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Rural Project Examples: Hospitals

Effective Examples

Franklin Cardiovascular Health Program (FCHP)
Updated/reviewed February 2021
  • 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

The Hospital Cooperative Charge Comparative
Updated/reviewed September 2021
  • 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 September 2021
  • 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 2021
  • 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.
Boone County Health Center Pulmonary Rehabilitation Program
Added June 2021
  • Need: Evidenced-based intervention to improve function and quality of life for patients with chronic obstructive pulmonary disease and other chronic lower respiratory conditions.
  • Intervention: Pulmonary rehabilitation program implementation in 1989.
  • Results: Compared to a national average of only about 3% of referred Medicare beneficiaries actually enrolling in pulmonary rehabilitation, 60% of the program's referred patients enroll. Averaging around 15 patients/year completing the program, a large combined cardiac and pulmonary rehabilitation maintenance population averages 8,000 visits/year.
Avita Health System Comprehensive Cardiology Program
Added April 2021
  • Need: Population health approach to decreasing area deaths from cardiovascular disease.
  • Intervention: A health system-level investment in level II cardiac catheterization services and the required specialized cardiology workforce.
  • Results: Since August 2018, the Avita Health System in north central Ohio has provided local cardiovascular services that have decreased hospital transfers, increased care coordination, and provided education and prevention activities that, with time, will impact population health cardiovascular outcomes.
Regional Behavioral Health Network
Updated/reviewed April 2021
  • 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.
Leadership Development Program
Updated/reviewed March 2021
  • 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.
Southwest Health System Antibiotic Stewardship Program
Updated/reviewed March 2021
  • Need: Impact patient care and safety issues related to antibiotic use in southwest Colorado.
  • Intervention: Pharmacy-led antibiotic stewardship program for inpatient, outpatient, and long-term care settings.
  • Results: With antibiotic use guidelines, refined infection diagnostics, and first-choice antibiotic selections, all care settings now see decreased days of treatment and decreased resistance patterns.
funded by the Federal Office of Rural Health Policy Addiction Recovery Mobile Outreach Team (ARMOT)
Updated/reviewed December 2020
  • 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 5 years of the program, ARMOT received over 1,950 referrals.