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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:

Promising Examples

Northeast Louisiana Regional Pre-Diabetes Prevention Program
Updated/reviewed January 2019
  • 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.
Cross-Walk: Integrating Behavioral Health and Primary Care
Updated/reviewed October 2018
  • Need: To address and treat substance abuse 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.
Physical and Behavioral Health Integrated Care Project
Updated/reviewed October 2018
  • Need: To provide unified and seamless access to primary care to adult patients in Pennsylvania's rural Clearfield and Jefferson counties who have been diagnosed with Serious and Persistent Mental Illness.
  • Intervention: A "one-stop shop" of healthcare services addressed the physical and behavioral health and medication needs of adults in the region.
  • Results: Results indicated better behavioral and physical health outcomes for participants as well as increased adherence to medications.
Health without Borders
Updated/reviewed June 2018
  • Need: To improve the health of communities in the south central region of New Mexico.
  • Intervention: A program was developed to specifically address diabetes prevention and control, behavioral healthcare, and immunization in Luna County.
  • Results: During the program, 1,500 immunizations were distributed, baseline measurements of participants improved, and 935 new patients were seen for behavioral health issues.
4P's Plus Pregnancy Support Project
Updated/reviewed December 2017
  • Need: Pregnancy support services for Native American women struggling with substance use.
  • Intervention: An integrated behavioral health network implemented in Lake County, California.
  • Results: Fewer Native American babies exposed to alcohol, tobacco, and other drugs.

Other Project Examples

My Virtual Clinic School-Based Telehealth Program
Updated/reviewed May 2020
  • Need: Improve healthcare access for school-aged children in a rural and underserved Indiana county.
  • Intervention: Working with several rural school districts and the state's rural health association, an Indiana county healthcare system used school-based telehealth to expand access for acute illness.
  • Results: As of May 2019, Greene County General Hospital in rural Linton, Indiana, has expanded primary care access by offering school-based telehealth in 2 elementary and 1 middle school in 3 of the county's 5 school districts.
Nelson County School Nurse Program
Updated/reviewed April 2020
  • Need: Low rates of immunization and a lack of knowledge about physical health among school age children in the rural areas of Nelson County, Virginia.
  • Intervention: A School Nurse Program placed a registered nurse in each of the four county public schools to track and encourage immunization compliance, provide health education, and handle students' daily health issues.
  • Results: School-age children are having many of their minor health concerns addressed throughout the day by registered nurses at school. Compliance for childhood immunizations is now extremely high.
Garrett County Regional Cancer Patient Navigator Program
Updated/reviewed March 2020
  • Need: Comprehensive cancer services for residents of an 8-county, 3-state area in Appalachia.
  • Intervention: Using a Cancer Patient Navigation Tool Kit, a Maryland acute care facility led a multidisciplinary collaboration that provided the area's patients with expanded cancer treatment services.
  • Results: In addition to several new cancer-related programs, expanded services are now available for cancer patients, families, and cancer survivors.
Rural Experiences for Health Professions Students (REHPS)
Updated/reviewed March 2020
  • Need: An ongoing shortage of healthcare providers in rural areas of South Dakota
  • Intervention: A 4-week summer program placing health professions students in rural communities.
  • Results: Of graduating participants, 71% practice in South Dakota with 30% of those graduates practicing in rural communities with populations fewer than 10,000, or veteran facilities.
Community Care Partnership of Maine Accountable Care Organization
Updated/reviewed February 2020
  • Need: To increase access and quality of care for Medicare, Medicaid, uninsured, and commercial patients in rural Maine.
  • Intervention: Hospitals and Federally Qualified Health Centers in Maine formed the Community Care Partnership of Maine Accountable Care Organization (CCPM ACO).
  • Results: CCPM serves about 100,000 patients in Maine. In addition, it implemented ACO shared savings plans with Maine Medicaid, Medicare, and five commercial health insurance and Medicare Advantage plans in the state.