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Rural Project Examples: Long-term care

Effective Examples

Telepsychiatry Consultation Service in Nursing Homes
Updated/reviewed June 2016
  • Need: To improve health status and access for rural nursing home patients in need of mental health services.
  • Intervention: The University of Vermont Medical Center provides telepsychiatry care and education to nursing homes that face shortages of mental health professionals on site.
  • Results: Telepsychiatry consultations ease the burden on nursing home residents by saving travel time, distance, and money involved with going to the nearest tertiary facility.

Promising Examples

Reducing Hospitalizations in Medicare Beneficiaries
Added June 2017
  • Need: To reduce hospital readmissions for Medicare patients in rural Kentucky and Tennessee.
  • Intervention: Two quality improvement tools called IMPACT and INTERACT helped older patients transition from Vanderbilt University Medical Center to a skilled nursing facility.
  • Results: Practitioner follow-up visits have increased, while emergency department visits have decreased.
funded by the Federal Office of Rural Health Policy SD eResidential Facilities Healthcare Services Access Project
Added October 2015
  • Need: To provide health services for rural, elderly populations in long-term care who are inaccessible due to their location within four Midwest states.
  • Intervention: Implemented telemedicine services to reach patients at their respective sites.
  • Results: The program resulted in 362 provider-determined avoidable transfers and hundreds of telehealth encounters that ultimately kept patients in the comfort and care of their primary care providers.

Other Project Examples

Nursing Home Hosts Childcare Learning Center
Updated/reviewed April 2017
  • Need: More childcare and preschool options in a rural Minnesota community
  • Intervention: A local nursing home built a child learning center whose structure offered regular intergenerational activities between children and elderly residents
  • Results: The partnership has resulted in benefits for all parties involved, instilling a sense of youth in the elderly and selfless care in the children