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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

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.
New Mexico Mobile Screening Program for Miners
Updated/reviewed December 2019
  • 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.
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

Rural and Underserved APRN Project
Updated/reviewed January 2019
  • Need: To reduce the primary care provider shortage in rural Colorado.
  • Intervention: A "grow your own" initiative in Colorado recruits rural registered nurses and trains them to become advanced practice RNs.
  • Results: 81 RNs have participated in the Rural and Underserved APRN Project so far.
Learning Exchange Reverse Demonstration (LERD) Model
Updated/reviewed July 2018
  • 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.
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.

Other Project Examples

University of Mississippi Medical Center's Center for Telehealth
Updated/reviewed January 2020
  • Need: Rural areas in Mississippi often lack adequate access to specialty healthcare services such as emergency medicine, stroke neurology, pediatric specialists and psychiatrists.
  • Intervention: The University of Mississippi Medical Center created the Center for Telehealth to deliver quality specialty services through telehealth video conferencing and remote monitoring tools to the underserved areas of Mississippi.
  • Results: The program has been successfully implemented throughout many of the state's rural hospitals and has reduced transfers and geographic barriers for patients.
Cavity Free at Three
Updated/reviewed December 2019
  • Need: In Colorado, 31% of children have experienced dental decay by the time they reach kindergarten. With several frontier and rural counties in Colorado considered dental deserts, options for oral healthcare are limited.
  • Intervention: Cavity Free at Three (CF3) works to improve access to preventive oral health for pregnant women and young children. While CF3 is a statewide effort, 87% of the program's target counties are considered rural or frontier.
  • Results: CF3 has trained over 5,000 medical and dental professionals in performing preventive dental health. The percentage of children who received oral healthcare from a medical or dental provider before the age of 2 has progressively increased, and fewer Colorado children have cavities now than they did 10 years ago.
Florissa
Updated/reviewed December 2019
  • Need: To address the developmental, behavioral, and social/emotional needs of rural children ages 0-18 in northwest Illinois.
  • Intervention: A centralized facility serves as a one-stop shop for children and families facing developmental, behavioral, and social/emotional issues.
  • Results: Florissa continues to increase its referral numbers, expand its sessions and service offerings, and provide more information resources. It also co-located with the KSB Hospital pediatric department and became certified as a pediatric patient-centered medical home (PCMH).
National Jewish Health Rural Miners Outreach Clinics
Added December 2019
  • Need: Early detection of health risks associated with mining in the Western region of the United States.
  • Intervention: The National Jewish Health Miners Clinic of Colorado developed two rural outreach programs that partner with local healthcare facilities to offer free medical screening for active and retired miners and historic uranium industry workers.
  • Results: Since beginning in 2003, these programs have served over 2,000 miners and historic uranium industry workers. Dust disease of the lungs have been detected on chest X-ray screenings in 16% of patients, abnormal breathing tests have been found in 24%, and other chronic conditions have been detected.