Rural Project Examples Addressing Health workforce

Rural Libraries and Health Cooperative Agreement

Updated/reviewed July 2024

Need: To increase access to healthcare and social services in rural South Carolina via library systems.
Intervention: Pilot sites are hiring social workers and community health workers to provide consultations, case management, and referrals.
Results: One library screens an average of 215 residents a month, and another library's programming reached over 800 female patrons.

Added July 2024

Need: To increase access to preventive dental care among children living in rural Arizona.
Intervention: A nonprofit organization formed to offer free, school-based preventive dental services to children in two rural Arizona counties.
Results: Throughout the 2023-24 school year, Tooth B.U.D.D.S. provided preventive services to 1,710 students in rural Graham and Greenlee Counties. Program staff use a telehealth platform to connect children to local dentists for follow-up care.

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.

Added May 2024

Need: To expand healthcare access in rural Alabama communities.
Intervention: The Auburn University Rural Health Initiative is working with communities across Alabama to develop a healthcare model that includes primary care, substance use disorder treatment and mental health treatment via state-of-the-art telehealth technologies, coupled with health and wellness programs and services provided by faculty and students.
Results: The first telehealth care station, located in LaFayette, Alabama, began offering services in April 2023. Within the first year after opening, clinicians in the telehealth station conducted 592 patient consultations and issued 720 prescriptions.

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 April 2024

Need: Strategies to recruit and retain providers to practice in rural settings.
Intervention: A traveling one-day workshop was designed to share ideas and firsthand accounts on successful strategies on how to create "Safe Sites" for new recruits.
Results: So far, workshops have trained over 250 hospital administrators, board members, and rural hospital recruiters.

Updated/reviewed March 2024

Need: To expand access to psychiatric services throughout South Carolina, with a focus on underserved and rural communities.
Intervention: South Carolina Department of Mental Health (SCDMH) created the SCDMH Emergency Department and Community Telepsychiatry programs to expand telepsychiatry access for patients in emergency departments and in various settings across the state.
Results: The program has improved access, affordability, and provided quality care for patients with mental illness living in rural and underserved areas of South Carolina.

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.