Rural Project Examples Addressing Healthcare needs and services

Updated/reviewed September 2023

Need: Two rural upstate New York counties struggled to provide necessary public health leadership and services amid a fluid environment with rising costs and funding limitations.
Intervention: The Genesee County and Orleans County health departments began a cross jurisdictional sharing relationship that integrated select functions and services, beginning with sharing a director and deputy director.
Results: By sharing personnel and functions, management personnel costs have been cut in half and both counties have saved over $2 million for the counties combined.

Added September 2023

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.

Updated/reviewed August 2023

Need: To educate rural community members about Alzheimer's disease and other dementias and to support older adults in need.
Intervention: A community group formed in Winnemucca, Nevada, to discuss topics like health, housing, social events, community improvement, education, and transportation for older adults. The group also provides outreach to older adults, caregiver support, and a variety of of educational activities and events.
Results: The group's efforts have led to many changes for community welfare and safety as well as opportunities for education and activities.

Updated/reviewed August 2023

Need: To help children whose family members are struggling with substance misuse.
Intervention: A year-round program provides mentoring as well as substance use prevention education.
Results: In 2022, Camp Mariposa served a total of 123 youth in its four rural locations in Indiana, Kentucky, Tennessee, and West Virginia. In a study, 93% of participants reported no use of any substance to get high.

Updated/reviewed August 2023

Need: To bring medication-assisted treatment to rural and underserved areas in Colorado.
Intervention: Six mobile health units travel to 32 counties and offer services like telehealth sessions, counseling, naloxone, and referrals to wraparound services.
Results: The units traveled more than 100,000 miles from January 2020 to January 2021.

Added August 2023

Need: To reduce poor maternal and infant health outcomes and improve access to prenatal and postpartum care for at-risk pregnant women and recent mothers in Crawfordsville, Indiana.
Intervention: A home visitation program that uses community paramedics to deliver wrap-around care to women experiencing high-risk pregnancies and/or social and environmental challenges.
Results: Since 2018, more than 200 women have been served by the program.

Updated/reviewed July 2023

Need: To help older adults age in place.
Intervention: For five months, CAPABLE participants receive home visits from a registered nurse, occupational therapist, and home repair services.
Results: There are currently over 35 CAPABLE sites across the country, 11 of which are located in rural communities.

Updated/reviewed July 2023

Need: To provide accessible and affordable services to address the challenges associated with aging, serious illness, and grief across rural western Colorado.
Intervention: A nonprofit, community-sustained healthcare model was created to provide the Program of All-Inclusive Care for the Elderly (PACE), hospice care and palliative care, as well as grief support services for individuals of all ages.
Results: Since 1993, HopeWest has grown to serve more than 3,000 people annually across five counties in western Colorado.

Updated/reviewed July 2023

Need: School-based drug misuse prevention program in Appalachian Ohio, a need triggered by a high school student's overdose death.
Intervention: Implementation of the HOPE curriculum, an age-appropriate K through 12th grade drug abuse prevention program.
Results: No further drug overdose deaths after curriculum initiated.

Added June 2023

Need: To improve maternal and birth outcomes in rural and underserved areas by increasing the number of family medicine physicians in these areas who have high-quality, evidence-based obstetrical care skills.
Intervention: The STRETCH-OB program trains a select number of family medicine residents at the University of Illinois College of Medicine Rockford each year to provide high-quality maternity care, including surgical obstetrical care.
Results: The first two STRETCH-OB residents graduated in June 2023.

Rural Project Examples: Healthcare needs and services