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Rural Project Examples: Hospitals

Effective Examples

Franklin Cardiovascular Health Program (FCHP)
Updated/reviewed February 2020
  • 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.

Promising Examples

funded by the Federal Office of Rural Health Policy TeleStroke/Vascular Neurology Patient Navigator Program
Added March 2019
  • Need: Improve post-hospital stroke care access in order to improve physical function and well-being for stroke patients living in a 6-county area in rural Minnesota.
  • Intervention: Implementation of an evidence-based patient navigator program paired with telehealth services for post-hospital care of rural stroke patients.
  • Results: In addition to other successes, more than 120 individuals enrolled in the navigator program, the Modified Rankin Score assessments at baseline and 6 months showed functional improvements.

Other Project Examples

funded by the Health Resources Services Administration West Virginia's Partners In Health Network Regional Collaborative Services
Updated/reviewed September 2020
  • 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.
The Hospital Cooperative Charge Comparative
Updated/reviewed August 2020
  • Need: To help hospitals in rural Idaho and Wyoming see how their prices compare to others in the region.
  • Intervention: The Hospital Cooperative (THC) completes an annual charge comparative, which lists the highest, lowest, average, and median price for a specific charge.
  • Results: THC has offered these reports since 2010.
The Hospital Cooperative Mobile MRI
Updated/reviewed August 2020
  • Need: Critical Access Hospitals in Idaho were not able to afford a fixed MRI system.
  • Intervention: The hospitals partnered to purchase a mobile MRI unit to travel among facilities.
  • Results: The MRI unit went into service in 2012, providing hundreds of scans per month and traveling among six member hospitals in rural Idaho.
funded by the Federal Office of Rural Health Policy Indiana Statewide Rural Health Network (InSRHN)
Updated/reviewed July 2020
  • 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.
Regional Behavioral Health Network
Updated/reviewed May 2020
  • Need: Multiple organizations in rural east central Illinois were struggling with how to treat patients with behavioral health issues or how to access services for them in a timely manner.
  • Intervention: The Regional Behavioral Health Network was established with a 24-hour toll-free crisis line, providing immediate access to trained crisis clinicians.
  • Results: Improved access to and a higher quality of behavioral healthcare for patients in rural east central Illinois.
funded by the Federal Office of Rural Health Policy Community Care Partnership of Maine Accountable Care Organization
Updated/reviewed February 2020
  • Need: To increase access and quality of care for Medicare, Medicaid, uninsured, and commercial patients in rural Maine.
  • Intervention: Hospitals and Federally Qualified Health Centers in Maine formed the Community Care Partnership of Maine Accountable Care Organization (CCPM ACO).
  • Results: CCPM serves about 100,000 patients in Maine. In addition, it implemented ACO shared savings plans with Maine Medicaid, Medicare, and five commercial health insurance and Medicare Advantage plans in the state.
Leadership Development Program
Updated/reviewed February 2020
  • Need: Reasonably-priced leadership education was needed for professional development of healthcare organization managers in southeastern Idaho and western Wyoming.
  • Intervention: Creation of a health network providing leadership training opportunities for member hospitals.
  • Results: Increased leadership and managerial quality, and decreased professional development costs for rural hospitals of southeastern Idaho and western Wyoming.
funded by the Federal Office of Rural Health Policy Medical Home Plus
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.