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Rural Project Examples: Appalachia

Effective Examples

funded by the Federal Office of Rural Health Policy Regional Oral Health Pathways
Updated/reviewed September 2017
  • Need: To address the oral health needs of low-income uninsured and underinsured residents in rural Appalachia.
  • Intervention: An oral health education program was implemented in Appalachian Maryland, Pennsylvania, and West Virginia.
  • Results: This program has increased oral health visits in the area and has provided residents with valuable information on oral health resources and services.
Kentucky Homeplace
Updated/reviewed May 2017
  • Need: Rural Appalachian Kentucky residents have deficits in health resources and health status, including high levels of cancer, heart disease, hypertension, asthma, and diabetes.
  • Intervention: Kentucky Homeplace was created as a community health worker initiative to address the lifestyle choices, inadequate health insurance, and environmental factors that are believed to contribute to these diseases.
  • Results: From July 2001 to June 2016, over 152,262 rural residents have been served. Preventive health strategies, screenings, educational services, and referrals are all offered at no charge to clients.
funded by the Health Resources Services Administration 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.
Project Lazarus
Added December 2015
  • Need: To reduce overdose-related deaths among prescription opioid users in rural Wilkes County, North Carolina
  • Intervention: Education and tools are provided for prescribers, patients and community members to lessen drug supply and demand, and to reduce harm in prescription opioid use
  • Results: Opioid overdose death rates have decreased in Wilkes County

Promising Examples

funded by the Federal Office of Rural Health Policy The Health Wagon
Updated/reviewed November 2017
  • Need: Healthcare access for the medically underserved in Central Appalachia.
  • Intervention: A mobile clinic that provides free healthcare in 11 rural Virginia communities.
  • Results: The Health Wagon provides comprehensive healthcare services to over 4,000 patients annually.
funded by the Federal Office of Rural Health Policy Trinity Hospital Twin City's Fit for Life
Updated/reviewed November 2017
  • Need: To reduce obesity among adults in rural east central Ohio.
  • Intervention: Fit for Life Replication Project for Expansion was developed to make it possible to lose weight through practicing healthier lifestyle behaviors.
  • Results: Out of the 443 adults who have completed the program, 81% experienced weight loss, a tangible result of the program's overarching goal to enhance levels of health and fitness.
funded by the Federal Office of Rural Health Policy Healthy Smiles: Early Childhood Dental Outreach
Updated/reviewed October 2017
  • Need: To decrease the number of children entering kindergarten with untreated tooth decay in the rural Appalachian counties of Rutherford, Polk, and McDowell in western North Carolina.
  • Intervention: A program to give children a dental home that included screenings, targeted outreach, and restorative services.
  • Results: An overall decrease within the service area of children entering kindergarten with sub-par oral health.

Other Project Examples

Community-Based Pulmonary Rehabilitation Program
Added November 2017
  • Need: More evidenced-based chronic lower respiratory disease management options for rural Appalachia patients, where lung disease rates are among the highest in the country.
  • Intervention: Implementation of outpatient pulmonary rehabilitation programs in 2 Federally Qualified Health Centers and a Critical Access Hospital in West Virginia.
  • Results: Improved health outcomes for patients with chronic lower respiratory disease, including those with chronic obstructive pulmonary disease.
Remote Area MedicalĀ®
Updated/reviewed November 2017
  • Need: A lack of basic medical care for people in isolated, impoverished, and underserved areas.
  • Intervention: Free mobile medical clinics that aim to prevent pain and alleviate suffering by providing basic dental, vision, and medical care through a highly efficient system that serves as many patients as possible, utilizing a corps of volunteers made up of licensed medical professionals and laypeople.
  • Results: Community members in rural and other underserved areas are provided with necessary healthcare and health education, including dental and vision services, at no cost to the patients or taxpayers.
Smiles for Life
Updated/reviewed November 2017
  • Need: Oral healthcare for low-income adults and children unable to obtain dental care in the Mid-Ohio Valley of West Virginia.
  • Intervention: Public health dental hygienists act as gatekeepers, screening low-income clients and placing them with area dental providers who volunteer, from their private practices, to provide most-needed dental treatment.
  • Results: Reduces the number of emergency department visits for dental pain and infections and provides a safety net for those unable to afford dental treatment.