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Rural Health Information Hub

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

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 August 2022
  • 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 July 2022
  • 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.
Florissa
Updated/reviewed February 2022
  • Need: To address the developmental, behavioral, and social/emotional needs of rural children ages 0-18 in northwest Illinois.
  • Intervention: A centralized facility 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).
Pacific AIDS Education and Training Center-Nevada
Updated/reviewed January 2022
  • 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 2021, PAETC-NV trained more than 1,100 healthcare providers across Nevada to increase clinical capacity in the care, screening, and prevention of HIV, other sexually transmitted diseases, COVID-19, and hepatitis C.
Community Connections, Inc. Rural Health Opioid Program
Updated/reviewed December 2021
  • Need: To reduce deaths due to opioid overdose in rural southeast West Virginia.
  • Intervention: The Community Connections, Inc. Rural Health Opioid Program trained and certified first responders, healthcare staff, and laypeople in naloxone administration.
  • Results: From October 2018 to September 2021, the program provided direct education to 638 individuals, trained 821 providers, and distributed 4,023 Narcan kits.