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Maryland 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

funded by the Federal Office of Rural Health Policy Regional Oral Health Pathways
Updated/reviewed September 2017
  • Need: To address the oral health needs of low-income uninsured and underinsured residents in rural Appalachia.
  • Intervention: An oral health education program was implemented in Appalachian Maryland, Pennsylvania, and West Virginia.
  • Results: This program has increased oral health visits in the area and has provided residents with valuable information on oral health resources and services.

Promising Examples

Atlantic General Hospital Patient Centered Medical Home
Added September 2017
  • Need: Ways to reduce hospital admission rates, emergency department visits, and total cost of care while better accommodating patients of the Atlantic General Hospital Corporation.
  • Intervention: The hospital system applied a patient centered medical home care model to their 7 rural outpatient clinics located throughout the Eastern Shore of Maryland and southern Delaware.
  • Results: From the program’s care coordination, care transitions, and intervention efforts, AGH saw improvements in quality-of-care processes, service use, and spending.

Other Project Examples

funded by the Federal Office of Rural Health Policy Allegany Health Right ACA Outreach and Education Project
Updated/reviewed August 2017
  • Need: To help Allegany County, Maryland, residents learn about their health insurance options under the Affordable Care Act and connect to enrollment specialists.
  • Intervention: A dental safety net provider used existing activities and networks to reach the uninsured, with work done by existing staff plus a temporary Outreach and Education Coordinator.
  • Results: Outreach to 1,639 individuals over a 7-month period, with 602 referred to a navigator and 202 referred for Medicaid enrollment.
funded by the Federal Office of Rural Health Policy Worcester County Health Department Aging Initiative
Updated/reviewed August 2017
  • Need: Worcester County, Maryland's older residents were experiencing a lack of affordable and easily-accessible in-home care and behavioral health services.
  • Intervention: The Worcester County Health Department created the Aging Initiative project in order to increase access and utilization of home care and behavioral health services for older adults in the area.
  • Results: The Aging Initiative expanded access to home care services, financial assistance for medical equipment, and provided nearly 100 people with behavioral healthcare services.
funded by the Federal Office of Rural Health Policy Oral Health Outreach Program
Updated/reviewed July 2017
  • Need: Tooth decay is the most common chronic disease among children in the United States.
  • Intervention: The Eastern Shore Area Health Education Center provides Oral Health education through the “Tooth Fairy's Helper” to elementary-aged children along the Eastern Shore of Maryland.
  • Results: Over 27,000 children have received oral health education through presentations in schools since 2006.
funded by the Federal Office of Rural Health Policy Something to Smile About: Preventive Dental Care for Garrett County
Updated/reviewed July 2017
  • Need: In the very rural Garrett County in Maryland, a 1998 community survey found that 41% of kindergarten students had untreated dental decay, and many dentists in the area were not willing to see patients with medical assistance or state health insurance plans.
  • Intervention: In 1999, the Garrett County Health Department started the Something to Smile About program to improve access to dental care as well as to help dentists negotiate higher reimbursement rates from managed care organizations.
  • Results: The program established a community dental clinic, provided care to thousands of individuals, and negotiated 30% higher rates for dental service reimbursement.
Clinic for Special Children
Updated/reviewed June 2017
  • Need: Healthcare for the genetically vulnerable children of the rural, uninsured Amish and Mennonite communities in southern Pennsylvania.
  • Intervention: A clinic that serves as a comprehensive care medical home for children (primarily from the Amish and Mennonite communities) with rare, inherited disorders.
  • Results: In 2016, over 1,000 active patients with more than 200 unique genetic mutations were treated at the Clinic for Special Children.
Maryland Faith Health Network
Updated/reviewed May 2017
  • Need: To coordinate formal and informal community-based caregivers for optimal patient experience.
  • Intervention: The Maryland Faith Health Network unites places of worship and healthcare systems in Maryland. This program aims to decrease the amount of potentially avoidable hospitalizations, improve a patient's overall wellness, and cut down on the cost of medical services.
  • Results: This model is currently running in 3 hospitals that serve both rural and urban residents in central Maryland. So far, 68 Christian, Jewish, and Muslim congregations as well as 1,300 congregants have enrolled in the Network.

Last Updated: 9/19/2017