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.
Need: Improving outcomes for Outer and Lower Cape Cod residents in need of social, behavioral health, and substance use disorder services while reducing the burden and costs to town agencies and hospital emergency rooms.
Intervention: The Community Resource Navigator Program works with local social services, town agencies, faith-based institutions, hospitals, the criminal justice system, and others to identify and connect clients to needed services.
Results: Clients are gaining access to the care they were once lacking, as measured by improvements in self-sufficiency. The program also helps community partners and stakeholders work together to reduce the impact of risks associated with behavioral health symptoms, substance use disorder, and social determinants of health.
Need: Clinicians in rural areas are often unprepared to treat sexual assault victims after an assault.
Intervention: The National TeleNursing Center (NTC) in Massachusetts uses telemedicine to connect Sexual Assault Nurse Examiners to clinicians in remote areas, offering them guidance through examinations.
Results: Clinicians report that the help gives them confidence through the examination process and NTC has assisted in the care of over 300 patients.