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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 2020
  • 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 survey, 92% of miners reported their care as very good, while the other 8% reported it as good. The program has expanded to three other states.
NC-REACH: NC-Rurally Engaging and Assisting Clients who are HIV positive and Homeless
Updated/reviewed November 2020
  • Need: Provision of medical care access and follow-up for rural North Carolina HIV patients with mental health, substance abuse, and unstable housing/homelessness challenges.
  • Intervention: Medical home staff model expanded to a care coordination program with a core Network Navigator and Continuum of Care Coordinator assisting with medical, behavioral health, and basic life needs.
  • Results: To date, the program has advanced three aspects of medical home patient care for this target population: provided further understanding of the spectrum of homelessness, including "hidden" homelessness; implemented outreach with creation of new community partnerships and a community housing coalition; and integrated medical care and behavioral health care for HIV.
Appalachian Preceptorship Program
Updated/reviewed December 2019
  • 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.
Medical Advocacy & Outreach's Telehealth Services
Updated/reviewed November 2018
  • 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.

Promising Examples

Learning Exchange Reverse Demonstration (LERD) Model
Updated/reviewed July 2021
  • 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 used 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.
Rural and Underserved APRN Project
Updated/reviewed July 2021
  • Need: To reduce the primary care provider shortage in rural Colorado.
  • Intervention: A "grow your own" initiative in Colorado recruited rural registered nurses and trained them to become advanced practice RNs.
  • Results: 81 RNs participated in the Rural and Underserved APRN Project.
Health without Borders
Updated/reviewed December 2020
  • 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.

Other Project Examples

Implementation of a Nursing Veterans' Initiative to Transform Education (INVITE)
Updated/reviewed June 2021
  • 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.
Pacific AIDS Education and Training Center-Nevada
Updated/reviewed January 2021
  • Need: To improve and increase prevention and care services for HIV, STDs, hepatitis C, and other infectious diseases.
  • Intervention: PAETC-NV provides clinical and didactic trainings, conferences, technical assistance, capacity building, webinars, and other services to providers and healthcare organizations statewide.
  • Results: In fiscal year 2018, PAETC-NV provided over 1,300 hours in 38 trainings for more than 800 healthcare providers throughout Nevada.
Alaska Health Workforce Coalition
Updated/reviewed September 2020
  • 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 to develop, facilitate, implement, and support a statewide health workforce system.
  • Results: Coalition efforts impacted multiple state policies and programs, included a loan repayment and incentives program, and completed a health vacancy study in order to expand and further develop health-related education programs.