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Rural Health Information Hub

Rural Project Examples: Population health

Other Project Examples

It's a Girl Thing: Making Proud Choices

Updated/reviewed February 2023

  • Need: Teen pregnancy and sexually transmitted diseases, including HIV, in young girls were concerns for members of Union Parish, Louisiana.
  • Intervention: Union General Hospital, a Critical Access Hospital, created the program It's a Girl Thing: Making Proud Choices to teach prevention, self-confidence, and personal responsibility to teen girls.
  • Results: Teen pregnancy rates in Union Parish have dropped by 18%, exceeding the program's initial goal of 5%. Graduation rates have also increased the longer girls remain in the program.

Partners in Health and Wholeness

Updated/reviewed December 2022

  • Need: To lessen the impact of chronic disease and associated complications in North Carolina.
  • Intervention: Partners in Health and Wholeness, an initiative of the NC Council of Churches, is a faith-based program that integrates healthy living within congregations while offering financial support to launch or expand health initiatives. The program partners with faith communities in North Carolina to fund and support their health initiatives through collaborative partnerships.
  • Results: Since its founding in 2009, over 900 churches have become a part of the PHW, many in rural areas, and over 600 mini-grants have been awarded to congregations.

Heartland OK

Updated/reviewed November 2022

  • Need: To reduce rural Oklahoma patients' risks for heart disease and stroke.
  • Intervention: Heartland OK, which began in 5 rural counties, was a care coordination model.
  • Results: Using a team-based care model increased patients' ability to reduce their blood pressure or achieve blood pressure control.

Together for Beaufort County

Updated/reviewed October 2022

  • Need: A community-wide collaborative process to identify and address specific quality-of-life challenges confronting the citizens of Beaufort County, South Carolina.
  • Intervention: Together for Beaufort County facilitates the coordination of local and regional coalitions that address economic, social, health, educational, and environmental factors through shared collective impact process.
  • Results: Out of 46 counties in South Carolina, Beaufort County has reached the top ranking in health outcomes.

Win With Wellness

funded by the Federal Office of Rural Health Policy

Updated/reviewed October 2022

  • Need: To reduce risk of obesity and chronic disease in rural northwest Illinois.
  • Intervention: Win With Wellness (WWW) collaborates with community organizations and worksites to improve physical activity and eating behaviors and reduce weight among adults using a multi-component approach.
  • Results: From 2015 to 2018, the two participating counties initiated 28 Take Off Pounds Sensibly (TOPS) groups with 367 participants. In the second round of funding, WWW recruited 183 participants for 9 TOPS groups and 8 community Heart-to-Heart sites.

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.

Collaborative Approaches to Well-Being in Rural Communities

Updated/reviewed November 2021

  • Need: To improve mental health and well-being in rural Texas.
  • Intervention: The Hogg Foundation has awarded $7.75 million in grants to support five rural Texas communities in developing collaborative approaches to mental health that best fit each community's needs.
  • Results: Five community collaboratives have successfully completed their planning process and developed implementation plans.

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.

Rural Health Initiative: Kitchen Wellness Program

Updated/reviewed November 2020

  • Need: Preventive and chronic medical condition care for farm families/agribusiness owners/employees with time and monetary constraints.
  • Intervention: Through a "Kitchen Wellness" program, a trained healthcare professional provides in-home or on-site complimentary preventive health screening, educational materials, and community referral information.
  • Results: Completion of hundreds of health screenings, tailored health education sessions and referral information.

NEON Pathways Community Hub

funded by the Federal Office of Rural Health Policy

Updated/reviewed July 2020

  • Need: Connect individuals to services that address health barriers.
  • Intervention: A pay-for-outcomes model utilizing Community Health Workers who help provide community members with tools to address needs associated with improving health.
  • Results: Trained Community Health Workers help patients navigate the healthcare and social service systems and provide education about community healthcare resources.