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Rural Project Examples: Service delivery models

Other Project Examples

funded by the Federal Office of Rural Health Policy The Community Care Alliance
Updated/reviewed December 2018
  • Need: Rural healthcare networks in Colorado and Washington felt the urgency to help their communities improve population health with better care at lower cost.
  • Intervention: The Community Care Alliance was formed to serve rural patient populations by assisting their healthcare organizations in transforming their practices to succeed at value-based reimbursement.
  • Results: Member healthcare communities have seen an increased collaboration among independent providers, clinics, and local hospitals on community health initiatives, patient transfers, and appropriate access and education.
Capitol Dental Care's Virtual Dental Homes
Updated/reviewed November 2018
  • Need: Dentists in Polk County, Oregon who accepted Oregon Health Plan were booked out for months, causing patients with dental needs to have to wait for an appointment or travel to an adjoining county for dental care.
  • Intervention: Capitol Dental Care began a Virtual Dental Home teledentistry model to bring preventive dental care to 3 elementary schools and several Head Start programs.
  • Results: Through this program, over 700 students have received dental care in their schools.
Remote Area Medical®
Updated/reviewed November 2018
  • Need: A lack of basic medical, dental, and vision care for people living in isolated, impoverished, and underserved areas.
  • Intervention: Free mobile medical clinics that provide care through a highly efficient system that serves as many patients as possible, utilizing a corps of volunteers made up of licensed medical professionals and laypeople.
  • Results: Community members in rural and other underserved areas are provided with necessary healthcare and health education, including dental and vision services, at no cost to the patients or taxpayers.
funded by the Federal Office of Rural Health Policy The Bridge Program
Updated/reviewed November 2018
  • Need: Access to primary medical, dental, and mental health services for rural Appalachia Kentuckians.
  • Intervention: Community Health Workers provide outreach, education, navigation, and care coordination services to 5 counties in the Western Appalachian area of Kentucky through The Bridge Program.
  • Results: Emergency room visits have decreased throughout the course of the program and referrals to healthcare services have increased. Increases in self-efficacy and decreases in A1C levels have reached statistical significance.
Intermountain Healthcare Connect Care Pro®
Updated/reviewed October 2018
  • Need: An aging population, shortage of medical providers, and reforms in reimbursement systems were just some of the challenges for rural areas recognized by Intermountain Healthcare.
  • Intervention: In response, they've developed an Intermountain TeleHealth Services strategy to provide consultation and emergency medical help electronically for patients and clinicians in both urban and remote areas.
  • Results: Intermountain has installed video and audio conferencing platforms in over 1,200 locations. To date, mortality rates and length of hospital stays have decreased, and patient retention has increased.
Fostering Futures in Menominee Nation
Updated/reviewed September 2018
  • Need: Since the late 1800's, trauma caused by historic events have greatly affected the way of life for Menominee Indians living on the Menominee Reservation. Economic, socioeconomic, behavioral health, and physical health issues have risen and are causing direct implications for Menominee youth.
  • Intervention: Through Fostering Futures, clinic, school, and Head Start/Early Head Start staff are trained in administering trauma-informed care and building resilience among children.
  • Results: Behavioral health visits at the Menominee Tribal Clinic have increased, school suspension rates have decreased, and graduation rates have improved from 60% to 85% since 2008.
Arrowhead Telepresence Coalition
Updated/reviewed August 2018
  • Need: Individuals in northeastern Minnesota who experience mental health crises have often taken action in ways that are harmful to themselves or others.
  • Intervention: The Arrowhead Telepresence Coalition connects behavioral health providers to rural patients in traditional and non-traditional medical settings through a telehealth platform.
  • Results: The service is used by 378 registered users in 7 Minnesota counties and 3 tribes.
The Minnesota Integrative Behavioral Health Program
Added June 2018
  • 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 engages representatives across all sectors in health integration between hospital, primary care, and community services.
  • Results: Strategy sessions have 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.
SAMA HealthCare Services's Patient-Centered Medical Home
Updated/reviewed February 2018
  • Need: The traditional model where providers work independently from one another in treating patients proved to lack care continuity at SAMA Healthcare Services in rural Arkansas.
  • Intervention: The family practice clinic shifted to a team-based model of care where the medical staff works together in pods in order to create a patient-centered medical home.
  • Results: SAMA doubled the amount of patients seen in 1 day and at least 90% of patients receive medical treatment from a provider within their pod.
LIFECORE Health Group's Integrated Care Delivery Model
Updated/reviewed January 2018
  • Need: A model that integrates primary care and mental health for rural residents in northeast Mississippi.
  • Intervention: LIFECORE Health Group created an integrated care delivery model that meets the mental health and primary care needs of children and adolescents who suffer from severe emotional disturbances and adults who suffer from chronic behavioral health disorders or chemical dependency.
  • Results: LIFECORE's integrated model has become a sustainable approach to health, reducing the amount of hospital stays and increasing patient compliance, utilization of LIFECORE services, health outcomes of patients with chronic diseases, and facility revenue.