Rural Project Examples Addressing Service delivery models

Pacific AIDS Education and Training Center-Nevada
Updated/reviewed February 2023

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 2022, PAETC-NV trained more than 1,400 healthcare providers across Nevada to increase clinical capacity in the care, screening, and prevention of HIV, other sexually transmitted diseases, COVID-19, and hepatitis C.

SCDMH Emergency Department Telepsychiatry Consultation Program
Updated/reviewed February 2023

Need: The shortage of mental health professionals in rural South Carolina resulted in an influx of patients admitted to emergency departments who were in need of psychiatric care.
Intervention: South Carolina Department of Mental Health (SCDMH) partnered with The Duke Endowment to create the SCDMH Emergency Department Telepsychiatry Program. Rural emergency departments can now reach a psychiatrist to assess a patient via telehealth.
Results: The program has improved access, affordability, and provided quality care for rural providers and patients with mental illness.

Volunteers of America Southeast Louisiana's Stepping Stones Program
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.

Heartland OK
Updated/reviewed November 2022

Need: To reduce rural Oklahoma patients' risks for heart disease and stroke.
Intervention: Heartland OK, which began in 5 rural counties, was a care coordination model.
Results: Using a team-based care model increased patients' ability to reduce their blood pressure or achieve blood pressure control.

Beacon Health Accountable Care Organization
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.

Health-e-Schools
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.

Indiana ASPIN Veteran's Services
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.

ASPIN's Certified Recovery Specialist Program
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 (CHWs) 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.

The Hospital Cooperative Mobile MRI
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.

Fostering Futures in Menominee Nation
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.

Rural Project Examples: Service delivery models