RuralHealthValue.org

Understanding and Facilitating Rural Health Transformation

Innovations & Demonstrations


Profiles in Innovation

Innovations in rural health care delivery and finance are emerging across the nation. The Rural Health Value team profiles activities of selected rural health care innovators. Reports, including those summarized below, will describe exciting, and potentially replicable, innovations in rural health care. Most of these are underway and in progress - they are less about results and more about exciting examples that show promise in improving health, improving care, and lowering costs.


Latest Profile

Medical-Legal Partnership Addresses Social Determinants of Health: FirstHealth of the Carolinas integrates a medical-legal partnership into the evidence-based Chronic Care Model used in its new transitional care clinics (Sept 2017).

Community Connectors to Improve Access: The Community Connector Program aims to increase access to home and community-based services by creating alternatives to institutionalized living and improving the quality of life for elderly and adults with physical disabilities while maintaining or decreasing costs. (Mar 2014) Read more...

County-Based Care Integration Model: A county-based health care purchasing organization in rural Minnesota, PrimeWest has established Accountable Rural Community Health (ARCH) to integrate nearly 8,000 network health care providers across the care continuum with county public health and social services. (Dec 2013) Read more...

Diabetes Telephonic Care: This pilot project, conceived of by a Rural Health Clinic physician, aims to increase diabetes patients' understanding of their disease processes and improve their overall health status. The project uses a team approach and telephonic nurse management for diabetes support, educations, and care management and has produced some very promising results. (July 2014) Read more...

Global Budget Process as an Alternative Payment Model: McCready Health regularly monitors and adjusts fees to achieve budget goals within Maryland’s all-payer hospital rate-setting system. (Mar 2017) Read more...

Health Outside Hospital Walls: Chadron Community Hospital and Health Services, Chadron, Nebraska, offers healthy living options and fills health services gaps within the community—expanding care beyond the treatment and recovery of individuals to include a focus on overall population health. (July 2016) Read more...

Innovation in Rural Health Care: Contemporary Efforts to Transform into High Performance Systems: Based on the results of roundtable discussions with rural and frontier innovators, this paper offers themes, strategies, and perspectives on overcoming challenges related to health care innovation in rural communities. A summary of the innovations across a variety of rural and frontier organizations is also included. (Sep 2013 and July 2015) Read more...

Integrated Care in a Frontier Community: Southeast Health Group has developed a fully integrated care model to support patients in frontier communities in southeastern Colorado. Its care coordination focuses on wellness and addresses nonmedical obstacles to overall health. (July 2016) Read more...

Investing in Population Health: A community health system, in consortium with state stakeholders, has established a Medicaid population health support system in rural and frontier areas that is viable and transferable across all patient populations. (Aug 2015) Read more...

Proactively Pursuing Value-Based Payment: Summit Pacific Medical Center, a CAH in Elma, Washington is proactively advancing value-based care and approaching payers for value-based payment contracts. This Rural Health Value Profile highlights their five-prong approach to developing value-based capacity. (May 2016) Read more...

Proactive System Affiliation: Three small rural hospitals formed an alliance in order to establish a mutually beneficial affiliation with a large regional medical center while remaining locally owned and controlled. (Jan 2015) Read more...

A Rural Accountable Care Organization: Accountable Care Organizations (ACOs) currently operate in rural areas in every region of the country. Learn from the Executive Director of the South East Rural Physicians Alliance (SERPA) ACO, who is coordinating the design and implementation of the rural-based and physician-led Advance Payment ACO in rural Nebraska. (Sept 2013) Read more...

Rural Accountable Care Organization Care Coordination: MaineHealth, a not-for-profit, integrated, healthcare delivery network, established the MaineHealth Accountable Care Organization (MHACO) to engage the Centers for Medicare & Medicaid Services and other payers in various ACO contracts. (Dec 2015) Read more...

Rural Health Networks and New Forms of Governance: Wilderness Health is a formal collaborative of independent rural and urban hospitals that serves patients across the continuum of care. The network's governance structure enables all members to have an equal voice at the table. (Nov 2015) Read more...

Rural Hospital Community Outreach: The Richland Parish Hospital Pre-Diabetes Program is a health screening and follow-up model that was designed to prevent or delay early onset diabetes. Evaluation after three years showed a "statistically significant association" between program participation and reduced rates of progression from pre-diabetes to true diabetes. (May 2014) Read more...

Rural Hospital System Transformation: Using the Lean methodology, the hospitals in the Mercy Health Network are leveraging their resources to drive change. Their goals are to do more with less, have the right resources in the right place at the right time for every caregiver, decrease costs, and increase quality of care and patient safety. (Mar 2014) Read more...

Rural Service Delivery Integration & Patient Engagement: Engaging local resources to tackle local health care challenges is an effective community health improvement strategy. Learn how a rural California county is working toward a fully integrated and responsive health care delivery system through patient engagement, unnecessary surgery reduction, and emergency department "super utilizer" care management. (Sept 2013) Read more...

Using Data to Drive Change: Targeting High Service Utilizers: Faculty members at the University of Oklahoma are using data to identify high utilizers of emergency department and other hospital services and then support care in more appropriate settings. Learn how one physician focuses on high-need/high-cost patients to understand fundamental patient needs and meet those needs with targeted services. (Aug 2013) Read more...

For additional project examples, visit the Rural Assistance Center Rural Health Models and Innovations Hub.