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.
Updated/reviewed December 2018
- 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.
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
Added February 2019
- Need: To improve mental health and well-being in rural Texas.
- Intervention: The Hogg Foundation has awarded $4.5 million in grants to support five rural Texas communities in developing collaborative approaches to mental health that best fit each community's needs.
- Results: Five community collaboratives are at the "formation" stage of building a strong coalition. Baseline assessments have been conducted of each collaborative, and community members are now considering next steps.
Added February 2019
- Need: Improved behavioral health care offerings for a community after losing 5 senior-aged men to suicide.
- Intervention: A Critical Access Hospital in Yoakum, Texas, created a community-based program focusing on inpatient and outpatient behavioral health care for area residents age 50 and older.
- Results: A financially-sustainable behavioral health care delivery model demonstrating positive impacts on physical health conditions, healthcare service utilization, and high patient satisfaction rates.
Added October 2018
- Need: To reduce unnecessary visits to the emergency department (ED) in rural Texas.
- Intervention: BVCCP connects frequent ED users with a community health worker. In addition, Community Health Workers (CHWs) make home visits to diabetes patients unable to attend diabetic education classes.
- Results: Unnecessary ED visits have decreased by approximately 33%.
Updated/reviewed August 2018
- 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 and has expanded to include Indiana, Ohio, and Mississippi.
Updated/reviewed June 2018
- 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.
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 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.
Last Updated: 2/11/2019