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.
Need: A cost-effective approach to help rural patients with hypertension learn to manage their condition.
Intervention: Community volunteers trained as health coaches provided an 8-session hypertension management training program to hypertension patients older than 60, with an optional supplemental 8 sessions focused on nutrition and physical activity.
Results: Just 16 weeks after the program, participants had improved systolic blood pressure, weight, and fasting glucose, greater knowledge of hypertension, and improved self-reported behaviors.
Need: Difficulties obtaining healthcare access to treat diabetes and obesity for low-income and Spanish-speaking residents of Oregon and Washington's Columbia River Gorge area.
Intervention: A local healthcare facility developed wellness programs using bilingual community health workers to provide education and support that improves diets, physical activity, and teaches stress management.
Results: Many participants in the wellness programs have maintained or lost weight and have seen reductions in their cholesterol levels, blood pressure, and blood sugar levels. Vegetable vouchers, cooking classes, and budgeting education has also helped patients afford healthy food.
Need: To address the specific health needs of north central Oregon and south central Washington.
Intervention: The Collective Impact Health Specialist identifies community needs, convenes community partners to design initiatives that address those needs, and secures funding for health-related initiatives.
Results: Thanks to the CIHS, the Columbia Gorge region has received $20.5 million since 2014.
Need: Distance, time, and cost make it difficult for EMS volunteers to attend continuing education and maintain certification.
Intervention: Inland Northwest Health Services delivers free online training to rural EMS providers via video teleconferencing.
Results: The EMS Live@Nite program provides free, monthly training to rural EMS providers in the northwestern part of the United States. The program is available through live video conferencing from certified locations in rural communities.
Need: Rural healthcare networks in Colorado and Washington felt the urgency to help their communities improve population health with better care at lower cost.
Intervention: The Community Care Alliance was formed to serve rural patient populations by assisting their healthcare organizations in transforming their practices to succeed at value-based reimbursement.
Results: Member healthcare communities have seen an increased collaboration among independent providers, clinics, and local hospitals on community health initiatives, patient transfers, and appropriate access and education.