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Rural Health Information Hub

Rural Project Examples: Healthcare needs and services

Other Project Examples

Medical Home Plus

funded by the Federal Office of Rural Health Policy

Updated/reviewed February 2020

  • Need: To help reduce diabetes, depression, and stroke risk in rural residents.
  • Intervention: A collaborative care model was implemented in the Idaho counties of Clearwater, Idaho, and Lewis.
  • Results: Increased number of patients with controlled blood sugar, controlled blood pressure, and higher depression screening rates.

Regional Initiatives in Dental Education (RIDE)

funded by the Health Resources Services Administration

Updated/reviewed February 2020

  • Need: Address oral health disparities in Washington's rural and underserved communities.
  • Intervention: The University of Washington School of Dentistry developed the Regional Initiatives in Dental Education (RIDE) program preparing dentists for practice in rural and underserved areas.
  • Results: As of 2019, 77% of all RIDE graduates are practicing in Washington state. Of those, 82% are practicing in rural and underserved communities.

Bridges to Care Transitions-Remote Home Monitoring and Chronic Disease Self-Management

funded by the Federal Office of Rural Health Policy

Updated/reviewed December 2019

  • Need: Decrease hospital readmissions and emergency room visits for patients in rural Tidewater, Virginia.
  • Intervention: After inpatient admission or ER visit, identify at-risk patients to offer enrollment in remote monitoring and disease self-management education and coaching, with a special focus on behavioral health wellness.
  • Results: Decreased readmissions and ER visits paired with high patient satisfaction scores.

COPD Inpatient Navigator Program

Updated/reviewed December 2019

  • Need: Improve readmission rates for rural patients with Chronic Obstructive Pulmonary Disease (COPD).
  • Intervention: COPD Inpatient Navigator program implementation in a rural hospital in Oregon.
  • Results: With navigator assistance, COPD-associated readmission rate has decreased by almost 50%, with a continued improvement trend.

Optimal Health Behavioral Health Home Models

Updated/reviewed December 2019

  • Need: A healthcare delivery model to improve health and well-being of Pennsylvania patients with serious mental illness in Pennsylvania, especially those in rural settings.
  • Intervention: County human service administrators, patients, families, a behavioral health provider network, and a nonprofit behavioral health managed care organization implemented 2 versions of a behavioral home health model focusing on a complete culture of wellness.
  • Results: These unique models significantly increased patient activation, engagement in both primary and specialty care, and improved client perception of their mental health status.

Ohio Northern University's HealthWise Mobile Outreach Program

funded by the Federal Office of Rural Health Policy

Updated/reviewed July 2019

  • Need: Meeting both advanced practice pharmacy student education needs and patient healthcare needs in a nearby rural/underserved area.
  • Intervention: With support from multiple organizations, students in the Ohio Northern University's College of Pharmacy program use a motor coach to deliver a wide range of healthcare services during scheduled outreach visits.
  • Results: In the program's first two years, point-of-care screening, immunizations, and chronic disease prevention and management education have been provided to 800+ Hardin County, Ohio, residents.

Families Plus Comprehensive Health and Mentoring for Underserved Youth

funded by the Federal Office of Rural Health Policy

Added March 2019

  • Need: Pediatric behavioral health services in Delta County, Colorado.
  • Intervention: Multi-organizational and community-wide effort to increase healthcare access for underserved children and to integrate behavioral health care into the area's primary care clinics.
  • Results: Sustainable increases in access to pediatric behavioral health services.

The Adolescent Pre-Diabetes Prevention Program

funded by the Federal Office of Rural Health Policy

Added October 2018

  • Need: Prevention of type 2 diabetes in adolescents living in rural parts of Louisiana.
  • Intervention: Through screenings, the Adolescent Pre-Diabetes Prevention Program detects the onset of prediabetes. Through nutrition and physical activity education, the program teaches high school students and staff how to adopt healthy lifestyles.
  • Results: The program has seen an increase in enrollment and continues to see decreases in body weight, body mass index, and A1C levels among participants.