Rural Long-Term Care Facilities – Models and Innovations
These stories feature model programs and successful rural projects that can serve as a source of ideas and provide lessons others have learned. 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 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.
Updated/reviewed July 2019
- Need: To bring more local health services to rural, elderly populations in long-term care facilities located in four Midwest states near a tertiary care organization.
- Intervention: Implementation of telemedicine services to reach patients at their respective sites.
- Results: The program increased local care evidenced by yearly avoidable provider-determined transfer data: 33%, 50%, 63% program years 1 through 3, respectively.
Updated/reviewed June 2019
- Need: To reduce hospital readmissions for Medicare patients in rural Kentucky and Tennessee.
- Intervention: Two quality improvement tools called IMPACT and INTERACT helped older patients transition from Vanderbilt University Medical Center to a skilled nursing facility.
- Results: Practitioner follow-up visits increased, while emergency department visits decreased.
Other Project Examples
Updated/reviewed May 2018
- Need: More childcare and preschool options in a rural Minnesota community.
- Intervention: A local nursing home built a child learning center whose structure offers an educational setting for childcare as well as regular intergenerational activities between children and elderly residents.
- Results: The partnership has resulted in benefits for all parties involved, instilling a sense of youth in the elderly and selfless care in the children.
Last Updated: 7/8/2019