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Rural Project Examples: Specialty care

Promising Examples

funded by the Federal Office of Rural Health Policy SD eResidential Facilities Healthcare Services Access Project
Updated/reviewed August 2020
  • Need: To increase local health services to rural elderly populations in long-term care facilities located in four Midwest states near a tertiary care organization.
  • Intervention: A non-profit healthcare organization implemented telehealth services to provide acute care evaluations for long-term residents in their home facilities.
  • Results: The program increased local care as evidenced by improved year-over-year provider-determined available transfer data: 33%, 50%, 63% program years 1 through 3, respectively. From the success of the initial pilot implementation, the program has further matured into a long-term care offering that now reaches many other rural facilities located in 10 states across the nation.
funded by the Federal Office of Rural Health Policy The Rural Virtual Infusion Program
Updated/reviewed April 2020
  • Need: Allow rural cancer patients in a region inclusive of 26 counties in Iowa, Minnesota, and South Dakota to have access to tertiary-level chemotherapy regimens in rural infusion centers.
  • Intervention: With telehealth-based oversight from a tertiary care oncology team, 3 rural infusion teams were trained to coordinate cancer treatment plans and administer complex chemotherapy regimens.
  • Results: Almost 130 patients were transitioned to receive chemotherapy in a rural infusion center, translating to over 1,000 infusion visits and saving patients/families nearly 65,000 trip miles, 1,800 travel hours and $71,000.
funded by the Federal Office of Rural Health Policy TeleStroke/Vascular Neurology Patient Navigator Program
Added March 2019
  • Need: Improve post-hospital stroke care access in order to improve physical function and well-being for stroke patients living in a 6-county area in rural Minnesota.
  • Intervention: Implementation of an evidence-based patient navigator program paired with telehealth services for post-hospital care of rural stroke patients.
  • Results: In addition to other successes, more than 120 individuals enrolled in the navigator program, the Modified Rankin Score assessments at baseline and 6 months showed functional improvements.

Other Project Examples

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.
Prairie Lakes Healthcare System Physician Recruitment Model
Updated/reviewed January 2019
  • Need: Localized specialty and surgery services for residents in rural northeastern South Dakota and western Minnesota.
  • Intervention: Prairie Lakes Healthcare System expanded their services by recruiting specialty physicians and networking with regional community hospitals to increase patient referrals.
  • Results: Patients receive surgery and specialized care closer to home through Prairie Lakes' 26 specialty medical providers and more than 20 specialty services.
Kid One Transport
Updated/reviewed March 2018
  • Need: Transportation to medical appointments for children and expectant mothers living in rural Alabama.
  • Intervention: Kid One Transport provides rides to medical appointments for clients who otherwise have no other means of transportation.
  • Results: The program has transported 385,000 children and expectant mothers to and from medical appointments. Children have recovered from life-threatening illnesses and are experiencing a higher quality of life.