Rural Project Examples Addressing Service delivery models

Community Care Partnership of Maine Accountable Care Organization

Updated/reviewed April 2025

Need: To increase access and quality of care for 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 120,000 patients in Maine. In addition, it has implemented shared savings arrangements/contracts with different Medicare Advantage and other private health payers.

Updated/reviewed April 2025

Need: Lack of access to oral healthcare for children from limited-income families in the rural and urban areas of South Dakota.
Intervention: Delta Dental of South Dakota launched the Delta Dental Mobile Program in 2004 to expand access to oral healthcare services to children throughout the rural state.
Results: The Delta Dental Mobile Program has provided over $44 million in dental care to more than 73,000 South Dakota children.

Updated/reviewed April 2025

Need: To improve and increase prevention and care services for HIV, STDs, hepatitis C, and other infectious diseases.
Intervention: PAETC-NV provides clinical and didactic trainings, conferences, technical assistance, capacity building, webinars, and other services to providers and healthcare organizations statewide.
Results: In 2024, PAETC-NV trained more than 1,800 healthcare providers across Nevada to increase clinical capacity in the care, screening, and prevention of HIV, other sexually transmitted diseases, and hepatitis C.

Updated/reviewed April 2025

Need: To improve maternal health in northeastern New Mexico.
Intervention: The Rural OB Access & Maternal Service program provides obstetric and maternal fetal medicine telehealth, home telehealth kits, and free access to lactation consultants and family navigators.
Results: ROAMS has worked with 2,000 unique individuals since July 2021.

Updated/reviewed April 2025

Need: To expand access to psychiatric services throughout South Carolina, with a focus on underserved and rural communities.
Intervention: South Carolina Department of Mental Health (SCDMH) created the SCDMH Emergency Department and Community Telepsychiatry programs to expand telepsychiatry access for patients in emergency departments and in various settings across the state.
Results: The program has improved access, affordability, and provided quality care for patients with mental illness living in rural and underserved areas of South Carolina.

Added December 2024

Need: To provide basic pregnancy-related and preventive health services to women in the Texas Rio Grande Valley.
Intervention: A mobile clinic travels to different communities and provides basic preventive care, contraception, and pregnancy testing and ultrasounds.
Results: Since the program began, clinical staff have provided services to nearly 6,000 women.

Updated/reviewed November 2024

Need: To reduce rural Oklahoma patients' risks for heart disease and stroke.
Intervention: Heartland OK was a care coordination model in 20 counties.
Results: Using a team-based care model increased patients' ability to reduce their blood pressure or achieve blood pressure control.

Updated/reviewed October 2024

Need: To increase access to specialty care for rural veterans living with HIV.
Intervention: The HIV Telehealth Collaborative Care (TCC) study connects these patients with HIV specialists via clinical video telehealth or VA video connect and works to create shared care relationships with primary care teams in rural areas.
Results: The HIV TCC program provides HIV specialty care access to rural veterans in a sustainable manner with infrastructure, mentorship, and capacity building.

Updated/reviewed October 2024

Need: To bring preventive care and other services to rural Missouri patients with chronic illnesses and difficulties accessing primary care.
Intervention: Community paramedics and community health workers 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 2024

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.