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Other Case Studies and Collections of Program Examples: Service delivery models

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.

Wilson Medical Center Implements Creative Care Alternatives to Address COVID-19
Describes Wilson Medical Center's implementation of curbside and telehealth services in response to COVID-19 in rural Kansas. Offers lessons learned from the transition to alternative solutions and future goals for adapting healthcare services as needed.
Date: 04/2020
Type: Document
Sponsoring organization: American Hospital Association
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Four Stages of Planning and Implementation During COVID-19: One Rural Hospital's Preparations
Highlights a rural California hospital's four stage plan in preparing for a potential patient surge related to the COVID-19 pandemic and addresses actions achieved to ensure quality in the current care and treatment of patients. Discusses the steps taken to provide care through community outreach and to maintain financial support.
Date: 04/2020
Type: Document
Sponsoring organization: American Hospital Association
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Rapid Deployment of Telehealth Services for Rural Hospitals Fighting COVID-19
Profiles how a Critical Access Hospital in Minnesota implemented a telehealth network in preparation for COVID-19. Offers lessons learned for other healthcare providers looking to implement virtual healthcare models.
Date: 04/2020
Type: Document
Sponsoring organization: American Hospital Association
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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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The Value Initiative Members in Action: Dartmouth-Hitchcock Medical Center - Lebanon, N.H
Describes how the Dartmouth-Hitchcock Medical Center partners with rural and community hospitals to provide telehealth specialty care services across northern New England through the Dartmouth-Hitchcock Connected Care program. Discusses clinical outcomes and patient satisfaction with the telehealth programs. Examines how telehealth services impact staffing and services offered in small and rural hospitals.
Date: 12/2019
Type: Document
Sponsoring organization: American Hospital Association
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Telemedicine Spotlight: WVU Medicine Potomac Valley Hospital
Highlights how a pilot program at the Potomac Valley Hospital, a Critical Access Hospital (CAH) in Keyser, West Virginia, collaborated with J.W. Ruby Memorial Hospital, a 690-bed academic medical center and Level 1 Trauma center, as a telemedicine intensive care unit.
Date: 10/2019
Type: Document
Sponsoring organization: Stroudwater Associates
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Telemedicine Spotlight: Blue Mountain Hospital, Blanding, UT
Highlights how Blue Mountain Hospital (BMH), a Critical Access Hospital (CAH) in Blanding, Utah, implemented a telemedicine program to provide services to patients needing a higher level of care in their community rather than being transferred to an urban center hospital several hours away.
Date: 10/2019
Type: Document
Sponsoring organization: Stroudwater Associates
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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
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Community Care Alliance, a Western Health Care Alliance Company
Interviews leaders of a health network in rural Colorado that is an Accountable Care Organization (ACO) regarding their network organization, accomplishments, challenges, and best practices. Addresses data analytics and financial measures for evaluating network progress and impact.
Date: 08/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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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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Case Studies of 6 Safety Net Organizations That Integrate Oral and Mental/Behavioral Health With Primary Care Services
Features an analysis of 6 Federally Qualified Health Centers (FQHCs) integrating oral health and behavioral health with primary care across the country. Features one rural example.
Additional links: Policy Brief
Author(s): M. Langelier, S. Surdu, N. Goodwin
Date: 02/2019
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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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
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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
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Community Care Integration
Profile of Southern Prairie, a 12-county collaboration facilitating integration of health services and community supports in rural southwestern Minnesota through a Medicaid Accountable Care Organization.
Date: 07/2018
Type: Document
Sponsoring organization: Rural Health Value
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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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Promising Practice: Alabama SORH Collaborates with VA to Provide Telehealth Care for Vets
Describes a collaboration between the Alabama State Office of Rural Health and Alabama Veterans Affairs to create and implement a telehealth program aimed at delivering care to rural veterans.
Author(s): Beth Blevins
Date: 06/2018
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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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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Ensuring Access and Improving Population Health Through Collaboration and Patient - Centered Care Columbia Memorial Hospital, Astoria, OR
Describes Columbia Memorial Hospital (CMH), an independent Critical Access Hospital (CAH), in Astoria, Oregon, that works to ensure access to specialty and primary care for Pacific North Coast and Lower Columbia regions of northwest Oregon. Shares strategies and collaborative efforts to address the community's needs by ensuring access to care, improving population health, and designing consumer driven patient-centered care.
Date: 05/2018
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Ensuring Access to Care: Wagner Community Memorial Hospital – Avera, Wagner, S.D.
Describes Wagner Community Memorial Hospital – Avera (WCMH-A), a 20-bed Critical Access Hospital (CAH) in Wagner, South Dakota, that works to ensure access to care while addressing the social determinants of health for the populations they serve. Shares strategies and collaborative efforts to address the community's needs through the use of telemedicine, housing and economic development, population health, and access to primary care.
Date: 05/2018
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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OSF HealthCare – Peoria, IL: Connecting Health Systems and Community-Based Organizations to Improve Outcomes
Features a faith-based, 13-hospital health care system serving Illinois and Michigan's Upper Peninsula. Describes OSF Center for Health - Streator, which will feature the first rural freestanding emergency department in Illinois. Discusses how OSF HealthCare is using a case management platform and working with community-based organizations to meet a wide range of patient needs.
Date: 05/2018
Type: Document
Sponsoring organization: American Hospital Association
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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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Illinois Rural Community Care Organization – Princeton, IL: Statewide Rural Accountable Care Organization
Provides an overview of the work and impact of the Illinois Rural Community Care Organization (IRCCO), a Medicare shared savings Accountable Care Organization (ACO). IRCCO includes 24 Critical Access Hospitals and rural hospitals and associated physician practices and clinics.
Date: 03/2018
Type: Document
Sponsoring organization: American Hospital Association
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Behavioral Health Integration into Primary Care
Profile of a rural health system, Western Wisconsin Health (WWH), and its work to deliver behavioral health services. Provides an overview of how behavioral health providers and services were integrated with primary care, with a cultural change to focus on whole-person care. Includes information on Medicare and Medicaid reimbursement for the behavioral health services provided at WWH's Rural Health Clinic. Discusses how WWH behavioral health providers offer telehealth services to other rural areas of Wisconsin.
Date: 03/2018
Type: Document
Sponsoring organization: Rural Health Value
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Virtual Urgent Care - Bryan Health, Lincoln, NE
Case study of Bryan Health ezVisit, an online diagnosis and treatment option being used by a nonprofit health system in Lincoln, Nebraska to provide healthcare services for minor conditions to surrounding rural communities.
Date: 02/2018
Type: Document
Sponsoring organization: American Hospital Association
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Case Studies of Telehealth Programs in New York
Synthesizes information from 7 case studies of healthcare providers who regularly use telehealth applications in service delivery, including those who serve patients in rural communities. Identifies common themes and findings related to the impact of these services on provider organizations and patient populations. Featured programs include those emphasizing oral health, home care, and psychiatric care.
Author(s): Robert Martiniano, Carol Rodat, Bridget Baker, Lauren Boyd, Rachel Carter, et al.
Date: 01/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Meadville Medical Center: Care Coordination for Adults and Children
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.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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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
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Ensuring Access with a Hospital's Conversion to a Freestanding Emergency Department
Outlines Ellijay, Georgia-based North Georgia Medical Center's transition from a traditional community hospital to a freestanding emergency department (ED). Shares administrative, legal, and logistical challenges that, once overcome, resulted in Piedmont Mountainside Hospital Emergency Services - a successful, community-focused, freestanding ED.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Network Spotlight: Illinois Telehealth Network
Describes the characteristics, lessons learned, and accomplishments of the Illinois Telehealth Network (ITN) through an interview with key ITN personnel. ITN is a 26-member consortium of rural health entities, including Critical Access Hospitals (CAHs) and Federally Qualified Health Centers (FQHCs), working to improve access to care in rural, underserved communities through the expanded application of telehealth and telemedicine solutions.
Date: 11/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Tackling the Opioid Crisis in a Rural Community
Discusses a partnership between a rural hospital physician and the director of a community counseling center to establish a medication-assisted treatment (MAT) for opioid addiction in rural Maine. Presents the program's support structure, as well as the advantages of having an integrated treatment approach.
Date: 09/2017
Type: Document
Sponsoring organization: American Hospital Association
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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
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An Assessment of Mobile and Portable Dentistry Programs to Improve Population Oral Health
Describes configurations of portable and mobile dental programs including models and applications, discusses targeted populations, details variations in regulations by state, and examines outcomes of preventive interventions in underserved areas. Includes case studies of 7 programs initiated to improve access in underserved populations or in rural areas.
Additional links: Policy Brief
Author(s): Margaret Langelier, Jean Moore, Rachel Carter, et al.
Date: 08/2017
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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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
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After Hospital Closure: Pursuing High Performance Rural Health Systems without Inpatient Care
Describes ways for rural communities to develop optimal healthcare delivery systems after a local hospital closure. Features 3 case studies from Arizona, Michigan, and Illinois. Includes tables showing options currently available under federal and state laws, and policies under consideration.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 06/2017
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Rural Promising Practice Issue Brief: Interdisciplinary Clinical Video - Telehealth for Geriatrics and Dementia
Highlights the development, implementation, and evaluation of an interdisciplinary telehealth program designed to help caregivers provide coordinated care for aging rural veterans suffering from dementia. Discusses the interdisciplinary team model comprised of social workers, geriatricians, primary care providers, and rural caregivers coordinating to maintain a uniform level of care. Includes outcomes regarding the increase of access to education and caregiver support, as well as the ability of providers to prescribe medication to rural patients.
Additional links: Overview
Date: 05/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Lessons Learned: A Rural Case Study - Challenges Increasing Access to Dental Care Among Rural Veterans
Details the referral process initiated by the Grand Island Dental Outpatient Team in Nebraska for rural veterans who are ineligible for VA dental coverage to receive basic treatment from community dentists. Discusses some of the challenges to designing and implementing the program, such as establishing new partnerships with local dentists, adhering to a sustainable staffing plan, and pursuing data collection and analysis for measuring outcomes, among other factors.
Date: 05/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Network Spotlight: Northwest Rural Health Network
Presents information from an interview with Jac Davies, the executive director of the Northwest Rural Health Network based in Spokane, Washington. Highlights how the Northwest Rural Health Network supports its members by sharing information and promoting efficient models of integrated care. Discusses member benefits, challenges faced, advantages of working in a rural environment, advice for developing rural health networks, and more.
Date: 04/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Compendium of Rural Oral Health Best Practices - 2017
Presents examples of the best practices in rural oral healthcare across the country. Looks at programs in 10 different states, including program purpose, summary, effectiveness, and funding source.
Date: 2017
Type: Document
Sponsoring organization: National Rural Health Association
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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
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Case Studies of 6 Teledentistry Programs: Strategies to Increase Access to General and Specialty Dental Services
Describes the delivery of teledentistry services by six provider organizations with different organizational structures. Discusses teledentistry as a method for improving rural access to oral health services. Identifies common themes, including the benefits of and barriers to teledentistry.
Additional links: Policy Brief
Author(s): Margaret Langelier, Carol Rodat, Jean Moore
Date: 12/2016
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Rural Promising Practice Issue Brief: Using Clinical Video Telehealth to Provide Comprehensive Care to Rural Veterans with Multiple Sclerosis (MS)
Presents a report on the VHA's use of video telehealth in clinical settings to provide access to treatment for rural veterans with Multiple Sclerosis (MS). Discusses implementation strategies and the roles of neurologists, physical therapists, and telehealth support staff.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Rural Promising Practice Issue Brief: Remote, Telephone-Based Delivery of Cardiac Rehabilitation
Presents a model from the VHA that uses telemedicine to provide cardiac rehabilitation to rural veterans. Highlights the three phases of the program that facilitate patient rehabilitation from hospitalization to regular check ups.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Network Spotlight: Palmetto Care Connections
Highlights from an interview with Kathy Schwarting, executive director of Palmetto Care Connections in Fairfax, South Carolina. Focuses on Palmetto Care Connections' network characteristics, lessons learned, accomplishments, and ongoing challenges as it works to facilitate healthcare across South Carolina through the use of telehealth.
Date: 11/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Innovations in Rural Health System Development: Moving Rural Health Systems to Value-Based Payment
Offers examples of rural health system transformation models and strategies from Maine and other regions of the U.S. to assist rural communities in moving forward with value-based payment systems.
Author(s): Sara Kahn-Troster, Andrew Coburn
Date: 10/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Innovations in Rural Health System Development: Service Delivery Advances in Care Coordination, Emergency Care, and Telehealth
Offers examples of emergency services, telehealth technology, and care coordination initiatives with a focus on Maine, and how they impact rural service delivery and safeguard rural access to critical health services.
Author(s): Amanda Burgess, Andrew Coburn
Date: 10/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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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
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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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Integrated Care in a Frontier Community
Examines the Southeast Health Group (SHG) in La Junta, Colorado, which coordinates physical and behavioral health using patient-centered, wellness-based care coordination to empower patients and promote self-directed care. Focuses on hiring providers who share SHG's philosophy of care, using community resources, and engaging peer support specialists.
Date: 07/2016
Type: Document
Sponsoring organization: Rural Health Value
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15 Million Kids in Health Care Deserts: Can Telehealth Make a Difference?
Highlights healthcare access problems for children of vulnerable populations living in rural and poverty stricken areas. Discusses how telehealth can be implemented to overcome these barriers. Describes several case studies focused on improving access to healthcare services for children, including a rural school-based telehealth program.
Author(s): Dale Alverson, Julie Hall-Barrow, Denise M. Dion, et al.
Date: 04/2016
Type: Document
Sponsoring organization: Children's Health Fund
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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
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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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Healthy Clinic Program Helps Colorado Rural Clinics Build Stronger Foundations
Profiles the Healthy Clinic Assessment (HCA) program in Colorado, which assists rural clinics in strengthening their foundations, and improving operations and quality.
Author(s): Jami Schumacher
Citation: Rural Monitor
Date: 02/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Integration of Oral Health with Primary Care in Health Centers: Profiles of Five Innovative Models
Report highlights five different FQHC-based models for integrating oral healthcare into primary care. Features examples in both rural and urban locations.
Author(s): Hannah Maxey
Date: 2015
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Rural Health Networks and New Forms of Governance
Profiles Wilderness Health, a formal network of rural and urban independent hospitals in Minnesota focused on performance improvement. The network participates in the Integrated Health Partnership, Minnesota's Medicaid Accountable Care Organization (ACO) model.
Date: 2015
Type: Document
Sponsoring organization: Rural Health Value
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Rural Accountable Care Organization Care Coordination
Profile of the MaineHealth Accountable Care Organization (MHACO), which uses regional teams to provide care coordination to patients with complex medical profiles.
Date: 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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Rural Patient Centered Medical Homes Achieve New Standards
Features Crete Area Medical Center Physicians' Clinic and Ammonoosuc Community Health Services, which are among the very few rural safety net providers that have achieved Level 3 patient centered medical home (PCMH) recognition.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 08/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
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Small Idaho Hospital Achieves "Most Wired" Status
Reports on Syringa Hospital, a Critical Access Hospital (CAH) located in Grangeville, Idaho, that was recognized as a national leader in adopting information technology, earning the "Most Wired" status from the American Hospital Association.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 02/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
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Assessing the Feasibility of a Virtual Tumor Board Program: A Case Study
Examines the feasibility of a Virtual Tumor Board (VTB) program connecting rural community clinicians to the University of North Carolina Lineberger Comprehensive Cancer Center (UNC LCCC) tumor board. Analyzes the individual clinical participants to explore their experiences with the VTB. Includes a summary of data collection methods, coding of interview data, and UNC tumor board participant survey results.
Author(s): Christopher M. Shea, Randall Teal, Lindsey Haynes-Maslow, et al.
Citation: Journal of Healthcare Management, 59(3), 177-193
Date: 2014
Type: Document
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A Rural Accountable Care Organization
Profiles the South East Rural Physicians Alliance Accountable Care Organization (SERPA‐ACO), a physician-led ACO serving rural Nebraska. Includes information on how and why the clinics came together to form an ACO.
Date: 09/2013
Type: Document
Sponsoring organization: Rural Health Value
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Rural Service Delivery Integration and Patient Engagement
Profile of Aligning Forces Humboldt, a care coordination and patient engagement initiative in rural Humboldt County, California. The initiative focuses on patient engagement, reduction of unnecessary surgery, and care management for frequent users of the emergency department.
Date: 09/2013
Type: Document
Sponsoring organization: Rural Health Value
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Screening Tennessee Women From Top to Bottom
Highlights a women's health event started by Darryl Adams, NP, in Grundy County, which is getting more women screened for breast and cervical cancer.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 08/2013
Type: Document
Sponsoring organization: Rural Health Information Hub
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Continuous and Team-Based Healing Relationships Implementation Guide: Transforming Safety Net Clinics into Patient-Centered Medical Homes
Presents the eight Change Concepts for Practice Transformation (Change Concepts), defined as general ideas for steps leading to improvement. Includes a case study from a community health center network in rural Idaho.
Date: 05/2013
Type: Document
Sponsoring organization: Qualis Health
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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
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Phones Enable Smart Wound Care in Rural Areas
Features nurses in rural Pennsylvania, who can use their smart phones to send images for diagnosis without the patients having to leave their homes. Features Center of Excellence for Remote and Medically Under-Served Areas (CERMUSA) in Loretto, PA, and Home Nursing Agency (HNA) in Altoona, PA.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 08/2012
Type: Document
Sponsoring organization: Rural Health Information Hub
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Marshfield Telehealth Program Reaches Rural Kidney Patients in Northern Wisconsin
Highlights a renal disease telehealth program in Wisconsin, which is serving low-income nursing home residents, as well as patients who travel to their local clinic for telehealth services.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 02/2012
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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Olympic Physicians Case Study: Rural Health IT: Clinic in Washington State Uses EHR System to Improve Care Coordination
Describes how physicians in Olympic, WA developed an EHR system to improve patient care coordination within the rural health IT setting's local referral network.
Date: 2011
Type: Document
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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
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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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Tribal Members Access Care and Address Health Problems
Highlights the Coharie Health Access, Improvement and Awareness Project, established by the Coharie Indian Tribe, and designed to increase access to healthcare and promote health literacy among tribal members. Details methods of healthcare delivery and services provided over the project's two-year period.
Type: Document
Sponsoring organization: Administration for Native Americans
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Hospital Spotlights
Features small rural hospitals from across the country, highlighting how they successfully implemented best practices to improve performance and adopted transition strategies to prepare for population health.
Type: Website
Sponsoring organization: National Rural Health Resource Center
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AHA Case Studies
A collection of case studies demonstrating community-level innovations and new models of care, payment, and healthcare delivery. Includes rural examples and those focused on serving vulnerable communities.
Type: Website
Sponsoring organization: American Hospital Association
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Rural Health Value: Innovations & Demonstrations
Profiles of rural health delivery and finance innovations and summaries of selected rural health demonstration programs.
Type: Website
Sponsoring organization: Rural Health Value
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AHA Community Connections
Provides access to case studies spotlighting hospitals and health systems (some are in rural areas) that have successfully collaborated with local community organizations to promote care coordination, wellness, and prevention. Website also includes tools and resources to help healthcare facilities be accountable and transparent to their communities and deliver quality care.
Type: Website
Sponsoring organization: American Hospital Association
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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
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