Updated/reviewed May 2020
- Need: Reduction in the number of emergency department dental patients abusing opioid prescriptions in rural southeastern Maine.
- Intervention: Using a one-page opioid prescription guideline, opioid prescribing and emergency room visits for dental pain decreased.
- Results: The rate of opioid prescription dropped nearly 20% after implementation, and in comparing the 12-month period before and after implementation, dental pain emergency department visits decreased from 26 to 21 per 1,000.
Other Project Examples
Updated/reviewed December 2023
- Need: To ensure the quality and sustainability of rural West Central Missouri's health services through the use of technology.
- Intervention: The Health Care Coalition of Lafayette County convened a Health Information Technology (HIT) workgroup to establish electronic medical and prescription records, telemedicine capabilities, and training for Lafayette County and surrounding areas.
- Results: The workgroup fully equipped a local emergency department with HIT, launched electronic prescriptions for nearly a dozen Lafayette County providers, and identified acute needs hindering the adoption of electronic health records.
Updated/reviewed April 2023
- Need: Multiple organizations in rural east central Illinois needed a more efficient, centralized system for referring patients experiencing a behavioral health crisis to appropriate treatment services.
- Intervention: The Regional Behavioral Health Network was established with a 24-hour toll-free crisis line, providing immediate access to trained crisis clinicians.
- Results: Improved access to high quality behavioral healthcare for patients in rural east central Illinois.
Updated/reviewed February 2023
- Need: The shortage of mental health professionals in rural South Carolina resulted in an influx of patients admitted to emergency departments who were in need of psychiatric care.
- Intervention: South Carolina Department of Mental Health (SCDMH) partnered with The Duke Endowment to create the SCDMH Emergency Department Telepsychiatry Program. Rural emergency departments can now reach a psychiatrist to assess a patient via telehealth.
- Results: The program has improved access, affordability, and provided quality care for rural providers and patients with mental illness.
Updated/reviewed February 2023
- Need: To provide increased educational opportunities for emergency care personnel in rural and frontier South Dakota.
- Intervention: A technologically advanced training was created to enhance the delivery of emergency patient care.
- Results: Hundreds of emergency medical services (EMS) staff and volunteers received training that in turn helped them in the field of emergency patient care.
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.