Rural Project Examples: Care coordination
Other Project Examples
Avita Health System Comprehensive Cardiology Program
Added April 2021
- Need: Population health approach to decreasing area deaths from cardiovascular disease.
- Intervention: A health system-level investment in level II cardiac catheterization services and the required specialized cardiology workforce.
- Results: Since August 2018, the Avita Health System in north central Ohio has provided local cardiovascular services that have decreased hospital transfers, increased care coordination, and provided education and prevention activities that, with time, will impact population health cardiovascular outcomes.
West Virginia's Partners In Health Network Regional Collaborative Services
Updated/reviewed September 2020
- Need: Coordinated approach to healthcare delivery in central and southern West Virginia.
- Intervention: Creation of a nonprofit organization that focused on quality and collaboration.
- Results: With an ability to provide services that meet the evolving needs of patients, providers, and communities, the organization provides unique services, such as a credentialing service and web-based data sharing care management tool.
COPD Readmission Prevention Program
Updated/reviewed December 2019
- Need: Organized effort targeting COPD patients' medical needs in order to prevent hospital readmission in Zanesville, Ohio.
- Intervention: Creation of an integrated system model using nurse navigators that incorporates evidence-based chronic disease care management approaches to COPD care.
- Results: Improved readmission rates and overall improved acute and chronic care for the area's COPD patients.
For examples from other sources, see: