Understanding and Facilitating Rural Health Transformation

Tools & Resources

Clinical Care

Clinical care foci and processes are designed to deliver Value-Based Care within traditional medical care settings.

Getting Started on the Road to Value: Assessing Your Organization - Assess your organization’s readiness for the Triple Aim, which encourages health care providers to improve patient care, improve community health, and lower per capita costs, with this brief 6-question self-assessment. (Institute for Healthcare Improvement (IHI), July 2013)

Hospital Guide to Reducing Medicaid Readmissions - Learn how to analyze root causes of readmissions, provide enhanced services to patients at high risk of readmission, and more. (The Agency for Healthcare Research and Quality, June 2017)

Quality Improvement in Primary Care: External Supports for Practices - Improve quality with external supports for primary care practices. (Agency for Healthcare Research and Quality, June 2014)

Compendium of Rural Best Practices/Models Innovations to Strengthen Rural Health Care - Review this collection of innovative programs that are occurring in rural areas across the country. Examples include advancement of medical homes, improving efficiency with Lean methods, using telehealth for patient monitoring, and a rural behavioral health network. (National Rural Task Force, October 2010)

Diabetes Telephonic Care - Learn about promising results from a team approach using telephonic nurse management for diabetes support, education, and care management. (Rural Health Value, July 2014)

Rural Care Coordination Toolkit - Identify and implement a care coordination program. (NORC Walsh Center for Rural Health Analysis, in partnership with the University of Minnesota's Rural Health Research Center, and in collaboration with the Rural Health Information Hub, May 2017)

The Physician's Accountable Care Toolkit - Succeed as an Accountable Care Organization using resources to assist providers in the transition. (Towards Accountable Care (TAC) Consortium, 2012)

Responding to Rural Health's Unique Challenges - Review effective strategies for health care in rural areas. (The Patient-Centered Outcomes Research Institute-PCORI)