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Rural Project Examples: Service delivery models

Other Project Examples

ADPH Telehealth Program
Updated/reviewed August 2020
  • 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 66 county health departments.
funded by the Federal Office of Rural Health Policy Catalina Island Telemedicine Center
Updated/reviewed August 2020
  • Need: To access specialty medical services, residents of Santa Catalina Island have to travel 20 miles by boat to southern California. A telemedicine service was needed to connect island residents to the mainland's specialty services.
  • Intervention: The Catalina Island Medical Center created a telemedicine center to give residents quick access to specialty medical care, including diabetic consultations and pain management.
  • Results: An analysis of the telemedicine program found that patients had measurable improvements, and that 90% of patients were pleased with the program and will continue to use it.
Morrison County Accountable Community for Health
Updated/reviewed August 2020
  • Need: To combat prescription drug misuse in rural Morrison County, Minnesota.
  • Intervention: The Morrison County ACH brings 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 August 2020
  • 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.
Clinic for Special Children
Updated/reviewed July 2020
  • 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 care medical home for children and adults (primarily from the Amish and Mennonite communities) with rare, inherited disorders.
  • Results: In 2019, about 1,100 active patients with more than 380 unique genetic mutations were treated at the Clinic for Special Children.
funded by the Health Resources Services Administration MORE Care
Updated/reviewed July 2020
  • Need: To improve rural residents' oral healthcare.
  • Intervention: MORE Care creates interprofessional oral health networks to 1) better integrate oral health into primary healthcare and 2) coordinate oral health between primary and dental healthcare.
  • Results: MORE Care has led to increases in fluoride varnish administration, improvement in interprofessional communication, and patients' improved self-management of their daily oral health.
Alabama Partnership for TeleHealth
Updated/reviewed June 2020
  • Need: To increase access to healthcare via telehealth in the rural, underserved areas of Alabama.
  • Intervention: A nonprofit organization that promotes and supports telehealth programs across Alabama.
  • Results: The establishment and support of telehealth networks at multiple sites across Alabama providing clinical telehealth services including behavioral health, stroke/neurology, and cardiology.
funded by the Federal Office of Rural Health Policy Facing Diabetes: Quality Improvement in Rural South Dakota Project
Updated/reviewed June 2020
  • 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.
Health Advocacy Summit
Updated/reviewed June 2020
  • Need: To help young adults with chronic or rare conditions access health and educational resources and build a community of peers and advocates.
  • Intervention: Health Advocacy Summits bring together young adults, medical professionals, patient advocates, and others for a free one-day conference. HAS also facilitates programming such as the Crohn's and Colitis Young Adults Network.
  • Results: HAS currently has summits in six states. HAS reported that it was one of the first advocacy interventions for young adults with chronic conditions in south Texas.
funded by the Federal Office of Rural Health Policy My Virtual Clinic School-Based Telehealth Program
Updated/reviewed May 2020
  • Need: Improve healthcare access for school-aged children in a rural and underserved Indiana county.
  • Intervention: Working with several rural school districts and the state's rural health association, an Indiana county healthcare system used school-based telehealth to expand access for acute illness.
  • Results: As of May 2019, Greene County General Hospital in rural Linton, Indiana, has expanded primary care access by offering school-based telehealth in 2 elementary and 1 middle school in 3 of the county's 5 school districts.