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Other Case Studies and Collections of Program Examples: Wellness, health promotion, and disease prevention

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.

Rural Community Action Guide: Building Stronger, Healthy, Drug-Free Rural Communities
Provides an overview of challenges rural communities face related to substance use disorder (SUD), including prescription opioid misuse. Identifies action steps rural communities can take related to prevention, treatment, recovery, and SUD-related issues such as stigma, transportation barriers, and lack of employment opportunities. Features programs that are working to address these issues in rural communities.
Additional links: Promising Practices Supplement
Date: 01/2020
Type: Document
Sponsoring organization: Office of National Drug Control Policy (ONDCP)
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Promising Practice: Forum on Aging in Rural Oregon Brings Together Innovative Ideas and Programs
Features a promising practice on rural aging from Oregon State Office of Rural Health. The annual Forum on Aging in Rural Oregon allows community organizations to come together to share ideas and resources on what works to address the needs of an aging population in their communities.
Author(s): Beth Blevins
Date: 09/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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ARcare Uses EHR Alerts for HIV Testing and Prevention
Details ARcare's use of electronic health records to identify risk factors for HIV in primary care health records and flag them for testing. Discusses work with clinical staff to address HIV screening and prevention. Highlights HIV outreach work with the Arkansas Health Department.
Date: 06/2019
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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Organizing Complex Care for Rural Populations: A Case Study of Three Montana Communities
Discusses qualitative and quantitative data from interventions designed to address the complex health and social needs of resident in three Montana communities: Kalispell, Billings, and Helena. Covers patient demographics and patient health information for all three sites; lessons learned; and experiences from intervention program staff.
Author(s): Derek DeLia, Jolene Chou
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Promising Practice: Arizona Center for Rural Health SHAREs Health Insurance Information, Gets People Enrolled
Details Project SHARE (Students Helping Arizona Register Everyone), run by the Arizona Center for Rural Health (AzCRH), which trains college students to help people in their communities to understand and enroll in a health insurance plan.
Author(s): Beth Blevins
Date: 10/2018
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Evidence-Based Strategies for Preventing Opioid Overdose: What's Working in the United States
A guide for community leaders, public health, law enforcement, and others working to address the opioid crisis in their community. Identifies evidence-based practices that have been successfully implemented in the U.S. and are effective in reducing rates of opioid overdose. Includes strategies focused on naloxone distribution, medication-assisted treatment (MAT), addressing opioid use in criminal justice settings, syringe services, and more.
Author(s): Jennifer J. Carroll, Traci C. Green, Rita K. Noonan
Date: 2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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HSHS St. Anthony's Memorial Hospital – Community Diabetes Programs
Highlights a community diabetes program in rural Effingham, Illinois that empowers individuals to manage their diabetes through meeting with a dietitian and connecting them with other needed resources. Includes information on a diabetic-friendly food pantry and summarizes the program's impact, lessons learned, and future goals.
Date: 12/2017
Type: Document
Sponsoring organization: American Hospital Association
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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 Section for Small or Rural Hospitals
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Improving Health in the Mississippi Delta through Powerful Engagement
Describes financial, educational, and healthcare challenges experienced by residents in the Mississippi Delta. Discusses the Fannie Lou Hamer Cancer Foundation, a cancer awareness and prevention program working in rural, African American communities to create a network focused on education, outreach, and advocacy related to cancer.
Date: 10/2017
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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A Community Holding Hands to Bridge its Divide
Describes the actions taken and programs developed by the residents of Garrett County, Maryland in response to the economic, cultural, and health challenges they face. Working together the Garret County residents have been able to provide scholarships to every high school graduate to attend community college for free, develop 700 affordable, low-income, mixed-income and workforce housing units, and more. Garrett County is a recipient of the 2017 Robert Wood Johnson Foundation's Culture of Health Prize.
Date: 09/2017
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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Promoting a Nutritious Diet Inside and Outside the Hospital
Highlights a rural Vermont hospital's efforts to promote healthier eating habits both inside and outside the hospital by locally sourcing food, encouraging participation in their "Ton of Tomatoes" project, and processing produce to help food-insecure community members. Discusses efforts of other hospitals promoting healthy diets, including removing unhealthy cafeteria meal options and promoting community gardens.
Date: 09/2017
Type: Document
Sponsoring organization: American Hospital Association
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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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Hospital-Community Partnerships to Build a Culture of Health: A Compendium of Case Studies
Presents insights from nine communities across the U.S. that have successful hospital-community partnerships. Each case study provides a description of the community, background information on the partner organizations, and an overview of the impacts and lessons learned. Several case studies include rural communities, rural populations, and/or rural partner organizations.
Date: 08/2017
Type: Document
Sponsoring organization: Health Research & Educational Trust
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Promising Practices to Build Healthy Active Native Communities
Highlights promising practices to improve the health and wellness in American Indian and Alaska Native communities. Discusses programs designed to incorporate Native cultural beliefs into healthy eating practices and fitness regimens that support physical well-being.
Date: 07/2017
Type: Document
Sponsoring organization: Association of American Indian Physicians
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Stem the Tide: Addressing the Opioid Epidemic
Presents a report on various methods hospitals and health systems can use to address the opioid epidemic. Discusses non-opioid pain management, prescribing practices, and treatment for substance use disorders, among other topics. Highlights several rural programs in the Case Examples sections.
Date: 2017
Type: Document
Sponsoring organization: American Hospital Association
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Supporting the Development of Young Children in American Indian and Alaska Native Communities Who Are Affected by Alcohol and Substance Exposure
Policy statement providing recommendations that promote the early development of American Indian and Alaska Native (AI/AN) children who have been exposed to alcohol and substance abuse during pregnancy or early childhood. Discusses best practices and reviews promising strategies that tribal early childhood programs can use to support children's development and wellness. Also points out health disparities that exist between tribes and the general U.S. population, and uses case studies to show where success has been achieved in reducing the destructive effects of substance abuse.
Date: 12/2016
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Network Spotlight: Santa Cruz County Adolescent Wellness Network
Explores various aspects of the Nogales, Arizona, based Santa Cruz Adolescent Wellness Network (AWN) through an interview with network director, Cassalyn David. AWN is a group of local agencies that work together in a dynamic, collaborative manner to improve the health and wellness of area adolescents. Interview covers AWN's network characteristics, lessons learned, accomplishments, and challenges.
Date: 07/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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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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A Participatory Regional Partnership Approach to Promote Nutrition and Physical Activity Through Environmental and Policy Change in Rural Missouri
A case study of Healthier Missouri Communities (Healthier MO), a community-based research project in 12 counties in rural southeast Missouri. Describes a group process to identify and select promising evidence-based interventions to promote nutrition and physical activity.
Author(s): Ellen K. Barnidge, Elizabeth A. Baker, Amy Estlund, et al.
Citation: Preventing Chronic Disease, 12
Date: 06/2015
Type: Document
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Community-Wide Cardiovascular Disease Prevention Programs and Health Outcomes in a Rural County, 1970-2010.
Describes key elements and outcomes of programs targeting hypertension, cholesterol, and smoking, as implemented in Franklin County, Maine over a 40 year period. Includes statistics with breakdowns by demographics, risk factor reductions, hospitalization rates, and mortality rates, with comparisons between Franklin County and totals for all Maine counties.
Author(s): N. Burgess Record, Daniel K. Onion, Roderick E. Prior, et al.
Citation: JAMA: Journal of the American Medical Association, 313(2), 147-155
Date: 01/2015
Type: Document
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Rural Healthy People 2020: A Companion Document to Healthy People 2020, Volume 1
Provides a rural focus for the Healthy People 2020 priorities. Includes overviews of the top 10 rural health priority areas identified by rural stakeholders. (Volume 2 discusses priorities 11-20.) Topics addressed include: health insurance, primary care, emergency services, nutrition and weight status, diabetes, mental health, substance abuse, heart disease and stroke, physical activity, older adults, maternal and child health, and tobacco use. Each overview includes reviews of the relevant literature and models that rural communities can use to address the issues. Document is available for free download, after providing brief information about intended use.
Author(s): Jane N. Bolin, Gail Bellamy, Alva O. Ferdinand, Bita Kash, Janet W. Helduser
Date: 2015
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Rural Communities: Best Practices and Promising Approaches for Safe Routes
Discusses the barriers to safe walking and biking to school in some rural communities. Describes how to successfully implement the Safe Routes to School approach in rural areas, with examples of successful programs.
Date: 2015
Type: Document
Sponsoring organization: Safe Routes to School National Partnership
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A Community-Based, Culturally Relevant Intervention to Promote Healthy Eating and Physical Activity among Middle-Aged African American Women in Rural Alabama: Findings from a Group Randomized Controlled Trial
Examines a community-based, culturally relevant intervention to promote healthy eating and physical activity among African American women between the ages of 45-65 living in rural Alabama. Includes study participant demographic data at the starting baseline and a 24 month follow up. Covers healthy lifestyle data at the starting baseline, 12 month, and 24 month follow up for dietary and physical activity measures.
Author(s): Isabel C. Scarinci, Artisha Moore, Theresa Wynn, et al.
Citation: Preventive Medicine, 69, 13-20
Date: 12/2014
Type: Document
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Adapting and Implementing an Evidence-Based Sun-Safety Education Program in Rural Idaho, 2012
Describes the process St. Luke's Mountain States Tumor Institute (MSTI) took to engage and partner with a community organization to implement an evidence-based sun-safety program in rural Idaho. Includes information on identifying and recruiting a community partner, selecting an evidence-based program, planning, implementing, sustaining, and expanding the program.
Author(s): Charlene Cariou, Melanie Gonzales, Hope Krebill
Citation: Preventing Chronic Disease, 11, 130268
Date: 05/2014
Type: Document
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New Jersey Clinic Promotes Healthy Lifestyles
Profiles the lifestyle and weight management counseling program at a Federally Qualified Health Center (FQHC) in rural New Jersey.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 02/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
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Childhood Obesity Prevention Strategies for Rural Communities
Addresses childhood obesity in rural communities including common themes and lessons learned, the role of early care, education, and out-of-school time in obesity prevention. Also provides examples of community initiatives and recommendations to policymakers for preventing obesity.
Date: 2014
Type: Document
Sponsoring organization: Nemours Foundation
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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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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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Florida Arts Initiative Improves Well-being of Patients and Communities
Features the Arts in Healthcare for Rural Communities initiative, which brings art and dance to patients and communities in the Florida Panhandle.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 08/2013
Type: Document
Sponsoring organization: Rural Health Information Hub
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Smokers Butt Out in Iowa County
High schoolers in Iowa's Ringgold County successfully campaigned to ban smoking from public parks, bringing new awareness to the prevalence of tobacco use there.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 11/2012
Type: Document
Sponsoring organization: Rural Health Information Hub
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Center Inspires Active Living in New Hampshire Communities
Features the Center for Active Living and Healthy Communities (CfALHC) in New Hampshire, which includes a senior center exercise program, a foot race fundraiser, and a community garden.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 08/2012
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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Paducah, KY, Women's Center Brings Urban Services to Rural Areas
Profiles a patient-centered women's health facility which serves a high proportion of rural clientele. Highlights the center's emphasis on comprehensive, high-quality diagnostic services and prompt treatment for all who need it, regardless of ability to pay.
Author(s): Pamela Schaeffer
Citation: Health Progress, 91(5)
Date: 2010
Type: Document
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Munson Medical Center: A Prescription for Long-Lasting Wellness
Describes the Shape Up North Fruit and Vegetable Prescription Program, an initiative of the Munson Medical Center in rural Traverse City, Michigan, in cooperation with local farmers markets.
Type: Document
Sponsoring organization: Michigan Health & Hospital Association
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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
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Case Study: Health Coaches Partner with Community Members to Achieve Health and Wellness Goals
Details key steps and lessons learned to implementing a Health Coach program at Saunders Medical Center in Wahoo, Nebraska. Describes the program serving Wahoo and its surrounding communities. Provides education and advocacy for patients' overall health that produced positive results in four areas: mental health, breast health, diabetes, and obesity.
Type: Document
Sponsoring organization: Bryan Health
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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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Pueblo of Pojoaque Energizes Local Food Economy
Describes a project begun in 2009 to improve Rio Grand Valley tribal members' nutrition and expand the local food economy by developing a pueblo farm.
Type: Document
Sponsoring organization: Administration for Native Americans
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Case Study: Rural Health System Partners with Local Fitness Centers and Small Businesses to Improve Workplace Wellness
Outlines Henderson Health Care Services' reaction to a 2015 community health needs assessment (CHNA) that identified fitness and nutrition as community concerns. Composed of a Critical Access Hospital (CAH) and several specialty and primary care clinics, the Henderson, Nebraska-based rural health system launched a workplace wellness program called Body @ Work. The program offers area employees reduced membership rates at participating fitness centers, wellness education, and other preventive care opportunities such as blood pressure checks at the workplace.
Type: Document
Sponsoring organization: Bryan Health
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Case Study: Hospital Partners with Technology Provider to Engage and Connect with Community for Better Health
Shares details of a new health and life services model implemented in Fairbury, Nebraska at Jefferson Community Health and Life. Describes the use of online tools to integrate health and life services via an online wellness dashboard with the goal of inspiring people to make healthier lifestyle choices. Includes information about the model's approach, key steps, results, and lessons learned.
Type: Document
Sponsoring organization: Bryan Health
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Case Study: Community Fitness Initiative Helps Lower Childhood Obesity Rates
Details key steps and lessons learned of community stakeholders in Lexington, Nebraska regarding an initiative aimed at reducing local childhood obesity rates. Using a partnership approach, leaders at Lexington Regional Health Center successfully implement a community-wide program, the Community Fitness Initiative (CFI), to reduce obesity rates in area schools.
Type: Document
Sponsoring organization: Bryan Health
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Case Study: Community Partnerships Engage Residents in Healthy Living
Explains how Merrick Medical Center, located in Central City, Nebraska, partnered with other community organizations to help residents improve overall health by focusing on fitness and wellness activities. Shares their approach, results, lessons learned, and more from Merrick Medical Center's campaign to reinvent preventive care in the community.
Type: Document
Sponsoring organization: Bryan Health
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Case Study: Hospital and Fitness Center Join Forces for a Healthy Community
Highlights a partnership between Columbus Community Hospital, located in Columbus, Nebraska, and the YMCA that resulted in a number of additional or improved health and wellness services in the community, including a new fitness center. Shares the key steps, project successes, lessons learned, and more.
Type: Document
Sponsoring organization: Bryan Health
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NCCDPHP Success Stories
A searchable collection of projects from the National Center for Chronic Disease Prevention and Health Promotion. Features projects addressing tobacco cessation, healthy eating, physical activity, and more.
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Child Trends What Works Guide
Summarizes evaluations of programs aimed at enhancing children's development by addressing mental and physical health, education, and more. Includes programs conducted in rural areas and small towns.
Type: Website
Sponsoring organization: Child Trends
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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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Research-Tested Intervention Programs
A searchable database of cancer control interventions and program materials, designed to provide program planners and public health practitioners easy and immediate access to research-tested materials. Includes programs used in rural settings.
Type: Website
Sponsoring organization: National Cancer Institute
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Community Health Centers Leveraging the Social Determinants of Health
Provides an overview of how community health centers (CHCs) are working to address the social, economic, and physical conditions that impact their patients' health. Presents 10 case studies, including several rural examples, of CHCs addressing the social determinants of health.
Additional links: Full Report, 2012
Type: Website
Sponsoring organization: Institute for Alternative Futures
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The Community Guide
Shares effective methods for improving population health and addressing public health issues using an informed, evidence-based approach from the Community Preventive Services Task Force (CPSTF).
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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IHS Health Promotion/Disease Prevention Success Stories
A collection of best practices, promising practices, local case studies, resources, and policies concerning healthcare for Native American communities.
Type: Website
Sponsoring organization: Indian Health Service
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