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Other Case Studies and Collections of Program Examples: Healthcare workforce

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.

Promising Practice: Getting More Nurses Working in Rural Montana
Highlights a collaboration between the Montana Office of Rural Health and Montana State University College of Nursing to train nurses to work in rural areas. Details the programs funded through two Health Resources and Services Administration grants: one offered online to train nurse practitioners from all over the state, and the other prepares BSN-level nurses to work in rural primary care.
Author(s): Beth Blevins
Date: 06/2020
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Compendium of Rural Oral Health Best Practices - 2020
Highlights examples of the best practices in rural oral healthcare across the country. Presents a number of models regarding workforce development and training, integration of care, telehealth, clinical care, and policy.
Date: 2020
Type: Document
Sponsoring organization: National Rural Health Association
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Promising Practice: Educational Partnership Reaches Rural California Communities
Details a promising practice that works to expand health literacy among rural Latinos in California through a partnership between the California State Office of Rural Health and the California Department of Public Health's Office of Binational Border Health. Details the way the program is reaching rural Latinos through community health worker/promotores training.
Date: 08/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Promising Practice: Iowa Project Promotes Healthcare Careers Early
Highlights a promising practice led by the Iowa State Office of Rural Health. Discusses the Opportunities in Health Sciences: Iowa Career Pathways program, which provides resources to support high school students and adults looking for a career change to enter the healthcare workforce in the state.
Author(s): Beth Blevins
Date: 06/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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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
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Rural Mental Health Network: Expanding and Strengthening Care Coordination
Highlights the Rural Mental Health Network in Missouri through an interview with its director. Addresses the network's focus on care coordination for social determinants of health needs, challenges, accomplishments, the role of Community Health Workers (CHWs), lessons learned, and more.
Date: 03/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Promising Practice: Team Effort in Idaho Achieves New Funding for Physician Repayment Program
Presents a promising practice from the Idaho State Office of Rural Health who worked with the National Conference of State Legislatures (NCSL) to establish the state's first loan repayment program for physicians.
Author(s): Beth Blevins
Date: 09/2018
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Physician Alliance Well-Being Case Study: Avera Health
Highlights a healthcare system based in South Dakota that serves a primarily rural population. Focuses on their program LIGHT: Live, Improve, Grow, Heal and Treat, which seeks to prevent and address burnout for physicians, nurse practitioners, and physician assistants.
Date: 09/2018
Type: Document
Sponsoring organization: American Hospital Association
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Telepsychiatry Program: Children's Hospital and Medical Center
Describes the development, impact, lessons learned, and future goals of a telepsychiatry program designed to provide behavioral healthcare services to children in rural Nebraska.
Date: 07/2018
Type: Document
Sponsoring organization: American Hospital Association
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Case Studies From the 2017 Care Coordination Comparative Study
Provides an overview of four care coordination approaches being used in rural areas: care coach, clinical, community health worker, and school-based. Includes individual case studies of rural care coordination programs, with detailed information on target populations, technology used, partners, care team composition, and more.
Date: 05/2018
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Rural Health Innovations
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Expanding Care for Rural Patients
Discusses the telehealth psychology program at Texas A&M and the effect the program has had on mental health access across the state. Details the program's implementation and the ways it is overcoming barriers for rural people.
Author(s): Amy Novotney
Citation: APA Monitor on Psychology, 49(3), 64
Date: 03/2018
Type: Document
Sponsoring organization: American Psychological Association
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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
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Staff Sharing Arrangements for Local Public Health
Describes several case studies of local public health organizations' arrangements for sharing health directors, physicians, nurses, inspectors, social workers, or administration staff. Includes descriptions of such arrangements in public health agencies in rural areas of Webster County, Iowa and in three adjacent northwestern Oregon counties with a mixture of urban, suburban, and rural areas.
Author(s): Gerald Young, Joshua Franzel
Date: 11/2017
Type: Document
Sponsoring organizations: Center for Sharing Public Health Services, Center for State & Local Government Excellence
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Innovations in Rural Health System Development: Federally Qualified Health Center Initiatives
Reports on Maine's Federally Qualified Health Centers (FQHCs). Discusses strategies for workforce recruitment and retention, serving high-need patient populations, addressing critical community needs, and providing services that address the social determinants of health. Provides various examples of programs from across the state.
Author(s): Sara Kahn-Troster, Amanda Burgess, Andrew Coburn
Date: 09/2017
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Muskie School of Public Service Cutler Institute for Health and Social Policy
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Network Spotlight: Indiana Rural Workforce Innovation Network
An overview of the Indiana Rural Workforce Innovation Network (IRWIN) provided from an interview with Cindy Large, Heather Grable, and Amnah Anwar from the Indiana Rural Health Association. Focuses on IRWIN's achievements and insights as members work to strengthen Indiana's rural allied health workforce through recruitment, training, certification, and job placement.
Date: 09/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Network Spotlight: Appalachian Kentucky Health Care Access Network
Explores various aspects of the Appalachian Kentucky Health Care Access Network (AKHCAN) through an interview with Project Director Jan Chamness, and Project Manager Gina Brien. The AKHCAN is a grant-funded network that seeks to increase and improve healthcare access for all low-income, uninsured, and underinsured populations living in rural Kentucky through the use of community health workers (CHWs).
Date: 02/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Rural Promising Practice Issue Brief: Training Community Clergy Partners to Increase Access to Care for Rural Veterans
Presents a toolkit and web-based module for the development, implementation, and evaluation of a mental health training program for clergy to help rural veterans. Discusses in-person and web-based training methods implemented in the pilot program. Includes outcomes regarding the increase of access to mental healthcare and clinical impact for rural veterans, among other factors.
Additional links: Overview
Author(s): James Goalder, Kristen Wing, Eric Crawford, Keith Ethridge
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Innovations in Rural Health System Development: Recruiting and Retaining Maine's Health Care Workforce
Illustrates examples of rural-focused medical education programs to support an adequate supply of physicians in rural Maine. Also, discusses behavioral and oral health workforce development, and promising programs utilizing other types of healthcare workers such as community paramedics and community health workers (CHWs) to increase the availability and accessibility of healthcare in rural Maine and in other rural regions of the U.S.
Author(s): Amanda Burgess, Andrew F. Coburn
Date: 11/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Project ECHO's Complex Care Initiative: Building Capacity to Help "Superutilizers" in Underserved Communities
Describes a case study from the University of New Mexico's Project ECHO (Extension for Community Health Outcomes) program, which uses telehealth to support primary care clinicians in underserved areas. Focuses on a project targeting Medicaid beneficiaries with substance abuse and mental health issues, with details on two primary care teams being supported, including one in a rural New Mexico community.
Author(s): Martha Hostetter, Sarah Klein, Douglas McCarthy
Date: 08/2016
Type: Document
Sponsoring organization: Commonwealth Fund
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Network Spotlight: Mountain Health Alliance
Highlights the Cumberland, Maryland based Mountain Health Alliance (MHA), which works to advance a culture of health within the region's rural communities through collaboration and community engagement. Covers MHA's network characteristics, lessons learned, accomplishments, and challenges faced through an interview with network director, Kimi-Scott McGreevy. MHA serves the uninsured, underinsured, and low-income populations in a three-state (PA, MD, WV), five-county region.
Date: 06/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Investing in Population Health
Profile of a pilot project in rural New Mexico focused on population health for Medicaid recipients. Offers communities three levels of patient services and payment. Uses community health workers to address the social determinants of health.
Date: 08/2015
Type: Document
Sponsoring organization: Rural Health Value
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Transforming the Workforce to Provide Better Care: The Role of Obstetric Nurse Coordinators in North Carolina
A case study describing how nurses are helping improve prenatal care for high-risk pregnant women via North Carolina's statewide Medicaid Pregnancy Medical Home (PMH) program. Includes a section on support for rural practices participating in the PMH program.
Author(s): Mary Takach, Rachel Yalowich
Date: 09/2014
Type: Document
Sponsoring organizations: AARP Public Policy Institute, National Academy for State Health Policy
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Promising Approaches to Integrating Community Health Workers into Health Systems: Four Case Studies
Identifies the scope of practice, supervision, financing, and the workforce standards implemented by states and employers in the development of community health worker (CHW) programs. Four case studies that include rural counties illustrate the challenges and opportunities for integrating CHWs into health systems.
Author(s): Lauren Eyster, Randall R. Bovbjerg
Date: 12/2013
Type: Document
Sponsoring organization: Urban Institute
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Summer Program Gives Students Experience in Rural Illinois Hospitals
Summer preceptorships are giving health professions students the opportunity to practice their skills and solve real-world problems.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 11/2012
Type: Document
Sponsoring organization: Rural Health Information Hub
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Local Programs Help Patients Navigate Medical Care
A look at patient navigator programs in four states: a statewide program in Georgia, a program in Kentucky for cervical cancer patients, a promotores program in Texas for chronic conditions, and a coordinated care program for cancer patients in Vermont.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 05/2012
Type: Document
Sponsoring organization: Rural Health Information Hub
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Mobile EMS Lab Improves Critical Care in Nevada's High Desert
Highlights Humboldt General Hospital Emergency Medical Services (HGH-EMS), which is taking ultrasound and lab out in the field to improve patient outcomes in rural areas.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 11/2011
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Rockcastle Project: A Case Study of Interprofessional Clinical Education and Practice in a Rural Medical Center
Describes a pilot project regarding an interprofessional, evidence-based learning experience for students in three disciplines during a four-week period in a rural hospital in Kentucky.
Author(s): Dana Howell, Lynn English, Judith Page
Citation: Internet Journal of Allied Health Sciences and Practice, 9(2)
Date: 04/2011
Type: Document
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Compendium of Rural Best Practices/Models, Innovations to Strengthen Rural Health Care: Technology, Training and Workforce Development
Describes innovative programs that are working to help federal, state, and local health and health-related agencies set priorities for rural technology, training, and workforce development.
Date: 09/2010
Type: Document
Sponsoring organization: National Rural Health Association
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Improving Access to Care for Medically Underserved Californians: Securing Health Professional Shortage Area (HPSA) Designations
Describes an initiative to increase healthcare provider capacity in medically underserved areas throughout the service areas of the North Coast Clinics Network (NCCN), made up of four Federally Qualified Health Centers (FQHCs) and one community clinic. Discusses issues recruiting healthcare providers to rural areas.
Author(s): Annette L. Gardner, Tina Tvedt
Date: 01/2010
Type: Document
Sponsoring organization: California Endowment
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Compendium of Rural Best Practices/Models Innovations to Strengthen Rural Health Care: Technology, Training and Workforce Development
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.
Date: 2010
Type: Document
Sponsoring organization: National Rural Health Association
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Compendium of Best Practices/Models That Work in Rural Workforce Development
Highlights rural health workforce programs in Alaska, Arizona, Montana, New Mexico, South Carolina, and West Virginia.
Date: 09/2008
Type: Document
Sponsoring organizations: National Rural Health Association, NRHA National Rural Health Task Force
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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
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Case Study: Hospital Partners with Local High Schools to Prepare Students for Health Care Professions
Discusses the structure and organization of Box Butte General Hospital's (BBGH) Health Professions Club, which engages local high school students in healthcare career preparation activities in Alliance, Nebraska. Covers program goals, including educating area students about healthcare careers and creating and recruiting a well-prepared rural healthcare workforce.
Type: Document
Sponsoring organization: Bryan Health
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Case Study: Paramedicine Program Strengthens Rural Health Care System
Shares how leaders of Community Hospital in rural McCook, Nebraska reached their goal of reducing ambulance transports, emergency room visits, and hospital readmissions by partnering with community organizations to create the McCook Community Paramedicine program. Focuses on program's approach, key steps, lessons learned, and results.
Type: Document
Sponsoring organization: Bryan Health
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Network Spotlights
Offers monthly articles highlighting Federal Office of Rural Health Policy (FORHP) grantees' best practices for network development, allied health, and health information technology (HIT) workforce programs.
Type: Website
Sponsoring organization: National Rural Health Resource Center
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National Health Service Corps Member Stories
Stories from communities nationwide that have been served by the National Health Service Corps.
Type: Website
Sponsoring organization: National Health Service Corps
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Rural Monitor
Newsletter of the Rural Health Information Hub, with articles focused on healthcare and population health in rural communities.
Type: Journal/Newsletter
Sponsoring organization: Rural Health Information Hub
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