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Rural Project Examples: Hospitals

Effective Examples

Franklin Cardiovascular Health Program (FCHP)
Updated/reviewed March 2018
  • Need: To develop sustainable, community-wide prevention methods for cardiovascular diseases in order to change behaviors and healthcare outcomes in rural Maine.
  • Intervention: Local community groups and Franklin Memorial Hospital staff studied mortality and hospitalization rates for 40 years in this rural, low-income area of Farmington to seek intervention methods that could address cardiovascular diseases.
  • Results: A decline in cardiovascular-related mortality rates and improved prevention methods for hypertension, high cholesterol, and smoking.

Other Project Examples

funded by the Federal Office of Rural Health Policy Utah Rural Independent Hospital Network
Updated/reviewed March 2018
  • Need: To help ensure the viability of and improve quality at 9 rural, independent hospitals serving 11 Utah counties.
  • Intervention: A network organization was created to allow member hospitals to communicate, network, and undertake projects together.
  • Results: Members take advantage of cost savings, education, and networking opportunities through group projects and programs.
funded by the Federal Office of Rural Health Policy Community Care Partnership of Maine Accountable Care Organization
Updated/reviewed February 2018
  • Need: To increase access and quality of care for Medicare, Medicaid, uninsured, and commercial patients in rural Maine.
  • Intervention: 3 hospitals and 8 Federally Qualified Health Centers in Maine formed the Community Care Partnership of Maine Accountable Care Organization (CCPM ACO).
  • Results: CCPM serves about 70,000 patients in Maine. In addition, it implemented ACO shared savings plans with Maine Medicaid, Medicare, and five commercial health insurance payers in the state.
Kearny County Hospital’s Physician Recruitment Model
Updated/reviewed February 2018
  • Need: Physicians to serve in an increasingly diverse population in rural Kansas.
  • Intervention: Kearny County Hospital changed their recruitment model to include paid time off for doctors and midlevel providers to serve as international service workers, as well as medical school loan forgiveness.
  • Results: Kearny County Hospital has re-opened their services to out-of-county patients and are receiving an increase in applications from medical providers.
funded by the Federal Office of Rural Health Policy Addiction Recovery Mobile Outreach Team (ARMOT)
Updated/reviewed December 2017
  • Need: To reduce the number of overdoses and overdose-related deaths from opioids in rural Pennsylvania.
  • Intervention: ARMOT provides 1) case management and recovery support services to individuals with substance use disorders and 2) education and support to rural hospital staff, patients, and their loved ones.
  • Results: In the first 18 months of its grant cycle, ARMOT made 254 referrals.
Piedmont Mountainside Hospital's Freestanding Emergency Department
Added December 2017
  • Need: The North Georgia Medical Center (NGMC) of Ellijay, Georgia had been losing money and patients. Many residents living in Ellijay were seeking hospital care elsewhere, leaving NGMC treating an average of only 6 patients in the year prior to closing their doors in 2016.
  • Intervention: With approval from the state, Piedmont Mountainside Hospital (PMH) leased the space from NGMC and opened the state's first freestanding emergency department. Medical services were again made available for patients in Ellijay and surrounding areas.
  • Results: Within the first 6 months of operation, over 5,000 emergency visits were made to the freestanding ED, an average of 30 patients per day.
funded by the Federal Office of Rural Health Policy Plymouth Area Transitions Team (PATT)
Updated/reviewed December 2017
  • Need: Prepare medically complex patients for care needs after hospital discharge.
  • Intervention: A program focused on hospital discharges and care transitions for patients located in three New Hampshire counties
  • Results: Decreased high-risk patient readmissions and establishment of continuous care coordination focus.
Western Healthcare Alliance Laboratory Services Network
Updated/reviewed December 2017
  • Need: Increased efficiency for medical laboratory testing in rural western Colorado and Utah hospitals.
  • Intervention: Creation of a network for education, operational consulting, best practice development, and group contracting with discounted services for hospital laboratories.
  • Results: Lower laboratory testing costs with improved quality, efficiency, and turnaround times leading to increased healthcare quality.
RS3 – Rural Montana Surgical Support System
Added November 2017
  • Need: Providing more in-state surgical care options for Montana patients.
  • Intervention: A system to keep surgical procedures in Critical Access Hospitals or provide seamless engagement of Montana's available advanced surgical expertise when needed.
  • Results: Increased surgical care options, with a side benefit of recruiting young surgeons to rural/frontier Montana.
Safety Net Medical Home Initiative
Updated/reviewed October 2017
  • Need: To help healthcare providers serving underserved and vulnerable populations become patient-centered medical homes (PCMH).
  • Intervention: A 5-year project was launched to develop a replicable model for practice transformation for safety net providers, including rural practices.
  • Results: Eighty-three percent of participating safety net clinics earned state or national PCMH recognition as of September, 2013.