Rural Projects Funded by the Federal Office of Rural Health Policy

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.

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.

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).

Updated/reviewed April 2024

Need: To increase access and quality of care for patients in rural Maine.
Intervention: Community hospitals and Federally Qualified Health Centers in Maine formed the Community Care Partnership of Maine Accountable Care Organization (CCPM ACO).
Results: CCPM serves about 120,000 patients in Maine. In addition, it has implemented shared savings arrangements/contracts with different Medicare Advantage and other private health payers.

Added December 2023

Need: To address high rates of substance use in Princeton, Illinois and the surrounding area.
Intervention: The Arukah Institute, a local nonprofit organization providing mental health services, adapted a statewide model to provide support and a safe space for people in need of substance use resources.
Results: The Living Room program had 1,485 visits in its first year, with 100% of clients served by recovery support specialists.

Updated/reviewed December 2023

Need: To ensure the quality and sustainability of rural West Central Missouri's health services through the use of technology.
Intervention: The Health Care Coalition of Lafayette County convened a Health Information Technology (HIT) workgroup to establish electronic medical and prescription records, telemedicine capabilities, and training for Lafayette County and surrounding areas.
Results: The workgroup fully equipped a local emergency department with HIT, launched electronic prescriptions for nearly a dozen Lafayette County providers, and identified acute needs hindering the adoption of electronic health records.

Updated/reviewed September 2023

Need: Distance, time, and cost make it difficult for EMS volunteers to attend continuing education and maintain certification.
Intervention: Providence Health Training 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.

Updated/reviewed September 2023

Need: Increase number of medical providers in rural Missouri.
Intervention: Grant-supported expansion of the Rural Track Training sites with additional medical student and resident rural curriculum offerings.
Results: Since the 2016-2017 academic year, 50 medical students have rotated at the training sites supported by this grant and more than 350 medical students and residents have attended the focused lecture series.

Updated/reviewed July 2023

Need: An ongoing shortage of healthcare providers in rural areas of South Dakota
Intervention: A 4-week summer program placing health professions students in rural communities.
Results: Of graduating participants, 71% practice in South Dakota with 30% of those graduates practicing in rural communities with populations fewer than 10,000, or veteran facilities.

Updated/reviewed May 2023

Need: To help adults and children in rural South Dakota prevent or manage their diabetes.
Intervention: The Facing Diabetes Project offered medical visits for adults and provided prevention and education sessions for the local 4th and 5th graders.
Results: Many adults and children in the region felt better equipped to choose healthy foods, exercise regularly, and manage their stress: all factors that can help prevent diabetes or decrease its effects.