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Indiana Models and Innovations

These stories feature model programs and successful rural projects that can serve as a source of ideas. Some of the projects or programs may no longer be active. Read about the criteria and evidence-base for programs included.

Effective Examples

HoMBReS
Updated/reviewed December 2017
  • Need: To reduce the risk of HIV/STDs among Latino men living in rural regions of the United States.
  • Intervention: Soccer team leaders are elected and trained as lay health advisors to promote sexual health education among team members.
  • Results: Program participants report an increase in HIV testing, an increase in condom use, and an increase in awareness of how to prevent the transmission of HIV.

Promising Examples

funded by the Federal Office of Rural Health Policy Noble County Outreach Project
Updated/reviewed October 2018
  • Need: To help enroll and retain children and their families in health insurance in Noble County, Indiana.
  • Intervention: A school-based health insurance outreach project focused on connecting children to health insurance.
  • Results: More than 600 individuals have enrolled in health insurance.

Other Project Examples

Foundations Family Medicine's HIV, HCV, Opioid and Substance Use Disorder Services
Added November 2018
  • Need: Due to the opioid crisis, Austin, Indiana has seen the largest concentrated outbreak of HIV in rural America's recent history. Since 2015, over 200 residents have been diagnosed with the virus.
  • Intervention: Foundations Family Medicine began offering testing and treatment services for HIV, hepatitis C, and opioid/substance use disorder. Education, care coordination and behavioral health services were also offered as an integrated part of their primary care clinic.
  • Results: Although the virus continues to spread throughout Scott County, the rate has significantly decreased, outdoing national suppression rates by a large margin (76% compared to national average of 49%).
Telehealth Collaborative Care
Updated/reviewed August 2018
  • Need: To increase access to specialty care for rural veterans with HIV.
  • Intervention: The Telehealth Collaborative Care (TCC) study connects these patients with HIV specialists via telehealth and works to create shared care relationships with primary care teams in rural areas.
  • Results: TCC provides HIV specialty care to 600 rural veterans in Georgia and Texas and has expanded to include Indiana, Ohio, and Mississippi.
funded by the Federal Office of Rural Health Policy Indiana Statewide Rural Health Network (InSRHN)
Updated/reviewed July 2018
  • Need: To improve sustainability and financial viability for rural healthcare providers throughout Indiana.
  • Intervention: A network of rural healthcare providers for Critical Access and other hospitals in Indiana who are dedicated to improving their ability to deliver efficient and high-quality healthcare for their rural residents.
  • Results: The network has been leveraged to increase access to resources, coordinate services, and improve and expand healthcare access.
funded by the Federal Office of Rural Health Policy ASPIN Network's Community Health Worker Program
Updated/reviewed June 2018
  • Need: Improved approach in addressing the behavioral health and primary care disparities of Indiana‚Äôs underserved rural counties by increasing access through health insurance enrollment and providing health literacy education.
  • Intervention: A network was established that dually trained community health workers (CHW) and certified health insurance enrollment navigators to aid in behavioral health and primary care services.
  • Results: This year, ASPIN trained 49 CHWs, cross-trained 191 behavioral health case managers as CHWs, and 175 individuals in the Indiana Navigator Precertification Education.
Hands of Hope In-School Prevention Program
Added May 2018
  • Need: To reduce and prevent abuse and violence in rural Grant County, Indiana.
  • Intervention: A prevention program uses age-appropriate materials to teach children from Head Start through high school about topics like healthy relationships and nonviolent ways to deal with anger.
  • Results: Surveys show that teachers appreciate the presentations and that students learn more about these topics, strategies they can use in violent or abusive situations, and available resources.
funded by the Federal Office of Rural Health Policy Indiana Veterans Behavioral Health Network
Updated/reviewed April 2018
  • Need: To address the lack of mental healthcare options for rural veterans.
  • Intervention: A telebehavioral health hub network was created to connect community mental health centers to the VA Medical Center.
  • Results: To date, 2,071 IVBHN appointments have been made, saving veterans time and money.
ICAHN External Peer Review Network
Updated/reviewed August 2017
  • Need: Critical access hospitals (CAHs) in rural Illinois required an external mechanism for peer review.
  • Intervention: Using physicians from network member hospitals, a CAH network implemented a peer review process.
  • Results: Staff peer reviews also improved healthcare quality within the CAH network.

Last Updated: 11/26/2018