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Rural Project Examples: Hospitals

Effective Examples

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.

Other Project Examples

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.
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.
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.
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 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.
Stratus Healthcare Network
Updated/reviewed July 2017
  • Need: Rural Georgia hospitals experiencing the crush of expenses in addition to limited investment capital for resources.
  • Intervention: Hospitals, health care systems, and physicians came together to create an alliance of healthcare providers that focused on value-based healthcare delivery, rather than fee-for-service care, with the goal of developing a clinically integrated network.
  • Results: Now sharing resources and best practices, Stratus Network members are working to reduce excessive or duplicate services, reduce costs of services, and show performance improvements.