Rural Project Examples Addressing Service delivery models

Updated/reviewed November 2020

Need: Decrease rates of domestic violence, child sexual abuse, and child neglect for Alaska Native people in remote villages.
Intervention: An evidence-based model inclusive of traditional culture trains local communities on methods of prevention and treatment for domestic and interpersonal violence.
Results: Self-sustaining local system with improved family and spiritual well-being and decreased healthcare access needs.

Updated/reviewed September 2020

Need: Coordinated approach to healthcare delivery in central and southern West Virginia.
Intervention: Creation of a nonprofit organization that focused on quality and collaboration.
Results: With an ability to provide services that meet the evolving needs of patients, providers, and communities, the organization provides unique services, such as a credentialing service and web-based data sharing care management tool.

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.

Updated/reviewed February 2020

Need: To help reduce diabetes, depression, and stroke risk in rural residents.
Intervention: A collaborative care model was implemented in the Idaho counties of Clearwater, Idaho, and Lewis.
Results: Increased number of patients with controlled blood sugar, controlled blood pressure, and higher depression screening rates.

Updated/reviewed January 2020

Need: Rural areas in Mississippi often lack adequate access to specialty healthcare services such as emergency medicine, stroke neurology, pediatric specialists and psychiatrists.
Intervention: The University of Mississippi Medical Center created the Center for Telehealth to deliver quality specialty services through telehealth video conferencing and remote monitoring tools to the underserved areas of Mississippi.
Results: The program has been successfully implemented throughout many of the state's rural hospitals and has reduced transfers and geographic barriers for patients.

Updated/reviewed December 2019

Need: Decrease hospital readmissions and emergency room visits for patients in rural Tidewater, Virginia.
Intervention: After inpatient admission or ER visit, identify at-risk patients to offer enrollment in remote monitoring and disease self-management education and coaching, with a special focus on behavioral health wellness.
Results: Decreased readmissions and ER visits paired with high patient satisfaction scores.

Updated/reviewed December 2019

Need: Organized effort targeting COPD patients' medical needs in order to prevent hospital readmission in Zanesville, Ohio.
Intervention: Creation of an integrated system model using nurse navigators that incorporates evidence-based chronic disease care management approaches to COPD care.
Results: Improved readmission rates and overall improved acute and chronic care for the area's COPD patients.

Updated/reviewed December 2019

Need: A healthcare delivery model to improve health and well-being of Pennsylvania patients with serious mental illness in Pennsylvania, especially those in rural settings.
Intervention: County human service administrators, patients, families, a behavioral health provider network, and a nonprofit behavioral health managed care organization implemented 2 versions of a behavioral home health model focusing on a complete culture of wellness.
Results: These unique models significantly increased patient activation, engagement in both primary and specialty care, and improved client perception of their mental health status.

Updated/reviewed July 2019

Need: Meeting both advanced practice pharmacy student education needs and patient healthcare needs in a nearby rural/underserved area.
Intervention: With support from multiple organizations, students in the Ohio Northern University's College of Pharmacy program use a motor coach to deliver a wide range of healthcare services during scheduled outreach visits.
Results: In the program's first two years, point-of-care screening, immunizations, and chronic disease prevention and management education have been provided to 800+ Hardin County, Ohio, residents.

Added March 2019

Need: Pediatric behavioral health services in Delta County, Colorado.
Intervention: Multi-organizational and community-wide effort to increase healthcare access for underserved children and to integrate behavioral health care into the area's primary care clinics.
Results: Sustainable increases in access to pediatric behavioral health services.

Rural Project Examples: Service delivery models