Rural Project Examples Addressing Service delivery models

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.

Updated/reviewed July 2025

Need: Clinicians in rural and underserved areas are often unprepared to provide comprehensive medical-forensic examinations for patients who present for care following a sexual assault.
Intervention: The MDPH TeleSANE Center uses secure telehealth software to connect sexual assault nurse examiners to clinicians and patients in hospitals across Massachusetts — including five in rural counties — offering expert clinical guidance and support before, during, and after examinations.
Results: Clinicians report that the service gives them increased confidence throughout the examination process. To date, the MDPH TeleSANE Center has assisted in the care of over 1,234 patients.

Updated/reviewed May 2025

Need: To expand healthcare access in rural Alabama communities.
Intervention: The Auburn University Rural Health Initiative is working with communities across Alabama to develop a healthcare model that includes primary care, substance use disorder treatment and mental health treatment via state-of-the-art telehealth technologies, coupled with health and wellness programs and services provided by faculty and students.
Results: As of 2025, there are five telehealth care stations open located in LaFayette, Boligee, Akron, Catherine, and Gainesville, Alabama. These stations have impacted over 3,400 individuals, with 187 community events, 1207 patient consultations, and 43 new health ambassadors.

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.

Rural Project Examples: Service delivery models