Services
Whether the need is biennial review support, emergency preparedness planning, policy and procedure manual development, chart documentation review, technology efficiency assessment, website user experience auditing, claims denials review, strategic planning, workflow redesign, or hands-on implementation support, I help organizations reduce friction, improve operational efficiency, strengthen execution, and move from confusion to clarity.
Supporting rural health organizations from the front desk to the boardroom.
Core Service Domains
Rural Health Clinic compliance is my core specialty. Beyond that, I support rural health organizations across operations, strategy, evaluation, workforce, health IT, documentation, and training. Click any domain below to see specific examples of support.
1. Rural Health Clinic Compliance and Survey Readiness
Rural Health Clinic compliance is my core specialty. I help RHCs identify compliance risk, understand where breakdowns are happening, and strengthen readiness before those issues become larger operational or regulatory problems.
Examples of Support
- RHC compliance diagnostics under 42 C.F.R. Part 491
- Survey readiness and mock surveys
- Biennial review support
- Medical chart and documentation review
- Deficiency analysis and corrective action support
- Policy and procedure development; documentation, denials, and accreditation support
- Emergency preparedness program creation, training, and support
- Compliance-critical staff training and ongoing advisory
2. Rural Health Strategy, Viability, and Strategic Planning
Financial durability, strategic planning, and long-range viability for rural facilities and the programs that fund them. Right now much of this work centers on Rural Health Transformation Program (RHTP) readiness, as states move $50 billion in federal funding to rural providers.
Examples of Support
- RHTP readiness assessment and implementation support
- Strategic planning facilitation for facilities and networks
- Financial durability analysis and viability planning
- Service line analysis and market positioning
- Stabilization strategy for distressed facilities
- Flex Program and SHIP support
3. Workflow Redesign and Process Improvement
Lean Six Sigma-informed workflow analysis, bottleneck reduction, and operational efficiency scaled to rural staffing and resource realities, including the health IT and technology side of how work actually flows.
Examples of Support
- Current-state workflow assessment and process mapping
- Bottleneck and rework diagnostics
- Workflow redesign for compliance-critical operations
- Health IT workflow design and technology efficiency
- Website and system user experience auditing
- Implementation support and change management
4. Data Analytics, Quality Measures, and Performance Reporting
Mixed-methods evaluation, quality measure performance, and board-ready analysis for rural facilities, State Offices of Rural Health, and rural health networks. Translation of data into actionable improvement priorities.
Examples of Support
- Evaluation design and mixed-methods research
- Quality measure performance analysis and benchmarking
- Dashboard development and reporting infrastructure
- Custom survey and measurement instrument design
- Outcome analysis and program impact assessment
- Performance reporting for federal, state, and funder audiences
5. Workforce Capacity, Retention, and Leadership Development
Behavioral science-grounded workforce strategy for rural facilities navigating provider shortages, plus the teaching and training work that builds capability: curriculum, workshops, and leadership development.
Examples of Support
- Workforce capacity assessment and retention diagnostics
- Recruitment pipeline strategy and HPSA gap analysis
- Clinician burnout assessment and structural mitigation
- Leadership development and succession planning
- Training design, webinars, masterclasses, and train-the-trainer models
- Team effectiveness diagnostics and intervention
6. Network, Consortium, and Multi-Organization Solutions
RHC and CAH network formation, consortium governance, shared services design, and value-based care infrastructure for rural multi-organization arrangements.
Examples of Support
- Network formation, governance design, and member alignment
- Shared services design and network performance assessment
- Value-based care and ACO infrastructure for rural arrangements
- HRSA and FORHP network planning grant support
- Coalition-building and multi-stakeholder coordination
7. Rural Veterans Access through VHA Community Care
Helping rural facilities serve rural veterans close to home through their VHA benefit: Community Care Network readiness, MISSION Act alignment, and the operational work that makes participation real.
Examples of Support
- VHA Community Care readiness assessment
- CCN participation strategy and onboarding support
- Credentialing pathway development
- Workflow and documentation alignment for VA Community Care
- Coordination with VA Office of Rural Health and regional VISN structures
8. Federal and State Agency Coordination
Crosswalking federal and state policy with rural reality. I help agencies and State Offices of Rural Health understand how their policies land in rural communities, accomplish program goals, and spot where their own policies are getting in the way.
Examples of Support
- Rural impact assessment of agency policies and programs
- Policy crosswalk analysis across federal and state requirements
- Technical assistance subcontracting for federal and state initiatives
- Stakeholder engagement and rural-voice integration
- Briefing and decision support for agency leadership
Rural Health Transformation Program (RHTP): all 50 states were awarded RHTP funding in late December 2025, first-year funds are moving in 2026, and the timelines are compressed. Whether you are a state agency standing up a program, a prime building a delivery team, or a facility preparing to participate, RHTP readiness support is available now. Book the free 15-minute call and we can talk through where you sit.
Serving Critical Access Hospitals and Rural Health Clinics across the country.
Some engagements need strategic direction. Some need hands-on problem-solving. Most need both. I help organizations make data-informed decisions and take practical actions.
Specialty Area
Rural Health Clinic Compliance
Rural Health Clinic compliance is my core specialty. I support RHCs across the full compliance lifecycle, from initial certification readiness through biennial review, deficiency response, corrective action planning, and ongoing advisory.
Broader Rural Health Support
Beyond RHC Compliance
I support rural health organizations more broadly across operations, operational efficiency, workflow, strategic planning, evaluation, workforce, technology, website user experience auditing, policy and procedure support, emergency preparedness support, accreditation readiness support, documentation review, training, leadership, and organizational effectiveness.
What I Do Not Provide
Out of Scope
I do not provide billing and coding services, EHR technical support, and I do not complete cost reports. I can support the strategy, workflow, readiness, documentation, and operational alignment surrounding those areas.
Work With Me Pricing
- Standard hourly rate: $250 per hour.
- Project rate reduction: 20 percent reduction on individual projects expected to require 20 or more hours, applied to the project total.
- Travel: All work is delivered remotely unless otherwise agreed in the engagement letter. When on-site work is agreed, travel is reimbursed at actual cost, with the exception of meals, which are reimbursed at the current federal per diem rates, in addition to the hourly rate. Travel estimates can be provided in advance.
- Scope discipline: Agreed scopes of work are defined up front and adhered to. Changes are handled by mutual agreement or as a separate project. No surprise charges.
RHTP Grant Administration and Compliance
The Rural Health Transformation Program is moving fast, and the rules are changing while states build. Winning a sub-award is the beginning, not the finish line. These are cost-reimbursement dollars: you spend first, document everything, claim on your state's clock, and answer for every line item at closeout. The organizations winning these awards are clinical, technology, and community innovators. Grant administration is the part of the project that has to hold the money and the milestones together, and it is the part most teams do not have in house.
CMS Rural Health Transformation Program | 2 C.F.R. Part 200
Post-Award Grant Administration for RHTP Sub-Awardees
A fractional Grant Administration and Compliance Lead who owns the award so your team can run the project: reimbursement claims prepared and submitted with full documentation, budget versus actual by line item, milestone and work-plan tracking, your state's quarterly and annual reports on your state's templates, procurement and contract guidance, audit-ready records, and clean closeout. Delivered as a one-time mobilization plus a monthly retainer, in three tiers. Mobilization $5,500 to $9,000; monthly retainer $4,000 to $7,500 by tier, based on a standard rate of $250 per hour with a 20 percent reduction applied at 20 or more hours per month.
For State Agencies and Their Partners
RHTP Program Design and Navigation
I work the state side of this program too: I advise multiple states on RHTP navigation and am currently engaged to help a state design its RHTP program and draft its solicitations. If you are standing up a program, writing funding opportunities, or preparing sub-recipients for the compliance load your contracts will carry, that is a scoping conversation.
Every state's RHTP looks different. What your contract requires, what your state's templates ask for, and where 2 C.F.R. Part 200 applies all depend on how your sub-award is written. The first thing I do is read yours.
Fixed-Fee Packages
Defined scope. Named deliverables. A known price range your board or agency can plan around. Every package is anchored to the federal requirement it satisfies, verified against the live eCFR text, and every engagement is custom-quoted: the exact fixed fee, deliverables, and timeline are set in a written engagement proposal before work begins. No credit card checkout, no self-serve cart. Fixed-fee proposals that include on-site work name the number of included on-site days, so travel never sits open-ended.
42 C.F.R. § 491.12
RHC Emergency Preparedness Program Package
A complete emergency preparedness program build or refresh: all-hazards risk assessment, emergency plan, policies and procedures, communication plan, training program, and the two-year exercise calendar most clinics get wrong, including facilitated facility-based functional and tabletop exercises. Fixed fee per site, $7,500 to $12,000. Monthly EP Maintenance add-on available to keep every 2-year clock tracked.
42 C.F.R. Part 491, Subpart A
RHC Mock Survey Package
A full survey simulation across the Conditions for Certification: pre-survey document review, chart sample review, staff interviews, walkthrough, same-day exit conference, written findings mapped to each condition, and a prioritized corrective action plan. Fixed fee per clinic, $5,500 to $9,500. Remote at the lower end; on-site includes one named on-site day.
42 C.F.R. § 491.11
RHC Biennial Program Evaluation Package
The complete biennial evaluation the regulation requires: utilization review, a representative sample of active and closed records, policy review, written findings, and a corrective action plan with the documentation to prove it happened. Fixed fee per clinic, $4,500 to $7,500. Network bundles quoted together.
Single-site clinic on a tight budget? Ask about the Always Survey-Ready monthly bundle, a lighter option combining EP maintenance with the biennial evaluation cycle.
Book a Free 15-Minute Fit-Finding Call → Email for a Custom Engagement Proposal →
Explore by Service Area
RHC Compliance and Advisory
Compliance diagnostics, biennial review support, mock surveys, deficiency response, policy and procedure work, and ongoing advisory for Rural Health Clinics.
Partner Advisory and Technical Assistance
Strategic advisory, staff education, and technical assistance for State Offices of Rural Health, federal contractors, associations, and rural health transformation programs.
Ready to Get Started?
Whether you need RHC compliance support, operational problem-solving, documentation review, accreditation readiness, policy and procedure support, emergency preparedness planning, website user experience auditing, or a trusted advisor who can move between the big picture and the fine detail, I am here to help.
Regulatory Clarity. Financial Durability. Rural Health Viability.