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Texas 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 Madison Outreach and Services through Telehealth (MOST) Network
Updated/reviewed November 2017
  • Need: More mental health and substance abuse prevention and treatment services in rural Texas.
  • Intervention: A network was formed to bring counseling services through telehealth systems and community health workers to Brazos Valley, Texas.
  • Results: The program improved health outcomes, increased general knowledge of the impact of substance abuse, and raised awareness of services among Hispanic residents.
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.

Promising Examples

Texas C-STEP Project: Cancer Screening, Training, Education and Prevention Program
Added September 2017
  • Need: Improve screening rates for rural uninsured/underinsured patients in counties surrounding Bryan-College Station, Texas.
  • Intervention: An academic center's nursing and family medicine training programs partnered with its public health program to obtain state grant funds for execution of a coordinated cancer prevention and detection program.
  • Results: In 5 years of colorectal screening efforts, 18 cases of colorectal cancer were diagnosed in addition to detection of precancerous lesions in 25% of nearly 2000 screening colonoscopies. In 3 years of women’s health screening, 18 cases of breast cancer and 141 precancerous cervical lesions were also detected.

Other Project Examples

funded by the Health Resources Services Administration Regional Initiatives in Dental Education (RIDE)
Updated/reviewed August 2017
  • Need: Address oral health disparities in Washington’s rural and underserved communities.
  • Intervention: The University of Washington School of Dentistry developed the Regional Initiatives in Dental Education (RIDE) program preparing dentists for practice in rural and underserved areas.
  • Results: Since the first graduating cohort in 2012, more than 70% of RIDE graduates are practicing in rural and underserved areas.
Telehealth Collaborative Care
Added July 2017
  • Need: To increase access to specialty care for rural veterans with HIV.
  • Intervention: The Telehealth Collaborative Care (TCC) study connects these patients with HIV specialists via telehealth and works to create shared care relationships with primary care teams in rural areas.
  • Results: TCC provides HIV specialty care to 600 rural veterans in Georgia and Texas.
Paris Metro Transportation
Added May 2017
  • Need: Reliable transportation options for employment and medical access needs for residents of Paris, Texas.
  • Intervention: A regional government coalition, already operating a rural regional transportation system, partnered with a rural community’s medical, education and business entities to expand and improve the community’s transportation system.
  • Results: Paris Metro now provides a low cost/no cost transportation option for local residents, including those with special transportation needs. After implementation, decreased emergency room visits were noted, likely due to reliable transportation for scheduled medical appointments.
Fruit and Vegetable Prescription Program (FVRx)
Updated/reviewed April 2017
  • Need: A tangible way for providers to increase patients' access to affordable healthy food.
  • Intervention: With the 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 FVRx prescriptions in rural and urban areas across 10 states.

Last Updated: 11/13/2017