Rural Project Examples Addressing Health occupations

Updated/reviewed May 2020

Need: To reduce the prevalence of diabetes and cardiovascular disease in rural Colorado.
Intervention: Community Health Workers are utilized to create a system of coordinated care in Delta, Montrose, Ouray, and San Miguel counties.
Results: As of 2018, 2,709 people have been screened for diabetes and cardiovascular disease, with many at-risk patients lowering cholesterol, blood pressure, and A1C levels after engaging with a Community Health Worker.

Updated/reviewed June 2024

Need: Address oral health disparities in Washington's rural and underserved communities.
Intervention: The University of Washington School of Dentistry (UWSOD) developed the Regional Initiatives in Dental Education (RIDE) program to increase the number of culturally and clinically competent dentists prepared for practice in rural and underserved areas.
Results: Since its start in 2009 and as of 2024, nearly 100 dentists have completed the program with over 81% practicing in rural and underserved communities.

Updated/reviewed June 2024

Need: Clinicians in rural and underserved areas are often unprepared to provide comprehensive medical-forensic examinations for patients who present for care following a sexual assault.
Intervention: The MDPH TeleSANE Center uses secure telehealth software to connect sexual assault nurse examiners to clinicians and patients in hospitals across Massachusetts — including four in rural counties — offering expert clinical guidance and support before, during, and after examinations.
Results: Clinicians report that the service gives them increased confidence throughout the examination process. To date, the MDPH TeleSANE Center has assisted in the care of over 960 patients.

Updated/reviewed April 2024

Need: To connect patients to resources in order to reduce use of emergency services, emergency department visits, and hospital readmissions.
Intervention: Patients receive support (by in-person visit, phone call, or telehealth visit) from a paramedic, community health nurse, peer recovery specialist, and pharmacist.
Results: Between July 2016 and March 2024, the program made 1,098 patient contacts and continued to see a reduction in emergency department and inpatient visits and costs.

Updated/reviewed April 2024

Need: Multiple organizations in rural east central Illinois needed a more efficient, centralized system for referring patients experiencing a behavioral health crisis to appropriate treatment services.
Intervention: The Regional Behavioral Health Network was established with a 24-hour toll-free crisis line, providing immediate access to trained crisis clinicians.
Results: Improved access to high quality behavioral healthcare for patients in rural east central Illinois.

Updated/reviewed March 2024

Need: There is a shortage of rural physicians in the Northwestern United States.
Intervention: University of Washington medical students are receiving training through the TRUST program in rural, underserved communities across a five-state radius.
Results: Long-lasting connections have been formed among regional and underserved communities, medical students, and rural health professionals, with the goal of producing more rural physicians.

Updated/reviewed February 2024

Need: To reduce farm injuries and improve EMS and fire/rescue's response to these injuries in rural Louisiana and Mississippi.
Intervention: AGRIMEDIC is a two-day training for first responders.
Results: 810 first responders have received training.

Added February 2024

Need: To improve maternal health in northeastern New Mexico.
Intervention: The Rural OB Access & Maternal Service program provides obstetric and maternal fetal medicine telehealth, home telehealth kits, and free access to lactation consultants and family navigators.
Results: ROAMS has worked with 1,500 unique individuals since July 2021.

Updated/reviewed January 2024

Need: To promote mental health and prevent substance use disorders in rural Oregon, Washington, Idaho, and Alaska.
Intervention: Coast to Forest strengthens local capacity through training, education, and community partnerships.
Results: In its three years of operation, the project has trained over 500 individuals across the Pacific Northwest in Mental Health First Aid, developed 36 county-level resource guides, organized a series of Community Conversations in three rural Oregon counties, and more.

Added January 2024

Need: To create rural clinical placement and postgraduate fellowship opportunities for Doctor of Nursing Practice (DNP) students and recent Advanced Registered Nurse Practitioner (ARNP) graduates in Washington.
Intervention: The Rural Nursing Health Initiative (RNHI), a program out of the University of Washington School of Nursing that created clinical placement opportunities for DNP students and a postgraduate fellowship program for ARNP graduates.
Results: Rural clinical stipends have been awarded to 80 DNP students, and 12 ARNPs completed rural fellowships between 2021 and 2023.

Rural Project Examples: Health occupations