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Rural Health Information Hub

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.

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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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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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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