Rural Project Examples: Healthcare needs and services
Promising Examples
The Rural Virtual Infusion Program
Updated/reviewed April 2020
- Need: Allow rural cancer patients in a region inclusive of 26 counties in Iowa, Minnesota, and South Dakota to have access to tertiary-level chemotherapy regimens in rural infusion centers.
- Intervention: With telehealth-based oversight from a tertiary care oncology team, 3 rural infusion teams were trained to coordinate cancer treatment plans and administer complex chemotherapy regimens.
- Results: Almost 130 patients were transitioned to receive chemotherapy in a rural infusion center, translating to over 1,000 infusion visits and saving patients/families nearly 65,000 trip miles, 1,800 travel hours and $71,000.
Other Project Examples
Marshall University Rural Psychiatry Residency Program
Added December 2024
- Need: To train the next generation of psychiatrists in a rural context, while providing psychiatric care to an underserved region of West Virginia.
- Intervention: A new rural psychiatry residency program at Marshall University, in which residents split their time between the rural town of Point Pleasant and the larger city of Huntington.
- Results: The program welcomed its first class of residents in July 2024.
Riverfront Talks: Substance Matters Podcast
Updated/reviewed December 2024
- Need: To reduce stigma around mental illness and substance use in North Carolina.
- Intervention: The Beaufort County Behavioral Health Task Force created the Riverfront Talks: Substance Matters podcast to interview people with lived experience.
- Results: As of December 2024, the podcast has 11 episodes.
CMH Addiction Recovery Program
Updated/reviewed November 2024
- Need: To help people who use drugs and their families access treatment and counseling in rural Missouri.
- Intervention: The CMH Addiction Recovery Program provides medication-assisted treatment, counseling, peer and family support, and other related services through a Rural Health Clinic.
- Results: The program operates 5 days a week and sees 400 patients each month.
Heartland OK
Updated/reviewed November 2024
- Need: To reduce rural Oklahoma patients' risks for heart disease and stroke.
- Intervention: Heartland OK was a care coordination model in 20 counties.
- Results: Using a team-based care model increased patients' ability to reduce their blood pressure or achieve blood pressure control.
One Health Recovery Doulas
Updated/reviewed November 2024
- Need: To support pregnant and parenting women with a history of substance use, mental health, or co-occurring disorders in rural areas of Montana.
- Intervention: One Health, a consortium of Federally Qualified Health Centers (FQHCs), developed a team of "recovery doulas" – individuals who are dual-certified as doulas and peer-support specialists. The One Health recovery doula program offers group and individual services to women and their partners from pregnancy through the first years of parenthood.
- Results: A team of nine recovery doulas (or doulas-in-training) employed by One Health offer services in 13 rural Montana counties. Recovery doulas have provided essential support to women with substance use disorder, survivors of sexual abuse, unhoused individuals, and individuals facing other complex challenges.
Recovery Friendly Workplaces in Marinette County
Added November 2024
- Need: To reduce barriers to employment for people in substance use recovery in Marinette County, Wisconsin.
- Intervention: An initiative in which community members in recovery train local employers in recovery friendly workplace guidelines and provide recovery coaching to employees.
- Results: One business in Marinette County has been fully trained, and more than 50 people in recovery have been referred to the Wisconsin Department of Workforce Development's Worker Connection Program in the program's first year.
High Rockies Harm Reduction
Updated/reviewed October 2024
- Need: To reduce drug overdose deaths and the spread of infectious diseases in rural Colorado.
- Intervention: This program provides harm reduction and peer support to people who use drugs and to their loved ones.
- Results: This program provided Narcan training to 377 individuals and distributed 2,448 doses of naloxone and 3,539 fentanyl test strips in 2023.
Mobile Integrated Healthcare Network (MIHN)
Updated/reviewed October 2024
- 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.
Rural Firefighters Delivering Agricultural Safety and Health (RF-DASH)
Updated/reviewed October 2024
- Need: To reduce injuries in agricultural communities and improve emergency responders' preparedness when called to farms and ranches.
- Intervention: RF-DASH equips rural fire/EMS personnel and others with agricultural health and safety knowledge and tools to pre-plan for agricultural emergencies as well as assess and then mitigate agricultural hazards.
- Results: Over 150 firefighters and EMTs have received training to become RF-DASH trainers.
For examples from other sources, see: