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Rural Project Examples: Federally Qualified Health Centers

Effective Examples

Community-Based Pulmonary Rehabilitation Program
Updated/reviewed November 2018
  • 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 School-Based Health Center Dental Outreach
Updated/reviewed July 2019
  • 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.
Closing Preventive Care Gaps in Underserved Areas
Updated/reviewed May 2019
  • Need: Address the need to increase cancer screening rates as well as other preventive care measures in Appalachian Kentucky, a region with high cancer incidence and mortality rates, and noted health disparities.
  • Intervention: Federally Qualified Health Centers (FQHCs) and an academic center partnered to adapt and implement an office-based intervention, building on existing primary care resources to decrease gaps in preventive care measures, including cancer screenings.
  • Results: After intervention implementation, White House Clinics saw a marked increase in various preventive care measures, including screenings for cancer, human immunodeficiency virus (HIV) and hepatitis C (HVC).
funded by the Federal Office of Rural Health Policy ARcare Aging Well Outreach Network
Updated/reviewed March 2019
  • 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, provides services like falls prevention assessments, transportation to appointments, medication management, and senior-specific exercise opportunities.
  • Results: From May 2015 to December 2017, the network served 584 patients.
funded by the Federal Office of Rural Health Policy High Plains Community Health Center Care Teams
Updated/reviewed February 2019
  • Need: Meeting health care demands in a region with a limited number of physicians, where recruiting additional providers is considered impractical.
  • Intervention: Using the additional support of health coaches, implementation of care teams consisting of 3 medical assistants to support each provider.
  • Results: More patients seen per provider hour, with improved patient outcomes and clinic cost savings.
funded by the Federal Office of Rural Health Policy Healthy Outcomes Integration Team
Updated/reviewed November 2018
  • Need: To provide integrated treatment planning and coordinated healthcare services to rural residents.
  • Intervention: The Healthy Outcomes Integration Team was designed to treat adults who have a serious mental health condition and those who have, or are at risk of developing, chronic health conditions.
  • Results: Clients received coordinated care, substance abuse treatment, crisis services, and wellness planning. Many also improved their physical health outcomes.

Other Project Examples

Healthcare Georgia Foundation's CDFI Investments
Added December 2019
  • Need: In rural Georgia, poor health outcomes and high poverty rates require innovative approaches.
  • Intervention: As the only statewide private foundation in Georgia with the sole focus of improving health, Healthcare Georgia Foundation supports Community Development Financial Institutions (CDFIs) to do the same.
  • Results: With a program related investment from the Foundation, 2 statewide CDFIs and 1 national CDFI are providing low-interest loans and other support to rural healthcare efforts.
funded by the Health Resources Services Administration Scenic Bluffs Community Health Center Insurance Help Team
Updated/reviewed November 2019
  • 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 2,000 people received guidance on health insurance through this program, with 103 household applications completed.
funded by the Health Resources Services Administration West Virginia's Partners In Health Network Regional Collaborative Services
Added June 2019
  • 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.
funded by the Health Resources Services Administration Futures Without Violence in Tillamook County
Updated/reviewed April 2019
  • 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.