Other Case Studies and Collections of Program Examples: Chronic disease management
In addition to RHIhub's Rural Health Models and Innovations rural program examples, you may also want to browse other case studies, databases, and websites with collections of health programs.
Each resource listed below uses its own criteria for selecting program examples, which may range from programs known to be effective based on research to anecdotal accounts. In each resource, you may want to review information on the level of evidence required for a program's inclusion.
May include non-rural programs that could be applicable to rural health delivery.
Describes the Meadville Medical Center Community Care Network (CCN), an interdisciplinary team of clinicians who focus on using care coordination to help patients manage chronic conditions and achieve their health and wellness goals. CCN's goal is to engage patients and encourage them to take ownership of their health, thereby reducing hospital readmissions, conserving resources, and improving the health of the population.
Sponsoring organization: American Hospital Association Rural Health Services
Explores how FirstHealth of the Carolinas, a private, nonprofit healthcare network based in Pinehurst, North Carolina, reduced emergency department utilization and hospital readmission rates systemwide through the use of transitional care clinics (TCCs) and medical-legal partnerships (MLPs). Highlights how addressing non-medical factors can affect health outcomes.
Sponsoring organization: Rural Health Value
Documents North Sunflower Medical Center's (NSMC) progress as part of the Small Rural Hospital Transition (SRHT) project, particularly in the areas of discharge planning and follow-up, placing patients in the correct level of care, and chronic disease management. NSMC is a 25-bed Critical Access Hospital located in Ruleville, Mississippi.
Sponsoring organization: National Rural Health Resource Center
Summarizes innovative programs occurring in rural areas, featuring a recruitment and retention network and other models focusing on workforce education and training for behavioral and mental health, transportation, Federally Qualified Health Centers (FQHCs), and chronic disease management.
Sponsoring organization: National Rural Health Association