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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 2018
  • 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. Since 1989, the program has served 6,685 miners.
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.
Appalachian Preceptorship Program
Updated/reviewed October 2018
  • 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 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.

Other Project Examples

Health-e-Schools
Updated/reviewed October 2019
  • Need: Rural school children lack proper healthcare resources within the school setting.
  • Intervention: Health-e-Schools provides health services to students via telehealth using video conferencing and special equipment.
  • Results: Health-e-Schools increases access to primary healthcare, increases attendance in the classroom, and decreases the amount of time that parents or guardians must take off of work to bring their child to health-related appointments.
Alaska Health Workforce Coalition
Updated/reviewed September 2019
  • 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.
MORE Care
Updated/reviewed July 2019
  • Need: To improve rural residents' oral healthcare.
  • Intervention: MORE Care creates interprofessional oral health networks to 1) better integrate oral health into primary healthcare and 2) coordinate oral health between primary and dental healthcare.
  • Results: MORE Care has led to increases in fluoride varnish administration, improvement in interprofessional communication, and patients' improved self-management of their daily oral health.
New Horizons Substance Use Recovery Network
Updated/reviewed July 2019
  • 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.
Project Renew
Updated/reviewed July 2019
  • Need: To reduce deaths due to opioid overdose in rural southeast West Virginia.
  • Intervention: Project Renew trained and certified first responders, healthcare staff, and laypeople in naloxone administration.
  • Results: From April to June 2019, Project Renew has provided direct education to 120 individuals, completed 173 provider education activities, and distributed 260 Narcan kits.
West Virginia's Partners In Health Network Regional Collaborative Services
Added June 2019
  • Need: Coordinated approach to healthcare delivery in central and southern West Virginia.
  • Intervention: Creation of a nonprofit organization that focused on quality and collaboration.
  • Results: With an ability to provide services that meet the evolving needs of patients, providers, and communities, the organization provides unique services, such as a credentialing service and web-based data sharing care management tool.