Iowa 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.
Updated/reviewed January 2017
- Need: An approach to support sustained, quality delivery of evidence-based programs for youth and families in rural communities.
- Intervention: PROSPER, a program delivery system, guides communities in implementing evidence-based programs that build youth competencies, improve family functioning, and prevent risky behaviors, particularly substance use.
- Results: Youth in PROSPER communities reported delayed initiation of a variety of substances, lower levels of other behavioral problems, and improvements in family functioning and other life skills.
Updated/reviewed September 2018
- Need: Rural hospitals and healthcare providers have less access to specialty care support.
- Intervention: A service was created at Avera Health that provides 24-hour virtual access to specialty care physicians, nurses and pharmacists.
- Results: Rural patients can receive specialty care without leaving their communities, and rural healthcare providers can get needed support in providing quality care to their patients.
Updated/reviewed November 2017
- Need: Rural-residing older adults in Iowa have inadequate access to physical activity specialists and/or exercise facilities, which limits their ability to remain sufficiently active.
- Intervention: Iowa State University implemented an intergenerational “exergaming” program to encourage fun and safe physical fitness among rural older adults.
- Results: Pilot studies showed that older adults demonstrated increases in strength, flexibility, activity levels, and confidence in their ability to be physically active. Younger adults experienced reduced ageism and increased knowledge and expectations of aging.
Updated/reviewed October 2017
- Need: Obesity has become a widespread health epidemic in the United States, especially in rural areas. Due to small profit margins and the fear of customer loss, small owner-operated rural restaurants are hesitant to make health-conscious changes to their menus.
- Intervention: The Healthy Options Program offered an economical and low-maintenance program for owner-operated restaurants in Iowa to increase awareness of already existing healthy menu options and substitutions.
- Results: Restaurants received positive community feedback and experienced no financial loss. Customers noticed and appreciated the healthy option reminders, and ordering behavior was impacted in a healthy way.
Updated/reviewed January 2018
- Need: To bring more local health services to rural, elderly populations in long-term care facilities located in four Midwest states near a tertiary care organization.
- Intervention: Implementation of telemedicine services to reach patients at their respective sites.
- Results: The program increased local care evidenced by yearly avoidable provider-determined transfer data: 33%, 50%, 63% program years 1 through 3, respectively.
Other Project Examples
Added August 2018
- Need: To prevent new cases of HIV in rural Iowa.
- Intervention: TelePrEP provides preventive care via telehealth and prescription delivery.
- Results: 90 patients have been enrolled.
Updated/reviewed March 2018
- Need: Assistance for Midwest rural physicians who are experiencing burnout due to heavy workload, lack of staff, limited resources, and stress related to the use of electronic medical records.
- Intervention: Through a variety of methods, Avera LIGHT comes alongside of providers to prevent and treat physician burnout and support their physical, emotional, and spiritual health.
- Results: Physicians who have been on the brink of quitting because of burnout have stayed on staff as a direct result of executive coaching through Avera LIGHT. The program has helped to build a culture of wellness where providers are encouraged to be proactive in reaching out for help.
Updated/reviewed January 2018
- Need: Close to 70% of adults and 37% of children ages 4 and under in Northeast Iowa are overweight or obese.
- Intervention: An initiative that provided support and access to locally-grown, healthy foods, along with promotion of active lifestyles, particularly for children.
- Results: As of 2017, the program continues to engage communities and schools in healthy activities and food choices
Updated/reviewed December 2017
- Need: Transitioning from fee-for-service models to valued-based payment models in rural Iowa.
- Intervention: In 2011, the Trinity ACO was formed in rural Iowa after being selected by the Center for Medicare and Medicaid Innovation as 1 of the 32 planned Medicare Pioneer Accountable Care Organizations.
- Results: Now part of the Next Generation ACO, Trinity continues to bring attention to rural-specific organizations using its focus on palliative medicine and effective strategies to distribute value-based services.
Updated/reviewed July 2017
- Need: Because breast cancer is a leading cause of cancer death for American Indian and Alaska Native (AI/AN) women, access to screening mammograms for those women living in remote areas is needed.
- Intervention: The Great Plains Area Indian Health Service Mobile Women's Health Unit provides mammograms to women on multiple reservations across four states.
- Results: Approximately 1,000 women are screened annually for breast cancer by the mobile unit.
Updated/reviewed June 2017
- Need: Agriculture workers and their families have high rates of psychological distress and suicide, but limited access to mental health services.
- Intervention: The "Sowing the Seeds of Hope" (SSoH) program was created to provide affordable and culturally appropriate mental health services to individuals working in agriculture and their families in Iowa, Kansas, Minnesota, Nebraska, North Dakota, South Dakota and Wisconsin.
- Results: The regional program ran from 1999-2011 and successfully established a variety of interventions to help individuals in rural communities’ access behavioral health services.
Last Updated: 9/10/2018