptoms, substance use disorder, and social determinants of health.
Regional Initiatives in Dental Education (RIDE)
Updated/reviewed August 2017
  • Need: Address oral health disparities in Washington’s rural and underserved communities.
  • Intervention: The University of Washington School of Dentistry developed the Regional Initiatives in Dental Education (RIDE) program preparing dentists for practice in rural and underserved areas.
  • Results: Since the first graduating cohort in 2012, more than 70% of RIDE graduates are practicing in rural and underserved areas.
Roane County Hypertension Control
Updated/reviewed July 2017
  • Need: Nearly one in three Americans has hypertension, and rural community members lack access to clinics and means for monitoring and treatment of their high blood pressure.
  • Intervention: Roane County Family Health Care (RCFHC) uses community-oriented, outcome- and team-based care to combat their rural community members' high rates of hypertension.
  • Results: In 2014, RCFHC succeeded in achieving hypertension control rates in at least 70% of patients, and was named a 2014 Hypertension Control Champion by the U.S. Department of Health and Human Services.
MORE Care
Added June 2017
  • Need: To improve rural residents' oral healthcare.
  • Intervention: MORE Care creates interprofessional oral health networks to 1) better integrate oral health into primary healthcare and 2) coordinate oral health between primary and dental healthcare.
  • Results: Operating in 3 states, MORE Care has led to increases in fluoride varnish administration, improvement in interprofessional communication, and patients' improved self-management of their daily oral health.
Scenic Bluffs Community Health Center Insurance Help Team
Updated/reviewed June 2017
  • Need: To help inform Western Wisconsin residents about their health insurance options under the Affordable Care Act.
  • Intervention: Certified application counselors provide assistance in outreach locations around the region.
  • Results: In the past year, 1,835 people received guidance on health insurance through this program, with 561 completing the process to enroll in a plan.