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Rural Project Examples: Federally Qualified Health Centers

Effective 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.

Promising Examples

funded by the Federal Office of Rural Health Policy High Plains Community Health Center Care Teams
Updated/reviewed January 2018
  • Need: Meeting health care demands in a region with a limited number of physicians, where recruiting additional providers is considered impractical.
  • Intervention: Using the additional support of health coaches, implementation of care teams consisting of 3 medical assistants to support each provider.
  • Results: More patients seen per provider hour, with improved patient outcomes and clinic cost savings.
funded by the Federal Office of Rural Health Policy School-Based Health Center Dental Outreach
Updated/reviewed January 2018
  • Need: To improve the oral health of children ages 3 to 13 living in underserved rural areas of Louisiana.
  • Intervention: Students enrolled in school-based health centers receive oral health assessments, fluoride varnishes, and dental referrals as part of a comprehensive physical exam by nurse practitioners.
  • Results: Results from the two most recent grant periods (2015-2016 and 2016-2017) included: 4,000 oral health exams, over 3,000 fluoride varnish applications, and 1500 dental referrals; the last great year seeing 68% of referrals completed, an 11% increase over the prior year.
funded by the Federal Office of Rural Health Policy Healthy Outcomes Integration Team
Updated/reviewed November 2017
  • Need: To provide integrated treatment planning and coordinated healthcare services to rural residents.
  • Intervention: This program was designed to treat adults who have a serious mental health condition and those who have, or are at risk of developing, chronic health conditions.
  • Results: Thus far, 84 clients have received integrated health and mental health services.
Closing Preventive Care Gaps in Underserved Areas
Added March 2017
  • Need: Address the need to increase cancer screening rates as well as other preventive care measures in Appalachian Kentucky, a region with high cancer incidence and mortality rates, and noted health disparities.
  • Intervention: Federally Qualified Health Centers (FQHCs) and an academic center partnered to adapt and implement an office-based intervention, building on existing primary care resources to decrease gaps in preventive care measures, including cancer screenings.
  • Results: After intervention implementation, White House Clinics saw a marked increase in various preventive care measures, including screenings for cancer, human immunodeficiency virus (HIV) and hepatitis C (HVC).

Other Project Examples

funded by the Federal Office of Rural Health Policy Community Care Partnership of Maine Accountable Care Organization
Updated/reviewed February 2018
  • Need: To increase access and quality of care for Medicare, Medicaid, uninsured, and commercial patients in rural Maine.
  • Intervention: 3 hospitals and 8 Federally Qualified Health Centers in Maine formed the Community Care Partnership of Maine Accountable Care Organization (CCPM ACO).
  • Results: CCPM serves about 70,000 patients in Maine. In addition, it implemented ACO shared savings plans with Maine Medicaid, Medicare, and five commercial health insurance payers in the state.
Finger Lakes Community Health Telehealth Network
Updated/reviewed December 2017
  • Need: To provide organizations with telehealth infrastructure in order to improve the healthcare access for rural residents.
  • Intervention: New York’s Finger Lakes Telehealth Network (FLTN) provides an open access network to facilitate partnering organizations collaboration.
  • Results: FLTN provides connectivity using telehealth technology services to more than 20 partnering organizations, including FQHCs, specialists, hospitals, and other provider groups, allowing for a collaborative sharing of services, as well as cost savings to providers.
funded by the Federal Office of Rural Health Policy La Red Health Center
Updated/reviewed December 2017
  • Need: Meeting the uninsured and underinsured population of Sussex County, Delaware.
  • Intervention: La Red Health Center was created to offer culturally competent primary and preventative care to children and adults, regardless of ability to pay.
  • Results: La Red Health Center (LRHC) serves thousands of residents at four clinical sites, a school-based wellness center and through a collaborative effort with a local senior center.
funded by the Federal Office of Rural Health Policy Innis Community Health Center ACA Outreach and Education Project
Updated/reviewed November 2017
  • Need: To inform rural Louisiana residents about their health insurance options under the Affordable Care Act’s Medicaid Expansion program.
  • Intervention: A community health center reached out to individuals at their clinic sites, rural hospital emergency rooms, and through local governments and other community agencies.
  • Results: Many rural residents have gained access to health insurance information and enrollment assistance.
funded by the Federal Office of Rural Health Policy Woodlake Family Resource Center ACA Outreach and Education Project
Updated/reviewed November 2017
  • Need: Educational assistance in understanding the Affordable Care Act’s health insurance options for Spanish-speaking uninsured residents in a rural California.
  • Intervention: A family resource center offered bilingual ACA outreach and education with referral to local health centers for enrollment assistance.
  • Results: 1,740 educational items and 480 newspapers with ACA information were distributed. Seven outreach events reached 880+ individuals, and 467 were referred for enrollment help.