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Rural Project Examples: Service delivery models

Other Project Examples

funded by the Federal Office of Rural Health Policy Ohio Northern University's HealthWise Mobile Outreach Program
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.
Tele-ICU for Veterans
Updated/reviewed June 2019
  • Need: To enhance care for patients in critical condition.
  • Intervention: Two VA facilities in Oklahoma and Ohio are connected through audiovisual equipment using smart technology in order for providers to monitor patients and consult with clinical staff at the bedside.
  • Results: From April 2018 to April 2019, there were 5,933 video assessments performed on ICU patients at the Oklahoma facility by tele-ICU staff. This resulted in 7,379 hours of patient care time.
funded by the Health Resources Services Administration Sexual Assault Nurse Exams through the National TeleNursing Center
Updated/reviewed April 2019
  • Need: Clinicians in rural areas are often unprepared to treat sexual assault victims after an assault.
  • Intervention: The National TeleNursing Center (NTC) in Massachusetts uses telemedicine to connect Sexual Assault Nurse Examiners to clinicians in remote areas, offering them guidance through examinations.
  • Results: Clinicians report that the help gives them confidence through the examination process and NTC has assisted in the care of over 300 patients.
funded by the Federal Office of Rural Health Policy Families Plus Comprehensive Health and Mentoring for Underserved Youth
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.
Delta Dental Mobile Program
Updated/reviewed February 2019
  • 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 $26 million in dental care to more than 52,000 South Dakota children.
funded by the Federal Office of Rural Health Policy HCC of Lafayette County's Heath Information Technology Workgroup
Updated/reviewed January 2019
  • Need: To ensure the quality and sustainability of rural West Central Missouri's health services through the use of technology.
  • Intervention: The Health Care Coalition of Lafayette County convened a Health Information Technology (HIT) workgroup to establish electronic medical and prescription records, telemedicine capabilities, and training for Lafayette County and surrounding areas.
  • Results: The workgroup fully equipped a local emergency department with HIT, launched electronic prescriptions for nearly a dozen Lafayette County providers, and identified acute needs hindering the adoption of electronic health records.
funded by the Federal Office of Rural Health Policy Chautauqua Health Connects (CHC)
Updated/reviewed December 2018
  • Need: To address care coordination and the integration of services in a rural, aging population
  • Intervention: This program used health information technology and dedicated staff to manage clinical and community services for patients with complex needs.
  • Results: Hospital readmissions have decreased, follow-up rates have increased, and patients' perceived health status has improved.
Piedmont Mountainside Hospital's Freestanding Emergency Department
Updated/reviewed December 2018
  • Need: The North Georgia Medical Center (NGMC) of Ellijay, Georgia had been slowly losing money and patients for years. Many residents living in Ellijay were seeking hospital care elsewhere, leaving NGMC treating an average of only 6 patients per day in the year prior to closing their doors in 2016.
  • Intervention: With approval from the state, Piedmont Mountainside Hospital (PMH) leased the space from NGMC and opened the state's first freestanding emergency department (ED). Medical services were again made available for patients in Ellijay and surrounding areas.
  • Results: After one year of being open, the freestanding ED continues to average 30 patients per day and has reached over 11,000 emergency room visits.
Rugby Community Paramedic Program
Updated/reviewed December 2018
  • Need: Low patient volumes, a shortage of EMS volunteers, and an aging population in a 5-county North Dakota region required a change in the way the Rugby EMS team delivered care.
  • Intervention: Through the Rugby Community Paramedic Program, EMS staff brought medical care to patients transitioning back into their homes, including hospice patients and those with chronic conditions.
  • Results: The program's early intervention methods helped reduce the number of emergency room admissions and the escalation of medical conditions. Patient satisfaction improved, and the program gained the trust of patients and medical staff in Rugby and surrounding areas.
SCDMH Emergency Department Telepsychiatry Consultation Program
Updated/reviewed December 2018
  • 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.