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Rural Health Models and Innovations Funded by the Health Resources and Services Administration

A collection of rural health projects that received support from a part of the Health Resources and Services Administration other than the Federal Office of Rural Health Policy:

Effective Examples

New Mexico Mobile Screening Program for Miners
Updated/reviewed December 2017
  • Need: To increase access to medical screening for miners in New Mexico.
  • Intervention: A mobile screening clinic with telemedicine capability screens miners for respiratory and other conditions.
  • Results: In a recent survey, 92% of miners reported their care as very good, while the other 8% reported it as good. Since 1989, the program has served 6,685 miners.
Appalachian Preceptorship Program
Updated/reviewed October 2016
  • Need: To prepare future physicians for practicing in rural southern Appalachia.
  • Intervention: The Appalachian Preceptorship Program offers medical students clinical preceptorships to give them experience practicing in rural, underserved communities of southern Appalachia.
  • Results: Students who participate in this preceptorship are more than 3 times as likely to practice medicine in a rural location.

Promising Examples

Learning Exchange Reverse Demonstration (LERD) Model
Updated/reviewed July 2017
  • Need: To make it easier for rural nurses to continue their education by decreasing the need to travel.
  • Intervention: An innovative, online health assessment course uses telehealth to allow rural RN-BSN students to demonstrate skills acquisition.
  • Results: Rural participants had similar learning outcomes to those participating in the onsite version of the course, with fewer travel costs, less time away from work, and higher overall satisfaction.

Other Project Examples

Implementation of a Nursing Veterans' Initiative to Transform Education (INVITE)
Added May 2018
  • Need: To support rural veterans pursuing a career in nursing.
  • Intervention: The INVITE program improved the curriculum and reworked admission requirements to better support veteran students' experiences in the College of St. Scholastica undergraduate nursing program.
  • Results: The number of veterans pursuing nursing has more than doubled since program implementation, and all students have reported an increased interest in serving rural communities.
Alaska Health Workforce Coalition
Updated/reviewed April 2018
  • Need: To ensure a well-qualified and sustainable Alaskan workforce to meet the current and future health care needs of its residents.
  • Intervention: Establishment of the Alaska Health Workforce Coalition (AHWC), a public-private partnership created to develop, facilitate, implement, and support a statewide health workforce system.
  • Results: Coalition efforts impacted multiple state policies and programs, including a loan repayment and incentives program, completion of a health vacancy study, and the development and expansion of health-related education programs.
Teleaudiology: Taking Diagnostics to the Infant
Updated/reviewed April 2018
  • Need: Due to geographic distances between audiology professionals and rural North Dakota infants, more local pediatric audiology services were needed for required testing.
  • Intervention: Hub and spoke management and technical protocols with toolkits to promote teleaudiology services for infants 0 to 6 months of age.
  • Results: Teleaudiology implementations resulted in reduced parental travel times and increased audiology follow-up exams.
New Horizons Substance Use Recovery Network
Added March 2018
  • Need: In northern Michigan, a need for an integrated approach to deliver medication-assisted treatment for established patients of Federally Qualified Health Centers with opioid use disorder.
  • Intervention: Collaboration between one FQHC across 3 sites, a local waivered prescriber group, and a behavioral health organization created an integrated treatment approach for opioid use disorder.
  • Results: Increased access to medication-assisted treatment and comprehensive substance use disorder services leading to increased retention in treatment and increased engagement in stable recovery from opioid and alcohol use disorders.
Futures Without Violence in Tillamook County
Added February 2018
  • Need: To address intimate partner violence (IPV) in primary care settings as a health concern. To increase healthcare providers' professional understanding about its prevalence and adverse impacts on patient health.
  • Intervention: In partnership with Safer Futures, Tillamook County Women’s Resource Center provides an advocate at a local health clinic to give confidential services to IPV survivors and training to medical staff. The advocate uses curriculum and other materials designed by Futures Without Violence.
  • Results: Healthcare providers at the clinic reported increased understanding of IPV and its impact on health. As a result, IPV advocates received an increase in referrals from healthcare providers. Patients experiencing IPV reported a reduction in chronic, toxic stress and improved overall health after receiving advocacy services.
Targeted Rural Underserved Track (TRUST) Program
Updated/reviewed December 2017
  • Need: There is a shortage of rural physicians in the Northwestern United States.
  • Intervention: University of Washington medical students are receiving training through the TRUST program in rural, underserved communities across a five-state radius.
  • Results: Long-lasting connections have been formed among regional and underserved communities, medical students, and rural health professionals, producing more rural physicians as a result.
Medical Advocacy & Outreach's Telehealth Services
Updated/reviewed November 2017
  • Need: Rural Alabama residents with HIV/AIDS face stigma, poverty, and transportation barriers, limiting their access to expert HIV/AIDS healthcare.
  • Intervention: Medical Advocacy & Outreach utilizes telemedicine to remove these barriers and offers cost-effective care to rural patients living with HIV/AIDS.
  • Results: This telehealth network has expanded to reach rural patients in 12 Alabama counties. Patients are staying engaged due to its convenience and cost-effective nature.