In September 2023, Rural Health Innovations, the for-profit consulting arm of the National Rural Health Resource Center, was contracted by the Episcopal Health Foundation to conduct a review and assessment of the Texas Community Health Access and Rural Transformation (CHART) Model design and rollout. The assessment included an examination of Centers for Medicare and Medicaid Innovation initiatives, an analysis of the Texas CHART Model design and related communications with hospitals and partners, an analysis of state hospital finances, and interviews with more than a dozen key informants.
Resources
The Center's searchable Resource Library features articles, reports, webinars, podcasts, toolkits, and other materials developed by trusted industry leaders to guide and support rural health stakeholders.

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Clark Fork Valley Hospital (CFVH) has been recognized by the National Rural Health Resource Center for its use of innovative employee retention strategies.
Fairview Regional Medical Center (FRMC) has been recognized by the National Rural Health Resource Center for its use of innovative approaches for recruiting and retaining clinical and administrative staff.
The guide for state Flex Programs contains relevant and practical recommendations and tools to strengthen staff engagement and retention through the Staff Sustainability Cycle described within, which consists of recruiting, onboarding, learning and development, engagement and retention, and succession planning.