August 5, 2026
Major Health Partners (MHP) in rural Shelby County, Indiana, created the Kidney Care Options (KCO) Program to improve nephrology care and outcomes. KCO participants receive patient education earlier in the treatment process and assistance addressing social determinants of health.
May 13, 2026
The Intersect program at Arbor Family Health connects chronic disease patients with nurse health coaches and clinical pharmacists.
November 27, 2024
Leveraging a federal care coordination grant, an urban nonprofit organization, a regional healthcare system with rural locations, and a local rural physician's office are creating a new cancer care network in rural Georgia. Several elements of this network's holistic approach include grant-supported work focusing on rural patient navigation and clinical cancer trial enrollment.
May 10, 2023
Montana Health Network's Regional Care Coordination program uses registered nurses to check in with adult patients with chronic conditions and connect them with any needed referrals or community resources. The program serves 8 counties in eastern Montana.
November 24, 2021
When Henry County Medical Center (HCMC) and the community of Paris, Tennessee, wanted to combat behavioral and mental health challenges in their community, they used the technical assistance and resources provided by the Delta Region Community Health Systems Development (DRCHSD) program to address their needs.
February 26, 2020
A Federally Qualified Health Center used grant support to provide primary care oral health assessment and fluoride varnishes in 12 school-based health centers in nine Louisiana parishes, hoping to provide thousands of children with better oral health in the present as well as into adulthood.
August 7, 2019
To address rising ER readmissions, an Arizona healthcare system and network partners adapted an unconventional EMS telehealth service to help rural patients. Coupled with care coordination, mobile telehealth units are saving the healthcare system money while better meeting patients' healthcare needs.
February 20, 2019
An Alabama nonprofit organization and a North Carolina rural health district share how they leverage public funding for quality improvement and rural network development activities that provide unique patient education opportunities for chronic disease prevention and self-management.
September 5, 2018
As more federal dollars are directed toward the opioid crisis, three communities use grant funds for treatment and recovery care coordination in court, prisons, and the homes of new moms.
May 30, 2018
Super-utilizers are those patients who are hospitalized multiple times each year and, due to circumstances outside their control, are unable to make the changes needed to keep them out of the ER. Three rural Accountable Care Organizations (ACOs) are working on reducing these readmissions and improving their super-utilizers' health.
