Rural Project Examples Addressing Hospitals - Rural Health Information Hub

Franklin Cardiovascular Health Program (FCHP)
Updated/reviewed February 2023

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.

Healthy Monadnock Alliance
Updated/reviewed September 2023

Need: Improved health outcomes for Monadnock Region, a rural area of New Hampshire.
Intervention: A wide-scale effort across multiple sectors is aiming to improve health outcomes throughout the region.
Results: Community health trends have been tracked over time, and progress on goals such as increasing the number of residents with healthcare coverage, opportunities for physical activity, access to healthy foods, and smoking cessation has been made.

Indiana Statewide Rural Health Network (InSRHN)
Updated/reviewed July 2023

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.

Jefferson Healthcare Prescription CSA
Added July 2023

Need: To increase food security among low-income patients living with cancer and diabetes in rural Jefferson County, Washington.
Intervention: A local healthcare system partnered with a small organic farm to offer weekly produce boxes to eligible low-income patients.
Results: 10 patients participated in the Jefferson Healthcare prescription CSA program in 2022. In 2023, the program grew to serve 15 patients.

The Minnesota Integrative Behavioral Health Program
Updated/reviewed May 2023

Need: Out of 79 Critical Access Hospitals (CAHs) surveyed in Minnesota in 2015, behavioral health was the most frequently cited service requested.
Intervention: In response, Rural Health Innovations launched the Minnesota Integrative Behavioral Health Program. This initiative engaged representatives across all sectors in health integration between hospital, primary care, and community services.
Results: Strategy sessions resulted in the creation of resource directories to improve care coordination, evaluation measurements to document results, and an overall better understanding of integrative care challenges.

Community Care Partnership of Maine Accountable Care Organization
Updated/reviewed April 2023

Need: To increase access and quality of care for patients in rural Maine.
Intervention: Community hospitals and Federally Qualified Health Centers in Maine formed the Community Care Partnership of Maine Accountable Care Organization (CCPM ACO).
Results: CCPM serves about 120,000 patients in Maine. In addition, it has implemented shared savings arrangements/contracts with different Medicare Advantage and other private health payers.

Regional Behavioral Health Network
Updated/reviewed April 2023

Need: Multiple organizations in rural east central Illinois needed a more efficient, centralized system for referring patients experiencing a behavioral health crisis to appropriate treatment services.
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 high quality behavioral healthcare for patients in rural east central Illinois.

Rural Recruitment Reimagined Workshop Presents the "Safe Sites" Model
Updated/reviewed April 2023

Need: Strategies to recruit and retain providers to practice in rural settings.
Intervention: A traveling one-day workshop was designed to share ideas and firsthand accounts on successful strategies on how to create "Safe Sites" for new recruits.
Results: So far, workshops have trained over 250 hospital administrators, board members, and rural hospital recruiters.

Utah Rural Independent Hospital Network (Rural 9 Network)
Updated/reviewed April 2023

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.

Addiction Recovery Mobile Outreach Team (ARMOT)
Updated/reviewed January 2023

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: Since 2015, ARMOT has received over 2,956 referrals.

Rural Project Examples: Hospitals