Rural Project Examples Addressing Healthcare needs and services

Updated/reviewed April 2021

Need: Ending a local Vermont population's homelessness experience.
Intervention: In 2010, Pathways Vermont implemented a first-of-its-kind, rural-focused Housing First program in order to provide housing and support services to those with mental health and substance use conditions experiencing homelessness.
Results: Since its initial start-up, Pathways Vermont has assisted over 560 Vermonters — about 70% from rural areas — experiencing homelessness using the Housing First model. The organization has collaborated with the state mental health department, corrections department, local healthcare systems and providers, and other organizations to end homelessness. In addition, programmatic work has expanded to reach other local populations, including veterans and at-risk families.

Updated/reviewed March 2021

Need: Assistance for urban and rural physicians — as well as other healthcare providers — who are experiencing burnout and other issues associated with well-being.
Intervention: As part of its provider well-being focus in its rural and urban facilities, Avera Health system has created a program which attends to physician wellness issues starting with recruitment with continued support through retirement.
Results: With increasing engagement due to word of mouth, the program creates a culture of wellness where stigma is decreased and providers are encouraged to be proactive in reaching out for assistance for issues related to their personal and professional well-being.

Updated/reviewed March 2021

Need: Impact patient care and safety issues related to antibiotic use in southwest Colorado.
Intervention: Pharmacy-led antibiotic stewardship program for inpatient, outpatient, and long-term care settings.
Results: With antibiotic use guidelines, refined infection diagnostics, and first-choice antibiotic selections, all care settings now see decreased days of treatment and decreased resistance patterns.

Updated/reviewed November 2020

Need: Decrease rates of domestic violence, child sexual abuse, and child neglect for Alaska Native people in remote villages.
Intervention: An evidence-based model inclusive of traditional culture trains local communities on methods of prevention and treatment for domestic and interpersonal violence.
Results: Self-sustaining local system with improved family and spiritual well-being and decreased healthcare access needs.

Updated/reviewed November 2020

Need: Preventive and chronic medical condition care for farm families/agribusiness owners/employees with time and monetary constraints.
Intervention: Through a "Kitchen Wellness" program, a trained healthcare professional provides in-home or on-site complimentary preventive health screening, educational materials, and community referral information.
Results: Completion of hundreds of health screenings, tailored health education sessions and referral information.

Updated/reviewed August 2020

Need: Growing concern in rural Colorado communities regarding prescription and illegal opioid overdoses.
Intervention: Education efforts for health workers and the larger community, in addition to establishing a naloxone overdose reversal drug program.
Results: In addition to continuing to train nearly all first responders to administer naloxone, the organization provides harm reduction education in various community settings.

Updated/reviewed July 2020

Need: Connect individuals to services that address health barriers.
Intervention: A pay-for-outcomes model utilizing Community Health Workers who help provide community members with tools to address needs associated with improving health.
Results: Trained Community Health Workers help patients navigate the healthcare and social service systems and provide education about community healthcare resources.

Updated/reviewed May 2020

Need: Improve healthcare access for school-aged children in a rural and underserved Indiana county.
Intervention: Working with several rural school districts and the state's rural health association, an Indiana county healthcare system used school-based telehealth to expand access for acute illness.
Results: As of May 2019, Greene County General Hospital in rural Linton, Indiana, has expanded primary care access by offering school-based telehealth in 2 elementary and 1 middle school in 3 of the county's 5 school districts.

Updated/reviewed April 2020

Need: Low rates of immunization and a lack of knowledge about physical health among school age children in the rural areas of Nelson County, Virginia.
Intervention: A School Nurse Program placed a registered nurse in each of the four county public schools to track and encourage immunization compliance, provide health education, and handle students' daily health issues.
Results: School-age children are having many of their minor health concerns addressed throughout the day by registered nurses at school. Compliance for childhood immunizations is now extremely high.

Updated/reviewed March 2020

Need: Comprehensive cancer services for residents of an 8-county, 3-state area in Appalachia.
Intervention: Using a Cancer Patient Navigation Tool Kit, a Maryland acute care facility led a multidisciplinary collaboration that provided the area's patients with expanded cancer treatment services.
Results: In addition to several new cancer-related programs, expanded services are now available for cancer patients, families, and cancer survivors.

Rural Project Examples: Healthcare needs and services