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Rural Project Examples: Healthcare business and finance

Promising Examples

Proactive Palliative Care and Palliative Radiation Model: Making MyCourse Better
Updated/reviewed July 2017
  • Need: To provide palliative care to patients with stage 4 cancer.
  • Intervention: The Emily Couric Clinical Cancer Center in Charlottesville, Virginia, has implemented a three-part program to help these patients manage their symptoms.
  • Results: The Proactive Palliative Care and Palliative Radiation Model enrolled 646 patients during its three-year funding period of 2012-2015.

Other Project Examples

funded by the Federal Office of Rural Health Policy Montana Health Network Primary Care Telemedicine
Updated/reviewed May 2018
  • Need: Backup coverage for primary care providers in rural Montana.
  • Intervention: A network of healthcare facilities developed a primary care telemedicine program.
  • Results: While the technology worked for primary care telemedicine and patients were open to the process, primary care telemedicine did not become a long-term solution in this Montana region due to low patient volume and a lack of telemedicine provider availability.
funded by the Federal Office of Rural Health Policy Floyd County Dental Clinic
Updated/reviewed March 2018
  • Need: Lack of dental healthcare access for rural northwest Georgians with lower incomes/no insurance.
  • Intervention: A dental clinic accepting Medicaid, PeachCare (Georgia's low income child health insurance program), and private pay started through collaboration of a local medical center, dental college, and county health department.
  • Results: From 2015 through current June 2017 totals, the Floyd Dental Clinic provided quality oral healthcare to nearly 6000 low-income patients.
funded by the Federal Office of Rural Health Policy Utah Rural Independent Hospital Network
Updated/reviewed March 2018
  • Need: To help ensure the viability of and improve quality at 9 rural, independent hospitals serving 11 Utah counties.
  • Intervention: A network organization was created to allow member hospitals to communicate, network, and undertake projects together.
  • Results: Members take advantage of cost savings, education, and networking opportunities through group projects and programs.
funded by the Federal Office of Rural Health Policy “It’s a HIT!” Rural Health IT Workforce Training Program
Updated/reviewed January 2018
  • Need: To provide rural health workers with advanced health information technology (HIT) training and skills.
  • Intervention: A program for health network members to increase HIT knowledge and prepare for Certified Healthcare Technology Specialist (CHTS) certification.
  • Results: Participants learned how to adopt HIT within their own clinics, and 80% of students received certification as an HIT Clinic Workflow Redesign Specialist.
funded by the Federal Office of Rural Health Policy Miles for Smiles Mobile Dental Unit
Updated/reviewed December 2017
  • Need: Dental care access for children in low-income families living in a 7-county region of southwest Missouri.
  • Intervention: A mobile dental unit was created to expand dental care access.
  • Results: The Miles for Smiles mobile dental clinic provides comprehensive dental care to children throughout the 7-county region
funded by the Federal Office of Rural Health Policy Nebraska Association of Local Health Directors ACA Outreach and Education Project
Updated/reviewed December 2017
  • Need: To help rural Nebraska local health departments (LHDs) learn about the Affordable Care Act so they can help inform their communities about health insurance options under the ACA.
  • Intervention: In 2014-2016 via their statewide association, Nebraska LHDs received education online and by webinar on the ACA along with support to conduct outreach activities using health literacy strategies.
  • Results: During initial activity, all eligible Nebraska rural member LHDs (16) conducted outreach events. 912 participants attended, with 334 receiving one-on-one help.
Piedmont Mountainside Hospital's Freestanding Emergency Department
Added December 2017
  • Need: The North Georgia Medical Center (NGMC) of Ellijay, Georgia had been losing money and patients. Many residents living in Ellijay were seeking hospital care elsewhere, leaving NGMC treating an average of only 6 patients in the year prior to closing their doors in 2016.
  • Intervention: With approval from the state, Piedmont Mountainside Hospital (PMH) leased the space from NGMC and opened the state's first freestanding emergency department. Medical services were again made available for patients in Ellijay and surrounding areas.
  • Results: Within the first 6 months of operation, over 5,000 emergency visits were made to the freestanding ED, an average of 30 patients per day.
Western Healthcare Alliance Laboratory Services Network
Updated/reviewed December 2017
  • Need: Increased efficiency for medical laboratory testing in rural western Colorado and Utah hospitals.
  • Intervention: Creation of a network for education, operational consulting, best practice development, and group contracting with discounted services for hospital laboratories.
  • Results: Lower laboratory testing costs with improved quality, efficiency, and turnaround times leading to increased healthcare quality.
funded by the Federal Office of Rural Health Policy Innis Community Health Center ACA Outreach and Education Project
Updated/reviewed November 2017
  • Need: To inform rural Louisiana residents about their health insurance options under the Affordable Care Act’s Medicaid Expansion program.
  • Intervention: A community health center reached out to individuals at their clinic sites, rural hospital emergency rooms, and through local governments and other community agencies.
  • Results: Many rural residents have gained access to health insurance information and enrollment assistance.