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Rural Health Information Hub

Formerly the
Rural Assistance Center

Other Case Studies and Collections of Program Examples

In addition to RHIhub's Rural Health Models and Innovations rural program examples, you may also want to browse other case studies, databases, and websites with collections of health programs.

Each resource listed below uses its own criteria for selecting program examples, which may range from programs known to be effective based on research to anecdotal accounts. In each resource, you may want to review information on the level of evidence required for a program's inclusion.

May include non-rural programs that could be applicable to rural health delivery.

Network Spotlight: Illinois Telehealth Network
Describes the characteristics, key learnings, and accomplishments of the Illinois Telehealth Network (ITN) through an interview with key ITN personnel. ITN is a 26-member consortium of rural health entities, including Critical Access Hospitals (CAHs) and Federally Qualified Health Centers (FQHCs), working to improve access to care in rural, underserved communities through the expanded application of telehealth and telemedicine solutions.
Date: 11/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Improving Health in the Mississippi Delta through Powerful Engagement
Describes the financial, educational, and healthcare challenges residents of the Mississippi Delta face. Discusses the Fannie Lou Hamer Cancer Foundation, a cancer awareness and prevention program working in rural, African American communities to create a network focused on education, outreach, and advocacy related to cancer.
Date: 10/2017
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Rural Transportation Best Practice: Transportation for Individuals with Chronic Care Conditions
Highlights a program called Mountain Empire Older Citizens (MEOC), which is a transportation assistance service for individuals with chronic conditions in Big Stone Gap, VA. Details the demographics of the town, as well as the structure of the program.
Date: 10/2017
Type: Document
Sponsoring organization: National Aging and Disability Transportation Center
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Network Spotlight: Arizona Rural Women's Health Network
Shares the characteristics, key learnings, accomplishments, and challenges faced by the Arizona Rural Women's Health Network (AzRWHN) through an interview with network director, Leah Meyers. AzRWHN works to build network partners' capacity and promote activities that improve the health of women in Arizona.
Date: 10/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Rural Innovation Profile: Medical-Legal Partnership Addresses Social Determinants of Health
Explores how FirstHealth of the Carolinas, a private, nonprofit healthcare network based in Pinehurst, North Carolina, reduced emergency department utilization and hospital readmission rates systemwide through the use of transitional care clinics (TCCs) and medical-legal partnerships (MLPs).
Date: 09/2017
Type: Document
Sponsoring organization: Rural Health Value
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Tackling the Opioid Crisis in a Rural Community
Discusses a partnership between a rural hospital physician and the director of a community counseling center to establish a medication-assisted treatment (MAT) for opioid addiction in rural Maine. Presents the program's support structure, as well as the advantages of having an integrated treatment approach.
Date: 09/2017
Type: Document
Sponsoring organization: American Hospital Association
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Promoting a Nutritious Diet Inside and Outside the Hospital
Highlights a rural Vermont hospital's efforts to promote healthier eating habits both inside and outside the hospital by locally sourcing food, encouraging participation in their "Ton of Tomatoes" project, and processing produce to help food-insecure community members. Discusses efforts of other hospitals promoting healthy diets, including removing unhealthy cafeteria meal options and promoting community gardens.
Date: 09/2017
Type: Document
Sponsoring organization: American Hospital Association
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Network Spotlight: Indiana Rural Workforce Innovation Network
Provides an overview of the Indiana Rural Workforce Innovation Network (IRWIN) through an interview with Cindy Large, Heather Grable, and Amnah Anwar from the Indiana Rural Health Association. Focuses on IRWIN's achievements and insights as members work to strengthen Indiana's rural allied health workforce through recruitment, training, certification, and job placement.
Date: 09/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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An Assessment of Mobile and Portable Dentistry Programs to Improve Population Oral Health
Describes configurations of portable and mobile dental programs including models and applications, discusses targeted populations, details variations in regulations by state, and examines outcomes of preventive interventions in underserved areas. Includes case studies of 7 programs initiated to improve access in underserved populations or in rural areas.
Additional links: Policy Brief
Author(s): Margaret Langelier, Jean Moore, Rachel Carter, et al.
Date: 08/2017
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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Coteau des Prairies Keeping Services Close to Home
Follows Sisseton, South Dakota-based Coteau des Prairies Health System's (CDP) progress as part of the Small Rural Hospital Transition (SRHT) project. CDP completed a financial operational assessment (FOA) with the goal of positioning the hospital for future financial success. Primary areas of improvement include revenue cycle management, HCAHPS scores, executive communication, swing bed utilization, and more.
Additional links: One-Page Summary
Date: 08/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Hospital-Community Partnerships to Build a Culture of Health: A Compendium of Case Studies
Presents insights from nine communities across the U.S. that have successful hospital-community partnerships. Each case study provides a description of the community, background information on the partner organizations, and an overview of the impacts and lessons learned. Several case studies include rural communities, rural populations, and/or rural partner organizations.
Date: 08/2017
Type: Document
Sponsoring organization: Health Research & Educational Trust
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Network Spotlight: North Dakota Critical Access Hospital Quality Network
Describes the North Dakota Critical Access Hospital (CAH) Quality Network through an interview with Senior Project Coordinator, Jody Ward, and Associate Director, Lynette Dickson, from the University of North Dakota, School of Medicine and Health Sciences' Center for Rural Health. The North Dakota CAH Quality Network serves as a voluntary platform for facilitating best practices and quality improvement initiatives across all of North Dakota's 36 CAHs. The conversation focuses on the North Dakota CAH Quality Network's characteristics, key learnings, accomplishments, and challenges.
Date: 08/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Magnolia Regional Medical Center Excels as a Hospital in Transition
Documents Magnolia Regional Medical Center's (MRMC) top accomplishments after participating in the Small Rural Hospital Transition (SRHT) project and completing a financial operational assessment (FOA). Major areas of improvement include net income, net patient revenue, days cash on hand, swing bed utilization, and overall quality ratings.
Additional links: One-Page Summary
Date: 07/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Network Spotlight: Southeast Texas Health System
Provides an overview of the Southeast Texas Health System (SETHS) through an interview with its executive director, Tara Dilley. Based in Weimar, Texas, SETHS is a nonprofit health collaborative network that specializes in managed care contracting for rural providers. The interview covers SETHS' network characteristics, key learnings, accomplishments, and ongoing challenges.
Date: 07/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Medical Center Barbour Reduces Readmission Rates
Highlights the accomplishments of Medical Center Barbour (MCB), a prospective payment system (PPS) hospital located in Eufaula, Alabama, as it progressed through a Small Rural Hospital Transition (SRHT) quality of care and transition of care project. MCB's top accomplishments include reducing readmissions, improving communication among staff and patients, and enhancing the discharge process.
Additional links: One-Page Summary
Date: 06/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Network Spotlight: Rural Health Network of Oklahoma
Describes the Rural Health Network of Oklahoma (RHNOK) through an interview with the program's Executive Director, Stacie Pace, and Chief Information Officer, Josh Braziel. Focuses on RHNOK's characteristics, key learnings, accomplishments, and challenges as it works to improve the healthcare system and overall health of rural Oklahoma.
Date: 06/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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After Hospital Closure: Pursuing High Performance Rural Health Systems without Inpatient Care
Describes ways for rural communities to develop optimal healthcare delivery systems after a local hospital closure. Features 3 case studies from Arizona, Michigan, and Illinois. Includes tables showing options currently available under federal and state laws, and policies under consideration.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 06/2017
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Network Spotlight: Northeast Oregon Network (NEON)
Highlights a conversation with Lisa Ladendorff, executive director of the Northeast Oregon Network (NEON). NEON is nonprofit health collaborative serving five rural and frontier counties in eastern Oregon, focused on improving health outcomes for all residents within the communities it serves. Discussion includes challenges faced, past successes, advice for developing rural health networks, and more.
Date: 05/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Lessons Learned: A Rural Case Study - Challenges Increasing Access to Dental Care Among Rural Veterans
Details the referral process initiated by the Grand Island Dental Outpatient Team in Nebraska for rural veterans who are ineligible for VA dental coverage to receive basic treatment from community dentists. Discusses some of the challenges to designing and implementing the program, such as establishing new partnerships with local dentists, adhering to a sustainable staffing plan, and pursuing data collection and analysis for measuring outcomes, among other factors.
Date: 05/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Network Spotlight: Northwest Rural Health Network
Presents information from an interview with Jac Davies, executive director of the Northwest Rural Health Network based in Spokane, Washington. The Northwest Rural Health Network works to support its members by sharing information and promoting efficient models of integrated care. Discussion covers member benefits, challenges faced, advantages of working in rural a rural environment, advice for developing rural health networks, and more.
Date: 04/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Monroe County Hospital Achieving Outcomes
Examines the gains made by Monroe County Hospital (MCH), located in Monroeville, Alabama, as part of the Small Rural Hospital Transition (SRHT) project. During the project, the 35-bed prospective payment system (PPS) hospital focused on improving patient education and transitions of care, integrating pharmacists, implementing bedside reporting, and reducing readmission rates. The changes have resulted in improved community engagement and prepared MCH for value-based purchasing.
Additional links: One-Page Summary
Date: 04/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Network Spotlight: Affiliated Service Providers of Indiana (ASPIN)
Highlights an interview with Kathy Cook, CEO and President of the Affiliated Service Providers of Indiana (ASPIN). ASPIN is a network of community health centers and addiction providers serving rural areas of Indiana. Interview focuses on sharing information about the network's characteristics, challenges faced, accomplishments, lessons learned, recommendations for other networks, and more.
Date: 03/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Madison County Memorial Hospital: Making the Most of FOA
Documents Madison County Memorial Hospital's (MCMH) successes from participating in the Small Rural Hospital Transition (SRHT) project. Top accomplishments include improving relationships with the community and other providers, improving business office operations and leadership development, developing outpatient rehab services, and improving transitions of care. MCMH is a 25-bed, nonprofit Critical Access Hospital located in Madison, Florida.
Additional links: One-Page Summary
Date: 03/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Rural Innovation Profile: Global Budget Process as an Alternative Payment Model
Profiles McCready Health in rural Crisfield, Maryland to examine the what, why, who, and how of Maryland's all-payer hospital rate-setting system. Discusses the Total Patient Revenue (TPR) system and corresponding essential functions such as rate setting, strategic planning, and care coordination.
Date: 03/2017
Type: Document
Sponsoring organization: Rural Health Value
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Network Spotlight: Appalachian Kentucky Health Care Access Network
Explores various aspects of the Appalachian Kentucky Health Care Access Network (AKHCAN) through an interview with Project Director Jan Chamness, and Project Manager Gina Brien. The AKHCAN is a grant-funded network that seeks to increase and improve healthcare access for all low-income, uninsured, and underinsured populations living in rural Kentucky through the use of community health workers (CHWs).
Date: 02/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Russell County Hospital Aligning for Future Success
Details the improvements made by Russell County Hospital (RCH), a 25-bed Critical Access Hospital located in Russell Springs, Kentucky, as part of the Small Rural Hospital Transition (SRHT) project. Major accomplishments include expanding primary care and surgery services, developing a strategic plan, establishing and monitoring quality indicators, and optimizing participation in the 340B Drug Pricing Program. RCH is also working with the community and the media to promote their quality scores, which are consistently high.
Additional links: One-Page Summary
Date: 02/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Network Spotlight: Foothills Health Network
Provides an overview of the Foothills Health Network in Polk County, North Carolina, through an interview with network coordinator, Michele Trofatter. The Foothills Health Network works to improve the health of people living in Polk County, particularly within the low-income and uninsured populations, by increasing access to care. Interview covers challenges faced, successes, lessons learned, network characteristics, recommendations, and more.
Date: 01/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Delta Health Alliance: Delta Futures Teen Pregnancy Prevention Program
Describes a program promoting evidence-based, medically accurate public school curricula scheduled to be implemented in all 18 Mississippi Delta rural counties.
Date: 2017
Type: Document
Sponsoring organizations: Office of Adolescent Health, Office of the Assistant Secretary for Health
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Stem the Tide: Addressing the Opioid Epidemic
Presents a report on various methods hospitals and health systems can use to address the opioid epidemic. Discusses non-opioid pain management, prescribing practices, and treatment for substance use disorders, among other topics. Highlights several rural programs in the Case Examples sections.
Date: 2017
Type: Document
Sponsoring organization: American Hospital Association
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Compendium of Rural Oral Health Best Practices
Presents examples of the best practices in rural oral healthcare across the country. Looks at programs in 10 different states, including program purpose, summary, effectiveness, and funding source.
Date: 2017
Type: Document
Sponsoring organization: National Rural Health Association
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Considering Culture: Building the Best Evidence-Based Practices for Children of Color
A case study examining how culture impacts the effectiveness of evidence-based practices in communities of color, suggestions for how that efficacy may be improved, and options beyond the traditional programs that are proving to be valuable for the children in those communities. A specific discussion (pages 6-7) of the Strong African American Families (SAAF) program in Georgia gives a rural perspective to the issue.
Date: 2017
Type: Document
Sponsoring organization: Annie E. Casey Foundation
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Network Spotlight: Community Care Alliance
Describes key aspects of the Grand Junction, Colorado based Community Care Alliance (CCA) through an interview with Marnell Bradfield, CCA's Director of Operations, and Angelina Salazar, Vice President of Outreach and Communications for CCA's parent organization, the Western Healthcare Alliance (WHA). CCA's primary function is to help member organizations prepare for healthcare transformation, particularly in the areas of Medicare Shared Savings Program ACOs and the Merit-Based Incentive Payment System (MIPS).
Date: 12/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Case Studies of 6 Teledentistry Programs: Strategies to Increase Access to General and Specialty Dental Services
Describes the delivery of teledentistry services by six provider organizations with different organizational structures. Discusses teledentistry as a method for improving rural access to oral health services. Identifies common themes, including the benefits of and barriers to teledentistry.
Additional links: Policy Brief
Author(s): Margaret Langelier, Carol Rodat, Jean Moore
Date: 12/2016
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Supporting the Development of Young Children in American Indian and Alaska Native Communities Who Are Affected by Alcohol and Substance Exposure
Policy statement providing recommendations that promote the early development of American Indian and Alaska Native (AI/AN) children who have been exposed to alcohol and substance abuse during pregnancy or early childhood. Discusses best practices and reviews promising strategies that tribal early childhood programs can use to support children's development and wellness. Also points out health disparities that exist between tribes and the general U.S. population, and uses case studies to show where success has been achieved in reducing the destructive effects of substance abuse.
Date: 12/2016
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Network Spotlight: Palmetto Care Connections
Presents highlights from an interview with Kathy Schwarting, executive director of Palmetto Care Connections in Fairfax, South Carolina. Focuses on Palmetto Care Connections' network characteristics, key learnings, accomplishments, and ongoing challenges as it works to facilitate healthcare across South Carolina through the use of innovative technology.
Date: 11/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Network Spotlight: North Coast Clinics Network
Highlights the Eureka, California based North Coast Clinics Network (NCCN), which works to improve efficiency and quality of care across its Federally Qualified Health Center (FQHC) members. Covers NCCN's characteristics, key learnings, accomplishments, and challenges faced through an interview with Director of Education and Innovation, Trisha Cooke, and Executive Director, Tim Rine.
Date: 10/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Union General Hospital: Showing What's Possible In Population Health
Outlines Union General Hospital's "It's a Girl Thing: Making Proud Choices" program, which seeks to curb sexually transmitted diseases and teenage pregnancy in Farmerville, Louisiana. The program focuses on educating high school girls on topics such as self-esteem, dating and violence, finances, the consequences of teen pregnancy, and more. Also includes a brief discussion with one of the program developers.
Date: 10/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Network Spotlight: Safetyweb Network
Provides an overview of the Safetyweb Network through an interview with network director, Mike Rust. The Safetyweb Network is a Balsam Lake, Wisconsin based network that focuses primarily on providing health benefits counseling services to residents in Polk County, Wisconsin. Interview topics include network characteristics, key learnings, accomplishments, and challenges.
Date: 09/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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North Sunflower Medical Center Successfully Addressing Chronic Care Management
Documents North Sunflower Medical Center's (NSMC) progress as part of the Small Rural Hospital Transition (SRHT) project, particularly in the areas of discharge planning and follow-up, placing patients in the correct level of care, and chronic disease management. NSMC is a 25-bed Critical Access Hospital located in Ruleville, Mississippi.
Date: 09/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Network Spotlight: North Country Health Consortium
Details a conversation with Nancy Frank, Executive Director of Littleton, New Hampshire based North Country Health Consortium (NCHC). NCHC is a broad-based rural network of health and human services providers working in the areas of public health, emergency preparedness, AHEC services, and more. Interview focuses on NCHC's network characteristics, key learnings, accomplishments, and challenges.
Date: 08/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Marcum & Wallace Memorial Hospital Successfully Impacts Project Outcomes
Highlights Marcum & Wallace Memorial Hospital's progress as they worked through the Small Rural Hospital Transition (SRHT) project in 2015. By participating in the SRHT project, Marcum & Wallace was able to make significant improvements to emergency department operations, swing bed services, 340B usage, and more.
Date: 08/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Project ECHO’s Complex Care Initiative: Building Capacity to Help "Superutilizers" in Underserved Communities
Case study of the University of New Mexico’s Project ECHO (Extension for Community Health Outcomes) program, which uses telehealth to support primary care clinicians in underserved areas. Focuses on a project targeting Medicaid beneficiaries with substance abuse and mental health issues, with details on two primary care teams being supported, including one in a rural New Mexico community.
Author(s): Martha Hostetter, Sarah Klein, Douglas McCarthy
Date: 08/2016
Type: Document
Sponsoring organization: Commonwealth Fund
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Network Spotlight: Santa Cruz County Adolescent Wellness Network
Explores various aspects of the Nogales, Arizona based Santa Cruz Adolescent Wellness Network (AWN) through an interview with network director, Cassalyn David. AWN is a group of local agencies that work together in a dynamic, collaborative manner to improve the health and wellness of area adolescents. Interview covers AWN's network characteristics, key learnings, accomplishments, and challenges.
Date: 07/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Rural Innovation Profile: Health Outside Hospital Walls
Outlines how Chadron Community Hospital and Health Services (CCHHS) in Chadron, Nebraska, is leveraging the changing healthcare environment to prioritize population health and fill needed service gaps within the community. As part of the focus on overall community health, CCHHS took leadership in an assisted living facility, funded a large scholarship fund to help cultivate a skilled local workforce, and assumed management of the community action agency.
Date: 07/2016
Type: Document
Sponsoring organization: Rural Health Value
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Planning for Transportation Together: Collaborating to Address Transportation and Economic Resilience
This report expands on the definition of economic development in transportation, and provides case studies demonstrating how state agencies, regional and rural planning and development organizations can work together to develop transportation facilities, infrastructure, and services to create jobs, improve access to employment, education, and community services including healthcare.
Author(s): Carrie Kissel, Brett Schwartz, Sara James, Susan Dyer
Date: 07/2016
Type: Document
Sponsoring organization: National Association of Development Organizations
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Network Spotlight: Mountain Health Alliance
Highlights the Cumberland, Maryland based Mountain Health Alliance (MHA), which works to advance a culture of health within the region's rural communities through collaboration and community engagement. Covers MHA's network characteristics, key learnings, accomplishments, and challenges faced through an interview with network director, Kimi-Scott McGreevy. MHA serves the uninsured, underinsured, and low-income populations in a three-state (PA, MD, WV), five-county region.
Date: 06/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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The Reverend’s Revolution: A Kid-First Approach to Community Health
Features the work of Reverend Richard Joyner and the Conetoe Family Life Center, a North Carolina nonprofit focused on youth development and improving community health.
Author(s): Jenn Lukens
Location: Rural Monitor
Date: 06/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Pender Community Hospital Surpassing Project Goals
Explains how Pender Community Hospital (PCH), a 21 bed Critical Access Hospital located in Pender, Nebraska, improved its financial and operational performance through the Small Rural Hospital Transition (SRHT) Project. Areas of focus include relocating the clinic, enhancing retail pharmacy and swing bed services, increasing marketing efforts, and restructuring therapy programs.
Date: 05/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Proactively Pursuing Value-Based Payment
Profile of a program developed at a Critical Access Hospital (CAH) located in rural Washington that is transitioning from volume- to value-based care. The CEO of the hospital is working with payers to design a value-based payment contract that will help the facility fund the continued transition to value-based care and hopes to create a payment model that other CAHs in the state can adopt.
Date: 05/2016
Type: Document
Sponsoring organization: Rural Health Value
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15 Million Kids in Health Care Deserts: Can Telehealth Make a Difference?
Highlights the problems with access to healthcare for children of vulnerable populations living in rural and poverty stricken areas, and discusses how telehealth can be implemented to overcome these barriers. Describes several case studies including a rural school-based telehealth program as a method for improving access to healthcare services to children.
Author(s): Dale Alverson, Julie Hall-Barrow, Denise M. Dion, et al.
Date: 04/2016
Type: Document
Sponsoring organization: Children's Health Fund
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Chicot Memorial Medical Center Utilizes SRHT Project to Prepare for the Future
Highlights the successes and lessons learned from a Financial Operational Assessment (FOA) performed by Chicot Memorial Medical Center (CMMC) in Lake Village, Arkansas. The FOA was completed as part of the Small Rural Hospital Transition (SRHT) Project.
Date: 04/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Spotlight on Cibola General Hospital
Highlights Cibola General Hospital (CGH), a 25 bed Critical Access Hospital located in Grants, New Mexico. Examines the progress CGH has made working to improve quality of care and transitions of care as part of the Small Rural Hospital Transition (SRHT) Project.
Date: 02/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Case Studies of 8 Federally Qualified Health Centers: Strategies to Integrate Oral Health with Primary Care
Results of a study conducted between February and July 2015, examining the most effective workforce models, describing delivery of oral health services, and identifying barriers and facilitators of integrating primary care and oral health services in urban and rural Federally Qualified Health Centers.
Author(s): Margaret Langelier, Jean Moore, Bridget Baker, Elizabeth Mertz
Date: 09/2015
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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A Participatory Regional Partnership Approach to Promote Nutrition and Physical Activity Through Environmental and Policy Change in Rural Missouri
A case study of Healthier Missouri Communities (Healthier MO), a community-based research project in 12 counties in rural southeast Missouri. Describes a group process to identify and select promising evidence-based interventions to promote nutrition and physical activity.
Author(s): Ellen K. Barnidge, Elizabeth A. Baker, Amy Estlund, et al.
Location: Preventing Chronic Disease, 12
Date: 06/2015
Type: Document
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Healthy Clinic Program Helps Colorado Rural Clinics Build Stronger Foundations
Profiles the Healthy Clinic Assessment (HCA) program in Colorado, which assists rural clinics in strengthening their foundations, and improving operations and quality.
Author(s): Jami Schumacher
Location: Rural Monitor, 2015(Winter)
Date: 02/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Community-Wide Cardiovascular Disease Prevention Programs and Health Outcomes in a Rural County, 1970-2010.
Describes key elements and outcomes of programs targeting hypertension, cholesterol, and smoking, as implemented in Franklin County, Maine over a 40 year period. Includes statistics with breakdowns by demographics, risk factor reductions, hospitalization rates, and mortality rates, with comparisons between Franklin County and other Maine counties.
Author(s): N. Burgess Record, Daniel K. Onion, Roderick E. Prior, et al.
Location: The Journal of the American Medical Association, 313(2), 147-155.
Date: 01/2015
Type: Document
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Rural Health Networks and New Forms of Governance
Profiles Wilderness Health, a formal network of rural and urban independent hospitals in Minnesota focused on performance improvement. The network participates in the Integrated Health Partnership, Minnesota’s Medicaid Accountable Care Organization (ACO) model.
Date: 2015
Type: Document
Sponsoring organization: Rural Health Value
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Rural Accountable Care Organization Care Coordination
Profile of the MaineHealth Accountable Care Organization (MHACO), which uses regional teams to provide care coordination to patients with complex medical profiles.
Date: 2015
Type: Document
Sponsoring organization: Rural Health Value
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Nebraska's Regional Provider Network
Provides a case study on Nebraska's Regional Provider Network, which is made up of 3 metro and 6 rural hospitals collaborating to improve the quality of care provided in Nebraska. Describes the composition and activities of the network.
Additional links: Network Overview Poster
Date: 2015
Type: Document
Sponsoring organization: American Hospital Association Section for Small or Rural Hospitals
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From Volume to Value: Toward the Second Curve
Provides a case study on Grinnel Regional Medical Center, that includes 3 rural health clinics, and its search for a partner affiliation that preserves local control and provides the support needed to transform the practice from volume to value service delivery. Highlights phases of partner affiliation, integration, and healthcare provision transformation.
Additional links: Network Overview Poster
Date: 2015
Type: Document
Sponsoring organization: American Hospital Association Section for Small or Rural Hospitals
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Building Primary Care from the Ground Up Training Rural Residents in Williston, ND
Provides a case study on Mercy Hospital Family Residency Program which includes a rural training track that emphasizes rural family medicine training in rural settings. Offers details on the partnership and success of the program.
Date: 2015
Type: Document
Sponsoring organization: American Hospital Association Section for Small or Rural Hospitals
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Stratus Healthcare Integrated Network
Provides a case study on Stratus Healthcare Integrated Network, which brought 30 hospitals, 16 health systems and approximately 2,000 physicians and 22,000 employees together to better coordinate patient care in Georgia to improve quality of care, especially across rural areas. Offers details on the partnership, its outcomes, and lessons learned for the future, especially regarding the network's implementation and impact in rural locations.
Additional links: Network Overview Poster
Date: 2015
Type: Document
Sponsoring organization: American Hospital Association Section for Small or Rural Hospitals
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Investing in Population Health
Profile of a pilot project underway in rural New Mexico focused on population health for Medicaid recipients. Offers communities three levels of patient services and payment. Uses community health workers to address the social determinants of health.
Date: 2015
Type: Document
Sponsoring organization: Rural Health Value
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Rural Healthy People 2020: A Companion Document to Healthy People 2020, Volume 1
Provides a rural focus for the Healthy People 2020 priorities. Includes overviews of the top 10 rural health priority areas identified by rural stakeholders. (Volume 2 discusses priorities 11-20.) Topics addressed include: health insurance, primary care, emergency services, nutrition and weight status, diabetes, mental health, substance abuse, heart disease and stroke, physical activity, older adults, maternal and child health, and tobacco use. Each overview includes reviews of the relevant literature and models that rural communities can use to address the issues. Document is available for free download, after providing brief information about intended use.
Author(s): Jane N. Bolin, Gail Bellamy, Alva O. Ferdinand, Bita Kash, Janet W. Helduser
Date: 2015
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Rural Communities: Best Practices and Promising Approaches for Safe Routes
Discusses the barriers to safe walking and biking to school in some rural communities. Describes how to successfully implement the Safe Routes to School approach in rural areas, with examples of successful programs.
Date: 2015
Type: Document
Sponsoring organization: Safe Routes to School National Partnership
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Cultivating a Competitive Advantage: How Rural Counties Are Growing Economies with Local Assets and Regional Partners
Case studies of rural counties using creative methods to improve their economies. Includes examples that involve the healthcare sector and address issues that impact health.
Date: 11/2014
Type: Document
Sponsoring organization: National Association of Counties
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Transforming the Workforce to Provide Better Care: The Role of Obstetric Nurse Coordinators in North Carolina
A case study describing how nurses are helping improve prenatal care for high-risk pregnant women via North Carolina's statewide Medicaid Pregnancy Medical Home (PMH) program. Includes a section on support for rural practices participating in the PMH program.
Author(s): Mary Takach, Rachel Yalowich
Date: 09/2014
Type: Document
Sponsoring organizations: AARP Public Policy Institute, National Academy for State Health Policy
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Rural Patient Centered Medical Homes Achieve New Standards
Crete Area Medical Center Physicians’ Clinic and Ammonoosuc Community Health Services are among the very few rural safety net providers that have achieved Level 3 PCMH recognition.
Author(s): Candi Helseth
Location: Rural Monitor, 2014(Summer)
Date: 08/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
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Greenhouse Nurtures Confidence and Skills in Montana Psychiatric Patients
Healing Waters Greenhouse at Montana State Hospital helps patients increase social and work skills and decrease stress.
Author(s): Candi Helseth
Date: 05/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
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Telecommunications: Projects and Policies Related to Deploying Broadband in Unserved and Underserved Areas
Shares options for broadband deployment in unserved and underserved areas. Identifies alternative approaches to expanding rural broadband and factors to consider when planning a broadband project. Identifies economic, legal, and policy issues. Describes FCC efforts to foster broadband deployment in unserved areas. Appendix includes brief case studies.
Date: 04/2014
Type: Document
Sponsoring organization: Government Accountability Office
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Rural Innovation Profile: Rural Hospital System Transformation
Discusses how Mercy Health Network, a group of 28 hospitals in rural Iowa, improved system-wide performance by implementing a Lean methodology. Profile focuses on learning from outside the healthcare industry, identifying the appropriate leaders, and utilizing innovative approaches to do more with less.
Date: 03/2014
Type: Document
Sponsoring organization: Rural Health Value
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Small Idaho Hospital Achieves “Most Wired” Status
Reports on a critical access hospital (CAH) in Idaho as a national leader in adopting information technology (IT), earning the "Most Wired" status from the American Hospital Association.
Author(s): Candi Helseth
Location: Rural Monitor, 2014(Winter)
Date: 02/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
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New Jersey Clinic Promotes Healthy Lifestyles
Profiles a rural, New Jersey federally qualified health center's (FQHC) lifestyle and weight management counseling program.
Author(s): Candi Helseth
Location: Rural Monitor, 2014(Winter)
Date: 02/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
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Adapting and Implementing an Evidence-Based Sun-Safety Education Program in Rural Idaho, 2012
Describes the process St. Luke’s Mountain States Tumor Institute (MSTI) took to engage and partner with a community organization to implement an evidence-based sun-safety program in rural Idaho. Includes information on identifying and recruiting a community partner, selecting an evidence-based program, planning, implementing, sustaining, and expanding the program.
Author(s): Charlene Cariou, Melanie Gonzales, Hope Krebill
Location: Preventing Chronic Disease, 11
Date: 2014
Type: Document
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Assessing the Feasibility of a Virtual Tumor Board Program: A Case Study
Examines the feasibility of a Virtual Tumor Board (VTB) Program connecting rural community-based clinicians to the University of North Carolina Lineberger Comprehensive Cancer Center (UNC LCCC) tumor board. Analyzes the individual clinical participants to explore their experiences with the VTB. Includes a summary of data collection methods, coding of interview data, and UNC tumor board participant survey results.
Author(s): Christopher M. Shea, Randall Teal, Lindsey Haynes-Maslow, et al.
Location: Journal of Healthcare Management, 59(3), 177-193
Date: 2014
Type: Document
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Childhood Obesity Prevention Strategies for Rural Communities
Covers childhood obesity in rural communities including common themes and lessons learned, the role of early care, education, and out-of-school time in obesity prevention. Also provides examples of community initiatives and recommendations to policymakers for preventing obesity.
Date: 2014
Type: Document
Sponsoring organization: Nemours Foundation
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Bridging the Digital Divide in Dunn County, Wisconsin: A Case Study of NPO use of ICT
A case study of a program in rural Wisconsin that used AmeriCorps VISTA volunteers to train human service agency staff in the use of technology as a tool for outreach. Discusses needs identified and technologies addressed by the program, including social media and web presence.
Author(s): Elizabeth Bogner, Kevin W. Tharp, Mary McManus
Location: Journal of Community Informatics, 10(1)
Date: 2014
Type: Document
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Promising Approaches to Integrating Community Health Workers into Health Systems: Four Case Studies
Identifies the scope of practice, supervision, financing, and the workforce standards implemented by states and employers in the development of community health worker (CHW) programs. Four case studies that include rural counties illustrate the challenges and opportunities for integrating CHWs into health systems.
Author(s): Lauren Eyster, Randall R. Bovbjerg
Date: 12/2013
Type: Document
Sponsoring organization: Urban Institute
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Case Studies of Regional Extension Centers Serving Rural Practices: Minnesota and North Dakota
Focuses on the HIT Regional Extension Center serving Minnesota and North Dakota and its experiences working with rural physician practices in the two states.
Author(s): Michelle Casey, Ira Moscovice, Alex McEllistrem-Evenson
Date: 11/2013
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Case Studies of Regional Extension Centers Serving Rural Practices: North Carolina
Presents a case study focusing on the North Carolina HIT Regional Extension Center and its experience working with rural physician practices in the state.
Author(s): Michelle Casey, Ira Moscovice, Alex McEllistrem-Evenson
Date: 11/2013
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Network Dispenses Hope, Prescription Drugs to Low-Income Patients
Highlights the Dispensary of Hope which distributes donated surplus medications to its national network of licensed nonprofit clinics and charitable outpatient pharmacies.
Author(s): Candi Helseth
Location: Rural Monitor, 2013(Fall)
Date: 11/2013
Type: Document
Sponsoring organization: Rural Health Information Hub
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A Rural Accountable Care Organization
Profiles the South East Rural Physicians Alliance Accountable Care Organization (SERPA‐ACO), a physician-led ACO serving rural Nebraska. Includes information on how and why the clinics came together to form an ACO.
Date: 09/2013
Type: Document
Sponsoring organization: Rural Health Value
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Rural Service Delivery Integration and Patient Engagement
Profile of Aligning Forces Humboldt, a care coordination and patient engagement initiative in rural Humboldt County, California. The initiative focuses on patient engagement, reduction of unnecessary surgery, and care management for frequent users of the emergency department.
Date: 09/2013
Type: Document
Sponsoring organization: Rural Health Value
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Screening Tennessee Women From Top to Bottom
A women’s health event started by Darryl Adams, NP, in Grundy County is getting more women screened for breast and cervical cancer.
Author(s): Candi Helseth
Location: Rural Monitor, 2013(Summer)
Date: 08/2013
Type: Document
Sponsoring organization: Rural Health Information Hub
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Florida Arts Initiative Improves Well-being of Patients and Communities
The Arts in Healthcare for Rural Communities initiative brings art and dance to patients and communities in the Florida Panhandle.
Author(s): Candi Helseth
Location: Rural Monitor, 2013(Summer)
Date: 08/2013
Type: Document
Sponsoring organization: Rural Health Information Hub
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Smokers Butt Out in Iowa County
High schoolers in Iowa’s Ringgold County successfully campaigned to ban smoking from public parks, bringing new awareness to the prevalence of tobacco use there.
Author(s): Candi Helseth
Location: Rural Monitor, 2012(Fall)
Date: 11/2012
Type: Document
Sponsoring organization: Rural Health Information Hub
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Summer Program Gives Students Experience in Rural Illinois Hospitals
Summer preceptorships are giving health professions students the opportunity to practice their skills and solve real-world problems.
Author(s): Candi Helseth
Location: Rural Monitor, 2012(Fall)
Date: 11/2012
Type: Document
Sponsoring organization: Rural Health Information Hub
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Center Inspires Active Living in New Hampshire Communities
Features the Center for Active Living and Healthy Communities (CfALHC) in New Hampshire, which includes a senior center exercise program, a foot race fundraiser, and a community garden.
Author(s): Candi Helseth
Location: Rural Monitor, 2012(Summer)
Date: 08/2012
Type: Document
Sponsoring organization: Rural Health Information Hub
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Phones Enable Smart Wound Care in Rural Areas
Features nurses in rural Pennsylvania, who can use their smart phones to send images for diagnosis without the patients having to leave their homes. Features Center of Excellence for Remote and Medically Under-Served Areas (CERMUSA) in Loretto, PA, and Home Nursing Agency (HNA) in Altoona, PA.
Author(s): Candi Helseth
Location: Rural Monitor, 2012(Summer)
Date: 08/2012
Type: Document
Sponsoring organization: Rural Health Information Hub
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Collaborative Leadership: Partnerships Between Regional Development Organizations and Community Foundations
Explores the strategies and rewards behind eight partnerships between community foundations and rural development organizations in Alabama, Iowa, Minnesota, North Carolina, Virginia, Oregon, Pennsylvania, and Texas. The Alabama example includes a community health project.
Author(s): Parrish Bergquist, Kathy Nothstine, Anju Chopra
Date: 07/2012
Type: Document
Sponsoring organization: National Association of Development Organizations
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Results of the Community Facilities Program FY 2009-2011
Describes projects that were funded through USDA Rural Development's Community Facilities Program, which supports essential infrastructure and services for public use (including healthcare, education, public safety, and public services) in rural areas of 20,000 in population or less. Projects were granted in every state, plus Puerto Rico, the Federated States of Micronesia, Guam, and American Samoa.
Date: 06/2012
Type: Document
Sponsoring organization: USDA Rural Development
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Local Programs Help Patients Navigate Medical Care
A look at patient navigator programs in four states: a statewide program in Georgia; a program in Kentucky for cervical cancer patients; a promotores program in Texas for chronic conditions; and a coordinated care program for cancer patients in Vermont.
Author(s): Candi Helseth
Location: Rural Monitor, 2012(Spring)
Date: 05/2012
Type: Document
Sponsoring organization: Rural Health Information Hub
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Dynamics of Sustainability: A Primer for Rural Health Organizations
Provides information and case studies on sustainability for rural organizations that are starting new programs.
Date: 02/2012
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Marshfield Telehealth Program Reaches Rural Kidney Patients in Northern Wisconsin
Highlights a renal disease telehealth program in Wisconsin, which is serving low-income nursing home residents as well as patients who can travel to their local clinic for Telehealth services.
Author(s): Candi Helseth
Location: Rural Monitor, 2012(Winter)
Date: 02/2012
Type: Document
Sponsoring organization: Rural Health Information Hub
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Network Brings Better, More Efficient Care to Cardiac Patients in 68 Counties
Highlights the Saint Thomas Chest Pain Network in Tennessee and Kentucky, which is proving that moving patients into and through a system quickly and efficiently is critical to saving lives.
Author(s): Candi Helseth
Location: Rural Monitor, 2012(Winter)
Date: 02/2012
Type: Document
Sponsoring organization: Rural Health Information Hub
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Profiles of Innovative Rural Vanpool Programs
Collection of success stories profiling innovative rural vanpool programs, which provide workers with a dependable ride to work.
Date: 01/2012
Type: Document
Sponsoring organization: Community Transportation Association of America
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Mobile EMS Lab Improves Critical Care in Nevada's High Desert
Highlights Humboldt General Hospital Emergency Medical Services (HGH-EMS), in Nevada, which is taking ultrasound and lab out in the field to improve patient outcomes in rural areas.
Author(s): Candi Helseth
Location: Rural Monitor, 2011(Fall)
Date: 11/2011
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Behavioral Health Programs and Promising Practices
Examines rural behavioral health programs that were involved in a 2008 study. Reports information gathered from the study, the value of collecting and using the data to make program improvements, and finding funding for sustainability.
Date: 06/2011
Type: Document
Sponsoring organization: Health Resources and Services Administration
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The Rockcastle Project: A Case Study of Interprofessional Clinical Education and Practice in a Rural Medical Center
Describes a pilot project regarding an interprofessional, evidence-based learning experience for students in three disciplines during a four week period in a rural hospital in Kentucky.
Author(s): Dana Howell, Lynn English, Judith Page
Location: Internet Journal of Allied Health Sciences and Practice, 9(2)
Date: 04/2011
Type: Document
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Olympic Physicians Case Study: Rural Health IT: Clinic in Washington State Uses EHR System to Improve Care Coordination
Describes how physicians in Olympic, WA developed an EHR system to improve patient care coordination within the rural health IT setting’s local referral network.
Date: 2011
Type: Document
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Continuous and Team-Based Healing Relationships Implementation Guide: Transforming Safety Net Clinics into Patient-Centered Medical Homes
Presents the eight Change Concepts for Practice Transformation (Change Concepts) which comprise the operational definition of a Patient-centered Medical Home for the Transforming Safety Net Clinics into Patient-Centered Medical Homes Initiative. Includes a case study from a community health center network in rural Idaho.
Date: 12/2010
Type: Document
Sponsoring organization: Qualis Health
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Compendium of Rural Best Practices/Models: Communities Along the Border, Including Practices in Clinical Setting
Representation of NRHA's Border Health Initiative's activities to encourage the development of quality health care services for rural populations along the U.S.-Mexico border. Compendium is intended to highlight communities along the border with models that can be built upon and can be used by federal agencies, states and local health and health-related agencies for setting priorities for rural border communities.
Date: 12/2010
Type: Document
Sponsoring organization: National Rural Health Association
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Compendium of Rural Best Practices/Models Innovations to Strengthen Rural Health Care: Technology, Training and Workforce Development
Describes innovative programs that are working to help federal, state, and local health and health-related agencies set priorities for rural technology, training, and workforce development.
Date: 09/2010
Type: Document
Sponsoring organization: National Rural Health Association
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Using Health IT: Eight Quality Improvement Stories
Highlights health information technology (HIT) successes including rural projects funded by the Transforming Healthcare Quality through Information Technology program.
Author(s): Melanie Au, Suzanne Felt-Lisk, Grace Anglin, Andrew Clarkwest
Date: 09/2010
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Outside the Box: Case Studies in Creative Clinic Design
Examines the need for and role of well-conceived facilities within the safety net system. Highlights two rural California clinics that used outside-the-box thinking to create buildings that support new models of care.
Author(s): Dana Dubbs
Date: 06/2010
Type: Document
Sponsoring organization: California Health Care Foundation
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Improving Access to Care for Medically Underserved Californians: Securing Health Professional Shortage Area (HPSA) Designations
Case study describes an initiative conducted by North Coast Clinics Network (NCCN) to increase health care provider capacity in medically underserved areas.
Author(s): Annette L. Gardner, Tina Tvedt
Date: 01/2010
Type: Document
Sponsoring organization: California Endowment
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Paducah, KY, Women's Center Brings Urban Services to Rural Areas
Profiles a patient-centered women's health facility which serves a high proportion of rural clientele. Highlights the center's emphasis on comprehensive, high-quality diagnostic services and prompt treatment for all who need it, regardless of ability to pay.
Author(s): Pamela Schaeffer
Location: Health Progress, 91(5)
Date: 2010
Type: Document
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The Little Hospital That Could: Lakewood Helps Power a Region
Profile of a northern Minnesota Critical Access Hospital, highlighting its support of community initiatives such as a downtown beautification project, occupational development program, and community garden. Hospital includes a family practice clinic, 24-hour emergency room, departments of home health care and public health, hospice program, diabetes resource center, assisted living, and long-term care for the elderly.
Author(s): Pamela Schaeffer
Location: Health Progress, 91(5)
Date: 2010
Type: Document
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From Hospitals to Healthcare Coalitions: Transforming Health Preparedness and Response in Our Communities
Summarizes progress that states and hospitals, along with the public health and emergency management communities, made from 2007-2009 in the Hospital Preparedness Program (HPP). Serves as a guide in healthcare preparedness and response successful models and as an educational tool for legislators, funding recipients and other key stakeholders. Mentions rural throughout.
Date: 2010
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Healthy Indian Country Initiative Promising Prevention Practices Resource Guide: Promoting Innovative Tribal Prevention Programs
Describes promising prevention programs in Indian Country. Includes an overview of identifying, developing, and looking at tribal community promising prevention practices with the goal of communities being able to replicate these practices.
Date: 12/2009
Type: Document
Sponsoring organization: National Indian Health Board
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Case Study: Project ECHO Expands Access to Specialty Care for Rural Patients
A project in New Mexico that uses telemedicine, case-based learning, and disease management techniques to expand access to care for patients with hepatitis C and other chronic, complex conditions.
Author(s): Martha Hostetter
Date: 12/2009
Type: Document
Sponsoring organization: Commonwealth Fund
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Achieving Success in QIO and Rural Hospital Partnerships
Four case studies that highlight the strategies employed by Quality Improvement Organizations (QIOs) to help small rural hospitals implement successful quality improvement initiatives.
Author(s): Janet Pagan-Sutton, Lauren Silver, Jyoti Gupta
Date: 02/2009
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Munson Medical Center: Constant Focus on Patient Satisfaction
Munson Medical Center, a large non-profit hospital serving patients in 24 primarily rural counties, was identified as providing higher patient satisfaction, as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. This case study describes the strategies and factors that contributed to their success.
Author(s): Sharon Silow-Carroll
Date: 12/2008
Type: Document
Sponsoring organization: Commonwealth Fund
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Compendium of Best Practices/Models That Work in Rural Workforce Development
Developed by NRHA's National Rural Task Force. Highlights rural workforce programs in Alaska, Arizona, Montana, New Mexico, South Carolina, and West Virginia.
Date: 09/2008
Type: Document
Sponsoring organization: National Rural Health Association
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Disaster Recovery in Rural Communities: A Case Study of Southwest Louisiana
Provides a descriptive case study that describes the disaster recovery and rebuilding process in the three parishes in South Louisiana that were hardest hit by Hurricane Rita in 2005.
Author(s): Deborah M. Tootle
Location: Southern Rural Sociology, 22(2), 6-27
Date: 2007
Type: Document
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Making it Work: Combating Rural Homelessness
This entire issue of Rural Voices is dedicated to the topic of rural homelessness. Highlights some of the innovative ways rural homeless providers are accessing and using resources in Michigan, Minnesota, California, Georgia, and Kentucky.
Location: Rural Voices, 12(3)
Date: 2007
Type: Document
Sponsoring organization: Housing Assistance Council
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Impact of Seasonal Population Variations on Frontier Communities: Maintenance of the Healthcare Infrastructure
Provides findings from three case studies of frontier communities with seasonal population variations: Skagway, Alaska; Quartzsite, Arizona; and Lake City/Hinsdale County, Colorado. Discusses the experiences of these communities in meeting the health care needs of the permanent local population and seasonal residents and visitors.
Date: 04/2006
Type: Document
Sponsoring organization: National Center for Frontier Communities
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Models for Providing Hospice Care in Rural Areas: Successes and Challenges
Describes how four different hospice models provide hospice care in rural areas, with case studies from hospices in Florida, Minnesota, Oregon, and Wisconsin. Includes data on rural and urban Medicare certified hospice services.
Author(s): Michelle M. Casey, Ira Moscovice, Beth Virnig, Sarah Kind
Date: 01/2003
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Pueblo of Pojoaque Energizes Local Food Economy
Describes a project begun in 2009 to improve Rio Grand Valley tribal members’ nutrition and expand the local food economy by developing a pueblo farm.
Type: Document
Sponsoring organization: Administration for Native Americans
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Case Study: Rural Health System Partners with Local Fitness Centers and Small Businesses to Improve Workplace Wellness
Outlines Henderson Health Care Services' reaction to a 2015 community health needs assessment (CHNA) that identified fitness and nutrition as community concerns. Composed of a Critical Access Hospital (CAH) and several specialty and primary care clinics, the Henderson, Nebraska-based rural health system launched a workplace wellness program called Body @ Work. The program offers area employees reduced membership rates at participating fitness centers, wellness education, and other preventive care opportunities such as blood pressure checks at the workplace.
Type: Document
Sponsoring organization: Bryan Health
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Case Study: Hospital Partners with Technology Provider to Engage and Connect with Community for Better Health
Shares details of a new health and life services model being implemented by Fairbury, Nebraska-based Jefferson Community Health & Life. The new model uses online tools to integrate health and life services with the goal of inspiring people to make healthier lifestyle choices. Includes information about the model's approach, key steps, results, and lessons learned.
Type: Document
Sponsoring organization: Bryan Health
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Case Study: Hospital Partners with Local High Schools to Prepare Students for Health Care Professions
Discusses the structure and organization of Box Butte General Hospital's (BBGH) Health Professions Club, which engages local high school students in healthcare career preparation activities. Located in Alliance, Nebraska, BBGH uses the program to educate area students about healthcare careers, while simultaneously creating and recruiting a well-prepared rural healthcare workforce.
Type: Document
Sponsoring organization: Bryant Health
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Case Study: Community Fitness Initiative Helps Lower Childhood Obesity Rates
Details the key steps and lessons learned as community stakeholders in Lexington, Nebraska organized an initiative aimed at reducing local childhood obesity rates. Using a partnership approach, leaders at Lexington Regional Health Center were able to successfully implement a community-wide program, the Community Fitness Initiative (CFI), and significantly reduce obesity rates in area schools.
Type: Document
Sponsoring organization: Bryan Health
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Case Study: Hospital and School District Partner for Emotional Health
Details an initiative started by leaders at Fillmore County Hospital and Fillmore Central Public Schools, located in Fillmore, Nebraska, to address behavioral health issues among the student population. Started in 2015, the comprehensive program seeks to connect high risk students with specialized help and promote ongoing mental health wellness through educator, parent, and student training.
Type: Document
Sponsoring organization: Bryan Health
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Case Study: Paramedicine Program Strengthens Rural Health Care System
Shares how leaders of Community Hospital in McCook, Nebraska reached their goal of reducing ambulance transports, emergency room visits, and hospital readmissions by partnering with community organizations to create the McCook Community Paramedicine program. Focuses on program approach, key steps, lessons learned, and results.
Type: Document
Sponsoring organization: Bryan Health
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Case Study: Community Partnerships Engage Residents in Healthy Living
Explains how Merrick Medical Center in Central City, Nebraska, partnered with other community organizations to help residents improve overall health by focusing on fitness and wellness activities. Shares the approach, results, lessons learned, and more from Merrick Medical Center's campaign to reinvent preventive care in the community.
Type: Document
Sponsoring organization: Bryan Health
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Case Study: Hospital's School-to-Work Program Aids Young Adults with Disabilities
Presents results from a Project SEARCH program, carried out by York General Health Care Services (York General), located in York, Nebraska, and several other local partners. Shares the approach, key steps, and lessons learned from York General's work with community stakeholders to prepare and transition young adults with disabilities into the healthcare workforce.
Type: Document
Sponsoring organization: Bryan Health
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Case Study: Hospital and Fitness Center Join Forces for a Healthy Community
Highlights a partnership between Columbus Community Hospital, located in Columbus, Nebraska, and the YMCA that resulted in a number of additional or improved health and wellness services in the community, including a new fitness center. Case study shares the key steps, project successes, lessons learned, and more.
Type: Document
Sponsoring organization: Bryan Health
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Compendium of Hospital & Community Partnerships
Outlines a number of innovative partnerships between rural hospitals and community organizations that work to expand local services, improve care quality, and reduce the cost of care in rural communities. Presents partnerships in case study format, sharing key steps, lessons learned, and project results.
Type: Website
Sponsoring organization: Bryan Health
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NCCDPHP Success Stories
A searchable collection of projects from the National Center for Chronic Disease Prevention and Health Promotion. Features projects addressing tobacco cessation, healthy eating, physical activity, and more.
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Hospital Spotlights
Features Critical Access Hospitals (CAHs) from across the country, highlighting how each hospital is navigating the changing healthcare environment. Featured facilities are supported by the Small Rural Hospital Transition (SRHT) Project.
Type: Website
Sponsoring organization: National Rural Health Resource Center
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Rural Innovation Profile: Integrated Care in a Frontier Community
Examines the Southeast Health Group (SHG) in La Junta, Colorado, which uses patient-centered, wellness-based care coordination to empower patients and promote self-directed care. The model focuses on hiring providers who share SHG's philosophy of care, utilizing community resources, and engaging peer support specialists.
Type: Document
Sponsoring organization: Rural Health Value
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Network Spotlight
Monthly feature sharing best practices and insights from leaders of FORHP funded Network Development, Allied Health, or HIT Workforce grant programs. Each article highlights a different grantee and is written in question and answer format.
Type: Website
Sponsoring organization: National Rural Health Resource Center
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FORHP Grantee Directories and Sourcebooks
A collection of directories that identify and describe Federal Office of Rural Health Policy grantees and their projects. Includes projects funded by the Rural Health Care Services Outreach, Rural Health Network Development, and Rural Health Network Development Planning Grant Programs, as well as other FORHP grant programs.
Type: Website
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AHA Case Studies and Case Examples in Innovation
As the transformation of the nation's health system begins to take shape, rural hospitals and health systems will find themselves more accountable for patient outcomes, patient experience, cost of care, and population health. A collection of case examples demonstrating rural innovations and new models of care, payment and delivery are provided.
Type: Website
Sponsoring organization: American Hospital Association Section for Small or Rural Hospitals
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Section 242 Mortgage Insurance Success Stories
Features hospitals, including rural facilities, that have accessed capital through the HUD 242 mortgage insurance program.
Type: Website
Sponsoring organization: U.S. Department of Housing and Urban Development
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Healthy People 2020 Evidence-Based Resources
Database of evidence-based resources and information related to the Healthy People 2020 topic areas. Search by demographics, setting, type of intervention and more. Also offers option to focus on setting, including rural. Database will be updated on ongoing basis with new resources.
Type: Website
Sponsoring organization: Healthy People
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Rural Health Value: Innovations & Demonstrations
Profiles of rural health delivery and finance innovations and summaries of selected rural health demonstration programs.
Type: Website
Sponsoring organization: Rural Health Value
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Brownfields Success Stories
Features EPA-funded projects to restore areas where hazardous substances, pollutants, or contaminants were present. Includes examples of rural brownfield projects.
Type: Website
Sponsoring organization: U.S. Environmental Protection Agency
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What's Working in Chronic Disease Prevention and Control
A collection of programs aimed at improving the health of communities and reducing the burden of chronic disease.
Type: Website
Sponsoring organization: National Association of Chronic Disease Directors
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Rural Community Assistance Partnership Success Stories
Examples of successful projects that have addressed rural environmental health, water systems, and waste disposal.
Type: Website
Sponsoring organization: Rural Community Assistance Partnership
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AHA Community Connections
Provides access to case studies spotlighting hospitals and health systems (some are in rural areas) that have successfully collaborated with local community organizations to promote care coordination, wellness, and prevention. Website also includes tools and resources to help healthcare facilities be accountable and transparent to their communities and deliver quality care.
Type: Website
Sponsoring organization: American Hospital Association
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Research-Tested Intervention Programs
A searchable database of cancer control interventions and program materials, designed to provide program planners and public health practitioners easy and immediate access to research-tested materials. Includes programs used in rural settings.
Type: Website
Sponsoring organization: National Cancer Institute
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Community Health Centers Leveraging the Social Determinants of Health
Provides an overview of how community health centers (CHCs) are working to address the social, economic, and physical conditions that impact their patients' health. Presents 10 case studies, including several rural examples, of CHCs addressing the social determinants of health.
Additional links: Full Report, 2012
Type: Website
Sponsoring organization: Institute for Alternative Futures
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County Health Rankings and Roadmaps
County-by-county information on health outcomes and health factors. Each county is ranked within its state. Includes data related to length of life, quality of life, clinical care, health behaviors, social and economic factors that impact health, and the physical environment. State Health Gaps reports explore differences in health among counties for each state. Also includes examples of how the rankings have been used and of effective programs and policies to improve health.
Type: Website
Sponsoring organization: Robert Wood Johnson Foundation
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Guide to Community Preventive Services
Shares effective methods for improving population health and addressing public health issues, informed by evidence-based findings from the Community Preventive Services Task Force (CPSTF).
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Best Practices, Promising Practices, and Local Efforts (BP/PP/LE)
A collection of best practices, promising practices, local case studies, resources, and policies concerning healthcare for Native American communities.
Type: Website
Sponsoring organization: Indian Health Service
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Rural Community Assistance Corporation: Rural Stories
Shares stories of rural communities that came together to overcome major challenges. Project topics include infrastructure, housing, disaster relief, and more.
Type: Website
Sponsoring organization: Rural Community Assistance Corporation
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AHRQ Health Care Innovations Exchange
Provides access to innovations, tools, learning opportunities, and networking opportunities, all designed to speed the implementation of new and better ways of delivering health care.
Type: Website
Sponsoring organization: Agency for Healthcare Research and Quality
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National Registry of Evidence-based Programs and Practices (NREPP)
Searchable database of interventions for the prevention and treatment of mental and substance use disorders. Includes option to focus on interventions used in a rural/frontier or tribal setting.
Type: Website
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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NACCHO Model Practices Database
Lists effective and innovative public health practices which are searchable by state, type, year, and category. Includes approaches used in rural areas.
Type: Website
Sponsoring organization: National Association of County and City Health Officials
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USDA Rural Development Success Stories
Database of initiatives and projects made possible through USDA Rural Development funding.
Type: Website
Sponsoring organization: USDA Rural Development
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National Health Service Corps Member Stories
Stories from communities nationwide that have been served by the National Health Service Corps.
Type: Website
Sponsoring organization: National Health Service Corps
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Rural Monitor
Newsletter of the Rural Health Information Hub, with articles focused on healthcare and population health in rural communities.
Type: Journal/Newsletter
Sponsoring organization: Rural Health Information Hub
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