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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.

Evidence-Based Examples

Women to Women Online Support Network
Updated/reviewed August 2017
  • 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

Effective Examples

Avera eCARE
Updated/reviewed September 2017
  • 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.
Pharmacists for Patient Safety Network
Updated/reviewed August 2017
  • 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 is a communication network in which pharmacists can identify safety concerns and share 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.

Promising Examples

funded by the Federal Office of Rural Health Policy SD eResidential Facilities Healthcare Services Access Project
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

SERving PAtients-ACO (SERPA-ACO)
Updated/reviewed January 2018
  • Need: Lower costs, improve quality, and increase care coordination for rural Nebraska patients.
  • Intervention: Accountable Care Organization originally formed by nine Nebraska clinics.
  • Results: Patient-centered medical homes were established that reduced hospitalizations and unnecessary medical procedures.
funded by the Federal Office of Rural Health Policy Nebraska Association of Local Health Directors ACA Outreach and Education Project
Updated/reviewed December 2017
  • Need: To help rural Nebraska local health departments (LHDs) learn about the Affordable Care Act so they can help inform their communities about health insurance options under the ACA.
  • Intervention: In 2014-2016 via their statewide association, Nebraska LHDs received education online and by webinar on the ACA along with support to conduct outreach activities using health literacy strategies.
  • Results: During initial activity, all eligible Nebraska rural member LHDs (16) conducted outreach events. 912 participants attended, with 334 receiving one-on-one help.
funded by the Federal Office of Rural Health Policy Public Health Solutions ACA Outreach and Education Project
Updated/reviewed August 2017
  • Need: To help inform rural residents in southeast Nebraska about their health insurance options under the Affordable Care Act (ACA).
  • Intervention: A public health department provided outreach and enrollment assistance and worked with other key community organizations to help get clients the information and services they need.
  • Results: 525 individuals were reached at 22 outreach events: 123 individuals received general education on the ACA, 25 received enrollment assistance, and 19 had an eligibility determination.
funded by the Federal Office of Rural Health Policy Family Advocacy Network
Updated/reviewed July 2017
  • 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.
Mobile Women's Health Unit
Updated/reviewed July 2017
  • Need: Breast cancer is a leading cause of cancer deaths for the American Indian and Alaska Native (AI/AN) female population, and those living in remote areas have difficulties getting screening mammograms.
  • 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 in the mobile unit.
funded by the Federal Office of Rural Health Policy Sowing the Seeds of Hope
Updated/reviewed June 2017
  • Need: Agriculture workers and their families had 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.
Updated/reviewed March 2017
  • 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 Avera LIGHT.
funded by the Federal Office of Rural Health Policy West Central Dental Clinic
Updated/reviewed July 2016
  • Need: The West Central District Health Department discovered unmet dental care needs for low-income residents.
  • Intervention: A dental clinic was formed to serve low-income residents in the rural areas of Lincoln, Logan, and McPherson counties in Nebraska.
  • Results: The permanent clinic opened in 2006 and has served 24,000 patients as of 2016.

Last Updated: 1/23/2018