Nebraska 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: Women living in rural areas with chronic illness often face little social support, leading to increased rates of depression and stress
- Intervention: Women to Women offered rural women with chronic conditions social support networks via telecommunication
- Results: WTW intervention participants experienced positive increases in self-esteem, social support, and empowerment over the control group
Updated/reviewed September 2020
- Need: Pharmacists in rural Nebraska are often isolated and find it difficult to communicate with others about safety concerns.
- Intervention: The Pharmacists for Patient Safety Network was a communication network in which pharmacists identified safety concerns and shared solutions.
- Results: After one year of implementation, 30 of the 38 participating pharmacies reported that the network encouraged new safety practices and reinforced existing safety strategies.
Updated/reviewed August 2020
- Need: To increase local health services to rural elderly populations in long-term care facilities located in four Midwest states near a tertiary care organization.
- Intervention: A non-profit healthcare organization implemented telehealth services to provide acute care evaluations for long-term residents in their home facilities.
- Results: The program increased local care as evidenced by improved year-over-year provider-determined available transfer data: 33%, 50%, 63% program years 1 through 3, respectively. From the success of the initial pilot implementation, the program has further matured into a long-term care offering that now reaches many other rural facilities located in 10 states across the nation.
Other Project Examples
Updated/reviewed March 2021
- Need: Assistance for urban and rural physicians — as well as other healthcare providers — who are experiencing burnout and other issues associated with well-being.
- Intervention: As part of its provider well-being focus in its rural and urban facilities, Avera Health system has created a program which attends to physician wellness issues starting with recruitment with continued support through retirement.
- Results: With increasing engagement due to word of mouth, the program creates a culture of wellness where stigma is decreased and providers are encouraged to be proactive in reaching out for assistance for issues related to their personal and professional well-being.
Updated/reviewed November 2020
- 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 1999-2014 and successfully established a variety of interventions to help individuals in rural communities' access behavioral health services.
Updated/reviewed January 2020
- Need: Prevention and education programs for schools to reduce gender and relationship violence among teenagers.
- Intervention: Jana's Campaign offers school-based trainings, presentations, projects, and consultations through Love Doesn't Hurt: Teen Gender Violence and Prevention Program.
- Results: So far, 603 middle and high schools and more than 70,000 students in Kansas, Nebraska, Colorado, Missouri, and Oklahoma have benefited from the program.
Updated/reviewed September 2019
- Need: A service to address the high number of child abuse cases reported in Nebraska in the late 1990s.
- Intervention: The Family Advocacy Network (FAN) was developed to assist in the investigations of child abuse cases. FAN provides forensic interviews, forensic medical examinations, hair follicle testing, case coordination, advocacy, and education to help prevent revictimization.
- Results: FAN helped over 600 children and 23 adults in 2016, as well as educated hundreds of healthcare and community professionals.
Updated/reviewed August 2019
- Need: To reduce the shortage of behavioral health professionals in rural Nebraska.
- Intervention: A week-long camp teaches high school students in rural and tribal communities about different career options in behavioral health and provides mentorship after the camp ends.
- Results: In 2019, 13 high school students participated in the camp, with six alumni returning. Eight students attended the camps in 2018, with four alumni returning. Many camp participants talk about their positive experiences with younger students.
Added December 2018
- Need: Healthcare professionals and support staff are in high demand on tribal reservations in the Great Plains region.
- Intervention: The Great Plains Tribal Chairmen's Health Board of South Dakota offer healthcare occupation courses for industry-recognized healthcare certifications and post-secondary degrees through the Health Profession Opportunity Grants program.
- Results: Since the program's start, 241 participants have completed a healthcare training program, and 109 have found employment in healthcare occupations. Both participants and healthcare providers have expressed the value in local and cultural training for these healthcare professions.
Last Updated: 3/26/2021