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Rural Project Examples: Public health

Promising Examples

TelePrEP
Updated/reviewed August 2019
  • Need: To prevent new cases of HIV in rural Iowa.
  • Intervention: TelePrEP provides preventive care via telehealth and prescription delivery.
  • Results: Between February 2017 and October 2018, TelePrEP received 186 referrals, with 127 patients completing an initial visit.
funded by the Federal Office of Rural Health Policy funded by the Health Resources Services Administration Health without Borders
Updated/reviewed June 2018
  • Need: To improve the health of communities in the south central region of New Mexico.
  • Intervention: A program was developed to specifically address diabetes prevention and control, behavioral healthcare, and immunization in Luna County.
  • Results: During the program, 1,500 immunizations were distributed, baseline measurements of participants improved, and 935 new patients were seen for behavioral health issues.

Other Project Examples

San Luis Valley Public Health Partnership
Updated/reviewed December 2019
  • Need: Public health departments in Colorado's rural San Luis Valley region desired to share public health services to improve health outcomes in the region.
  • Intervention: Six counties joined in a public health cross-jurisdictional sharing arrangement. The partnership has served as a forum for sharing and evaluating opportunities to improve health access and core public health services.
  • Results: The partnership has enabled health departments to share expertise and develop regional projects to provide a broader range of public health services.
Heartland OK
Updated/reviewed November 2019
  • Need: To reduce rural Oklahoma patients' risks for heart disease and stroke.
  • Intervention: Heartland OK, which began in 5 rural counties, is a care coordination model.
  • Results: Using a team-based care model increases patients' ability to reduce their blood pressure or achieve blood pressure control.
Smiles for Life
Updated/reviewed November 2019
  • Need: Oral healthcare for low-income adults and children unable to obtain dental care in the Mid-Ohio Valley of West Virginia.
  • Intervention: Public health dental hygienists act as gatekeepers, screening low-income clients and placing them with area dental providers who volunteer from their private practices to provide needed dental treatment.
  • Results: Reduces the number of emergency department visits for dental pain and infections and provides a safety net for those unable to afford dental treatment.
ADPH Telehealth Program
Updated/reviewed August 2019
  • Need: To increase access to healthcare throughout Alabama.
  • Intervention: The Alabama Department of Public Health (ADPH) has created telehealth communications at county health departments.
  • Results: ADPH telehealth services are currently available in 55 of 66 county health departments.
funded by the Federal Office of Rural Health Policy Public Health Solutions ACA Outreach and Education Project
Updated/reviewed August 2019
  • Need: To help inform rural residents in southeast Nebraska about their health insurance options under the Affordable Care Act (ACA).
  • Intervention: A public health department provided outreach and enrollment assistance and worked with other key community organizations to help get clients the information and services they need.
  • Results: 525 individuals were reached at 22 outreach events: 123 individuals received general education on the ACA, 25 received enrollment assistance, and 19 had an eligibility determination.
HCC of Rural Missouri's Project Connect Event
Updated/reviewed April 2019
  • Need: To expand public health and human services to adults living in rural West Central Missouri.
  • Intervention: The Health Care Collaborative of Rural Missouri's Network organizes Project Connect events, a 1-day public health event that offers free public health and human services to underserved adults.
  • Results: In 2018 alone, Project Connect events provided a total of 8,870 incidents of services to guests, a $302,000 value.
Genesee and Orleans County Cross Jurisdictional Sharing Project (GO Health)
Updated/reviewed January 2019
  • Need: Two rural upstate New York counties struggled to provide necessary public health leadership and services amid a fluid environment with rising costs and funding limitations.
  • Intervention: The Genesee County and Orleans County health departments began a cross jurisdictional sharing relationship that integrated select functions and services, beginning with sharing a director and deputy director.
  • Results: By sharing personnel and functions, management personnel costs have been cut in half and both counties have saved over $1 million for the counties combined.
Foundations Family Medicine's HIV, HCV, Opioid and Substance Use Disorder Services
Added November 2018
  • Need: Due to the opioid crisis, Austin, Indiana has seen the largest concentrated outbreak of HIV in rural America's recent history. Since 2015, over 200 residents have been diagnosed with the virus.
  • Intervention: Foundations Family Medicine began offering testing and treatment services for HIV, hepatitis C, and opioid/substance use disorder. Education, care coordination and behavioral health services were also offered as an integrated part of their primary care clinic.
  • Results: Although the virus continues to spread throughout Scott County, the rate has significantly decreased, outdoing national suppression rates by a large margin (76% compared to national average of 49%).