Skip to main content
Rural Health Information Hub

Models & Innovations Search Results for: social determinants of health

47 Models & Innovations webpages matched your search. Here are matches 1 - 10:

1. Families Plus Comprehensive Health and Mentoring for Underserved Youth
Added: Mar 22, 2019

In rural Delta County, Colorado, behavioral health services were successfully integrated into physical health services for underserved children accessing a primary care clinic.

...social media campaign with an estimated 75,000 impressions, sustainability efforts were impacted by increased donations and recruitment of new volunteers to assist with meeting the social determinants of health...

2. COPD Readmission Prevention Program
Reviewed: Dec 17, 2019

Genesis HealthCare System, Zanesville, Ohio, created a post-discharge care coordination program with impact not only on readmission rates, but access to acute and chronic care.

...social determinants of health, for example, the ability to purchase and correctly use medications. When...

3. Regional Initiatives in Dental Education (RIDE)
Reviewed: Feb 14, 2020

To meet the unique oral health needs of patients in rural and underserved areas, a special training program, RIDE, was created by the University of Washington's School of Dentistry.

...Regional Initiatives in Dental Education (RIDE) --- To meet the unique oral health needs of patients...

4. Prevention through Care Navigation Outreach Program
Reviewed: May 2, 2020

A program that uses community health workers to create a system of coordinated care in order to reduce the prevalence of diabetes and cardiovascular disease in rural Colorado.

...health. Accountable Health Communities (AHC) Health-Related Social Needs (HRSN) Tool : Social Determinants of Health...

5. Community Health Worker-based Chronic Care Management Program
Added: May 12, 2020

By improving diabetes quality measures and decreasing healthcare costs, a community health worker-based Chronic Care Management program implemented in a 3-state area of Appalachia gained sustainability due to insurance carrier support.

...health workers Diabetes Philanthropy Reimbursement and payment models Social determinants of health States served Kentucky...

6. NEON Pathways Community Hub
Reviewed: Jul 6, 2020

A pay-for-outcomes approach that uses community health workers to ensure at-risk community members receive needed evidence-based health and social services.

...determine which of the seven available evidence-based pathways will be most suitable. These pathways focus on key areas of health and social...

7. NC-REACH: NC-Rurally Engaging and Assisting Clients who are HIV positive and Homeless
Reviewed: Nov 30, 2020

Medical home staff model expanded to provide care coordination for HIV patients with mental health, substance abuse, and unstable housing/homelessness challenges.

...health comorbidities. Other challenges associated with the social determinants of health, like housing stability issues...

8. Pathways Vermont Housing First Program
Reviewed: Apr 3, 2021

Pathways Vermont created a rural adaptation of the evidence-based Housing First program to assist people suffering from mental health and/or substance abuse challenges with permanent housing.

...social services in order to disperse workload and achieve more in less time. Keeping a values-based philosophy is central to any work in this area. Pathways Vermont values central to their work and services...

9. Avita Health System Comprehensive Cardiology Program
Added: Apr 18, 2021

Looking to improve cardiovascular population health of its service area, Ohio's Avita Health System invested in a full-service interventional cardiology program.

...Avita Health System Comprehensive Cardiology Program --- Looking to improve cardiovascular population health of its service...

10. The Health-able Communities Program
Reviewed: Apr 28, 2021

Using Community Health Workers, an Idaho consortium leveraged grant-funding to bring health and wellness programs, disease screening, and health education to frontier residents.

...social determinants of health. Eleven CHWs performed disease screenings, provided general health and wellness education...