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Sustainability Strategies

Sustainable financing and funding models are especially important for rural health promotion and disease prevention programs. Because health promotion and disease prevention strategies support improvements in population health outcomes, one sustainability strategy is to create or identify funding models that support improvements in population health. These include value-based and/or alternative payment models. Alternative payment models change the care is paid for and delivered by focusing on improved quality, costs, and health outcomes. Rural communities should also consider developing a financial plan that identifies how to bill for services provided through the health promotion/disease prevention programs.

Other strategies for achieving sustainability include:

  • Strengthening partnerships
  • Building capacity
  • Diversifying funding streams
  • Implementing organizational or structural changes
  • Developing effective messaging

For a description of these strategies, see Sustainability Strategies for Specific Issues in the Rural Community Health Toolkit.

Resources to Learn More

A Sustainability Planning Guide
The Sustainability Planning Guide helps users clarify their vision, understand the key steps to planning, identify the strategy(s) to sustain their work with checklists for each critical stage of development.
Organization(s): U.S. Department of Labor
Date: 2005

Better Care. Smarter Spending. Healthier People: Paying Providers for Value, Not Volume
Discusses how CMS is moving towards alternative payment models and population-based payment to reward value and care coordination.
Organization(s): Centers for Medicare and Medicaid Services

Sustaining Grassroots Community-Based Programs: A Toolkit for Community- and Faith-Based Service Providers
This toolkit provides planning information, tools, templates, and worksheets covering financial management, marketing, organizational assessment and readiness, and evaluation to assist community-based organizations in sustaining program services.
Organization(s): U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration
Date: 1/2009