Rural Health Care

Closing the Care Gap Across Every Rural Community

IHI helps health care professionals serving rural communities deliver safer care, build stronger workforces, and achieve lasting results — in the United States and worldwide. Rural communities face well-documented pressures in delivering quality care: Medicaid funding reductions and hospital closures in the United States; shortages in access to health care professionals; limited infrastructure; and persistent health disparities worldwide.
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A group of health care professionals in an African country brainstorming solutions.
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Rural Health Improvement

Strengthening Rural Health Systems and Communities

Helping rural health systems improve quality, strengthen operations, and build sustainable improvement capability in resource-constrained environments.

For leaders and teams working in these environments, the challenges compound — shrinking workforces, growing patient needs, and systems under strain.

IHI helps to turn these pressures into actionable, durable progress by applying practical, proven expertise that helps organizations achieve meaningful results at every level.

The results are documented: high-leverage initiatives, proven return on investment, and measurable gains in clinical and operational performance.

Through tailored consulting support, we help organizations strengthen care delivery, improve performance and outcomes, and build the internal capability needed to sustain improvement over time.

Cristina San Román Banco Interamericano de Desarrollo – Ecuador

Health Specialist Department of Health, Nutrition and Population

Health Specialist Department of Health, Nutrition and Population

"The program was exceptionally well-organized, with seamless coordination between all parties and the Ministry of Health. The IHI team demonstrated outstanding professionalism by efficiently managing all necessary communications and arrangements with the Ministry, ensuring a smooth and productive process throughout."

Rural Health Consulting

Advancing Health Care in Rural and Underserved Communities

Tailored improvement support helping rural and underserved communities strengthen care delivery, workforce capability, and long-term system sustainability.

Every rural context is different — shaped by geography, population, resource level, and system structure. IHI tailors consulting and improvement support to fit each organization's specific context.

Through globally recognized initiatives that address prevention and treatment of chronic disease, maternal-newborn care, Age-Friendly Health Systems, patient safety, quality improvement, and health equity, IHI collaborates with rural health care professionals and community-based organizations through education, action communities, practical training, and certification programs that advance workforce development and career pathways.

Priority areas for IHI's rural health consulting work additionally include:

Maternal and infant health, including postpartum depression, substance use disorder, and ambulatory prenatal care models
Age-friendly health care and population health improvement
Chronic disease management and cardiometabolic health
Behavioral health and substance use disorder care
Workforce development, safety, and well-being
Improvement science, patient safety, and health equity
Social and structural drivers of health

To address geographic constraints, IHI supports the effective use of virtual care, telehealth, and mobile health models, extending improvement capability beyond traditional clinical settings to remote areas and communities where quality care is often difficult to access.

Community-Based Support

Strengthening Community-Based Care and Support

Helping rural communities connect people to essential non-clinical supports that improve health outcomes and reduce avoidable use of high-cost care settings.

Through targeted community support services, IHI helps rural communities connect people to non-clinical supports that improve health and reduce avoidable use of high-cost care settings.

Working alongside health systems, community health organizations, and social service providers, this work encompasses:

Housing transition and navigation services supporting stable living environments
Medically tailored meals and support for nutrition-sensitive conditions
Asthma remediation to reduce environmental triggers in the home
Closing clinical care gaps in chronic disease management

IHI also builds local capability to coordinate health care, public health, and social service providers — strengthening community infrastructure and supporting long-term sustainability.

Rural Health Partnerships

How We Work with Rural Communities

Partnering with health systems, governments, public health agencies, and community organizations to strengthen care delivery and improve outcomes across rural and underserved populations.

IHI works alongside rural communities and health systems to design practical, scalable improvement strategies that strengthen care delivery, reduce fragmentation, and build sustainable local capability.

Population Health
Spanning 30 countries, IHI partners with governments, NGOs, hospitals, FQHCs, CHCs, managed care plans, and community organizations to co-design high-impact initiatives that improve quality, equity, and sustainability across rural and underserved populations worldwide.
Cross-sector Coordination
IHI develops tools, training, and improvement infrastructure that align health care, public health, and social services — reducing fragmentation and improving continuity of care for people who need it most.
Health Equity
Working with Medicaid agencies, public health departments, and community organizations, IHI addresses clinical and social drivers of health, accelerates innovation capacity, and closes persistent gaps in care for underserved populations.
Workforce Skills Transfer
IHI equips clinical and administrative leaders and their teams with the skills, tools, and improvement frameworks needed to drive sustainable change from within continuously.

Are You Ready to Deliver Safer, More Equitable, and Reliable Rural Health Care?

Contact IHI for consulting services that help rural health systems strengthen care delivery, improve patient outcomes, support workforce sustainability, and build the long-term capability needed to advance safer, more equitable, and resilient care across the communities they serve.

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