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Rural Project Examples: Healthcare facilities

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.
Franklin Cardiovascular Health Program (FCHP)
Added March 2015
  • Need: To develop sustainable, community-wide prevention methods for cardiovascular diseases in order to change behaviors and healthcare outcomes in rural Maine.
  • Intervention: Local community groups and Franklin Memorial Hospital staff studied mortality and hospitalization rates for 40 years in this rural, low-income area of Farmington to seek intervention methods that could address cardiovascular diseases.
  • Results: A decline in cardiovascular-related mortality rates and improved prevention methods for hypertension, high cholesterol, and smoking.

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.
Kearny County Hospital’s Physician Recruitment Model
Updated/reviewed February 2018
  • Need: Physicians to serve in an increasingly diverse population in rural Kansas.
  • Intervention: Kearny County Hospital changed their recruitment model to include paid time off for doctors and midlevel providers to serve as international service workers, as well as medical school loan forgiveness.
  • Results: Kearny County Hospital has re-opened their services to out-of-county patients and are receiving an increase in applications from medical providers.
funded by the Federal Office of Rural Health Policy Addiction Recovery Mobile Outreach Team (ARMOT)
Updated/reviewed December 2017
  • Need: To reduce the number of overdoses and overdose-related deaths from opioids in rural Pennsylvania.
  • Intervention: ARMOT provides 1) case management and recovery support services to individuals with substance use disorders and 2) education and support to rural hospital staff, patients, and their loved ones.
  • Results: In the first 18 months of its grant cycle, ARMOT made 254 referrals.
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.