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Rural Health Information Hub

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:

Other Project Examples

NEON Pathways Community Hub

Updated/reviewed July 2020

  • Need: Connect individuals to services that address health barriers.
  • Intervention: A pay-for-outcomes model utilizing Community Health Workers who help provide community members with tools to address needs associated with improving health.
  • Results: Trained Community Health Workers help patients navigate the healthcare and social service systems and provide education about community healthcare resources.

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.

Medical Home Plus

Updated/reviewed February 2020

  • 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.

Bridges to Care Transitions-Remote Home Monitoring and Chronic Disease Self-Management

Updated/reviewed December 2019

  • Need: Decrease hospital readmissions and emergency room visits for patients in rural Tidewater, Virginia.
  • Intervention: After inpatient admission or ER visit, identify at-risk patients to offer enrollment in remote monitoring and disease self-management education and coaching, with a special focus on behavioral health wellness.
  • Results: Decreased readmissions and ER visits paired with high patient satisfaction scores.

Ohio Northern University's HealthWise Mobile Outreach Program

Updated/reviewed July 2019

  • Need: Meeting both advanced practice pharmacy student education needs and patient healthcare needs in a nearby rural/underserved area.
  • Intervention: With support from multiple organizations, students in the Ohio Northern University's College of Pharmacy program use a motor coach to deliver a wide range of healthcare services during scheduled outreach visits.
  • Results: In the program's first two years, point-of-care screening, immunizations, and chronic disease prevention and management education have been provided to 800+ Hardin County, Ohio, residents.

Families Plus Comprehensive Health and Mentoring for Underserved Youth

Added March 2019

  • Need: Pediatric behavioral health services in Delta County, Colorado.
  • Intervention: Multi-organizational and community-wide effort to increase healthcare access for underserved children and to integrate behavioral health care into the area's primary care clinics.
  • Results: Sustainable increases in access to pediatric behavioral health services.

The Adolescent Pre-Diabetes Prevention Program

Added October 2018

  • Need: Prevention of type 2 diabetes in adolescents living in rural parts of Louisiana.
  • Intervention: Through screenings, the Adolescent Pre-Diabetes Prevention Program detects the onset of prediabetes. Through nutrition and physical activity education, the program teaches high school students and staff how to adopt healthy lifestyles.
  • Results: The program has seen an increase in enrollment and continues to see decreases in body weight, body mass index, and A1C levels among participants.