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Rural Project Examples: Healthcare business and finance

Promising Examples

Proactive Palliative Care and Palliative Radiation Model: Making MyCourse Better
Updated/reviewed July 2017
  • Need: To provide palliative care to patients with stage 4 cancer.
  • Intervention: The Emily Couric Clinical Cancer Center in Charlottesville, Virginia, has implemented a three-part program to help these patients manage their symptoms.
  • Results: The Proactive Palliative Care and Palliative Radiation Model enrolled 646 patients during its three-year funding period of 2012-2015.

Other Project Examples

funded by the Federal Office of Rural Health Policy Nebraska Association of Local Health Directors ACA Outreach and Education Project
Updated/reviewed December 2017
  • Need: To help rural Nebraska local health departments (LHDs) learn about the Affordable Care Act so they can help inform their communities about health insurance options under the ACA.
  • Intervention: In 2014-2016 via their statewide association, Nebraska LHDs received education online and by webinar on the ACA along with support to conduct outreach activities using health literacy strategies.
  • Results: During initial activity, all eligible Nebraska rural member LHDs (16) conducted outreach events. 912 participants attended, with 334 receiving one-on-one help.
Piedmont Mountainside Hospital's Freestanding Emergency Department
Added December 2017
  • Need: The North Georgia Medical Center (NGMC) of Ellijay, Georgia had been losing money and patients. Many residents living in Ellijay were seeking hospital care elsewhere, leaving NGMC treating an average of only 6 patients in the year prior to closing their doors in 2016.
  • Intervention: With approval from the state, Piedmont Mountainside Hospital (PMH) leased the space from NGMC and opened the state's first freestanding emergency department. Medical services were again made available for patients in Ellijay and surrounding areas.
  • Results: Within the first 6 months of operation, over 5,000 emergency visits were made to the freestanding ED, an average of 30 patients per day.
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 The Community Care Alliance
Updated/reviewed November 2017
  • Need: Rural healthcare networks in Colorado and Washington felt the urgency to help their communities improve population health with better care at lower cost.
  • Intervention: The Community Care Alliance was formed to specifically serve Accountable Care Organizations (ACOs), employer groups, and other patient populations. Benefits for participants include quality improvement and practice transformation activities, comprehensive care coordination, outcomes measurement with quality reporting and data extraction, and analytics.
  • Results: A total of 43 organizational members have received educational, networking, and technical assistance by being a part of the Alliance. Over 22,000 Medicare beneficiaries have been introduced to care coordination, leading to a decrease in emergency room visits, an increase in overall health, and lower medical costs.
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.
funded by the Federal Office of Rural Health Policy Allegany Health Right ACA Outreach and Education Project
Updated/reviewed August 2017
  • Need: To help Allegany County, Maryland, residents learn about their health insurance options under the Affordable Care Act and connect to enrollment specialists.
  • Intervention: A dental safety net provider used existing activities and networks to reach the uninsured, with work done by existing staff plus a temporary Outreach and Education Coordinator.
  • Results: Outreach to 1,639 individuals over a 7-month period, with 602 referred to a navigator and 202 referred for Medicaid enrollment.
Credentialing Verification Service through Partners in Health Network
Updated/reviewed August 2017
  • Need: Streamlined credentialing process for providers working in central and southern West Virginia’s multiple rural healthcare facilities.
  • Intervention: Creation of a shared, specialized network using a standardized approach to credentialing healthcare providers.
  • Results: A streamlined, centralized approach to the multi-step credentialing process eliminated duplicative services and increased credentialing efficiencies for staff.
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 Public Health Solutions ACA Outreach and Education Project
Updated/reviewed August 2017
  • Need: To help inform rural residents in southeast Nebraska about their health insurance options under the Affordable Care Act (ACA).
  • Intervention: A public health department provided outreach and enrollment assistance and worked with other key community organizations to help get clients the information and services they need.
  • Results: 525 individuals were reached at 22 outreach events: 123 individuals received general education on the ACA, 25 received enrollment assistance, and 19 had an eligibility determination.