Virginia 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 2018
- Need: To provide palliative care to patients with stage 4 cancer.
- Intervention: The Emily Couric Clinical Cancer Center in Charlottesville, Virginia, has implemented a three-part program to help these patients manage their symptoms.
- Results: The Proactive Palliative Care and Palliative Radiation Model enrolled 646 patients during its three-year funding period of 2012-2015.
Updated/reviewed November 2017
- Need: Healthcare access for the medically underserved in Central Appalachia.
- Intervention: A mobile clinic that provides free healthcare in 11 rural Virginia communities.
- Results: The Health Wagon provides comprehensive healthcare services to over 4,000 patients annually.
Other Project Examples
Added July 2018
- Need: To help veterans transition into civilian healthcare careers.
- Intervention: MMAC and healthcare employers in urban and rural Virginia provide employment and education opportunities to veterans seeking civilian medical credentials.
- Results: MMAC has accepted 120 applicants into the program, 80 of whom have already found employment via the MMAC program.
Added June 2018
- Need: Decrease hospital readmissions and emergency room visits for patients in rural Tidewater, Virginia.
- Intervention: After inpatient admission or ER visit, identify at-risk patients to offer enrollment in remote monitoring and disease self-management education and coaching, with a special focus on behavioral health wellness.
- Results: Decreased readmissions and ER visits paired with high patient satisfaction scores.
Updated/reviewed April 2018
- Need: Low rates of immunization and a lack of knowledge about physical health among school age children in the rural areas of Nelson County, Virginia.
- Intervention: A School Nurse Program placed a registered nurse in each of the four county public schools to track and encourage immunization compliance, provide health education, and handle students' daily health issues.
- Results: School-age children are having many of their minor health concerns addressed throughout the day by registered nurses at school. Compliance for childhood immunizations is now extremely high.
Updated/reviewed January 2018
- Need: Illicit drug and alcohol use continued to increase in the Central Appalachian region of Kentucky, where many schools had no type of prevention curriculum.
- Intervention: Using engaging simulations and presentations, the program delivered substance abuse education to middle school and high school students.
- Results: Post-test surveys showed that thousands of students were reached through the "On the Move" project and gained positive knowledge on the dangers of substance abuse.
Updated/reviewed January 2018
- Need: To educate people in the rural parts of Virginia who either have diabetes or are considered at high risk for developing it.
- Intervention: Teleconferencing technology is used to offer diabetes education programs throughout the year to people with diabetes or those at high risk for developing diabetes.
- Results: Participants reported better prevention techniques and/or self-management of diabetes after being thoroughly educated about this condition.
Updated/reviewed September 2017
- Need: Increase behavioral health services and providers in rural Appalachian communities of Southwest Virginia.
- Intervention: Implementing a behavioral health internship that is a partnership of 2 universities and a community health center, with infrastructure to also support a social work internship.
- Results: Behavioral health services now available in the 7-county area served by the health center, with designated behavioral health staff to supervise psychology and social work interns.
Updated/reviewed May 2017
- Need: To bring weight management education to veterans living in rural Virginia.
- Intervention: The Hunter Holmes McGuire Veterans Affairs (VA) Medical Center created an outreach team to hold classes in rural communities that focus on physical activity, healthy eating habits, and making healthy behavioral choices.
- Results: The outreach initiative is the only VA-sponsored weight management program of its kind for rural communities in the Virginia region, and in 2015, they reached over 900 participants.
Added September 2015
- Need: To create accessible and equitable healthcare access for low-income and uninsured residents in Rural Appalachia.
- Intervention: A community-based health network was formed to expand healthcare throughout Giles County, Virginia.
- Results: By improving the access and quality of healthcare services, collaboration among local providers, and cultural competence, the number of medical visits to low-income patients increased by 36%. The number of behavioral health visits to low-income patients increased by 106%.
Last Updated: 7/16/2018