Rural Project Examples: Healthcare quality

Evidence-Based Examples

Project ECHO® – Extension for Community Healthcare Outcomes

Updated/reviewed February 2024

• Need: Increase medical management knowledge for New Mexico primary care providers in order to provide care for the thousands of rural and underserved patients with hepatitis C, a chronic, complex condition that has high personal and public health costs when left untreated.
• Intervention: Project leveraging an audiovisual platform to accomplish "moving knowledge, not patients" that used a "knowledge network learning loop" of disease-specific consultants and rural healthcare teams learning from each other and learning by providing direct patient care.
• Results: In 18 months, the urban specialist appointment wait list decreased from 8 months to 2 weeks due to Hepatitis C patients receiving care from the project's participating primary care providers. Improved disease outcomes were demonstrated along with cost savings, including those associated with travel. The project model, now known as Project ECHO® – Extension for Community Healthcare Outcomes — has evolved into a telementoring model used world-wide.

Other Project Examples

Utah Rural Independent Hospital Network (Rural 9 Network)

Updated/reviewed April 2023

• Need: To help ensure the viability of and improve quality at 9 rural, independent hospitals serving 11 Utah counties.
• Intervention: A network organization was created to allow member hospitals to communicate, network, and undertake projects together.
• Results: Members take advantage of cost savings, education, and networking opportunities through group projects and programs.