Rural Project Examples Addressing Service delivery models

Added August 2024

Need: Solutions for Medicare beneficiaries' post-acute care recovery gaps in Arkansas's southeast Delta Region.
Intervention: Supported by federal funding and their membership organization, seven hospitals implemented an evidence-supported Critical Access Hospital transitional care model.
Results: Participating hospitals found a significant increase in swing bed services revenue, an all-cause low readmission rate, high percentage of patients discharged to home or to an assisted living environment, and positive patient satisfaction surveys.

Updated/reviewed May 2024

Need: To address and treat substance use disorder (SUD) and depression in the Upper Great Lakes region.
Intervention: Cross-Walk, a program that integrates behavioral healthcare into primary care services, was developed in Michigan's Marquette County.
Results: The collaborative efforts strengthened care management services in local healthcare facilities as primary care patients were referred to a behavioral health specialist.

Updated/reviewed December 2022

Need: To coordinate formal and informal community-based caregivers for optimal patient experience.
Intervention: The Maryland Faith Health Network unites places of worship and healthcare systems in Maryland. This program aims to decrease the amount of potentially avoidable hospitalizations, improve a patient's overall wellness, and cut down on the cost of medical services.
Results: This model is currently running in 3 hospitals that serve both rural and urban residents in central Maryland. So far, 1,300 congregants from 70 congregations representing Christian, Jewish, and Muslim faiths have enrolled in the Network.

Updated/reviewed March 2026

Need: Population health approach to decrease cardiovascular disease deaths in a rural Ohio healthcare delivery system's service area.
Intervention: A rural health system's investment in level II cardiac catheterization services and the required specialized cardiology workforce.
Results: In August 2018, Avita Health System started their cardiovascular service offerings in rural north central Ohio. Early results included decreased tertiary care hospital transfers. Building on the success of their increased ability to provide acute care, care coordination for patients with significant cardiovascular risks, preventive education with risk factor identification and modification, the health system continues to expand its local cardiovascular care.

Updated/reviewed March 2026

Need: The results of a 2013 county need assessment revealed that increased healthcare access would benefit the low resource areas of rural Hardin County, Ohio.
Intervention: With grant awards that included a 2015-2018 federal grant and in collaboration with local healthcare delivery systems, a rurally-located university pharmacy program's faculty and doctoral learners brought regularly scheduled pharmacist-led mobile clinic health services — ONU HealthWise Mobile Clinic — to the low resource areas of Hardin County, Ohio.
Results: In the decade since the original grant award, pharmacist-led mobile healthcare services' continued success has led to an expanded operation with a dual focus of providing both rural healthcare services and a setting to train rural practice-ready pharmacists. Additionally, interprofessional experiences for other healthcare profession learners have been added. In 2025, state-granted financial support allowed growth to include the purchase of a second vehicle expanding community pharmacy and telehealth services in surrounding rural counties.

Added February 2026

Need: To improve hypertension in rural Iowa patients.
Intervention: Promise Community Health Center offers team-based care to help patients manage hypertension.
Results: The center increased its hypertension control rate from 73% in 2022 to 84% in 2024.

Updated/reviewed November 2025

Need: To bring preventive care and other services to rural Missouri patients with chronic illnesses and difficulties accessing primary care.
Intervention: Community paramedics make home visits and provide basic care, home assessments, and medication reconciliation and facilitate telehealth visits.
Results: Patients experienced improved access to care, health status, and compliance with medication regimens along with increased patient engagement, satisfaction, and access to community resources.

Updated/reviewed October 2025

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 65 of 67 county health departments.

Updated/reviewed August 2025

Need: To provide healthcare for children and adults at-risk for genetic conditions from the rural, uninsured Amish and Mennonite communities in southern Pennsylvania.
Intervention: A clinic that serves as a comprehensive medical practice for children and adults (primarily from the Amish and Mennonite communities) with rare, inherited, or complex disorders.
Results: In 2024, about 1,700 active patients with more than 480 unique genetic mutations were treated at the Clinic for Special Children.

Updated/reviewed August 2025

Need: Organized focus on COPD patients' medical needs to decrease hospital readmissions in a rural Ohio healthcare system.
Intervention: Creation of an integrated system model with nurse navigators central to evidence-based chronic disease care management approaches to COPD care.
Results: Since its creation in 2014, the model continues to mature its comprehensive approach to provide optimized acute and chronic care for the area's COPD patients.

Rural Project Examples: Service delivery models