Rural Health Models and Innovations Funded by the Federal Office of Rural Health Policy
A collection of rural health projects that received support from the Federal Office of Rural Health Policy:
Promising Examples
The Rural Virtual Infusion Program
Updated/reviewed April 2020
- Need: Allow rural cancer patients in a region inclusive of 26 counties in Iowa, Minnesota, and South Dakota to have access to tertiary-level chemotherapy regimens in rural infusion centers.
- Intervention: With telehealth-based oversight from a tertiary care oncology team, 3 rural infusion teams were trained to coordinate cancer treatment plans and administer complex chemotherapy regimens.
- Results: Almost 130 patients were transitioned to receive chemotherapy in a rural infusion center, translating to over 1,000 infusion visits and saving patients/families nearly 65,000 trip miles, 1,800 travel hours and $71,000.
Youth4Health
Updated/reviewed December 2019
- Need: To educate youth about obesity and healthy lifestyle choices.
- Intervention: An educational program about healthy living was implemented in Lincoln and Claiborne Parishes in Louisiana for youth ages 9-18.
- Results: Youth4Health program produced greater awareness and participation in healthier lifestyles by target youth and their families, as well as church congregations.
Other Project Examples
CMH Addiction Recovery Program
Updated/reviewed November 2024
- Need: To help people who use drugs and their families access treatment and counseling in rural Missouri.
- Intervention: The CMH Addiction Recovery Program provides medication-assisted treatment, counseling, peer and family support, and other related services through a Rural Health Clinic.
- Results: The program operates 5 days a week and sees 400 patients each month.
I-REACH (Improving Rural Enrollment, Access, and Healthcare in Rural Veterans)
Updated/reviewed November 2024
- Need: To improve veterans' access to healthcare in rural Michigan.
- Intervention: I-REACH connects veterans to healthcare services and other programs and helps healthcare facilities and providers become more veteran-friendly.
- Results: The program has received positive feedback from Veteran Service Officers in counties where there were outreach events.
One Health Recovery Doulas
Updated/reviewed November 2024
- Need: To support pregnant and parenting women with a history of substance use, mental health, or co-occurring disorders in rural areas of Montana.
- Intervention: One Health, a consortium of Federally Qualified Health Centers (FQHCs), developed a team of "recovery doulas" – individuals who are dual-certified as doulas and peer-support specialists. The One Health recovery doula program offers group and individual services to women and their partners from pregnancy through the first years of parenthood.
- Results: A team of nine recovery doulas (or doulas-in-training) employed by One Health offer services in 13 rural Montana counties. Recovery doulas have provided essential support to women with substance use disorder, survivors of sexual abuse, unhoused individuals, and individuals facing other complex challenges.
Mobile Integrated Healthcare Network (MIHN)
Updated/reviewed October 2024
- Need: To bring preventive care and other services to rural Missouri patients with chronic illnesses and difficulties accessing primary care.
- Intervention: Community paramedics and community health workers make home visits and provide basic care, home assessments, and medication reconciliation and facilitate telehealth visits.
- Results: Patients experienced improved access to care, health status, and compliance with medication regimens along with increased patient engagement, satisfaction, and access to community resources.
Win With Wellness
Updated/reviewed October 2024
- Need: To reduce risk of obesity and chronic disease in rural northwest Illinois.
- Intervention: Win With Wellness (WWW) collaborated with community organizations and worksites to improve physical activity and eating behaviors and reduce weight among adults using a multi-component approach.
- Results: From 2015 to 2018, the two participating counties initiated 28 Take Off Pounds Sensibly (TOPS) groups with 367 participants. In the second round of funding, WWW recruited 183 participants for 9 TOPS groups and 8 community Heart-to-Heart sites.
Butte Child Evaluation Center
Updated/reviewed August 2024
- Need: Before 2000, Butte and southwest Montana saw around 1,300 cases of child abuse a year, with only a 20% conviction rate for perpetrators of sexual abuse.
- Intervention: Multiple agencies in the community came together to address the issue of child abuse by forming the Butte Child Evaluation Center (CEC), a Children's Advocacy Center.
- Results: During a 3-year grant cycle, over 200 interviews and exams were performed on victims of sexual abuse and the Butte CEC became the first program in Montana to be accredited by the National Children's Alliance.
Indiana Statewide Rural Health Network (InSRHN)
Updated/reviewed August 2024
- Need: To improve sustainability and financial viability for rural healthcare providers throughout Indiana.
- Intervention: A network of rural healthcare providers for Critical Access and other hospitals in Indiana that are dedicated to improving their ability to deliver efficient and high-quality healthcare for their rural residents.
- Results: The network has been leveraged to increase access to resources, coordinate services, and improve and expand healthcare access.
Florissa
Updated/reviewed June 2024
- Need: To address the developmental, behavioral, and social/emotional needs of rural children ages 0-22 in northwest Illinois.
- Intervention: Local partners teamed up to create a centralized service facility for children and families facing developmental, behavioral, and social/emotional issues. Florissa provides evaluations, diagnosis, and treatment to local children using a multidisciplinary, evidence-based approach.
- Results: In 2023, Florissa provided a direct clinical service to over 337 children, in addition to many trainings and supportive programs. It also is co-located with the KSB Hospital pediatric department, a certified pediatric patient-centered medical home (PCMH).