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Rural Health Information Hub

Other Case Studies and Collections of Program Examples: Culture and cultural competency

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.

Culturally Responsive Pathways to Peer Programming in Tribal Communities
Discusses best practices for the use of peer recovery support services (PRSS) for addiction recovery in American Indian/Alaska Native (AI/AN) communities. Includes a culturally competent adaptation of the Sequential Intercept Model (SIM) and offers evidence-based case studies.
Date: 09/2023
Type: Document
Sponsoring organizations: Bureau of Justice Assistance, U.S. Department of Justice
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Maniilaq Health Center: Providing High-Quality Obstetric Care to American Indian/Alaska Native People in Rural Kotzebue, Alaska
Results of a case study highlighting a hospital providing care to rural American Indian and Alaska Native patients in Alaska. Examines the maternity care context with attention to the intersection of race and geography with social determinants of health to inform clinical and policy efforts to improve rural maternal health and health equity in Alaska and beyond.
Author(s): Hailey A. Baker, Katy Backes Kozhimannil, Bridget Basile Ibrahim
Date: 06/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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How One New Mexico County is Taking a Community-Wide Approach to Treating Alcohol and Substance Use Disorders
Features a McKinley County, New Mexico community consortium that takes a holistic approach to recovery. Discusses the need for cultural understanding of Native culture in providing treatment services. Describes the growth of the collaboration over time and the range of local organizations involved.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 02/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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'A Life-Changing Partnership': First Tribally-Affiliated Medical School in the U.S. Builds Workforce Pipeline to Underserved Communities
Describes how Oklahoma State University's College of Osteopathic Medicine at the Cherokee Nation is preparing students to work in rural and tribal settings. Highlights how cultural competence is included the curriculum and training opportunities.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 01/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Bringing Community Voice into Cross-Sector Data Sharing: Supporting Aging Populations in Rural Utah
A case study that discusses a partnership between healthcare and social care entities involved with the Learning and Action in Policy and Partnerships (LAPP) initiative to implement data sharing and patient record digitization. Discusses the impact on senior care in rural Utah to improve data sharing that is culturally appropriate for tribal populations.
Date: 11/2022
Type: Document
Sponsoring organizations: Center for Health Care Strategies, Data Across Sectors for Health
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Providing High-Quality Support to Pregnant People and Their Families in Racially Diverse Rural Communities
Presents a series of case studies of how hospitals and health systems with obstetric units in racially diverse rural communities work to meet patient needs and provide evidence-based, supportive services during pregnancy, childbirth, and the postpartum period. Highlights communities in Colorado, Alaska, and Texas and discusses key features of programs at hospitals or health systems in each area.
Author(s): Mariana Tuttle, Phoebe Chastain, Hailey Baker, Katy Backes Kozhimannil, Bridget Basile Ibrahim
Date: 08/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Innovations from the Field: AAAs Work to Improve Diversity, Equity and Inclusion
Presents case studies of how seven Area Agencies on Aging (AAAs) implemented equity and inclusion efforts within their organizations and through service delivery. Highlights programs serving rural Iowa, Oregon, and New York.
Date: 05/2022
Type: Document
Sponsoring organization: USAging
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Partnering to Improve Health and Wellbeing via Community Based Care Coordination in Rural Minnesota
Case study featuring Winona Health, an independent, community-owned, and vertically integrated healthcare system serving rural Minnesota. Describes efforts underway to address the social determinants of health in the community through the Winona Wellbeing Collaborative. Also discusses efforts to build intercultural skill throughout the Winona Health organization.
Date: 01/2022
Type: Document
Sponsoring organization: American Hospital Association
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The Clinical and Business Cases for Opening a Maternity Care Unit in a CAH
A case study of a rural North Carolina partnership that worked together to add a new wing for a maternity unit at a 25-bed Critical Access Hospital. Explains how the service was planned to be financially viable. Describes maternal and infant health disparities in the region and discusses how this new service will meet the needs of the population with culturally and linguistically accessible care.
Date: 01/2022
Type: Document
Sponsoring organization: American Hospital Association
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Tri-Area Community Health Provides Community-Focused Integrated Care
Features a rural Virginia Federally Qualified Health Center that provides integrated primary care and behavioral health services. Discusses how services have been adapted to meet the needs of a growing Hispanic population, and describes a behavioral health training program offered in partnership with Radford University.
Author(s): Kathryn Rutz
Citation: Rural Monitor
Date: 05/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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