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Office of Rural Health


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Veteran Rural Health Resource Center – Iowa City, Iowa

Veterans Rural Health Resource Center - Central Region

Focus Areas


Several projects at the VRHRC – Iowa City, IA. have focused on both understanding and addressing the issues related to patient’s use of both VA and non-VA healthcare services. This pattern of use has been described by the terms dual utilization or co-managed care.

The VRHRC – Iowa City, IA. has created a toolkit for providers who deal with co-managed care.
View the Co-Managed Care Toolkit.


One of the barriers to using VA healthcare for rural Veterans was that many of them did not know if they were eligible for VA healthcare, nor did they know how to go about finding out their eligibility status. To help address this issue, the VRHRC – Iowa City, IA. staff travels throughout the Central Region to do outreach at various community events throughout the year.

Qualitative Evaluation

VRHRC – Iowa City, IA. has a multi-disciplinary evaluation team versed in qualitative and ethnographic methodology and mixed methods project/study design. In particular, their qualitative evaluation team has expertise in needs assessment, formative, and summative evaluation.

Learn more about each of these focus areas


Implementation Manual for a Telemental Health Outreach Clinic

This manual aims to provide concrete guidance about how to implement a telemental health clinic between a VA medical center and a college campus.
Explore the manual.

Telehealth Collaborative Care with Rural HIV Patients

The original purpose of this pilot project was to develop and evaluate the feasibility and effectiveness of “virtual HIV care teams” capable of providing accessible, high quality, comprehensive care for rural Veterans with HIV. Building on the success of the initial pilot program, a VA-wide initiative is being developed to improve the accessibility and quality of care for rural Veterans with complex, chronic illnesses.
Learn more about this project.

Remote Cardiac Rehab

Following discharge from a cardiac event, traditional rehabilitation requires the patient to come in for outpatient sessions three times a week for twelve weeks. These travel arrangements can be difficult for rural Veterans to attend these sessions, especially for Veterans living in rural areas. The Remote Delivery of Cardiac Rehabilitation program gives patients another option for cardiac rehabilitation.
Learn more about this project.

Colorectal Cancer

Colorectal cancer (CRC) is a largely preventable or very treatable disease, if caught early. However, given the long distances that some Veterans must travel for certain types of testing (e.g., colonoscopy), an intervention to increase screening with these modalities may not be realistic in rural or highly rural settings. The VRHRC-CR is working to improve screening rates in rural Veterans.
Learn more about this program.