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Small Rural Hospital Improvement Program allowable investments include activities that assist small rural hospitals with their value and quality improvement efforts and adaptation to changing payment systems through investments in hardware, software, and related training.
The Customizable Communications Toolkit is designed to support the communication needs of rural hospitals and clinics that are seeking to promote health care confidence, along with specific organizational programs and services.
The Community Champion Toolkit was developed to provide Community Champions and their supervisors an overview of the community care coordination activities that selected health care organizations and communities will undertake during the multi-year DRCHSD Program.
Founder and Senior Advisor for Rural Health Leadership and Policy at The Center, Terry Hill, shares his experience and insight on the forward movement towards the value based care model in rural healthcare. He has seen how it is one of the most effective strategies that help rural communities thrive.
Karen Madden, Director of the Center for Health Care Policy and Resource Development at the New York State Department of Health, has received the 2026 Calico Quality Leadership Award for her lasting contributions to rural health care and the Medicare Rural Hospital Flexibility (Flex) Program. The award was presented during the annual Flex Program Reverse Site Visit held July 14-16 in Washington, D.C.
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Flex Program Reverse Site Visit

The annual Flex Program Reverse Site Visit (RSV) is supported by the Federal Office of Rural Health Policy (FORHP) and coordinated by the Technical Assistance and Services Center (TASC), a program of the National Rural Health Resource Center (The Center).
This webinar will present strategies that can be implemented by rural healthcare organizations to implement new or expand existing service lines in a cost effective manner.
This video series is designed in particular for those who have been in a rural health leadership role for two years or less, but it is also relevant to leaders who have been in their roles for longer or who may be training or mentoring new leaders. The series may also serve as a valuable resource for those who may be transitioning to a leadership role within the next year.
This educational video series provides mid-level leaders with foundational knowledge and strategies for leading their team and influencing others as they navigate the shift to value-based payment and population health.
Through our work with rural hospitals, a need has emerged for education directed towards critical access hospital ( CAH) staff and mid-level leaders (MLLs) on the ‘why’ and ‘how’ of
This five-part webinar series about evaluation in the Medicare Rural Hospital Flexibility (Flex) Program covers content starting with the basics of evaluation and moves through to outcomes that demonstrate impact.
This collection of resources provides rural health care organizations, leaders, and communities with insights, guidance, and tools that can help them adapt to the evolving maternal health landscape.
Through our work with rural hospitals, a need has emerged for education directed towards mid-level managers (MLMs) on the ‘why’ and ‘how’ of value-based care and population health, as well