New York 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 July 2019
- Need: Population-based rates of adult vaccinations and cancer screenings are low, with fewer than 40% of older adults up to date with routinely recommended prevention services. Delivery rates are lower still in low-income and minority communities.
- Intervention: SPARC was established to develop and test new community-wide strategies to increase the delivery of clinical preventive services.
- Results: Across the United States in both rural and urban communities, SPARC programs, which broaden the delivery of potentially life-saving preventive services, have been successfully launched, improving residents' health.
Updated/reviewed May 2020
- Need: Meeting the health needs of geriatric patients in rural Livingston County, New York.
- Intervention: The Help for Seniors program was developed and using its 'vodcasts,' local EMTs were trained in geriatric screening methods and health needs treatment.
- Results: In addition to developing a successful model for educating EMS personnel, the program screened over 1200 individuals and identified various risks among the geriatric population.
Updated/reviewed July 2018
- Need: To improve the health status and access for rural nursing home patients in need of mental health services.
- Intervention: The University of Vermont Medical Center provides telepsychiatry care and education to nursing homes in communities that face shortages of mental health professionals.
- Results: These telepsychiatry consultations have eased the burden on nursing home residents by saving travel time, distance, and money it takes to travel to the nearest tertiary facility.
Other Project Examples
Added June 2020
- Need: To expose medical and physician assistant students to rural healthcare practices and a rural lifestyle.
- Intervention: A two-week immersion program for second-year students to experience rural healthcare and rural life in Connecticut and New York.
- Results: In post-program evaluations from 2016 to 2018, 50% of students reported being very likely to practice in a rural setting, compared to just over 10% of students before the program.
Updated/reviewed July 2019
- Need: To provide 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 2017, over 1,100 active patients with more than 225 unique genetic mutations were treated at the Clinic for Special Children.
Updated/reviewed July 2019
- Need: Agencies in Schoharie County, New York were seeing a widespread trend of Adverse Childhood Experiences (ACEs) in children and families they served.
- Intervention: The Schoharie ACEs Team was formed as a way to educate rural communities about ACEs, the brain science behind it, and ways to build resiliency.
- Results: The ACEs Team has put on 4 half-day educational conferences and 10 trainings for various groups across the region, trained 3 school districts on trauma-informed care, and provided resources for families exposed to trauma.
Added June 2019
- Need: Like many Native American populations, the Seneca Nation of Indians has experienced disproportionate rates of opioid, alcohol, and substance misuse.
- Intervention: The Seneca Nation Government and Executives founded Seneca Strong, a cultural recovery peer advocate program, to try to reduce substance misuse across the Nation.
- Results: Since the start of the program, 300 people have received help from recovery peer advocates. Seneca Strong has since extended to meet the needs of Allegany and Cattaraugus territories.
Updated/reviewed January 2019
- Need: Two rural upstate New York counties struggled to provide necessary public health leadership and services amid a fluid environment with rising costs and funding limitations.
- Intervention: The Genesee County and Orleans County health departments began a cross jurisdictional sharing relationship that integrated select functions and services, beginning with sharing a director and deputy director.
- Results: By sharing personnel and functions, management personnel costs have been cut in half and both counties have saved over $1 million for the counties combined.
Updated/reviewed December 2018
- Need: To address care coordination and the integration of services in a rural, aging population
- Intervention: This program used health information technology and dedicated staff to manage clinical and community services for patients with complex needs.
- Results: Hospital readmissions have decreased, follow-up rates have increased, and patients' perceived health status has improved.
Updated/reviewed June 2018
- Need: A tangible way for providers to increase patients' access to affordable healthy food.
- Intervention: With Wholesome Rx, a fruit and vegetable prescription program, providers prescribe vouchers for patients to redeem for fruits and vegetables at local healthy food retailers.
- Results: Over 10,000 people have received Wholesome Rx prescriptions in rural and urban areas across 10 states.
Updated/reviewed December 2017
- Need: To provide organizations with telehealth infrastructure in order to improve the healthcare access for rural residents.
- Intervention: New York's Finger Lakes Telehealth Network (FLTN) provides an open access network to facilitate partnering organizations collaboration.
- Results: FLTN provides connectivity using telehealth technology services to more than 20 partnering organizations, including FQHCs, specialists, hospitals, and other provider groups, allowing for a collaborative sharing of services, as well as cost savings to providers.
Last Updated: 6/15/2020