Skip to main content

Other Case Studies and Collections of Program Examples: Healthcare quality

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.

Texas SORH Fosters Quality Champions in Rural Hospitals Across the State
Details how the Texas State Office of Rural Health (SORH) developed a Quality Improvement Training Program (QITP) and associated fellowship program to improve rural healthcare quality in the state's hospitals. The QITP trains participants, helps them become certified for the Certified Professional in Healthcare Quality (CPHQ) exam, and encourages them to complete quality improvement projects within local hospitals.
Author(s): Beth Blevins
Date: 08/2020
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
view details
A Best Practices Approach to Treating Maternal Hemorrhage
Provides an overview of how Titus Regional Medical Center in Mount Pleasant, Texas, developed and implemented protocols to improve maternal hemorrhage outcomes. Discusses the impact and lessons learned from implementing the protocols as well, as future maternal health improvement goals at the medical center.
Date: 02/2020
Type: Document
Sponsoring organization: American Hospital Association
view details
Serving Rural America: Health Insurance Providers at Work
Offers 5 case studies to showcase the ways in which health insurance providers are working to ensure access to high quality healthcare in rural areas. Examples feature 8 insurance providers in Maryland, Pennsylvania, California, and Oregon sharing different approaches to healthcare delivery, financing, and community engagement.
Date: 09/2019
Type: Document
Sponsoring organization: America's Health Insurance Plans
view details
Rural Success: Dahl Memorial Healthcare Association, MT
Highlights a frontier Critical Access Hospital in Ekalaka, Montana, with a focus on their quality improvement efforts. Covers their plans for a new building, updated electronic health records system, antibiotic stewardship efforts, and training to improve Emergency Department Transfer Communication (EDTC).
Citation: MBQIP Monthly, 1-2
Date: 07/2019
Type: Document
Sponsoring organization: Stratis Health
view details
Coteau des Prairies (CDP) Health System: Improving Quality of Care
Features a Critical Access Hospital (CAH) in Sisseton, South Dakota that worked with the Small Rural Hospital Transition (SRHT) project on care transitions and quality improvement. Highlights their successes improving finances, internal communication, patient satisfaction, physician documentation, and quality improvement infrastructure.
Date: 06/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Rural Success: Abrom Kaplan Memorial Hospital, LA
Highlights the success of a Critical Access Hospital in Louisiana in receiving high cleanliness scores and care transitions scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Discusses their initiative to reduce C. difficile infections, strategies for communication and cleaning, emergency department transitions, and teamwork recognition.
Citation: MBQIP Monthly, 1-2
Date: 05/2019
Type: Document
Sponsoring organization: Stratis Health
view details
Increasing Cancer Screening Rates: The Role of Nurse Navigators in Preventative Care
Highlights a community health center in Delaware that used nurse navigators to help increase screening rates for several types of cancer. Discusses the population served by the health center, the role of the nurse navigators and their use of electronic health records, and the impact of the program, which earned them a Quality Improvement Award. Includes program contact information.
Date: 04/2019
Type: Document
Sponsoring organization: Bureau of Primary Health Care
view details
Bacon County Hospital Advances Toward Population Health
Highlights a 25-bed acute care hospital in Alma, Georgia that worked with the Small Rural Hospital Transition (SRHT) project to improve its finances and operations. Summarizes projects that expanded telemedicine services, increased point-of-service collections, built awareness of quality performance and services, and addressed community needs.
Date: 04/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Predictive Analytics Shape Care Processes
Reports on an Accountable Care Organization (ACO) model in Maine that uses a predictive analytics platform in conjunction with Maine's statewide health information exchange (HIE) to prescribe care management interventions based on patient risk. Describes the predictive analytics system, discusses how the ACO is using it to manage care, and highlights future plans, such as targeting patients hospitalized for an opioid overdose and integrating social determinants of health data.
Date: 11/2018
Type: Document
Sponsoring organization: Rural Health Value
view details
Washington County Memorial Hospital Improving Patient Experience
Highlights a Critical Access Hospital (CAH) in Potosi, Missouri that participated in the Small Rural Hospital Transition (SRHT) project. Improvements focused on quality reporting, patient communication, patient rounding, and more.
Date: 11/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Northern Maine Medical Center – Fort Kent, Maine: Purchase of Retail Pharmacy Enhances Services to the Community
Profiles a hospital in rural Maine that purchased a community pharmacy to offer prevention and wellness services, reduce readmissions, and improve medication adherence.
Date: 10/2018
Type: Document
Sponsoring organization: American Hospital Association
view details
Minnie Hamilton Health Care Center Experiencing Improved Community Feedback
Updates the quality improvement work of a Critical Access Hospital in West Virginia that operates a Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC). Focuses on the hospital's accomplishments around patient experience and clinical quality as part of the Small Rural Hospital Transition (SRHT) Quality of Care and Transition Project.
Date: 10/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Promising Practice: Texas SORH's Handheld Ultrasound Project - An Innovative Approach to Providing Training & Technology to Small Rural Hospitals
Details a pilot program implemented by the Texas State Office of Rural Health that allows rural hospitals to uses handheld ultrasound machines as a cost-effective method for improving quality of care.
Author(s): Beth Blevins
Date: 09/2018
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
view details
Evergreen Medical Center Remains Committed to Quality Care
Describes Evergreen Medical Center's (EMC) progress as part of the Small Rural Hospital Transition (SRHT) Project, focused on care transitions and healthcare quality. EMC is a short-term acute care hospital located in Evergreen, Alabama. EMC focused on patient satisfaction, clinical documentation, preventing readmissions by improving care transitions, and quality reporting.
Date: 09/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Exploring Bright Spots in Appalachian Health: Case Studies
In-depth studies of 10 Appalachian counties with health outcomes that are better than expected, given their characteristics and resources. Identifies actions these areas are taking to improve health and well-being. Features statistics including demographics and health-related data, and maps showing economic status of Appalachian counties. Third in a series of reports exploring health issues in Appalachia.
Author(s): Nancy M. Lane, G. Mark Holmes, Thomas A. Arcury, et al.
Date: 07/2018
Type: Document
Sponsoring organizations: Appalachian Regional Commission, Burness, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
view details
Promising Practice: Michigan Center for Rural Health Plays Unique Role in Hospital Quality Improvement
Details the unique role the Michigan Center for Rural Health (MCRH) plays as a liaison between the state's 21 Critical Access Hospitals (CAHs) and the Michigan Hospital Association (MHA) to facilitate quality of care, reduce patient readmission rates, and improve patient safety throughout the state.
Author(s): Beth Blevins
Date: 05/2018
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
view details
Atmore Community Hospital: Consistent Implementation Leads to Results
Describes the success of Atmore Community Hospital (ACH), located in Atmore, Alabama, after participating in the Small Rural Hospital Transition (SRHT) project. During the project, the 49-bed short-term acute care hospital focused on maximizing the influence from leadership rounds, increasing marketing to communicate accomplishments to the community, and tracking patient satisfaction scores to improve clinic operations.
Date: 04/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Minnie Hamilton Health Care Center: SRHT Project Well Under Way
Profiles Minnie Hamilton Health Care Center's (MHHCC) progress as part of the Small Rural Hospital Transition (SRHT) Project, completed in 2017, focused on improving quality of care and transitions of care throughout its facilities. MHHCC is an 18-bed, not-for-profit Critical Access Hospital in Grantsville, West Virginia. MHHCC also operates a Rural Health Clinic in Grantsville and a Federally Qualified Health Center in Glenville.
Date: 02/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Affiliation Partners Sought to Prepare Small Hospital for Value-Based Care
Details how Grinnell Regional Medical Center (GRMC) in Grinnell, Iowa, followed a robust due diligence process to seek affiliation partners and prepare for participation in risk-based reimbursement models. GRMC is a 49-bed private, non-profit medical center that serves six rural counties in Iowa.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Health Value
view details
Case Study: High-Tech OB Simulation Training Educates OB Teams, Improves Quality of Rural Health Care
Reports on a pilot obstetrics simulation training program intended to help rural family physicians and obstetric care teams recognize and react to complications related to pregnancy, initially focusing on hemorrhaging. Identifies planned quality improvement measures resulting from the training and includes program contact information. Program targeted 12 rural hospitals in Nebraska.
Date: 2018
Type: Document
Sponsoring organizations: Bryan Health, Heartland Health Alliance
view details
Kalispell Regional Healthcare: Managing the Needs of Medically and Socially Complex Patients or Superutilizers
Details how Kalispell Regional Healthcare teamed with Mountain-Pacific Quality Health to introduce a modified transitional care model, which is designed to reduce service utilization and improve the health of high-cost, high-need patients. Initiative is part of a special innovations project through the Centers for Medicare and Medicaid Services (CMS) and uses multidisciplinary "ReSource" teams to coordinate care and services across rural and underserved areas of Montana.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
view details
Medical-Legal Partnership Addresses Social Determinants of Health
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.
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Value
view details
Coteau des Prairies Keeping Services Close to Home
Follows South Dakota-based Coteau des Prairies Health System's (CDP) progress as part of the Small Rural Hospital Transition (SRHT) project. CDP completed a financial operational assessment (FOA) with the goal of positioning the hospital for future financial success. Primary areas of improvement include revenue cycle management, HCAHPS scores, executive communication, and swing bed utilization.
Additional links: One-Page Summary
Date: 08/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Network Spotlight: North Dakota Critical Access Hospital Quality Network
Describes the North Dakota Critical Access Hospital (CAH) Quality Network through an interview with Senior Project Coordinator, Jody Ward, and Associate Director, Lynette Dickson, from the University of North Dakota School of Medicine and Health Sciences' Center for Rural Health. The North Dakota CAH Quality Network serves as a voluntary platform for facilitating best practices and quality improvement initiatives across all of North Dakota's 36 CAHs. Focuses on the North Dakota CAH Quality Network's characteristics, lessons learned, accomplishments, and challenges.
Date: 08/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Magnolia Regional Medical Center Excels as a Hospital in Transition
Documents Magnolia Regional Medical Center's (MRMC) top accomplishments after participating in the Small Rural Hospital Transition (SRHT) project and completing a financial operational assessment (FOA). Major areas of improvement include net income, net patient revenue, days cash on hand, swing bed utilization, and overall quality ratings.
Date: 07/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Network Spotlight: Southeast Texas Health System
Provides an overview of the Southeast Texas Health System (SETHS) through an interview with its executive director, Tara Dilley. Based in Weimar, Texas, SETHS is a nonprofit health collaborative network that specializes in managed care contracting for rural providers. The interview covers SETHS' network characteristics, lessons learned, accomplishments, and ongoing challenges.
Date: 07/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Medical Center Barbour Reduces Readmission Rates
Highlights the accomplishments of Medical Center Barbour (MCB), a prospective payment system (PPS) hospital located in Eufaula, Alabama, as it progressed through a Small Rural Hospital Transition (SRHT) quality of care and transition of care project. MCB's top accomplishments include reducing readmissions, improving communication among staff and patients, and enhancing the discharge process.
Additional links: One-Page Summary
Date: 06/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Monroe County Hospital Achieving Outcomes
Examines the gains made by Monroe County Hospital (MCH), located in Monroeville, Alabama, as part of the Small Rural Hospital Transition (SRHT) project. During the project, the 35-bed prospective payment system (PPS) hospital focused on improving patient education and transitions of care, integrating pharmacists, implementing bedside reporting, and reducing readmission rates. The changes have resulted in improved community engagement and prepared MCH for value-based purchasing.
Date: 04/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Madison County Memorial Hospital: Making the Most of FOA
Documents Madison County Memorial Hospital's (MCMH) successes from participating in the Small Rural Hospital Transition (SRHT) project. Top accomplishments include improving relationships with the community and other providers, business office operations, leadership development, and transitions of care, as well as developing outpatient rehab services. MCMH is a 25-bed, nonprofit Critical Access Hospital located in Madison, Florida.
Date: 03/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Russell County Hospital Aligning for Future Success
Details the improvements made by Russell County Hospital (RCH), a 25-bed Critical Access Hospital located in Russell Springs, Kentucky, as part of the Small Rural Hospital Transition (SRHT) project. Major accomplishments include expanding primary care and surgery services, developing a strategic plan, establishing and monitoring quality indicators, and optimizing participation in the 340B Drug Pricing Program. RCH is also working with the community and the media to promote their quality scores, which are consistently high.
Date: 02/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Network Spotlight: Community Care Alliance
Describes key aspects of the Grand Junction, Colorado based Community Care Alliance (CCA) through an interview with CCA's Director of Operations and Vice President of Outreach and Communications for CCA's parent organization, the Western Healthcare Alliance (WHA). CCA's primary function is to help member organizations prepare for healthcare transformation, particularly in the areas of Medicare Shared Savings Program Accountable Care Organizations (ACOs) and the Merit-Based Incentive Payment System (MIPS).
Date: 12/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Network Spotlight: North Coast Clinics Network
Highlights the Eureka, California-based North Coast Clinics Network (NCCN), which works to improve efficiency and quality of care across its Federally Qualified Health Center (FQHC) members. Covers NCCN's characteristics, lessons learned, accomplishments, and challenges faced through an interview with Director of Education and Innovation, Trisha Cooke, and Executive Director, Tim Rine.
Date: 10/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
North Sunflower Medical Center Successfully Addressing Chronic Care Management
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.
Date: 09/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Marcum & Wallace Memorial Hospital Successfully Impacts Project Outcomes
Highlights the progress of Kentucky's Marcum and Wallace Memorial Hospital as they worked through the Small Rural Hospital Transition (SRHT) project in 2015. By participating in the SRHT project, Marcum & Wallace was able to make significant improvements to emergency department operations, swing bed services, 340B usage, and more.
Date: 08/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Pender Community Hospital Surpassing Project Goals
Explains how Pender Community Hospital (PCH), a 21 bed Critical Access Hospital (CAH) located in Pender, Nebraska, improved its financial and operational performance through the Small Rural Hospital Transition (SRHT) Project. Focuses discussion on relocating the clinic, enhancing retail pharmacy and swing bed services, increasing marketing efforts, and restructuring therapy programs.
Date: 05/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Chicot Memorial Medical Center Utilizes SRHT Project to Prepare for the Future
Highlights the successes and lessons learned from a Financial Operational Assessment (FOA) performed by Chicot Memorial Medical Center (CMMC), a Critical Access Hospital, in Lake Village, Arkansas. The FOA was completed as part of the Small Rural Hospital Transition (SRHT) Project.
Date: 04/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Spotlight on Cibola General Hospital
Highlights Cibola General Hospital (CGH), a 25 bed Critical Access Hospital located in Grants, New Mexico. Examines the progress CGH has made working to improve quality of care and transitions of care as part of the Small Rural Hospital Transition (SRHT) Project.
Date: 02/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Rural Hospital System Transformation
Discusses how Mercy Health Network, a group of 28 hospitals in rural Iowa, improved system-wide performance by implementing a Lean methodology. Focuses on learning from outside the healthcare industry, identifying the appropriate leaders, and utilizing innovative approaches to do more with less.
Date: 03/2014
Type: Document
Sponsoring organization: Rural Health Value
view details
Compendium of Rural Best Practices/Models: Innovations to Strengthen Rural Health Care: Technology, Quality Improvement, Collaboration, and Training
Summarizes innovative programs occurring in rural areas, featuring a medical home model, a Lean/Six Sigma hospital program, a community health center telehealth program, and a statewide behavioral health network.
Date: 2013
Type: Document
Sponsoring organization: National Rural Health Association
view details
Using Health IT: Eight Quality Improvement Stories
Highlights health information technology (HIT) successes, including rural projects funded by the Transforming Healthcare Quality through Information Technology (THQIT) program. Examines include EMS responders improving cardiac care, nursing home health reducing pressure ulcers, Project ECHO, and more.
Author(s): Melanie Au, Suzanne Felt-Lisk, Grace Anglin, Andrew Clarkwest
Date: 09/2010
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
view details
Achieving Success in QIO and Rural Hospital Partnerships
Provides 4 case studies that highlight strategies employed by Quality Improvement Organizations (QIOs) to help small rural hospitals implement successful quality improvement initiatives. Focuses on the benefits of technical assistance from QIOs to rural hospitals.
Author(s): Janet Pagan-Sutton, Lauren Silver, Jyoti Gupta
Date: 02/2009
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
view details
Creating a Culture of Health in Appalachia: Disparities and Bright Spots
An initiative focused on health outcomes in Appalachian communities. Provides access to health disparities data on health status, healthcare delivery, and social determinants of health indicators for counties within the rural Appalachian region. Also identifies and provides case studies of "Bright Spots", counties in the region with better-than-expected health outcomes.
Type: Website
Sponsoring organizations: Appalachian Regional Commission, Foundation for a Healthy Kentucky, Robert Wood Johnson Foundation
view details
Agency for Healthcare Research and Quality Impact Case Studies
Provides a list of successful, rural-specific case studies describing how tools and resources from the Agency for Healthcare Research and Quality (AHRQ) are being used and their impacts at the local and national policy level, in healthcare systems, and for other professional healthcare services and providers. Case study examples are searchable by state/territory or at the national level, date, and topic.
Type: Website
Sponsoring organization: Agency for Healthcare Research and Quality
view details
Compendium of Hospital & Community Partnerships
Outlines a number of innovative partnerships between rural hospitals and community organizations in Nebraska that work to expand local services, improve care quality, and reduce the cost of care in rural communities. Presents partnerships in case study format, sharing key steps, lessons learned, and project results.
Type: Website
Sponsoring organization: Bryan Health
view details
AHRQ Health Care Innovations Exchange
Provides access to innovations, tools, learning opportunities, and networking opportunities all designed to assist with the implementation of new and better ways of delivering healthcare.
Type: Website
Sponsoring organization: Agency for Healthcare Research and Quality
view details