Rural Project Examples: Cardiovascular disease
Promising Examples
Prevention through Care Navigation Outreach ProgramUpdated/reviewed May 2020
- Need: To reduce the prevalence of diabetes and cardiovascular disease in rural Colorado.
- Intervention: Community Health Workers are utilized to create a system of coordinated care in Delta, Montrose, Ouray, and San Miguel counties.
- Results: As of 2018, 2,709 people have been screened for diabetes and cardiovascular disease, with many at-risk patients lowering cholesterol, blood pressure, and A1C levels after engaging with a Community Health Worker.
Other Project Examples
Heartland OK
Updated/reviewed November 2022
Updated/reviewed November 2022
- Need: To reduce rural Oklahoma patients' risks for heart disease and stroke.
- Intervention: Heartland OK, which began in 5 rural counties, was a care coordination model.
- Results: Using a team-based care model increased patients' ability to reduce their blood pressure or achieve blood pressure control.
Boone County Health Center Pulmonary Rehabilitation Program
Updated/reviewed June 2022
Updated/reviewed June 2022
- Need: Evidenced-based intervention to improve function and quality of life for patients with chronic obstructive pulmonary disease and other chronic lower respiratory conditions.
- Intervention: Pulmonary rehabilitation program implementation in 1989.
- Results: Compared to a national average of only about 3% of referred Medicare beneficiaries actually enrolling in pulmonary rehabilitation, 60% of the program's referred patients enroll. Averaging around 15 patients/year completing the program, a large combined cardiac and pulmonary rehabilitation maintenance population averages 8,000 visits/year.
Avita Health System Comprehensive Cardiology Program
Added April 2021
Added April 2021
- Need: Population health approach to decreasing area deaths from cardiovascular disease.
- Intervention: A health system-level investment in level II cardiac catheterization services and the required specialized cardiology workforce.
- Results: Since August 2018, the Avita Health System in north central Ohio has provided local cardiovascular services that have decreased hospital transfers, increased care coordination, and provided education and prevention activities that, with time, will impact population health cardiovascular outcomes.
Medical Home PlusUpdated/reviewed February 2020
- Need: To help reduce diabetes, depression, and stroke risk in rural residents.
- Intervention: A collaborative care model was implemented in the Idaho counties of Clearwater, Idaho, and Lewis.
- Results: Increased number of patients with controlled blood sugar, controlled blood pressure, and higher depression screening rates.
For examples from other sources, see: