Skip to main content
Rural Health Information Hub

Rural Project Examples: Service delivery models

Other Project Examples

Indiana ASPIN Veteran's Services

funded by the Federal Office of Rural Health Policy

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

funded by the Federal Office of Rural Health Policy funded by the Health Resources Services Administration

Updated/reviewed September 2022

  • Need: Improved approach in addressing the behavioral health and primary care disparities of Indiana's 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.

Maine Critical Access Integrated Paramedics

funded by the Health Resources Services Administration

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.

Boone County Health Center Pulmonary Rehabilitation Program

Updated/reviewed June 2022

  • Need: Evidenced-based intervention to improve function and quality of life for patients with chronic obstructive pulmonary disease and other chronic lower respiratory conditions.
  • Intervention: Pulmonary rehabilitation program implementation in 1989.
  • Results: Compared to a national average of only about 3% of referred Medicare beneficiaries actually enrolling in pulmonary rehabilitation, 60% of the program's referred patients enroll. Averaging around 15 patients/year completing the program, a large combined cardiac and pulmonary rehabilitation maintenance population averages 8,000 visits/year.