Rural Project Examples Addressing Healthcare needs and services

Added August 2024

Need: Solutions for Medicare beneficiaries' post-acute care recovery gaps in Arkansas's southeast Delta Region.
Intervention: Supported by federal funding and their membership organization, seven hospitals implemented an evidence-supported Critical Access Hospital transitional care model.
Results: Participating hospitals found a significant increase in swing bed services revenue, an all-cause low readmission rate, high percentage of patients discharged to home or to an assisted living environment, and positive patient satisfaction surveys.

Updated/reviewed May 2024

Need: To address and treat substance use disorder (SUD) and depression in the Upper Great Lakes region.
Intervention: Cross-Walk, a program that integrates behavioral healthcare into primary care services, was developed in Michigan's Marquette County.
Results: The collaborative efforts strengthened care management services in local healthcare facilities as primary care patients were referred to a behavioral health specialist.

Updated/reviewed December 2022

Need: High poverty rates and lack of access to healthcare make caring for unborn and newborn children difficult for young mothers in Arkansas's Polk and Garland Counties.
Intervention: An Arkansas-based program provides a national healthcare service to expectant and young mothers. Prenatal check-ups, education, transportation, well-baby checks and child immunizations are all provided by the Healthy Connections, Inc.
Results: The program's results demonstrate an increase in first trimester prenatal care rates and child immunization rates, as well as a dramatic decrease in confirmed cases of child abuse.

Updated/reviewed July 2026

Need: To help older adults age in place.
Intervention: For four to five months, CAPABLE participants receive home visits from a registered nurse, occupational therapist, and home repair services.
Results: There are currently 35 CAPABLE sites across the country, 13 of which are located in rural communities.

Added July 2026

Need: More frequent water testing among well owners in rural Connecticut.
Intervention: Initiatives through the Connecticut Institute of Water Resources that offer reduced-cost testing and educational workshops.
Results: More than 1,000 homes have received testing, with roughly 50% having at least one exceedance over Connecticut health standards.

Updated/reviewed July 2026

Need: To reduce suicide and substance-related deaths in North Dakota and Minnesota.
Intervention: The Care and Support program provides support through phone calls, cards, and text messages to those who have called suicide helplines or were referred by a healthcare provider.
Results: In 2025, the FirstLink Care and Support program sent 2,731 cards and texts to program participants and made 12,949 total contacts.

Added July 2026

Need: To improve kidney care for patients in rural Indiana.
Intervention: A nurse-led, interdisciplinary kidney care program redesigned clinical workflows to identify patients earlier, provide education, address barriers to treatment, and support informed decision-making.
Results: From 2023 to 2025, 80% to 92% of patients received Kidney Care Options education before initiating kidney replacement therapy.

Updated/reviewed July 2026

Need: To provide blood transfusions in the ambulance on the way to a hospital.
Intervention: The Montana Interfacility Blood Network includes 48 healthcare facilities that stock blood and allow ambulances to pick up units of blood while transporting a patient.
Results: Since its launch, the network has helped numerous patients.

Updated/reviewed June 2026

Need: To reduce youth suicide rates.
Intervention: First begun in Utah, Hope Squad is a nationwide program that trains youth to identify peers' signs of distress and connect them to help. Hope Squads educate the entire student body to increase connectedness and reduce stigma.
Results: Studies suggest that Hope Squad schools' students with suicidal thoughts are more likely than non-Hope Squad schools' students to solicit help. In addition, stigma surrounding mental illness is decreasing.

Updated/reviewed June 2026

Need: To provide affirming, destigmatized healthcare and support to thousands of Tennesseans living with HIV/AIDS, mental illness, substance use disorder, and homelessness – and prevention services for individuals at risk of contracting HIV.
Intervention: Positively Living & Choice Health Network provides services including a medical clinic, pharmacy, therapy, case management, client services like housing aid and transportation, HIV prevention, and a harm reduction program.
Results: The program currently serves over 6,000 individuals and families through its offices in Knoxville, Chattanooga, Memphis, and Cookeville and its mobile medical unit for rural communities in Cocke and Claiborne counties.

Rural Project Examples: Healthcare needs and services