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Rural Health Models and Innovations Funded by the Federal Office of Rural Health Policy

A collection of rural health projects that received support from the Federal Office of Rural Health Policy:

Healthy Smiles: Early Childhood Dental Outreach
Updated/reviewed October 2019
  • 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.
Noble County Outreach Project
Updated/reviewed October 2019
  • Need: To help enroll and retain children and their families in health insurance in Noble County, Indiana.
  • Intervention: A school-based health insurance outreach project focused on connecting children to health insurance.
  • Results: More than 600 individuals have enrolled in health insurance.
School-Based Health Center Dental Outreach
Updated/reviewed July 2019
  • Need: To improve the oral health status of children ages 3 to 17 living in underserved rural areas of Louisiana.
  • Intervention: School-based nurse practitioners perform oral health assessments, apply fluoride varnishes when indicated, and make dental referrals, with completion rates of the latter tracked by dental case managers.
  • Results: Significant numbers of school children are receiving oral health examinations, fluoride varnish applications, and receiving care coordination to improve numbers of completed dental appointments.
SD eResidential Facilities Healthcare Services Access Project
Updated/reviewed July 2019
  • Need: To bring more local health services to rural, elderly populations in long-term care facilities located in four Midwest states near a tertiary care organization.
  • Intervention: Implementation of telemedicine services to reach patients at their respective sites.
  • Results: The program increased local care evidenced by yearly avoidable provider-determined transfer data: 33%, 50%, 63% program years 1 through 3, respectively.
Healthy Early Learning Project (HELP)
Updated/reviewed May 2019
  • Need: An ongoing health need to alleviate early childhood obesity in the rural Kansas counties of Marshall and Nemaha.
  • Intervention: 5 distinct physical and nutritional programs were introduced to 9 preschool sites through the overarching Healthy Early Learning Project (HELP).
  • Results: HELP comprehensively increased children's physical activity and healthy food consumption and established a sustainable presence at each preschool site.
Prevention through Care Navigation Outreach Program
Updated/reviewed April 2019
  • Need: To reduce the prevalence of diabetes and cardiovascular disease in rural Colorado.
  • Intervention: Community Health Workers are utilized to create a system of coordinated care in Delta, Montrose, Ouray, and San Miguel counties.
  • Results: As of 2018, 2,709 people have been screened for diabetes and cardiovascular disease, with many at-risk patients lowering cholesterol, blood pressure, and A1C levels after engaging with a Community Health Worker.
Schools That Care
Added April 2019
  • Need: To provide mental health services to rural Kansas students and their families.
  • Intervention: The Schools That Care project provides mental health treatment and case management as well as community education events.
  • Results: In three years, 545 people received services through the school social worker, and 3,227 people participated in community events.
The Rural Virtual Infusion Program
Added April 2019
  • Need: Allow rural cancer patients in a region inclusive of 26 counties in Iowa, Minnesota, and South Dakota to have access to tertiary-level chemotherapy regimens in rural infusion centers.
  • Intervention: With telehealth-based oversight from a tertiary care oncology team, 3 rural infusion teams were trained to coordinate cancer treatment plans and administer complex chemotherapy regimens.
  • Results: Almost 130 patients were transitioned to receive chemotherapy in a rural infusion center, translating to over 1,000 infusion visits and saving patients/families nearly 65,000 trip miles, 1,800 travel hours and $71,000.
TUSM-MMC Program Longitudinal Integrated Clerkship
Updated/reviewed April 2019
  • Need: To fill vacant medical positions in Maine's rural medical facilities.
  • Intervention: The Tufts Maine Track LIC program offers clerkships in rural medical facilities, exposing medical school students to the positives and possibilities that rural practices have to offer.
  • Results: The program has seen an increase in students' interest to practice in rural Maine. The majority have pursued medical careers in one of the 6 core specialties studied during their clerkship.
ARcare Aging Well Outreach Network
Updated/reviewed March 2019
  • 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, provides services like falls prevention assessments, transportation to appointments, medication management, and senior-specific exercise opportunities.
  • Results: From May 2015 to December 2017, the network served 584 patients.