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Rural Health Information Hub

Rural Project Examples: Clinics

Effective Examples

Community-Based Pulmonary Rehabilitation Program
Updated/reviewed February 2021
  • Need: More evidenced-based chronic lower respiratory disease management options for rural Appalachia patients, where lung disease rates are among the highest in the country.
  • Intervention: Implementation of outpatient pulmonary rehabilitation programs in 2 Federally Qualified Health Centers and a Critical Access Hospital in West Virginia.
  • Results: Improved health outcomes for patients with chronic lower respiratory disease, including those with chronic obstructive pulmonary disease.

Promising Examples

funded by the Federal Office of Rural Health Policy ARcare Aging Well Outreach Network
Updated/reviewed March 2021
  • Need: To reduce falls and improve chronic care management for adults 50 or older in rural Cross County, Arkansas.
  • Intervention: The ARcare Aging Well Outreach Network, run by an FQHC, provided services like falls prevention assessments, transportation to appointments, medication management, and senior-specific exercise opportunities.
  • Results: From May 2015 to April 2018, the network served 639 patients through 1,580 medical encounters.
funded by the Federal Office of Rural Health Policy School-Based Health Center Dental Outreach
Updated/reviewed July 2020
  • Need: To improve the oral health status of children ages 3 to 17 living in underserved rural areas of Louisiana.
  • Intervention: School-based nurse practitioners perform oral health assessments, apply fluoride varnishes when indicated, and make dental referrals, with completion rates of the latter tracked by dental case managers.
  • Results: Significant numbers of school children are receiving oral health examinations, fluoride varnish applications, and receiving care coordination to improve numbers of completed dental appointments.

Other Project Examples

funded by the Federal Office of Rural Health Policy FORWARD NM Pathways to Health Careers
Updated/reviewed November 2022
  • Need: New Mexico's southwestern counties of Hidalgo, Catron, Luna, and Grant have experienced chronic shortages of primary care providers. New Mexico has the oldest physician population in the country.
  • Intervention: A comprehensive workforce pipeline program, including programming for middle and high school students, undergraduate and graduate students, primary care program students, and medical and dental residents.
  • Results: The program reaches over 1,000 school-aged students throughout the service areas and provides support for students and medical residents in a variety of healthcare-related programs for rural rotation experiences. FORWARD NM received its designation as an Area Health Education Center (AHEC) in 2012.
funded by the Health Resources Services Administration Scenic Bluffs Community Health Center Insurance Help Team
Updated/reviewed October 2022
  • Need: To help inform western Wisconsin residents about their health insurance options under the Affordable Care Act.
  • Intervention: Certified application counselors provide assistance in outreach locations around the region.
  • Results: In the past year, more than 1,000 people received guidance on health insurance through this program, with 253 individuals enrolling in health insurance.
funded by the Health Resources Services Administration Maine Critical Access Integrated Paramedics
Added August 2022
  • Need: With the nearest hospital more than an hour away, the local community health center in rural Jackman, Maine struggled to maintain its ability to offer 24/7 care to due to staffing and budgetary challenges.
  • Intervention: Critical Access Integrated Paramedics provide urgent care to patients after hours and on weekends.
  • Results: The Jackman Community Health Center has been able to offer round-the-clock care to clinic patients, while also increasing the level of EMS service available to the community.
funded by the Federal Office of Rural Health Policy Community Care Partnership of Maine Accountable Care Organization
Updated/reviewed March 2022
  • Need: To increase access and quality of care for Medicare, Medicaid, uninsured, and commercial patients in rural Maine.
  • Intervention: Community hospitals and Federally Qualified Health Centers in Maine formed the Community Care Partnership of Maine Accountable Care Organization (CCPM ACO).
  • Results: CCPM serves about 100,000 patients in Maine. In addition, it implemented ACO shared savings plans with Maine Medicaid, Medicare, and five commercial health insurance and Medicare Advantage plans in the state.
funded by the Health Resources Services Administration Futures Without Violence in Tillamook County
Updated/reviewed August 2021
  • Need: To address intimate partner violence (IPV) in primary care settings as a health concern. To increase healthcare providers' professional understanding about its prevalence and adverse impacts on patient health.
  • Intervention: In partnership with Safer Futures, Tides of Change provides an advocate at a local health clinic to give confidential services to IPV survivors and training to medical staff. The advocate uses curriculum and other materials designed by Futures Without Violence.
  • Results: Healthcare providers at the clinic reported increased understanding of IPV and its impact on health. As a result, IPV advocates received an increase in referrals from healthcare providers. Patients experiencing IPV reported a reduction in chronic, toxic stress and improved overall health after receiving advocacy services.
funded by the Federal Office of Rural Health Policy La Red Health Center
Updated/reviewed December 2020
  • Need: Meeting the health care needs of the uninsured and underinsured population of Sussex County, Delaware.
  • Intervention: La Red Health Center was created to offer culturally competent primary and preventative care to children and adults, regardless of ability to pay.
  • Results: La Red Health Center (LRHC) serves thousands of residents at four clinical sites, a school-based wellness center and through a collaborative effort with a local senior center.
funded by the Health Resources Services Administration West Virginia's Partners In Health Network Regional Collaborative Services
Updated/reviewed September 2020
  • Need: Coordinated approach to healthcare delivery in central and southern West Virginia.
  • Intervention: Creation of a nonprofit organization that focused on quality and collaboration.
  • Results: With an ability to provide services that meet the evolving needs of patients, providers, and communities, the organization provides unique services, such as a credentialing service and web-based data sharing care management tool.