Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Governance of healthcare organizations

Toward a High Performing Rural Health Care System: Key Issues and Recommendations from Rural Health Care System Innovators
Summarizes key themes and recommendations from a meeting of rural health leaders regarding innovations in rural healthcare financing and service delivery to inform state and national policy discussions. Offers recommendations, examples, and discussion on 3 areas: financing rural health system innovation, creating an infrastructure to support rural health innovation, and promoting governance models that support innovation.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 05/2019
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
High Risk: Progress Made but Continued Attention Needed to Address Management Weaknesses at Federal Agencies Serving Indian Tribes
Identifies progress made and areas that still need to be addressed to remove the Bureau of Indian Education (BIE) and Indian Health Service (IHS) from the Government Accountability Office's list of high risk federal programs. Addresses leadership commitment, demonstrated progress, action plans, monitoring, and capacity. Appendix III lists open recommendations for IHS.
Additional links: Full Report
Date: 03/2019
Type: Document
Sponsoring organization: Government Accountability Office
view details
Rural Hospital Mergers from 2005 through 2016
Examines the number of mergers of rural hospitals across the U.S. from 2005-2016. Looks at the effect of mergers and acquisitions on rural healthcare.
Author(s): Dunc Williams Jr., Sharita R. Thomas, Hilda A. Howard, George H. Pink
Date: 08/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
Cross-Jurisdictional Resource Sharing in Local Health Departments: Implications for Services, Quality, and Cost
Examines Local Health Departments (LHDs) in Connecticut and Massachusetts and discusses how to increase capacity of public health systems in smaller municipalities. Analyzes 15 resource-sharing jurisdictions and 54 single-municipality jurisdictions and provides benefits and drawbacks of the 2 models. Includes data on demographic and organizational characteristics of independent and sharing municipalities including percentages of rural, suburban, and urban municipality type.
Author(s): Debbie L. Humphries, Justeen Hyde, Ethan Hahn, et al.
Citation: Frontiers in Public Health, 6(115), 1-13
Date: 04/2018
Type: Document
view details
What Are Rural Health Leaders Asking about Value-Based Care and Payment?
Brief highlights a survey of 60 rural healthcare leaders on value-based care and payment priorities. Details the survey questions, results, and the number of priorities ranked in top five by the participants.
Date: 2018
Type: Document
Sponsoring organization: Rural Health Value
view details
Tribal Nursing Homes: Communicating with Your Governing Board
Presents methods for tribal nursing home administrators to effectively communicate with their governing boards. Features examples from several tribes of the southern and western U.S., as well as several resources and toolkits that further explore effective modes of communication for long-term care facility governance.
Date: 07/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
view details
Indian Health Service: Actions Needed to Improve Oversight of Quality of Care
Reports results from a performance audit conducted by the Government Accountability Office (GAO) from March 2016 through January 2017, examining IHS's oversight of quality of care in its federally operated facilities. Draws conclusions based on a review of policies related to quality of care, interviews with IHS officials at the headquarters and area offices, and examination of documents from governance meetings. Makes recommendations to the Secretary of the Department of Health and Human Services (HHS) on actions that can be taken to help ensure quality care is provided in federally operated IHS facilities. Appendices include the responding comments from HHS and provide additional information about leadership turnover at IHS offices and facilities.
Additional links: Full Report
Date: 01/2017
Type: Document
Sponsoring organization: Government Accountability Office
view details
Innovations in Rural Health System Development: Governance
Discusses the need for collaboration between healthcare facilities and their communities, including ideas for new approaches to governance to help make these transitions happen. Provides examples of hospital/health system collaborations and population health programs from throughout the U.S.
Author(s): Sara Kahn-Troster, Andrew Coburn
Date: 11/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
view details
"How Can We Talk about Patient-centered Care without Patients at the Table?" Lessons Learned from Patient Advisory Councils
Reports on a survey of patient advisory council (PAC) members associated with 8 primary care clinics and Federally Qualified Health Clinics (FQHCs), both rural and urban, in Northern California. Focuses on how PACs are developed, challenges faced, and the benefits of effective PACs.
Author(s): Anjana E. Sharma, Rachel Willard-Grace, Andrew Willis, et al.
Citation: Journal of the American Board of Family Medicine, 29(6), 775-784
Date: 11/2016
Type: Document
view details
An Interview with Darrold Bertsch
A healthcare administrator who serves as CEO of both a Critical Access Hospital and a Federally Qualified Health Center in rural North Dakota discusses how the two facilities work together to meet their region's healthcare needs.
Citation: Rural Monitor
Date: 09/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
view details