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Rural Project Examples: Healthcare workforce

Montana "Team Up. Pressure Down." Blood Pressure Medication Adherence Project
Updated/reviewed November 2018
  • Need: To help rural Montana patients manage their blood pressure levels.
  • Intervention: Pharmacists distributed "Team Up. Pressure Down." materials from the Million Hearts Initiative and provided consultations.
  • Results: 89% of patients were able to adhere to their blood pressure medication, compared to 73% before the intervention.
funded by the Health Resources Services Administration Appalachian Preceptorship Program
Updated/reviewed October 2018
  • Need: To prepare future physicians for practicing in rural southern Appalachia.
  • Intervention: The Appalachian Preceptorship Program offers medical students clinical preceptorships to give them experience practicing in rural, underserved communities of southern Appalachia.
  • Results: Students who participate in this preceptorship are more than 3 times as likely to practice medicine in a rural location.
funded by the Federal Office of Rural Health Policy Health Coaches for Hypertension Control
Updated/reviewed September 2018
  • Need: A cost-effective approach to help rural patients with hypertension learn to manage their condition.
  • Intervention: Community volunteers trained as health coaches provided an 8-session hypertension management training program to hypertension patients older than 60, with an optional supplemental 8 sessions focused on nutrition and physical activity.
  • Results: Just 16 weeks after the program, participants had improved systolic blood pressure, weight, and fasting glucose, greater knowledge of hypertension, and improved self-reported behaviors.
HEALTH-COP Obesity Prevention
Updated/reviewed August 2018
  • Need: Many physicians want to help rural children who are overweight or obese develop healthy lifestyles, and these physicians would benefit from receiving training on specific ways to instruct, motivate, and manage the healthcare of these children.
  • Intervention: A virtual learning network called Healthy Eating Active Living TeleHealth Community of Practice (HEALTH-COP) was created to educate rural physicians and provide peer support.
  • Results: Studies showed an increase in health and wellness topics covered by physicians during children's clinic visits. This likely contributed to healthier eating habits and more active lifestyles that were found when these children were reassessed 3 months later.
Pharmacists for Patient Safety Network
Updated/reviewed August 2018
  • Need: Pharmacists in rural Nebraska are often isolated and find it difficult to communicate with others about safety concerns.
  • Intervention: The Pharmacists for Patient Safety Network is a communication network in which pharmacists can identify safety concerns and share solutions.
  • Results: After one year of implementation, 30 of the 38 participating pharmacies reported that the network encouraged new safety practices and reinforced existing safety strategies.
Hidalgo Medical Services – Family Support Program
Updated/reviewed June 2018
  • Need: To reduce health disparities in two rural/frontier counties in southwest New Mexico.
  • Intervention: Community health workers work with clients to help them better manage their health and promote awareness of healthy lifestyle options in the community.
  • Results: Better health outcomes for patients.
Abbeville County’s Community Paramedic Program
Updated/reviewed May 2018
  • Need: To reduce non-emergent visits to the emergency department as well as inpatient stays in rural South Carolina.
  • Intervention: A community paramedic program was started in Abbeville County, providing in-home preventive care to patients.
  • Results: Emergency room visits have decreased by 58.7% and inpatient stays by 60%. Many patients previously needing consistent services now only need occasional check-ups.
Kentucky Homeplace
Updated/reviewed May 2018
  • Need: Rural Appalachian Kentucky residents have deficits in health resources and health status, including high levels of cancer, heart disease, hypertension, asthma, and diabetes.
  • Intervention: Kentucky Homeplace was created as a community health worker initiative to address the lifestyle choices, inadequate health insurance, and environmental factors that are believed to contribute to these diseases.
  • Results: From July 2001 to June 2016, over 152,262 rural residents have been served. Preventive health strategies, screenings, educational services, and referrals are all offered at no charge to clients.
OHSU Rural Surgery Training
Updated/reviewed March 2018
  • Need: General surgeons are needed in rural communities.
  • Intervention: Oregon Health & Science University (OHSU) is sending residents to complete a one-year general surgery rotation in rural southern Oregon.
  • Results: Almost half of the graduates of the Grants Pass rural residency program are now practicing in a rural setting, and these residents are more likely to enter general surgery practice and serve in a community of fewer than 50,000 people.
funded by the Federal Office of Rural Health Policy Livingston County Help For Seniors
Updated/reviewed January 2018
  • Need: Meeting the health needs of geriatric patients in rural Livingston County, New York.
  • Intervention: The Help for Seniors program was developed and using its “vodcasts,’ local EMTs were trained in geriatric screening methods and health needs treatment.
  • Results: In addition to developing a successful model for educating EMS personnel, the program screened over 1200 individuals and identified various risks among the geriatric population.