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Rural Health Information Hub

Rural Project Examples: Service delivery models

Other Project Examples

Mobile Integrated Healthcare Network (MIHN)

funded by the Federal Office of Rural Health Policy

Added September 2023

  • 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.

Mobile Health Units for Opioid Use Disorder Treatment

funded by the Health Resources Services Administration

Updated/reviewed August 2023

  • Need: To bring medication-assisted treatment to rural and underserved areas in Colorado.
  • Intervention: Six mobile health units travel to 32 counties and offer services like telehealth sessions, counseling, naloxone, and referrals to wraparound services.
  • Results: The units traveled more than 100,000 miles from January 2020 to January 2021.

Project Swaddle

Added August 2023

  • Need: To reduce poor maternal and infant health outcomes and improve access to prenatal and postpartum care for at-risk pregnant women and recent mothers in Crawfordsville, Indiana.
  • Intervention: A home visitation program that uses community paramedics to deliver wrap-around care to women experiencing high-risk pregnancies and/or social and environmental challenges.
  • Results: Since 2018, more than 200 women have been served by the program.

Clinic for Special Children

Updated/reviewed July 2023

  • Need: To provide healthcare for the genetically vulnerable children and adults of 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 2022, about 1,400 active patients with more than 400 unique genetic mutations were treated at the Clinic for Special Children.

Facing Diabetes: Quality Improvement in Rural South Dakota Project

funded by the Federal Office of Rural Health Policy

Updated/reviewed May 2023

  • Need: To help adults and children in rural South Dakota prevent or manage their diabetes.
  • Intervention: The Facing Diabetes Project offered medical visits for adults and provided prevention and education sessions for the local 4th and 5th graders.
  • Results: Many adults and children in the region felt better equipped to choose healthy foods, exercise regularly, and manage their stress: all factors that can help prevent diabetes or decrease its effects.

The Massachusetts Department of Public Health TeleSANE Center

Updated/reviewed May 2023

  • 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 four 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 730 patients.

The Minnesota Integrative Behavioral Health Program

Updated/reviewed May 2023

  • 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 engaged representatives across all sectors in health integration between hospital, primary care, and community services.
  • Results: Strategy sessions 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.

Delta Dental Mobile Program

Updated/reviewed March 2023

  • 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 $38 million in dental care to more than 68,000 South Dakota children.

Outer Cape Health Services Community Resource Navigator Program

funded by the Health Resources Services Administration

Updated/reviewed March 2023

  • Need: Improving outcomes for Outer and Lower Cape Cod residents in need of social, behavioral health, and substance use disorder services while reducing the burden and costs to town agencies and hospital emergency rooms.
  • Intervention: The Community Resource Navigator Program works with local social services, town agencies, faith-based institutions, hospitals, the criminal justice system, and others to identify and connect clients to needed services.
  • Results: Clients are gaining access to the care they were once lacking, as measured by improvements in self-sufficiency. The program also helps community partners and stakeholders work together to reduce the impact of risks associated with behavioral health symptoms, substance use disorder, and social determinants of health.

Volunteers of America Southeast Louisiana's Stepping Stones Program

funded by the Health Resources Services Administration

Added February 2023

  • Need: Black women living with HIV in rural southeastern Louisiana face challenges in accessing care and other needed resources, often while dealing with other life stressors such as poverty, physical and mental health comorbidities, and a history of trauma.
  • Intervention: Implementing three evidence-informed interventions simultaneously ensures success in linking, treating, and retaining Black women in HIV care to improve health outcomes.
  • Results: As of February 2023, Stepping Stones has recruited 38 participants.