Rural Project Examples Addressing Service delivery models

HIV Telehealth Collaborative Care (HIV TCC) Program

Updated/reviewed October 2024

Need: To increase access to specialty care for rural veterans living with HIV.
Intervention: The HIV Telehealth Collaborative Care (TCC) study connects these patients with HIV specialists via clinical video telehealth or VA video connect and works to create shared care relationships with primary care teams in rural areas.
Results: The HIV TCC program provides HIV specialty care access to rural veterans in a sustainable manner with infrastructure, mentorship, and capacity building.

Updated/reviewed October 2024

Need: Critical Access Hospitals in Idaho were not able to afford a fixed MRI system.
Intervention: The hospitals partnered to purchase a mobile MRI unit to travel among facilities.
Results: The MRI unit went into service in 2012, providing hundreds of scans per month and traveling among six member hospitals in rural Idaho.

Added August 2024

Need: To increase access to preventive dental care among children living in rural Arizona.
Intervention: A nonprofit organization formed to offer free, school-based preventive dental services to children in two rural Arizona counties.
Results: Throughout the 2023-24 school year, Tooth B.U.D.D.S. provided preventive services to 1,710 students in rural Graham and Greenlee Counties. Program staff use a telehealth platform to connect children to local dentists for follow-up care.

Updated/reviewed April 2024

Need: To implement coordinated, integrated, and holistic healthcare to improve patient health and engagement and to reduce the overall cost of medical services in Maine.
Intervention: The Northern Light Health ACO network launched with a focus on patient-centered care to improve overall wellness, reduce healthcare costs, and improve patient engagement and quality.
Results: Through care coordination, Northern Light Health is enhancing provider efficiency and supporting a team approach to delivering care, leading to improved patient engagement and healthcare quality, and lowering the overall cost of care.

Updated/reviewed December 2023

Need: To ensure the quality and sustainability of rural West Central Missouri's health services through the use of technology.
Intervention: The Health Care Coalition of Lafayette County convened a Health Information Technology (HIT) workgroup to establish electronic medical and prescription records, telemedicine capabilities, and training for Lafayette County and surrounding areas.
Results: The workgroup fully equipped a local emergency department with HIT, launched electronic prescriptions for nearly a dozen Lafayette County providers, and identified acute needs hindering the adoption of electronic health records.

Added November 2023

Need: To fill gaps in care for rural communities in southeastern Virginia while providing clinical placement opportunities for nursing students.
Intervention: A free mobile health clinic staffed by Old Dominion University nursing students that visits rural schools and other community centers.
Results: Hundreds of students have gained hands-on rural experience working in the clinic since its launch.

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 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 March 2023

Need: Improving outcomes for Outer and Lower Cape Cod residents in need of social, behavioral health, and substance use disorder services while reducing the burden and costs to town agencies and hospital emergency rooms.
Intervention: The Community Resource Navigator Program works with local social services, town agencies, faith-based institutions, hospitals, the criminal justice system, and others to identify and connect clients to needed services.
Results: Clients are gaining access to the care they were once lacking, as measured by improvements in self-sufficiency. The program also helps community partners and stakeholders work together to reduce the impact of risks associated with behavioral health symptoms, substance use disorder, and social determinants of health.

Updated/reviewed October 2022

Need: Rural school children lack proper healthcare resources within the school setting.
Intervention: Health-e-Schools provides health services to students via telehealth using video conferencing and special equipment.
Results: Health-e-Schools increases access to primary healthcare, increases attendance in the classroom, and decreases the amount of time that parents or guardians must take off of work to bring their child to health-related appointments.