Rural Project Examples: Service delivery models
Other Project Examples
Beacon Health Accountable Care Organization
Updated/reviewed October 2022
Updated/reviewed October 2022
- Need: To implement coordinated healthcare to improve patient health and engagement and to reduce the overall cost of medical services in Maine.
- Intervention: The Beacon Health network launched with a focus on patient-centered care to improve overall wellness and reduce ever-increasing healthcare costs.
- Results: Through care coordination, Beacon Health is enhancing provider efficiency and a team approach to delivering care, leading to improved patient engagement and healthcare quality and lowering the overall cost of care.

Updated/reviewed October 2022
- Need: Rural school children lack proper healthcare resources within the school setting.
- Intervention: Health-e-Schools provides health services to students via telehealth using video conferencing and special equipment.
- Results: Health-e-Schools increases access to primary healthcare, increases attendance in the classroom, and decreases the amount of time that parents or guardians must take off of work to bring their child to health-related appointments.

Updated/reviewed October 2022
- Need: To address the lack of mental healthcare options for rural veterans.
- Intervention: A telebehavioral health hub network was created to connect community mental health centers to the VA Medical Center.
- Results: More than 3,000 telehealth appointments have been made, saving hundreds of veterans time and money.


Updated/reviewed September 2022
- Need: Improved approach in addressing the behavioral health and primary care disparities of Indiana's underserved rural counties.
- Intervention: A network was established that trained community health workers (CHW) to be certified health insurance enrollment navigators and provide mental health services.
- Results: This year, ASPIN trained 230 CHWs, cross-trained 70 behavioral health case managers as CHWs, and 35 individuals in the Indiana Navigator Pre-certification Education.
HIV Telehealth Collaborative Care
Updated/reviewed September 2022
Updated/reviewed September 2022
- 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.
Morrison County Accountable Community for Health
Updated/reviewed September 2022
Updated/reviewed September 2022
- Need: To combat prescription drug misuse in rural Morrison County, Minnesota.
- Intervention: The Morrison County ACH brought together primary care, social services, law enforcement, and other partners to make sure that patients receive treatment and support.
- Results: One pharmacy saw a 40% reduction in the number of prescribed opioids, and the ACH was able to taper 684 patients off opioids completely.
The Hospital Cooperative Mobile MRI
Updated/reviewed September 2022
Updated/reviewed September 2022
- 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.
ADPH Telehealth Program
Updated/reviewed August 2022
Updated/reviewed August 2022
- 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.
Fostering Futures in Menominee Nation
Updated/reviewed August 2022
Updated/reviewed August 2022
- 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 94% since 2008.

Added August 2022
- Need: With the nearest hospital more than an hour away, the local community health center in rural Jackman, Maine struggled to maintain its ability to offer 24/7 care to due to staffing and budgetary challenges.
- Intervention: Critical Access Integrated Paramedics provide urgent care to patients after hours and on weekends.
- Results: The Jackman Community Health Center has been able to offer round-the-clock care to clinic patients, while also increasing the level of EMS service available to the community.
For examples from other sources, see: