Need: To improve sustainability and financial viability for rural healthcare providers throughout Indiana.
Intervention: A network of rural healthcare providers for Critical Access and other hospitals in Indiana that are dedicated to improving their ability to deliver efficient and high-quality healthcare for their rural residents.
Results: The network has been leveraged to increase access to resources, coordinate services, and improve and expand healthcare access.
Need: Population health approach to decreasing area deaths from cardiovascular disease.
Intervention: A health system-level investment in level II cardiac catheterization services and the required specialized cardiology workforce.
Results: Since August 2018, the Avita Health System in north central Ohio has provided local cardiovascular services that have decreased hospital transfers, increased care coordination, and provided education and prevention activities that, with time, will impact population health cardiovascular outcomes.
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.
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.
Need: Due to its reduced Medicare ambulance service reimbursement, the 1997 Balanced Budget Act threatened to put many rural volunteer emergency medical services (EMS) providers out of business across the country.
Intervention: Savvik (formerly North Central EMS Cooperative, or NCEMSC) created a mechanism for EMS providers to achieve cost reduction through group purchasing.
Results: The program brings discounts on EMS supplies to over 6,300 members across the United States, Canada, and Mexico.
Need: Rural healthcare networks in Colorado and Washington felt the urgency to help their communities improve population health with better care at lower cost.
Intervention: The Community Care Alliance was formed to serve rural patient populations by assisting their healthcare organizations in transforming their practices to succeed at value-based reimbursement.
Results: Member healthcare communities have seen an increased collaboration among independent providers, clinics, and local hospitals on community health initiatives, patient transfers, and appropriate access and education.