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Rural Project Examples: Social determinants of health

Other Project Examples

funded by the Federal Office of Rural Health Policy Northern Dental Access Center Medical-Legal Partnership
Updated/reviewed January 2020
  • Need: To help low-income patients in rural Minnesota overcome legal barriers to oral healthcare and self-sufficiency.
  • Intervention: The medical-legal partnership of Northern Dental Access Center and Legal Services of Northwest Minnesota provides free consultations and support services.
  • Results: The innovative and collaborative approach has been recognized regionally and nationally, and over 9,000 new patients have been screened for legal issues.
Healthcare Georgia Foundation's CDFI Investments
Added December 2019
  • Need: In rural Georgia, poor health outcomes and high poverty rates require innovative approaches.
  • Intervention: As the only statewide private foundation in Georgia with the sole focus of improving health, Healthcare Georgia Foundation supports Community Development Financial Institutions (CDFIs) to do the same.
  • Results: With a program related investment from the Foundation, 2 statewide CDFIs and 1 national CDFI are providing low-interest loans and other support to rural healthcare efforts.
funded by the Health Resources Services Administration Outer Cape Health Services Community Resource Navigator Program
Updated/reviewed December 2019
  • Need: Improving outcomes for Outer and Lower Cape Cod residents in need of social, behavioral health, and substance use disorder services while reducing the burden and costs to town agencies and hospital emergency rooms.
  • Intervention: The Community Resource Navigator Program works with local social services, town agencies, faith-based institutions, hospitals, the criminal justice system, and others to identify and connect clients to needed services.
  • Results: Clients are gaining access to the care they were once lacking, as measured by improvements in self-sufficiency. The program also helps community partners and stakeholders work together to reduce the impact of risks associated with behavioral health symptoms, substance use disorder, and social determinants of health.
Great Plains Senior Services Collaborative
Added November 2019
  • Need: To help rural, low-income older adults in rural Minnesota, Montana, and North Dakota maintain their independence and improve their health and well-being.
  • Intervention: The Great Plains Senior Services Collaborative improves service coordination, promotes social engagement, and provides programs like healthy cooking classes and caregiver support.
  • Results: Phase I served more than 1,100 vulnerable older adults in 70 communities, who reported lower stress and better quality of life.
Super-Utilizer Pilot Project
Updated/reviewed November 2019
  • Need: To address patients' complex physical, behavioral, and social health needs with the goal to reduce unnecessary visits to the emergency department and reduce inpatient admissions.
  • Intervention: A registered nurse and community health worker use technology to address patients with high risk and high costs in their home setting through a 90-day intensive intervention.
  • Results: The healthcare team in Kalispell saved more than $1.8 million in hospital costs with the project's first 36 patients.
Healthy Adams County
Updated/reviewed September 2019
  • Need: Health initiatives in rural Pennsylvania communities to address locally-identified health disparities.
  • Intervention: Healthy Adams County was created by its rural community members to promote community-wide health.
  • Results: Community task forces have been formed to address breast cancer prevention, food policies, behavioral health, health literacy, oral health, tobacco prevention, and other rural, community-identified needs.