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Office of Rural Health (ORH)

Congress established the Veterans Health Administration Office of Rural Health (ORH) in 2006 to improve the health and well-being of America’s nearly five million rural Veterans through research, innovation, and dissemination of best practices. ORH fulfills this mission by supporting targeted research, developing innovative programs and identifying new care models. Working through its five Veterans Rural Health Resource Centers, as well as partners from academia, state and local governments, private industry, and non-profit organizations, ORH strives to break down the barriers separating rural Veterans from quality care.

Advance Care Planning via Group Visits Program

Engaging Veterans in group discussions to develop an advance care plan

Created in January 2012 by the Eugene J. Towbin Healthcare Center (North Little Rock)

Advanced Comprehensive Diabetes Care (ACDC)

Leveraging Home Telehealth and other VA resources to control diabetes

Created in December 2013 by the Durham VA Medical Center

Building Spiritual Strength (BSS)

Building Spiritual Strength is a group approach for moral injury that can be led by chaplains, mental health providers, or both as a team.

Created in December 2005 by the Minneapolis VA Medical Center (Minneapolis, Minnesota), Edith Nourse Rogers Memorial Veterans' Hospital (Bedford), Lewiston VA Clinic (Lewiston, Maine)

Chronic Obstructive Pulmonary Disease Coordinated Access to Reduce Exacerbations (COPD CARE)

Empowering interprofessional care teams to optimize COPD management.

Created in October 2015 by the William S. Middleton Memorial Veterans' Hospital (Madison)

Falls Boot Camp

Preventing falls through team style activity sessions

Created in February 2017 by the Des Moines VA Medical Center (Des Moines, Iowa)


Gerofit: is a group-based exercise program for older Veterans that is individually tailored to improve functional deficits. Classes are offered virtual and in person at select facilities.

Created in June 1986 by the Durham VA Medical Center

Healing Veteran Hearts with Virtual Home-Based Cardiac Rehabilitation (Smart HEART)

Reduce cardiovascular disease risk and improve quality of life

Created in May 2016 by the Atlanta VA Medical Center (Atlanta, Georgia)

Home-based Cardiac Rehabilitation

Delivering cardiac rehabilitation to the comfort of the homes of Veterans

Created in December 2010 by the Iowa City VA Clinic (Iowa City South Clinton Street)

Hospital acquired pneumonia prevention by engaging nurses (HAPPEN)

Brushing teeth is saving Veteran lives

Created in October 2016 by the Salem VA Medical Center (Salem, Virginia)

Improving Communication in Home Based Primary Care

Improving communication within the HBPC team directly impacts the Veterans and caregivers served.

Created in September 2021 by the James H. Quillen Department of Veterans Affairs Medical Center (Mountain Home, Tennessee)

Increasing Access to Primary Care Using Pharmacist Providers

Pharmacists open access by shifting appointments & saving time.

Created in September 2014 by the William S. Middleton Memorial Veterans' Hospital (Madison)

Mobile Prosthetic and Orthotic Care (MoPOC)

Expanding access to world-class VA Orthotic & Prosthetic clinical services

Created in March 2021 by VISN-20