Rural Project Examples from FORHP Rural Health Care Services Outreach Grant Program
Effective Examples
Livingston County Help For Seniors
Updated/reviewed January 2026
- Need: Meeting the health needs of an expanding older adult population in rural Livingston County, New York.
- Intervention: In 2006, a federal grant was leveraged to create the Help For Seniors program that focused on EMT training for performing in-field health needs assessments for older adults and the support for a case management staff to address those screening results.
- Results: Based on over 1200 older adult evaluations and the training of nearly 200 EMTs, the project's results and capacity building became a foundation for continued similar county activities that are now supported by state funding.
Health Coaches for Hypertension Control
Updated/reviewed November 2025
- Need: A cost-effective approach to help rural patients with hypertension learn to manage their condition.
- Intervention: Community volunteers trained as health coaches provided an 8-session hypertension management training program to hypertension patients older than 60, with an optional supplemental 8 sessions focused on nutrition and physical activity.
- Results: Just 16 weeks after the program, participants had improved systolic blood pressure, weight, and fasting glucose, greater knowledge of hypertension, and improved self-reported behaviors.
Meadows Diabetes Education Program
Updated/reviewed September 2025
- Need: To provide diabetes care and education services to those in rural southeast Georgia.
- Intervention: Diabetes outreach screening, education, and clinical care services were provided to participants in Toombs, Tattnall, and Montgomery counties. The program is no longer active.
- Results: Patients successfully learned self-management skills to lower their blood sugar, cholesterol, and blood pressure.
New Mexico Mobile Screening Program for Miners
Updated/reviewed April 2025
- Need: To increase access to medical screening for miners in New Mexico.
- Intervention: A mobile screening clinic with telemedicine capability screens miners for respiratory and other conditions.
- Results: In a survey, 92% of miners reported their care as very good, while the other 8% reported it as good. The program has expanded to three other states.
The Health-able Communities Program
Updated/reviewed August 2024
- Need: Expand healthcare access for the more remote residents of 3 frontier counties in north central Idaho.
- Intervention: With early federal grant-funding, a consortium of healthcare providers and community agencies used a hybrid Community Health Worker model to augment traditional healthcare delivery services in order to offer a comprehensive set of health-related interventions to frontier area residents.
- Results: With additional private grant funding, success continued to build into the current model of an established and separate CHW division within the health system's population health department.
I Got You: Healthy Life Choices for Teens (IGU)
Updated/reviewed February 2024
- Need: To improve awareness of behavioral and mental health issues by students in rural, east central Mississippi.
- Intervention: An intensive community mental health outreach program was implemented for students in rural Mississippi.
- Results: As of 2018 and on a yearly basis, 6,000 7th and 8th grade students receive mental health education on a variety of topics which improves their ability to recognize mental health issues, high risk behaviors, and manage their own choices.
Trinity Hospital Twin City's Fit for Life
Updated/reviewed November 2018
- Need: To reduce obesity among adults in rural east central Ohio.
- Intervention: Fit for Life Replication Project for Expansion was developed to make it possible to lose weight through practicing healthier lifestyle behaviors.
- Results: Out of the 443 adults who have completed the program, 81% experienced weight loss, a tangible result of the program's overarching goal to enhance levels of health and fitness.
Promising Examples
School-Based Health Center Dental Outreach
Updated/reviewed January 2026
- Need: Improve the oral health of children age 3-17 in rural areas of Louisiana.
- Intervention: Leveraging 2012-2018 federal grant support, participating Federally Qualified Health Centers with school-based nurse practitioners were trained in oral health assessments and fluoride varnish application. When needed, dental referrals were also made. Interventions were tracked by dental case managers.
- Results: After grant cycle completion, these oral health interventions are now fully integrated into routine school-based care health examinations with intervention data included in required annual reporting.
Nurse Navigator and Recovery Specialist Outreach Program
Updated/reviewed December 2025
- Need: To properly address and treat patients who have concurrent substance use disorders and chronic healthcare issues.
- Intervention: A referral system utilizes community health workers (CHWs) in a drug and alcohol treatment setting. A registered nurse helps with providers' medication-assisted treatment programs.
- Results: This program has reduced hospital emergency visits and hospital readmissions for patients since its inception.
The Rural Virtual Infusion Program
Updated/reviewed November 2025
- Need: Allow rural cancer patients in a region inclusive of 26 counties in Iowa, Minnesota, and South Dakota to have access to tertiary-level chemotherapy regimens administered in rural infusion centers.
- Intervention: With telehealth-based oversight from a tertiary care oncology team, 3 rural infusion teams were trained to coordinate cancer treatment plans and administer complex chemotherapy regimens.
- Results: The original grant-supported effort — with its results of saving130 patients 65,000 trip miles and 1,800 travel hours – proved sustainable.
