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.
Updated/reviewed November 2020
- 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.
Updated/reviewed August 2020
- 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.
Updated/reviewed May 2018
- 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, 1,300 congregants from 70 congregations representing Christian, Jewish, and Muslim faiths have enrolled in the Network.
Other Project Examples
Added February 2021
- Need: To connect patients to resources in order to reduce use of emergency services, emergency department visits, and hospital readmissions.
- Intervention: Patients receive support (by in-person visit, phone call, or telehealth visit) from a paramedic, community health nurse, peer recovery specialist, and pharmacist.
- Results: Between July 2016 and June 2019, the MICH program enrolled 233 patients and demonstrated a total savings of $3,393,908 in healthcare costs.
Updated/reviewed September 2020
- Need: To help western 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.
Updated/reviewed July 2020
- Need: To provide healthcare for the genetically vulnerable children and adults of the rural, uninsured Amish and Mennonite communities in southern Pennsylvania.
- Intervention: A clinic that serves as a comprehensive care medical home for children and adults (primarily from the Amish and Mennonite communities) with rare, inherited disorders.
- Results: In 2019, about 1,100 active patients with more than 380 unique genetic mutations were treated at the Clinic for Special Children.
Updated/reviewed July 2020
- Need: In rural Garrett County, 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 and 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.
Updated/reviewed May 2020
- Need: To help rural Maryland adults with disabilities learn more about oral health and access care.
- Intervention: Health Right community health workers gave educational presentations at agencies serving those with disabilities.
- Results: From March 2014 to February 2016, educational presentations reached 1,084 adults with disabilities and 344 staff and caregivers, and 256 people received dental treatment.
Updated/reviewed March 2020
- Need: Comprehensive cancer services for residents of an 8-county, 3-state area in Appalachia.
- Intervention: Using a Cancer Patient Navigation Tool Kit, a Maryland acute care facility led a multidisciplinary collaboration that provided the area's patients with expanded cancer treatment services.
- Results: In addition to several new cancer-related programs, expanded services are now available for cancer patients, families, and cancer survivors.
Updated/reviewed October 2019
- 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 35,000 children have received oral health education through presentations in schools since 2006.
Last Updated: 2/24/2021