Understanding and Facilitating Rural Health Transformation

Tools & Resources

Governance & Leadership

Decision-making authority, strategy development, leadership performance, and high-level health care organization processes designed to deliver Value-Based Care.

Value-Based Strategic Planning Guide - This guide is designed to help rural hospital and network leaders and providers develop and execute effective strategic plans that focus on value-based strategies. (National Rural Health Resource Center, August 2017) It includes:

  • Strategy Map Template - Begin to communicate strategic initiatives, and effectively execute and implement the strategic plan.
  • Balanced Scorecard Template - Track and monitor performance and achievement towards goals, as well as demonstrate the value of the organization.

Demonstrating Critical Access Hospital Value: A Guide to Potential Partnerships - Using a market based approach, this guide assists CAH leadership in identifying ways to demonstrate the value they bring to potential partners including networks, affiliations, payers, community-based organizations, or accountable care organizations.

2016 Rural Provider Leadership Summit Report - The Rural Provider Leadership Summit was designed to identify strategies for rural provider engagement in transitioning to value-based reimbursement systems. This report describes issues and opportunities, provides key strategies, and highlights success stories and lessons learned. The report is also intended to assist state Medicare Rural Hospital Flexibility (Flex) Programs and SORHs by offering timely information to develop tools and educational resources that support their hospitals and networks as they transition to population health.

Value-Based Care Assessment Tool - As healthcare payments shift from volume to value, healthcare providers must deliver value-based care to be successful. But delivering value-based care will require new healthcare organization processes, polices, and priorities. The Rural Health Value Team’s comprehensive Value-Based Care Strategic Planning Tool (VBC Tool) assesses 121 different value-based care capacities in eight categories.

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.

Engaging Your Board and Community in Value-Based Care Conversations - Rural health care leaders report challenges when trying to educate and engage board and community members regarding health care organization changes required to succeed during the volume-to-value transition. Yet, value-based care discussions should play a significant role in all strategic planning and should be included in organizational performance measurement. This document provides a list of conversation starting questions to help rural health care leaders start value-based care discussions with board and community members.

Physician Engagement - A Primer for Healthcare Leaders - For successful rural hospital volume to value transformation, engaging physicians (and other providers) will be essential. Physician engagement is proactive physician involvement and meaningful physician influence that move a healthcare organization toward a shared vision and a successful future. Physician Engagement – A Primer for Healthcare Leaders highlights the importance of physician engagement and describes strategies to build effective physician relationships and trust. The primer also includes links to additional physician engagement information: interview with physician leader Dr. Paul Kleeberg, Excel-based Physician Engagement Assessment tool, prioritization and action planning guides, and a list of additional physician engagement resources.

Video The Value Transformation of Rural Health Care - This brief 10-minute conversational video (and the accompanying discussion guide) introduces the value transformation in rural health care, discusses how rural health care is rapidly changing, and suggests strategies to navigate the changing health care environment. Health care leaders can use this video and discussion guide during staff, board, and community meetings to inform audiences and inspire conversation.

Critical Access Hospital Blueprint for Performance Excellence - Small rural hospitals face the challenge of being successful in their current payment systems, while preparing for new value-based payment systems that are being rolled out in various forms across the country. Complexity and change are best managed by using a comprehensive systems-based framework, including a balanced set of key strategies, initiatives, targets and measures. This Blueprint is intended to be a tool for rural hospital leaders to implement a comprehensive systems approach to achieving organizational excellence.

Assessing Leadership Competencies - Health care leaders can easily become absorbed in strategic thinking (let alone daily operations), leaving minimal time for self-reflection and self-improvement. Yet, rural health care leadership development is critical for personal growth and professional effectiveness. Find resources here to help rural health leaders assess and improve leadership competency.

The Physician's Accountable Care Toolkit - The Physician's Accountable Care Toolkit has been developed by the Towards Accountable Care (TAC) Consortium, a consortium of over 40 North Carolina medical associations and organizations. The TAC provides resources (guides, articles, and webinars) to assist providers understand, participate, navigate, lead, and succeed in a value-driven healthcare system. The Physician's Accountable Care Toolkit details Accountable Care Organization (ACO) implementation strategies and operations guidance for physicians. In addition, the TAC has developed unique ACO guides for several physician specialties and community partners.

Responding to Rural Health's Unique Challenges - The Patient-Centered Outcomes Research Institute (PCORI) is investing in research that will build a body of evidence on effective strategies for health care in rural areas. Learn more about PCORI's various rural innovation projects, such as telehealth care for Parkinson Disease patients and hospital discharge improvement for rural areas. Information on how to get involved in PCORI efforts is also provided.