Skip to main content

Rural Project Examples: Critical Access Hospitals

RS3 – Rural Montana Surgical Support System
Added November 2017
  • Need: Providing more in-state surgical care options for Montana patients.
  • Intervention: A system to keep surgical procedures in Critical Access Hospitals or provide seamless engagement of Montana's available advanced surgical expertise when needed.
  • Results: Increased surgical care options, with a side benefit of recruiting young surgeons to rural/frontier Montana.
Safety Net Medical Home Initiative
Updated/reviewed October 2017
  • Need: To help healthcare providers serving underserved and vulnerable populations become patient-centered medical homes (PCMH).
  • Intervention: A 5-year project was launched to develop a replicable model for practice transformation for safety net providers, including rural practices.
  • Results: Eighty-three percent of participating safety net clinics earned state or national PCMH recognition as of September, 2013.
funded by the Federal Office of Rural Health Policy Medical Home Plus
Updated/reviewed September 2017
  • Need: To help reduce diabetes, depression, and stroke risk in rural residents.
  • Intervention: A collaborative care model was implemented in the Idaho counties of Clearwater, Idaho, and Lewis.
  • Results: Increased number of patients with controlled blood sugar, controlled blood pressure, and higher depression screening rates.
ICAHN External Peer Review Network
Updated/reviewed August 2017
  • Need: Critical access hospitals (CAHs) in rural Illinois required an external mechanism for peer review.
  • Intervention: Using physicians from network member hospitals, a CAH network implemented a peer review process.
  • Results: Staff peer reviews also improved healthcare quality within the CAH network.
funded by the Federal Office of Rural Health Policy Indiana Statewide Rural Health Network (InSRHN)
Updated/reviewed July 2017
  • Need: To improve sustainability and financial viability for rural healthcare providers throughout Indiana.
  • Intervention: A network of rural healthcare providers for Critical Access and other hospitals in Indiana who are dedicated to improving their ability to deliver efficient and high-quality healthcare for their rural residents.
  • Results: The network has been leveraged to increase access to resources, coordinate services, and improve and expand healthcare access.
funded by the Federal Office of Rural Health Policy Upper Peninsula Pharmacy and Therapeutics Committee
Updated/reviewed July 2017
  • Need: Healthcare entities in the Upper Peninsula region of Michigan were using different formularies, missing opportunities for group purchasing power and consistent care.
  • Intervention: The Upper Peninsula Health Plan and the Upper Peninsula Health Care Network developed a regional partnership for managing prescription costs and quality pharmaceuticals in rural, upper Michigan.
  • Results: More informed pharmaceutical decisions and lowered pharmaceutical costs for Upper Peninsula Health Plan member organizations.
Leadership Development Program
Updated/reviewed June 2017
  • Need: Reasonably-priced leadership education was needed for professional development of healthcare organization managers in southeastern Idaho and western Wyoming.
  • Intervention: Creation of a health network providing leadership training opportunities for member hospitals.
  • Results: Increased leadership and managerial quality, and decreased professional development costs for rural hospitals of southeastern Idaho and western Wyoming.
North Region Health Alliance
Updated/reviewed March 2017
  • Need: A telecommunication network for healthcare providers in northeastern North Dakota and northwest Minnesota to provide better healthcare to the region's rural residents.
  • Intervention: The North Region Health Alliance was developed as a collaborative partnership and telecommunication infrastructure that electronically links 21 healthcare providers together.
  • Results: The North Region Health Alliance provides quality telecommunication services to rural healthcare facilities as they work to provide quality healthcare.
Wisconsin Quality Residency Program
Updated/reviewed July 2016
  • Need: To prepare quality improvement leaders for their roles in small rural hospitals or Critical Access Hospitals.
  • Intervention: A program to teach quality improvement methods, leadership and management skills, and networking support to hospital quality leaders.
  • Results: In the program's first year, it has enrolled 38 participants.
Unlicensed Assistive Personnel (UAP) Program
Updated/reviewed June 2016
  • Need: Eastern Montana faced a shortage of nurses, especially in rural and Critical Access Hospitals.
  • Intervention: The Montana Health Network created the Unlicensed Assistive Personnel (UAP) program to recruit nursing students to work in rural hospitals with the incentive of loan forgiveness.
  • Results: The program has placed 28 nursing student UAP at rural hospitals after nursing school completion, and 5 have qualified for loan forgiveness.