Rural Project Examples Addressing Networking and collaboration

Healthy Monadnock Alliance

Updated/reviewed September 2023

Need: Improved health outcomes for Monadnock Region, a rural area of New Hampshire.
Intervention: A wide-scale effort across multiple sectors is aiming to improve health outcomes throughout the region.
Results: Community health trends have been tracked over time, and progress on goals such as increasing the number of residents with healthcare coverage, opportunities for physical activity, access to healthy foods, and smoking cessation has been made.

Updated/reviewed May 2023

Need: Out of 79 Critical Access Hospitals (CAHs) surveyed in Minnesota in 2015, behavioral health was the most frequently cited service requested.
Intervention: In response, Rural Health Innovations launched the Minnesota Integrative Behavioral Health Program. This initiative engaged representatives across all sectors in health integration between hospital, primary care, and community services.
Results: Strategy sessions resulted in the creation of resource directories to improve care coordination, evaluation measurements to document results, and an overall better understanding of integrative care challenges.

Updated/reviewed December 2022

Need: To lessen the impact of chronic disease and associated complications in North Carolina.
Intervention: Partners in Health and Wholeness, an initiative of the NC Council of Churches, is a faith-based program that integrates healthy living within congregations while offering financial support to launch or expand health initiatives. The program partners with faith communities in North Carolina to fund and support their health initiatives through collaborative partnerships.
Results: Since its founding in 2009, over 900 churches have become a part of the PHW, many in rural areas, and over 600 mini-grants have been awarded to congregations.

Updated/reviewed December 2022

Need: Public health departments in Colorado's rural San Luis Valley region desired to share public health services to improve health outcomes in the region.
Intervention: Six counties joined in a public health cross-jurisdictional sharing arrangement. The partnership has served as a forum for sharing and evaluating opportunities to improve health access and core public health services.
Results: The partnership has enabled health departments to share expertise and develop regional projects to provide a broader range of public health services.

Updated/reviewed October 2022

Need: A community-wide collaborative process to identify and address specific quality-of-life challenges confronting the citizens of Beaufort County, South Carolina.
Intervention: Together for Beaufort County facilitates the coordination of local and regional coalitions that address economic, social, health, educational, and environmental factors through shared collective impact process.
Results: Out of 46 counties in South Carolina, Beaufort County has reached the top ranking in health outcomes.

Updated/reviewed October 2022

Need: Primary care physicians in the rural areas of Wisconsin.
Intervention: A GME collaborative was created that provides leadership, technical assistance, and support for expanding rural graduate medical education in Wisconsin.
Results: The collaborative expanded rural graduate medical education opportunities which now include over 20 rural training programs. There are several residencies and fellowship opportunities in specialties ranging from family medicine to surgery, obstetrics/gynecology, psychiatry, and more.

Updated/reviewed October 2022

Need: Throughout the state of Wisconsin, childcare services are closing rapidly, with staffing and finance issues as the main causes.
Intervention: In Wisconsin's Monroe and Vernon Counties, a collaborative that focuses on addressing key childcare access issues has come up with a creative solution. The Wisconsin Early Education Shared Services Network allows childcare providers to pool staff, resources, and services while receiving support for business and educational operations.
Results: As of September 2022, 25 childcare programs in Monroe and Vernon Counties have joined WEESSN and more are considering. Joining has allowed childcare providers to focus their time, finances, and energy on the children they serve.

Updated/reviewed September 2022

Need: Improved approach in addressing the behavioral health and primary care disparities of Indiana's underserved rural counties.
Intervention: A network was established that trained community health workers (CHWs) to be certified health insurance enrollment navigators and provide mental health services.
Results: This year, ASPIN trained 230 CHWs, cross-trained 70 behavioral health case managers as CHWs, and 35 individuals in the Indiana Navigator Pre-certification Education.

Updated/reviewed August 2022

Need: Since the late 1800s, trauma caused by historic events have greatly affected the way of life for Menominee Indians living on the Menominee Reservation. Economic, socioeconomic, behavioral health, and physical health issues have risen and are causing direct implications for Menominee youth.
Intervention: Through Fostering Futures, clinic, school, and Head Start/Early Head Start staff are trained in administering trauma-informed care and building resilience among children.
Results: Behavioral health visits at the Menominee Tribal Clinic have increased, school suspension rates have decreased, and graduation rates have improved from 60% to 94% since 2008.

Updated/reviewed March 2020

Need: Comprehensive cancer services for residents of an 8-county, 3-state area in Appalachia.
Intervention: Using a Cancer Patient Navigation Tool Kit, a Maryland acute care facility led a multidisciplinary collaboration that provided the area's patients with expanded cancer treatment services.
Results: In addition to several new cancer-related programs, expanded services are now available for cancer patients, families, and cancer survivors.