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Rural Project Examples: Healthcare workforce

Effective Examples

funded by the Federal Office of Rural Health Policy Health Coaches for Hypertension Control
Updated/reviewed December 2019
  • 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.
Montana "Team Up. Pressure Down." Blood Pressure Medication Adherence Project
Updated/reviewed November 2019
  • 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.
Pharmacists for Patient Safety Network
Updated/reviewed August 2019
  • 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.
funded by the Federal Office of Rural Health Policy Regional Oral Health Pathway
Updated/reviewed August 2019
  • Need: To address the oral health needs of low-income uninsured and underinsured residents in rural Appalachia.
  • Intervention: An oral health education program was implemented in Appalachian Maryland, Pennsylvania, and West Virginia.
  • Results: This program has increased oral health visits in the area and has provided residents with valuable information on oral health resources and services.
Hidalgo Medical Services – Family Support Program
Updated/reviewed June 2019
  • 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.
funded by the Federal Office of Rural Health Policy Madison Outreach and Services through Telehealth (MOST) Network
Updated/reviewed December 2018
  • Need: More mental health and substance abuse prevention and treatment services in rural Texas.
  • Intervention: A network was formed to bring counseling services through telehealth systems and community health workers to Brazos Valley, Texas.
  • Results: The program improved health outcomes, increased general knowledge of the impact of substance abuse, and raised awareness of services among Hispanic residents.
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.
funded by the Federal Office of Rural Health Policy One Community Health's Wellness Programs
Updated/reviewed October 2017
  • Need: Difficulties obtaining healthcare access to treat diabetes and obesity for low-income and Spanish-speaking residents of Oregon and Washington's Columbia River Gorge area.
  • Intervention: A local healthcare facility developed wellness programs using bilingual community health workers to provide education and support that improves diets, physical activity, and teaches stress management.
  • Results: Many participants in the wellness programs have maintained or lost weight and have seen reductions in their cholesterol levels, blood pressure, and blood sugar levels. Vegetable vouchers, cooking classes, and budgeting education has also helped patients afford healthy food.

Promising Examples

funded by the Health Resources Services Administration Learning Exchange Reverse Demonstration (LERD) Model
Updated/reviewed July 2020
  • Need: To make it easier for rural nurses to continue their education by decreasing the need to travel.
  • Intervention: An innovative, online health assessment course uses telehealth to allow rural RN-BSN students to demonstrate skills acquisition.
  • Results: Rural participants had similar learning outcomes to those participating in the onsite version of the course, with fewer travel costs, less time away from work, and higher overall satisfaction.
funded by the Federal Office of Rural Health Policy Prevention through Care Navigation Outreach Program
Updated/reviewed May 2020
  • Need: To reduce the prevalence of diabetes and cardiovascular disease in rural Colorado.
  • Intervention: Community Health Workers are utilized to create a system of coordinated care in Delta, Montrose, Ouray, and San Miguel counties.
  • Results: As of 2018, 2,709 people have been screened for diabetes and cardiovascular disease, with many at-risk patients lowering cholesterol, blood pressure, and A1C levels after engaging with a Community Health Worker.