4 Population Health Challenges for Small and Rural Hospitals

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4. Lack of Scale and Limited Staffing

• Small and rural hospitals and care systems have challenges in becoming an ACO or organizing a patient-centered medical home, due to limited scale

• Less able to recruit skilled and experienced healthcare workers

• Without sufficient volume for certain medical procedures, rural hospitals are unable to meet certain quality standards or have adequate/accurate data, which can affect reimbursement

[Source: American Hospital Association, 2013]


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