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.

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.

Healthy Southern Illinois Delta Network
Added September 2022

Need: To improve people's health in a rural 16-county region in Illinois.
Intervention: A coalition of local health departments and healthcare facilities coordinates regional efforts, which are implemented locally by health community coalitions.
Results: HSIDN has created toolkits, developed resource guides, and provided wellness trainings, among other initiatives.

The Hospital Cooperative Charge Comparative
Updated/reviewed September 2022

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 2022

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.

Boone County Health Center Pulmonary Rehabilitation Program
Updated/reviewed June 2022

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.

Regional Behavioral Health Network
Updated/reviewed April 2022

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.

Rural Recruitment Reimagined Workshop Presents the "Safe Sites" Model
Updated/reviewed April 2022

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 185 hospital administrators, board members, and rural hospital recruiters.

Community Care Partnership of Maine Accountable Care Organization
Updated/reviewed March 2022

Need: To increase access and quality of care for Medicare, Medicaid, uninsured, and commercial 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 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.

Healthy Monadnock Alliance
Updated/reviewed February 2022

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.

Rural Project Examples: Hospitals