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Rural Health Information Hub

Rural Project Examples: Promising

A program evaluation of this approach showed positive results.

Successfully Training and Educating Pre-medical Students (STEPS)
Updated/reviewed November 2021
  • Need: To increase the number of primary care providers in northeast Kentucky.
  • Intervention: STEPS provides support such as physician shadowing, mock interviews, and MCAT practice exams for regional students applying to medical school.
  • Results: 88% of participants have been accepted into medical school. The program has been replicated among most of Kentucky's regional AHECs.
Tomah Hearing Loss Prevention Outreach
Updated/reviewed November 2021
  • Need: Farmers are highly susceptible to permanent hearing loss due to prolonged exposure to loud machinery and livestock.
  • Intervention: Faculty and students from the audiology department at the University of Wisconsin-Madison supplied earplugs, free hearing testing, and hearing loss prevention education to attendees and participants at a local tractor pull.
  • Results: More than 16,000 pairs of earplugs have been distributed, and attendees have been receptive to the hearing loss prevention education provided by the audiology team.
funded by the Federal Office of Rural Health Policy Cross-Walk: Integrating Behavioral Health and Primary Care
Updated/reviewed October 2021
  • Need: To address and treat substance use disorder (SUD) and depression in the Upper Great Lakes region.
  • Intervention: Cross-Walk, a program that integrates behavioral healthcare into primary care services, was developed in Michigan's Marquette County.
  • Results: The collaborative efforts strengthened care management services in local healthcare facilities as primary care patients were referred to a behavioral health specialist.
funded by the Federal Office of Rural Health Policy Healthy Smiles: Early Childhood Dental Outreach
Updated/reviewed October 2021
  • Need: To decrease the number of children entering kindergarten with untreated tooth decay in the rural Appalachian counties of Rutherford, Polk, and McDowell in western North Carolina.
  • Intervention: A program to give children a dental home that included screenings, targeted outreach, and restorative services.
  • Results: An overall decrease within the service area of children entering kindergarten with sub-par oral health.
funded by the Federal Office of Rural Health Policy Northeast Louisiana Regional Pre-Diabetes Prevention Program
Updated/reviewed October 2021
  • Need: To prevent or slow the progression of diabetes for at-risk residents in Rural Northeast Louisiana.
  • Intervention: The North Louisiana Regional Alliance developed a program that offered screenings, education, and an intense course for participants throughout the Northeast Louisiana region to lower the risk of diabetes.
  • Results: The program saw an overall decrease in blood sugar levels in residents who participated in their initiatives.
Project C.A.R.E.
Updated/reviewed September 2021
  • Need: There is a lack of dementia-specific support for rural caregivers.
  • Intervention: Project C.A.R.E. was created to meet the needs of underserved caregivers of those with Alzheimer's or other dementias, targeting rural North Carolina.
  • Results: Under Project C.A.R.E., rural families receive information and referrals as well as individualized care consultation from dementia-trained family consultants.
funded by the Federal Office of Rural Health Policy The Health-able Communities Program
Updated/reviewed April 2021
  • Need: Expand healthcare access for the more remote residents of 3 frontier counties in north central Idaho.
  • Intervention: Consortium of healthcare providers and community agencies used a hybrid Community Health Worker model to augment traditional healthcare delivery services in order to offer a diverse set of healthcare offerings to frontier area residents.
  • Results: Increased healthcare access, especially for cancer and chronic disease screening, along with providing education on a diverse array of health topics.
funded by the Federal Office of Rural Health Policy ARcare Aging Well Outreach Network
Updated/reviewed March 2021
  • Need: To reduce falls and improve chronic care management for adults 50 or older in rural Cross County, Arkansas.
  • Intervention: The ARcare Aging Well Outreach Network, run by an FQHC, provided services like falls prevention assessments, transportation to appointments, medication management, and senior-specific exercise opportunities.
  • Results: From May 2015 to April 2018, the network served 639 patients through 1,580 medical encounters.
Texas C-STEP Project: Cancer Screening, Training, Education and Prevention Program
Updated/reviewed March 2021
  • Need: Improve screening rates for rural uninsured/underinsured patients in counties surrounding Bryan-College Station, Texas.
  • Intervention: An academic center's nursing and family medicine training programs partnered with its public health program to obtain state grant funds for execution of a coordinated cancer prevention and detection program.
  • Results: In 5 years of colorectal screening efforts, 18 cases of colorectal cancer were diagnosed in addition to detection of precancerous lesions in 25% of nearly 2000 screening colonoscopies. In 3 years of women's health screening, 18 cases of breast cancer and 141 precancerous cervical lesions were also detected. Due to the initial success of the project, the program continues.
funded by the Federal Office of Rural Health Policy The Health Wagon
Updated/reviewed January 2021
  • Need: Healthcare access in Central Appalachia for the medically underserved challenged by social and economic determinants of health, including transportation barriers, food insecurity, poverty, and lack of health insurance.
  • Intervention: Three mobile clinics and 2 stationary clinics provide free health care for people in 16 counties in Virginia, Kentucky, and Tennessee.
  • Results: By leveraging technology and meeting patients where they are, Health Wagon provided comprehensive healthcare services — including specialty care — to 5,500 patients during 16,000 visit encounters in 2020.