Rural Project Examples Addressing Healthcare needs and services

Updated/reviewed August 2021

Need: In northern Michigan, a need for an integrated approach to deliver medication-assisted treatment for established patients of Federally Qualified Health Centers with opioid use disorder.
Intervention: Collaboration between one FQHC across 3 sites, a local waivered prescriber group, and a behavioral health organization created an integrated treatment approach for opioid use disorder.
Results: Increased access to medication-assisted treatment and comprehensive substance use disorder services leading to increased retention in treatment and increased engagement in stable recovery from opioid and alcohol use disorders.

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.

Updated/reviewed April 2021

Need: Ending a local Vermont population's homelessness experience.
Intervention: In 2010, Pathways Vermont implemented a first-of-its-kind, rural-focused Housing First program in order to provide housing and support services to those with mental health and substance use conditions experiencing homelessness.
Results: Since its initial start-up, Pathways Vermont has assisted over 560 Vermonters — about 70% from rural areas — experiencing homelessness using the Housing First model. The organization has collaborated with the state mental health department, corrections department, local healthcare systems and providers, and other organizations to end homelessness. In addition, programmatic work has expanded to reach other local populations, including veterans and at-risk families.

Updated/reviewed March 2021

Need: Assistance for urban and rural physicians — as well as other healthcare providers — who are experiencing burnout and other issues associated with well-being.
Intervention: As part of its provider well-being focus in its rural and urban facilities, Avera Health system has created a program which attends to physician wellness issues starting with recruitment with continued support through retirement.
Results: With increasing engagement due to word of mouth, the program creates a culture of wellness where stigma is decreased and providers are encouraged to be proactive in reaching out for assistance for issues related to their personal and professional well-being.

Updated/reviewed March 2021

Need: Impact patient care and safety issues related to antibiotic use in southwest Colorado.
Intervention: Pharmacy-led antibiotic stewardship program for inpatient, outpatient, and long-term care settings.
Results: With antibiotic use guidelines, refined infection diagnostics, and first-choice antibiotic selections, all care settings now see decreased days of treatment and decreased resistance patterns.

Updated/reviewed November 2020

Need: Decrease rates of domestic violence, child sexual abuse, and child neglect for Alaska Native people in remote villages.
Intervention: An evidence-based model inclusive of traditional culture trains local communities on methods of prevention and treatment for domestic and interpersonal violence.
Results: Self-sustaining local system with improved family and spiritual well-being and decreased healthcare access needs.

Updated/reviewed November 2020

Need: Preventive and chronic medical condition care for farm families/agribusiness owners/employees with time and monetary constraints.
Intervention: Through a "Kitchen Wellness" program, a trained healthcare professional provides in-home or on-site complimentary preventive health screening, educational materials, and community referral information.
Results: Completion of hundreds of health screenings, tailored health education sessions and referral information.

Updated/reviewed August 2020

Need: Growing concern in rural Colorado communities regarding prescription and illegal opioid overdoses.
Intervention: Education efforts for health workers and the larger community, in addition to establishing a naloxone overdose reversal drug program.
Results: In addition to continuing to train nearly all first responders to administer naloxone, the organization provides harm reduction education in various community settings.

Updated/reviewed July 2020

Need: Connect individuals to services that address health barriers.
Intervention: A pay-for-outcomes model utilizing Community Health Workers who help provide community members with tools to address needs associated with improving health.
Results: Trained Community Health Workers help patients navigate the healthcare and social service systems and provide education about community healthcare resources.

Updated/reviewed May 2020

Need: Improve healthcare access for school-aged children in a rural and underserved Indiana county.
Intervention: Working with several rural school districts and the state's rural health association, an Indiana county healthcare system used school-based telehealth to expand access for acute illness.
Results: As of May 2019, Greene County General Hospital in rural Linton, Indiana, has expanded primary care access by offering school-based telehealth in 2 elementary and 1 middle school in 3 of the county's 5 school districts.

Rural Project Examples: Healthcare needs and services