Module 1: An Introduction to the RHC Program Page 0

Rural Health Clinic Technical Assistance

Survey Summary

National Organization of State Offices of Rural Health 44648 Mound Road, #114 | Sterling Heights, MI 48314-1322 Phone: 586-739-9940 | Fax: 586-739-9941 | Email: teryle@nosorh.org www.nosorh.org

NOSORH Rural Health Clinic Survey Results

Overview

Analysis Report for All Respondents – 445 Participants

Analysis of All Independent RHCs – 176 Participants

Analysis of All Provider Based RHCs – 255 Participants

Analysis of All For-Profit RHCs – 157 Participants

Analysis of All Non-Profit RHCs – 272 Participants

Analysis of Administrative Respondents – 374 Participants

Analysis of Clinical Respondents – 55 Participants

Analysis of RHC Respondents in Operation less than 2 Years – 29 Participants

38 State Reports for All Respondents by State – 38 Reports, 445 Participants

Alabama Arizona Arkansas California Colorado Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Michigan Minnesota Mississippi Missouri Montana Nebraska

Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin

RHC TA Reports_List of Reports_Background_RS_20100923

The Rural Health Clinic (RHC) Technical Assistance Survey

The RHC Technical Assistance Survey was developed by the National Organization of State Offices of Rural Health (NOSORH), the RHC Advisory Team and Health Management Consultants, LLC. The survey was developed as part of the overall needs assessment for the NOSORH project to designed to develop resources to assist State Offices of Rural Health (SORH) provide more technical support and assistance to RHCs in their states. SORH have requested assistance with providing TA to existing RHCs as well as to primary care practices considering practice conversion to an RHC. The survey questions were translated into Survey Monkey format and distributed to Rural Health Clinics (RHC) by the National Association of Rural Health Clinics (NARHC). NARHC, under contract with the Office of Rural Health Policy, maintains a listserve of RHCs who voluntarily request to receive information from NARHC. The RHC TA Survey was distributed via e-mail to all active RHC on the NARHC listserve. An e-mail explaining the project and the use of the survey information from NOSORH Executive Director, Teryl Eisinger and NARHC Executive Director, Bill Finerfrock, was included. Advisory Team members were also invited to send the survey to RHCs in their state and all Advisory Team members were asked to encourage participation in the survey. The RHC TA e-mail and survey link were sent April 19, 2010 with a closing date of May 7, 2010. There were 445 survey responses received. Analyses, as listed below, have been completed and provide insight into the technical assistance needs of 445 RHCs in the nation. RHCs from 38 states responded. The RHC Survey, is included along with the results produced by the Survey Monkey software. The results were then downloaded and analyzed using Excel. An explanatory notes page is attached clarifying how calculations, rankings and the overall reports were done. The 2010 NOSORH Rural Health Clinic Survey Reports include:

• Analysis report for all respondents – 445 participants

• Analysis of All independent RHCs – 176 participants • Analysis of All Provider Based RHCs – 255 participants

• Analysis of All For-Profit RHCs – 157 participants • Analysis of All Non-Profit RHCs – 272 participants

• Analysis of Administrative Respondents – 374 participants • Analysis of Clinical Respondents – 55 participants

• Analysis of RHC Respondents in Operation Less than 2 years – 29 participants

• 38 State Reports for All respondents by state – 38 reports, 445 participants

Initial analysis and reports included a report on the number of RHC surveys received by state. A report of the organizations, associations and consultants RHCs noted as helpful was produced, along with a report of the types of technical assistance RHCs paid for in the previous year. These reports, along with the Survey Monkey responses and the survey, are included.

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

NOTES ON TWO PAGE SUMMARY:

1.)

2.)

3.)

4.)

5.)

6.)

7.)

Rankings are from the highest percentage figure to the lowest, with the highest figure listed as "1" and each successively lower percentage listed as "2", "3", etc. When percentage figures are the same, i.e., they tie, each receives the same ranking value and the next lowest percentage figure will be ranked to account for the number of tied values.

On page 2, the rankings in the second last column labeled "Within Type" refer to how the topic areas rank within each "Type of Assistance" category, e.g., "Financial Assistance", "Administrative Assistance", etc. The "Overall" rankings, in the next column over, apply to all topic areas listed on page 2. In both instances these rankings refer to the percentages listed in the '"Some" plus "Lots"' column.

The topic areas highlighted in a bold red font reflect the top three ranked topic areas from the '"Some" plus "Lots"' percentage figures listed in the fourth from the right column and apply to all of the topic areas listed on page 2. All tied rankings from 1 to 3 are highlighted in the bold red font.

The data elements listed on the two page 2010 Rural Health Clinic Survey relate to the description listed on the first line at the top of each page (below the page title). The number of survey participants meeting the description is listed to the right on the same line.

The counts or responses refer to that portion of the total participants who answered affirmatively (or did not respond) to the particular survey question.

The percentage figures represent the number of responses to a survey question divided by the "Total Participants" listed in the top right corner of the page.

In some instances, percentages will reflect combined totals for more than one column, divided by the "Total Participants". This applies to the "Helpful" and "Very Helpful" columns in the "Methods of Assistance That Might be Useful "section at the bottom of page 1, and to the "Some" and "Lots" columns in the "Types of Assistance That Might be Useful" section on page 2.

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

All RHC Respondents Total Participants: 445

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 255 57.3% Part of a Network 115 25.8%Independent 176 39.6% No Network Affiliation 309 69.4%No Answer 14 3.1% No Answer 21 4.7%

Clinic Organization Government AffiliationFor-Profit 157 35.3% Local Ownership 58 13.0%Non-Profit 272 61.1% State Ownership 11 2.5%No Answer 16 3.6% No Affiliation/No Answer 376 84.5%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 30 6.7% Certified Nurse Midwife 0 0.0%Physician 22 4.9% Office Manager 181 40.7%Nurse Practitioner 21 4.7% Billing or Coding Staff 70 15.7%Physician Assistant 4 0.9% Other 163 36.6%

Do you know the staff in your State Office of Rural Health? Yes: 197 No: 16144.3% 36.2%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $100

Maximum $160,000 0 1 2 3 4 5 >5 242 63 24 12 3 1 15 = Count of Responses

54.4% 14.2% 5.4% 2.7% 0.7% 0.2% 3.4% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 26.5%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 32 210 100 69.7% 22.5% 5

Workshops or Training Programs 25 195 128 72.6% 28.8% 2

Webinars or Other On-Line Programs 20 180 146 73.3% 32.8% 1

On-Site Assistance 70 185 77 58.9% 17.3% 6

Telephone Assistance 26 204 114 71.5% 25.6% 4

E-mail Assistance 18 183 140 72.6% 31.5% 2

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

All RHC Respondents Survey Participants: 445

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 137 193 36 51.5% 8.1% 2 12Budgeting 218 107 25 29.7% 5.6% 8 39Accounting Systems 217 106 30 30.6% 6.7% 7 36Billing Systems 191 126 50 39.6% 11.2% 6 28Fee Schedule 173 147 45 43.1% 10.1% 4 22Sliding Fee Scale 165 143 35 40.0% 7.9% 5 27Coding 127 203 43 55.3% 9.7% 1 7Cost Reports 156 139 56 43.8% 12.6% 3 21Other 63 16 25 9.2% 5.6% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 184 160 20 40.4% 4.5% 5 26Staffing 203 125 31 35.1% 7.0% 6 33Organization Chart 286 60 9 15.5% 2.0% 10 44Position Descriptions 222 115 20 30.3% 4.5% 7 37Management/Leadership Skills 149 176 39 48.3% 8.8% 3 15Strategic Planning 131 179 46 50.6% 10.3% 2 13Marketing/Outreach 142 157 56 47.9% 12.6% 4 16Staff Training 124 192 44 53.0% 9.9% 1 11Ownership/Governance 247 65 18 18.7% 4.0% 9 43Board Training 200 91 26 26.3% 5.8% 8 41Other 69 2 5 1.6% 1.1% 11 46

CLINICAL ASSISTANCEQuality Improvement 65 236 53 64.9% 11.9% 2 2Best Practices (adopting, using) 57 231 67 67.0% 15.1% 1 1Coding for Clinicians 88 195 71 59.8% 16.0% 3 3Provider Relations 154 149 39 42.2% 8.8% 6 23Provider Recruitment 143 113 87 44.9% 19.6% 5 18Provider Retention 153 130 58 42.2% 13.0% 6 23Continuing Education 112 186 53 53.7% 11.9% 4 10Credentialing 186 117 39 35.1% 8.8% 9 33RHC Provider Enrollment 207 91 42 29.9% 9.4% 10 38Disease Management 143 158 29 42.0% 6.5% 8 25Other 57 2 3 1.1% 0.7% 11 48

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 103 179 79 58.0% 17.8% 1 4Patient Registration/Eligibility 160 159 38 44.3% 8.5% 5 20Patient Appointments 225 103 23 28.3% 5.2% 6 40Electronic Medical Records (EMR) 115 132 113 55.1% 25.4% 2 8Clinical Tracking 98 167 73 53.9% 16.4% 3 9Management Information System (MIS) 134 148 61 47.0% 13.7% 4 17Other 57 3 4 1.6% 0.9% 7 46

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 100 199 53 56.6% 11.9% 1 5Working with Consortiums/Networks 163 138 19 35.3% 4.3% 8 32Emergency Preparedness 181 154 15 38.0% 3.4% 5 29Pharmacy Assistance for Patients 144 163 35 44.5% 7.9% 4 19Migrant/Seasonal Farmworkers 224 78 10 19.8% 2.2% 10 42Developing Grants 86 162 88 56.2% 19.8% 2 6Develop Other Resources 103 161 59 49.4% 13.3% 3 14Facility Planning 174 129 34 36.6% 7.6% 6 30Facility Renovation 184 113 39 34.2% 8.8% 9 35Improving Cultural Competence 163 139 21 36.0% 4.7% 7 31Other 61 2 2 0.9% 0.4% 11 49

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

All Independent RHCs Total Participants: 176

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 0 0.0% Part of a Network 32 18.2%Independent 176 100.0% No Network Affiliation 142 80.7%No Answer 0 0.0% No Answer 2 1.1%

Clinic Organization Government AffiliationFor-Profit 112 63.6% Local Ownership 7 4.0%Non-Profit 63 35.8% State Ownership 5 2.8%No Answer 1 0.6% No Affiliation/No Answer 164 93.2%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 20 11.4% Certified Nurse Midwife 0 0.0%Physician 13 7.4% Office Manager 87 49.4%Nurse Practitioner 11 6.3% Billing or Coding Staff 31 17.6%Physician Assistant 2 1.1% Other 49 27.8%

Do you know the staff in your State Office of Rural Health? Yes: 86 No: 5948.9% 33.5%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $300

Maximum $160,000 0 1 2 3 4 5 >5

86 32 12 5 1 1 9 = Count of Responses48.9% 18.2% 6.8% 2.8% 0.6% 0.6% 5.1% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 34.1%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 13 79 50 73.3% 28.4% 3

Workshops or Training Programs 13 71 57 72.7% 32.4% 4

Webinars or Other On-Line Programs 13 69 59 72.7% 33.5% 4

On-Site Assistance 25 79 32 63.1% 18.2% 6

Telephone Assistance 9 73 59 75.0% 33.5% 2

E-mail Assistance 6 71 62 75.6% 35.2% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

All Independent RHCs Survey Participants: 176

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 62 69 17 48.9% 9.7% 2 15Budgeting 88 39 14 30.1% 8.0% 7 37Accounting Systems 92 37 15 29.5% 8.5% 8 38Billing Systems 84 44 22 37.5% 12.5% 6 27Fee Schedule 72 59 18 43.8% 10.2% 4 17Sliding Fee Scale 68 61 14 42.6% 8.0% 5 21Coding 64 68 21 50.6% 11.9% 1 9Cost Reports 61 53 32 48.3% 18.2% 3 16Other 30 3 16 10.8% 9.1% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 68 69 7 43.2% 4.0% 4 18Staffing 79 49 12 34.7% 6.8% 6 34Organization Chart 110 26 5 17.6% 2.8% 10 44Position Descriptions 94 41 5 26.1% 2.8% 7 39Management/Leadership Skills 73 59 11 39.8% 6.3% 5 24Strategic Planning 49 70 19 50.6% 10.8% 1 9Marketing/Outreach 53 68 19 49.4% 10.8% 2 11Staff Training 54 72 15 49.4% 8.5% 2 11Ownership/Governance 91 33 7 22.7% 4.0% 9 42Board Training 84 35 7 23.9% 4.0% 8 41Other 28 1 3 2.3% 1.7% 11 47

CLINICAL ASSISTANCEQuality Improvement 22 101 15 65.9% 8.5% 1 1Best Practices (adopting, using) 25 91 20 63.1% 11.4% 2 2Coding for Clinicians 38 77 23 56.8% 13.1% 3 4Provider Relations 69 48 16 36.4% 9.1% 7 29Provider Recruitment 59 38 38 43.2% 21.6% 5 18Provider Retention 67 43 22 36.9% 12.5% 6 28Continuing Education 48 64 23 49.4% 13.1% 4 11Credentialing 73 43 21 36.4% 11.9% 7 29RHC Provider Enrollment 80 38 17 31.3% 9.7% 10 36Disease Management 65 56 7 35.8% 4.0% 9 31Other 24 1 2 1.7% 1.1% 11 48

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 38 73 33 60.2% 18.8% 1 3Patient Registration/Eligibility 71 53 15 38.6% 8.5% 5 26Patient Appointments 95 31 13 25.0% 7.4% 6 40Electronic Medical Records (EMR) 47 47 48 54.0% 27.3% 2 7Clinical Tracking 44 69 21 51.1% 11.9% 3 8Management Information System (MIS) 57 57 19 43.2% 10.8% 4 18Other 25 2 3 2.8% 1.7% 7 46

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 44 77 22 56.3% 12.5% 1 5Working with Consortiums/Networks 72 52 10 35.2% 5.7% 7 32Emergency Preparedness 69 65 10 42.6% 5.7% 4 21Pharmacy Assistance for Patients 64 60 13 41.5% 7.4% 5 23Migrant/Seasonal Farmworkers 93 30 7 21.0% 4.0% 10 43Developing Grants 42 63 33 54.5% 18.8% 2 6Develop Other Resources 45 63 24 49.4% 13.6% 3 11Facility Planning 67 57 12 39.2% 6.8% 6 25Facility Renovation 76 47 15 35.2% 8.5% 7 32Improving Cultural Competence 70 51 7 33.0% 4.0% 9 35Other 28 0 2 1.1% 1.1% 11 49

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

All Provider Based RHCs Total Participants: 255

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 255 100.0% Part of a Network 83 32.5%Independent 0 0.0% No Network Affiliation 164 64.3%No Answer 0 0.0% No Answer 8 3.1%

Clinic Organization Government AffiliationFor-Profit 44 17.3% Local Ownership 51 20.0%Non-Profit 206 80.8% State Ownership 6 2.4%No Answer 5 2.0% No Affiliation/No Answer 198 77.6%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 9 3.5% Certified Nurse Midwife 0 0.0%Physician 9 3.5% Office Manager 92 36.1%Nurse Practitioner 10 3.9% Billing or Coding Staff 39 15.3%Physician Assistant 2 0.8% Other 111 43.5%

Do you know the staff in your State Office of Rural Health? Yes: 106 No: 10241.6% 40.0%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $100

Maximum $35,000 0 1 2 3 4 5 >5 151 31 12 6 2 0 6 = Count of Responses

59.2% 12.2% 4.7% 2.4% 0.8% 0.0% 2.4% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 22.4%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 19 130 46 69.0% 18.0% 5

Workshops or Training Programs 12 124 66 74.5% 25.9% 2

Webinars or Other On-Line Programs 7 110 84 76.1% 32.9% 1

On-Site Assistance 45 105 41 57.3% 16.1% 6

Telephone Assistance 16 131 51 71.4% 20.0% 4

E-mail Assistance 11 111 75 72.9% 29.4% 3

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

All Provider Based RHCs Survey Participants: 255

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 75 122 18 54.9% 7.1% 2 13Budgeting 129 65 11 29.8% 4.3% 8 39Accounting Systems 123 67 15 32.2% 5.9% 7 37Billing Systems 106 80 27 42.0% 10.6% 4 25Fee Schedule 99 87 26 44.3% 10.2% 3 24Sliding Fee Scale 96 80 21 39.6% 8.2% 6 27Coding 62 132 22 60.4% 8.6% 1 4Cost Reports 95 85 21 41.6% 8.2% 5 26Other 33 13 9 8.6% 3.5% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 116 88 12 39.2% 4.7% 5 28Staffing 123 74 19 36.5% 7.5% 6 30Organization Chart 174 33 3 14.1% 1.2% 10 44Position Descriptions 127 72 14 33.7% 5.5% 7 36Management/Leadership Skills 76 114 27 55.3% 10.6% 2 12Strategic Planning 82 106 27 52.2% 10.6% 3 14Marketing/Outreach 88 87 36 48.2% 14.1% 4 18Staff Training 70 118 27 56.9% 10.6% 1 11Ownership/Governance 155 31 10 16.1% 3.9% 9 43Board Training 115 55 17 28.2% 6.7% 8 41Other 41 1 2 1.2% 0.8% 11 46

CLINICAL ASSISTANCEQuality Improvement 43 131 38 66.3% 14.9% 2 2Best Practices (adopting, using) 32 136 47 71.8% 18.4% 1 1Coding for Clinicians 49 115 48 63.9% 18.8% 3 3Provider Relations 84 98 23 47.5% 9.0% 6 21Provider Recruitment 83 74 48 47.8% 18.8% 5 20Provider Retention 86 85 35 47.1% 13.7% 8 23Continuing Education 63 119 30 58.4% 11.8% 4 6Credentialing 113 71 18 34.9% 7.1% 9 34RHC Provider Enrollment 125 52 24 29.8% 9.4% 10 39Disease Management 77 99 22 47.5% 8.6% 6 21Other 33 1 1 0.8% 0.4% 11 47

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 65 104 44 58.0% 17.3% 1 8Patient Registration/Eligibility 87 104 23 49.8% 9.0% 5 17Patient Appointments 127 70 10 31.4% 3.9% 6 38Electronic Medical Records (EMR) 68 83 63 57.3% 24.7% 3 10Clinical Tracking 52 97 50 57.6% 19.6% 2 9Management Information System (MIS) 75 90 40 51.0% 15.7% 4 16Other 32 1 1 0.8% 0.4% 7 47

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 56 118 31 58.4% 12.2% 2 6Working with Consortiums/Networks 89 85 8 36.5% 3.1% 6 30Emergency Preparedness 111 86 5 35.7% 2.0% 7 32Pharmacy Assistance for Patients 79 101 22 48.2% 8.6% 4 18Migrant/Seasonal Farmworkers 129 46 3 19.2% 1.2% 10 42Developing Grants 43 98 53 59.2% 20.8% 1 5Develop Other Resources 57 97 34 51.4% 13.3% 3 15Facility Planning 107 71 20 35.7% 7.8% 7 32Facility Renovation 107 65 23 34.5% 9.0% 9 35Improving Cultural Competence 91 87 13 39.2% 5.1% 5 28Other 33 2 0 0.8% 0.0% 11 47

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

All For-Profit RHCs Total Participants: 157

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 44 28.0% Part of a Network 32 20.4%Independent 112 71.3% No Network Affiliation 124 79.0%No Answer 1 0.6% No Answer 1 0.6%

Clinic Organization Government AffiliationFor-Profit 157 100.0% Local Ownership 1 0.6%Non-Profit 0 0.0% State Ownership 1 0.6%No Answer 0 0.0% No Affiliation/No Answer 155 98.7%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 24 15.3% Certified Nurse Midwife 0 0.0%Physician 20 12.7% Office Manager 79 50.3%Nurse Practitioner 7 4.5% Billing or Coding Staff 30 19.1%Physician Assistant 2 1.3% Other 32 20.4%

Do you know the staff in your State Office of Rural Health? Yes: 67 No: 5842.7% 36.9%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $300

Maximum $50,000 0 1 2 3 4 5 >5

75 30 6 5 1 1 6 = Count of Responses47.8% 19.1% 3.8% 3.2% 0.6% 0.6% 3.8% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 31.2%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 11 68 44 71.3% 28.0% 3

Workshops or Training Programs 10 66 46 71.3% 29.3% 3

Webinars or Other On-Line Programs 11 64 46 70.1% 29.3% 5

On-Site Assistance 28 61 29 57.3% 18.5% 6

Telephone Assistance 9 68 45 72.0% 28.7% 2

E-mail Assistance 4 63 56 75.8% 35.7% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

All For-Profit RHCs Survey Participants: 157

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 50 69 12 51.6% 7.6% 1 6Budgeting 75 38 12 31.8% 7.6% 7 33Accounting Systems 82 34 14 30.6% 8.9% 8 36Billing Systems 73 41 18 37.6% 11.5% 6 25Fee Schedule 67 53 15 43.3% 9.6% 4 18Sliding Fee Scale 62 54 13 42.7% 8.3% 5 19Coding 56 65 16 51.6% 10.2% 1 6Cost Reports 57 47 29 48.4% 18.5% 3 13Other 23 3 13 10.2% 8.3% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 61 63 6 43.9% 3.8% 4 17Staffing 74 41 10 32.5% 6.4% 6 32Organization Chart 98 24 4 17.8% 2.5% 8 41Position Descriptions 84 38 3 26.1% 1.9% 7 39Management/Leadership Skills 64 57 7 40.8% 4.5% 5 23Strategic Planning 44 67 12 50.3% 7.6% 1 10Marketing/Outreach 48 59 17 48.4% 10.8% 3 13Staff Training 49 66 11 49.0% 7.0% 2 11Ownership/Governance 89 24 4 17.8% 2.5% 8 41Board Training 83 23 3 16.6% 1.9% 10 43Other 29 0 3 1.9% 1.9% 11 47

CLINICAL ASSISTANCEQuality Improvement 22 93 11 66.2% 7.0% 1 1Best Practices (adopting, using) 24 86 13 63.1% 8.3% 2 2Coding for Clinicians 39 70 15 54.1% 9.6% 3 5Provider Relations 63 47 9 35.7% 5.7% 6 27Provider Recruitment 56 38 27 41.4% 17.2% 5 21Provider Retention 66 39 13 33.1% 8.3% 8 30Continuing Education 51 58 14 45.9% 8.9% 4 16Credentialing 74 35 14 31.2% 8.9% 9 34RHC Provider Enrollment 80 31 11 26.8% 7.0% 10 38Disease Management 64 50 3 33.8% 1.9% 7 28Other 21 0 2 1.3% 1.3% 11 48

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 31 67 29 61.1% 18.5% 1 3Patient Registration/Eligibility 64 45 13 36.9% 8.3% 5 26Patient Appointments 88 28 9 23.6% 5.7% 6 40Electronic Medical Records (EMR) 43 41 40 51.6% 25.5% 2 6Clinical Tracking 40 56 21 49.0% 13.4% 3 11Management Information System (MIS) 53 48 18 42.0% 11.5% 4 20Other 20 1 3 2.5% 1.9% 7 46

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 33 74 16 57.3% 10.2% 1 4Working with Consortiums/Networks 62 45 8 33.8% 5.1% 6 28Emergency Preparedness 59 59 6 41.4% 3.8% 4 21Pharmacy Assistance for Patients 57 52 11 40.1% 7.0% 5 24Migrant/Seasonal Farmworkers 83 22 3 15.9% 1.9% 10 44Developing Grants 35 56 24 51.0% 15.3% 2 9Develop Other Resources 36 57 18 47.8% 11.5% 3 15Facility Planning 65 45 7 33.1% 4.5% 7 30Facility Renovation 69 37 12 31.2% 7.6% 8 34Improving Cultural Competence 62 44 3 29.9% 1.9% 9 37Other 24 0 2 1.3% 1.3% 11 48

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

All Non-Profit RHCs Total Participants: 272

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 206 75.7% Part of a Network 83 30.5%Independent 63 23.2% No Network Affiliation 181 66.5%No Answer 3 0.0% No Answer 8 2.9%

Clinic Organization Government AffiliationFor-Profit 0 0.0% Local Ownership 55 20.2%Non-Profit 272 100.0% State Ownership 9 3.3%No Answer 0 0.0% No Affiliation/No Answer 208 76.5%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 5 1.8% Certified Nurse Midwife 0 0.0%Physician 2 0.7% Office Manager 100 36.8%Nurse Practitioner 14 5.1% Billing or Coding Staff 39 14.3%Physician Assistant 2 0.7% Other 126 46.3%

Do you know the staff in your State Office of Rural Health? Yes: 128 No: 10247.1% 37.5%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $100

Maximum $160,000 0 1 2 3 4 5 >5 162 33 17 7 2 0 9 = Count of Responses

59.6% 12.1% 6.3% 2.6% 0.7% 0.0% 3.3% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 25.0%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 21 140 54 71.3% 19.9% 5

Workshops or Training Programs 15 128 79 76.1% 29.0% 2

Webinars or Other On-Line Programs 9 115 98 78.3% 36.0% 1

On-Site Assistance 42 122 46 61.8% 16.9% 6

Telephone Assistance 17 135 66 73.9% 24.3% 3

E-mail Assistance 14 119 81 73.5% 29.8% 4

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Description

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100909 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

All Non-Profit RHCs Survey Participants: 272

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 86 121 23 52.9% 8.5% 2 13Budgeting 140 68 13 29.8% 4.8% 8 41Accounting Systems 134 70 15 31.3% 5.5% 7 40Billing Systems 116 84 30 41.9% 11.0% 5 26Fee Schedule 105 91 29 44.1% 10.7% 3 24Sliding Fee Scale 101 87 22 40.1% 8.1% 6 28Coding 70 134 27 59.2% 9.9% 1 6Cost Reports 98 90 26 42.6% 9.6% 4 25Other 40 13 12 9.2% 4.4% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 123 94 13 39.3% 4.8% 5 30Staffing 127 83 19 37.5% 7.0% 6 32Organization Chart 185 35 4 14.3% 1.5% 10 44Position Descriptions 135 76 16 33.8% 5.9% 7 36Management/Leadership Skills 83 118 31 54.8% 11.4% 2 12Strategic Planning 85 110 34 52.9% 12.5% 3 13Marketing/Outreach 92 96 38 49.3% 14.0% 4 18Staff Training 73 124 32 57.4% 11.8% 1 11Ownership/Governance 156 41 12 19.5% 4.4% 9 43Board Training 115 67 22 32.7% 8.1% 8 37Other 40 2 2 1.5% 0.7% 11 46

CLINICAL ASSISTANCEQuality Improvement 43 141 40 66.5% 14.7% 2 2Best Practices (adopting, using) 33 142 53 71.7% 19.5% 1 1Coding for Clinicians 49 122 55 65.1% 20.2% 3 3Provider Relations 90 99 30 47.4% 11.0% 8 23Provider Recruitment 86 73 59 48.5% 21.7% 6 20Provider Retention 86 89 44 48.9% 16.2% 5 19Continuing Education 61 125 38 59.9% 14.0% 4 5Credentialing 111 81 24 38.6% 8.8% 9 31RHC Provider Enrollment 125 59 30 32.7% 11.0% 10 37Disease Management 79 105 26 48.2% 9.6% 7 21Other 36 2 1 1.1% 0.4% 11 47

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 72 108 49 57.7% 18.0% 3 10Patient Registration/Eligibility 95 111 24 49.6% 8.8% 5 17Patient Appointments 135 72 14 31.6% 5.1% 6 39Electronic Medical Records (EMR) 72 89 70 58.5% 25.7% 1 7Clinical Tracking 58 109 49 58.1% 18.0% 2 9Management Information System (MIS) 81 98 40 50.7% 14.7% 4 16Other 37 2 1 1.1% 0.4% 7 47

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 66 122 37 58.5% 13.6% 2 7Working with Consortiums/Networks 99 92 10 37.5% 3.7% 7 32Emergency Preparedness 122 92 9 37.1% 3.3% 8 34Pharmacy Assistance for Patients 87 107 24 48.2% 8.8% 4 21Migrant/Seasonal Farmworkers 140 54 7 22.4% 2.6% 10 42Developing Grants 50 106 62 61.8% 22.8% 1 4Develop Other Resources 66 104 39 52.6% 14.3% 3 15Facility Planning 108 84 25 40.1% 9.2% 6 28Facility Renovation 114 76 25 37.1% 9.2% 8 34Improving Cultural Competence 100 94 17 40.8% 6.3% 5 27Other 37 2 0 0.7% 0.0% 11 49

Description

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100909 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Administrative Respondents Total Participants: 374

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 223 59.6% Part of a Network 95 25.4%Independent 145 38.8% No Network Affiliation 268 71.7%No Answer 6 1.6% No Answer 11 2.9%

Clinic Organization Government AffiliationFor-Profit 127 34.0% Local Ownership 52 13.9%Non-Profit 240 64.2% State Ownership 10 2.7%No Answer 7 1.9% No Affiliation/No Answer 312 83.4%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 13 3.5% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 170 45.5%Nurse Practitioner 0 0.0% Billing or Coding Staff 69 18.4%Physician Assistant 0 0.0% Other 145 38.8%

Do you know the staff in your State Office of Rural Health? Yes: 174 No: 14146.5% 37.7%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $100

Maximum $160,000 0 1 2 3 4 5 >5 210 54 23 12 2 1 14 = Count of Responses

56.1% 14.4% 6.1% 3.2% 0.5% 0.3% 3.7% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 28.3%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 25 185 90 73.5% 24.1% 5

Workshops or Training Programs 23 165 119 75.9% 31.8% 2

Webinars or Other On-Line Programs 15 157 132 77.3% 35.3% 1

On-Site Assistance 65 157 70 60.7% 18.7% 6

Telephone Assistance 24 176 103 74.6% 27.5% 4

E-mail Assistance 16 158 125 75.7% 33.4% 3

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Administrative Respondents Survey Participants: 374

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 120 171 30 53.7% 8.0% 2 12Budgeting 197 91 16 28.6% 4.3% 8 40Accounting Systems 199 89 22 29.7% 5.9% 7 39Billing Systems 171 111 42 40.9% 11.2% 5 27Fee Schedule 154 130 34 43.9% 9.1% 4 22Sliding Fee Scale 147 122 30 40.6% 8.0% 6 28Coding 112 176 38 57.2% 10.2% 1 7Cost Reports 139 122 43 44.1% 11.5% 3 21Other 57 15 22 9.9% 5.9% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 165 136 18 41.2% 4.8% 5 26Staffing 178 111 27 36.9% 7.2% 6 31Organization Chart 249 54 6 16.0% 1.6% 10 44Position Descriptions 192 103 17 32.1% 4.5% 7 36Management/Leadership Skills 132 151 35 49.7% 9.4% 3 15Strategic Planning 119 154 38 51.3% 10.2% 2 13Marketing/Outreach 126 137 49 49.7% 13.1% 3 15Staff Training 109 166 40 55.1% 10.7% 1 11Ownership/Governance 220 52 13 17.4% 3.5% 9 43Board Training 177 77 23 26.7% 6.1% 8 41Other 63 1 4 1.3% 1.1% 11 47

CLINICAL ASSISTANCEQuality Improvement 55 208 47 68.2% 12.6% 2 2Best Practices (adopting, using) 48 203 62 70.9% 16.6% 1 1Coding for Clinicians 75 171 65 63.1% 17.4% 3 3Provider Relations 138 126 35 43.0% 9.4% 7 24Provider Recruitment 128 99 73 46.0% 19.5% 5 19Provider Retention 135 112 51 43.6% 13.6% 6 23Continuing Education 98 162 48 56.1% 12.8% 4 9Credentialing 163 102 33 36.1% 8.8% 9 33RHC Provider Enrollment 181 79 37 31.0% 9.9% 10 37Disease Management 126 137 24 43.0% 6.4% 7 24Other 52 1 3 1.1% 0.8% 11 48

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 95 157 66 59.6% 17.6% 1 4Patient Registration/Eligibility 137 144 33 47.3% 8.8% 5 18Patient Appointments 195 93 20 30.2% 5.3% 6 38Electronic Medical Records (EMR) 105 112 100 56.7% 26.7% 2 8Clinical Tracking 90 142 66 55.6% 17.6% 3 10Management Information System (MIS) 123 125 56 48.4% 15.0% 4 17Other 52 2 4 1.6% 1.1% 7 46

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 87 175 47 59.4% 12.6% 1 5Working with Consortiums/Networks 146 118 14 35.3% 3.7% 9 35Emergency Preparedness 159 136 12 39.6% 3.2% 5 29Pharmacy Assistance for Patients 130 142 28 45.5% 7.5% 4 20Migrant/Seasonal Farmworkers 197 67 8 20.1% 2.1% 10 42Developing Grants 78 141 78 58.6% 20.9% 2 6Develop Other Resources 92 140 52 51.3% 13.9% 3 13Facility Planning 158 108 30 36.9% 8.0% 7 31Facility Renovation 160 101 34 36.1% 9.1% 8 33Improving Cultural Competence 143 120 20 37.4% 5.3% 6 30Other 56 0 2 0.5% 0.5% 11 49

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Clinical Respondents Total Participants: 55

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 26 47.3% Part of a Network 18 32.7%Independent 29 52.7% No Network Affiliation 36 65.5%No Answer 0 0.0% No Answer 1 1.8%

Clinic Organization Government AffiliationFor-Profit 29 52.7% Local Ownership 4 7.3%Non-Profit 25 45.5% State Ownership 1 1.8%No Answer 1 1.8% No Affiliation/No Answer 50 90.9%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 17 30.9% Certified Nurse Midwife 0 0.0%Physician 22 40.0% Office Manager 11 20.0%Nurse Practitioner 21 38.2% Billing or Coding Staff 1 1.8%Physician Assistant 4 7.3% Other 18 32.7%

Do you know the staff in your State Office of Rural Health? Yes: 23 No: 2041.8% 36.4%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $300

Maximum $18,000 0 1 2 3 4 5 >5

32 9 1 0 1 0 1 = Count of Responses58.2% 16.4% 1.8% 0.0% 1.8% 0.0% 1.8% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 21.8%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 7 25 10 63.6% 18.2% 5

Workshops or Training Programs 2 30 9 70.9% 16.4% 2

Webinars or Other On-Line Programs 5 23 14 67.3% 25.5% 4

On-Site Assistance 5 28 7 63.6% 12.7% 5

Telephone Assistance 2 28 11 70.9% 20.0% 2

E-mail Assistance 2 25 15 72.7% 27.3% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Clinical Respondents Survey Participants: 55

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 17 22 6 50.9% 10.9% 3 15Budgeting 21 16 9 45.5% 16.4% 6 26Accounting Systems 18 17 8 45.5% 14.5% 6 26Billing Systems 20 15 8 41.8% 14.5% 8 31Fee Schedule 19 17 11 50.9% 20.0% 3 15Sliding Fee Scale 18 21 5 47.3% 9.1% 5 23Coding 15 27 5 58.2% 9.1% 1 6Cost Reports 17 17 13 54.5% 23.6% 2 9Other 6 1 3 7.3% 5.5% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 19 24 2 47.3% 3.6% 5 23Staffing 25 14 4 32.7% 7.3% 6 36Organization Chart 37 6 3 16.4% 5.5% 10 44Position Descriptions 30 12 3 27.3% 5.5% 9 41Management/Leadership Skills 17 25 4 52.7% 7.3% 3 13Strategic Planning 12 25 8 60.0% 14.5% 1 3Marketing/Outreach 16 20 7 49.1% 12.7% 4 21Staff Training 15 26 4 54.5% 7.3% 2 9Ownership/Governance 27 13 5 32.7% 9.1% 6 36Board Training 23 14 3 30.9% 5.5% 8 38Other 6 1 1 3.6% 1.8% 11 46

CLINICAL ASSISTANCEQuality Improvement 10 28 6 61.8% 10.9% 1 2Best Practices (adopting, using) 9 28 5 60.0% 9.1% 2 3Coding for Clinicians 13 24 6 54.5% 10.9% 3 9Provider Relations 16 23 4 49.1% 7.3% 6 21Provider Recruitment 15 14 14 50.9% 25.5% 5 15Provider Retention 18 18 7 45.5% 12.7% 8 26Continuing Education 14 24 5 52.7% 9.1% 4 13Credentialing 23 15 6 38.2% 10.9% 9 32RHC Provider Enrollment 26 12 5 30.9% 9.1% 10 38Disease Management 17 21 5 47.3% 9.1% 7 23Other 5 1 0 1.8% 0.0% 11 48

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 8 22 13 63.6% 23.6% 1 1Patient Registration/Eligibility 23 15 5 36.4% 9.1% 5 34Patient Appointments 30 10 3 23.6% 5.5% 6 42Electronic Medical Records (EMR) 10 20 13 60.0% 23.6% 2 3Clinical Tracking 8 25 7 58.2% 12.7% 3 6Management Information System (MIS) 11 23 5 50.9% 9.1% 4 15Other 5 1 0 1.8% 0.0% 7 48

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 13 24 6 54.5% 10.9% 2 9Working with Consortiums/Networks 17 20 5 45.5% 9.1% 5 26Emergency Preparedness 22 18 3 38.2% 5.5% 7 32Pharmacy Assistance for Patients 14 21 7 50.9% 12.7% 3 15Migrant/Seasonal Farmworkers 27 11 2 23.6% 3.6% 10 42Developing Grants 8 21 10 56.4% 18.2% 1 8Develop Other Resources 11 21 7 50.9% 12.7% 3 15Facility Planning 16 21 4 45.5% 7.3% 5 26Facility Renovation 24 12 5 30.9% 9.1% 9 38Improving Cultural Competence 20 19 1 36.4% 1.8% 8 34Other 5 2 0 3.6% 0.0% 11 46

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

RHC Respondents in Operation Less Than 2 Years Total Participants: 29

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 11 37.9% Part of a Network 4 13.8%Independent 16 55.2% No Network Affiliation 23 79.3%No Answer 2 6.9% No Answer 2 6.9%

Clinic Organization Government AffiliationFor-Profit 12 41.4% Local Ownership 3 10.3%Non-Profit 16 55.2% State Ownership 0 0.0%No Answer 1 3.4% No Affiliation/No Answer 26 89.7%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 4 13.8% Certified Nurse Midwife 0 0.0%Physician 3 10.3% Office Manager 11 37.9%Nurse Practitioner 1 3.4% Billing or Coding Staff 4 13.8%Physician Assistant 0 0.0% Other 11 37.9%

Do you know the staff in your State Office of Rural Health? Yes: 13 No: 1144.8% 37.9%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $1,000

Maximum $15,000 0 1 2 3 4 5 >5

11 4 6 3 0 0 1 = Count of Responses37.9% 13.8% 20.7% 10.3% 0.0% 0.0% 3.4% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 48.3%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 1 11 13 82.8% 44.8% 1

Workshops or Training Programs 1 10 14 82.8% 48.3% 1

Webinars or Other On-Line Programs 2 9 14 79.3% 48.3% 3

On-Site Assistance 3 11 11 75.9% 37.9% 6

Telephone Assistance 2 11 12 79.3% 41.4% 3

E-mail Assistance 1 9 14 79.3% 48.3% 3

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

RHC Respondents in Operation Less Than 2 Years Survey Participants: 29

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 4 11 10 72.4% 34.5% 1 2Budgeting 7 9 6 51.7% 20.7% 4 17Accounting Systems 7 9 8 58.6% 27.6% 3 10Billing Systems 5 10 8 62.1% 27.6% 2 9Fee Schedule 10 7 8 51.7% 27.6% 4 17Sliding Fee Scale 11 7 5 41.4% 17.2% 8 28Coding 8 8 7 51.7% 24.1% 4 17Cost Reports 8 6 9 51.7% 31.0% 4 17Other 1 1 2 10.3% 6.9% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 9 14 3 58.6% 10.3% 3 10Staffing 13 7 5 41.4% 17.2% 7 28Organization Chart 18 6 2 27.6% 6.9% 9 42Position Descriptions 13 8 5 44.8% 17.2% 6 25Management/Leadership Skills 7 13 6 65.5% 20.7% 2 6Strategic Planning 9 7 8 51.7% 27.6% 5 17Marketing/Outreach 6 9 8 58.6% 27.6% 3 10Staff Training 5 13 8 72.4% 27.6% 1 2Ownership/Governance 14 5 3 27.6% 10.3% 9 42Board Training 10 8 3 37.9% 10.3% 8 37Other 0 1 0 3.4% 0.0% 11 46

CLINICAL ASSISTANCEQuality Improvement 6 13 4 58.6% 13.8% 3 10Best Practices (adopting, using) 3 17 3 69.0% 10.3% 1 4Coding for Clinicians 5 13 6 65.5% 20.7% 2 6Provider Relations 8 8 4 41.4% 13.8% 5 28Provider Recruitment 11 7 6 44.8% 20.7% 4 25Provider Retention 10 8 4 41.4% 13.8% 5 28Continuing Education 12 9 3 41.4% 10.3% 5 28Credentialing 13 9 3 41.4% 10.3% 5 28RHC Provider Enrollment 13 4 7 37.9% 24.1% 10 37Disease Management 8 11 1 41.4% 3.4% 5 28Other 2 0 0 0.0% 0.0% 11 47

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 6 12 8 69.0% 27.6% 1 4Patient Registration/Eligibility 13 9 4 44.8% 13.8% 5 25Patient Appointments 14 8 4 41.4% 13.8% 6 28Electronic Medical Records (EMR) 6 8 11 65.5% 37.9% 2 6Clinical Tracking 9 9 7 55.2% 24.1% 3 14Management Information System (MIS) 10 8 7 51.7% 24.1% 4 17Other 1 0 0 0.0% 0.0% 7 47

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 4 15 7 75.9% 24.1% 1 1Working with Consortiums/Networks 12 8 2 34.5% 6.9% 8 40Emergency Preparedness 13 9 2 37.9% 6.9% 7 37Pharmacy Assistance for Patients 8 11 4 51.7% 13.8% 4 17Migrant/Seasonal Farmworkers 13 5 3 27.6% 10.3% 10 42Developing Grants 6 9 7 55.2% 24.1% 2 14Develop Other Resources 5 9 7 55.2% 24.1% 2 14Facility Planning 9 12 3 51.7% 10.3% 4 17Facility Renovation 11 6 6 41.4% 20.7% 6 28Improving Cultural Competence 11 7 2 31.0% 6.9% 9 41Other 1 0 0 0.0% 0.0% 11 47

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Developmental Assistance Needs Identified by RHCs in Operation less than Two Years

RHC Respondents in Operation Less Than 2 Years Total Participants: 29

None Some Lots"Some"

plus"Lots"

"Lots"

RHC DEVELOPMENT ASSISTANCEFinancial Feasibility Study 4 14 6 69.0% 20.7% 7Practice Conversion to an RHC 2 11 11 75.9% 37.9% 4Eligibility Data Analysis 4 13 8 72.4% 27.6% 5Understanding Designation Issues 4 14 6 69.0% 20.7% 7Mock Survey or Survey Walk Through 4 12 9 72.4% 31.0% 5Eligibility Data Analysis 0 0 0 0.0% 0.0% 18Ownership Decisions 16 5 2 24.1% 6.9% 15Annual RHC Evaluation 1 14 10 82.8% 34.5% 1Post-Survey Plans of Correction 8 11 5 55.2% 17.2% 12Quality Assessment & Performance Improvement 7 10 7 58.6% 24.1% 10Project (Interim) Cost Report 6 9 8 58.6% 27.6% 10Change of Clinic Ownership 18 5 0 17.2% 0.0% 16Working with State Survey Agency 11 10 3 44.8% 10.3% 14Assistance with Medicaid Enrollment 4 14 6 69.0% 20.7% 7Assistance with Medicare Reimbursement 1 12 11 79.3% 37.9% 3Facilitation with Other State Agencies 9 13 3 55.2% 10.3% 12Introduction to Federal Regulations 1 18 6 82.8% 20.7% 1Other 1 0 2 6.9% 6.9% 17

Ranking of"Some"

plus "Lots"Description

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Alabama Total Participants: 3

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 2 66.7% Part of a Network 0 0.0%Independent 1 33.3% No Network Affiliation 3 100.0%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 2 66.7% Local Ownership 0 0.0%Non-Profit 1 33.3% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 3 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 3 100.0%Nurse Practitioner 0 0.0% Billing or Coding Staff 0 0.0%Physician Assistant 0 0.0% Other 0 0.0%

Do you know the staff in your State Office of Rural Health? Yes: 1 No: 233.3% 66.7%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $4,000

Maximum $5,500 0 1 2 3 4 5 >5

1 1 0 1 0 0 0 = Count of Responses33.3% 33.3% 0.0% 33.3% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 66.7%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 3 0 100.0% 0.0% 1

Workshops or Training Programs 0 2 1 100.0% 33.3% 1

Webinars or Other On-Line Programs 0 2 1 100.0% 33.3% 1

On-Site Assistance 0 3 0 100.0% 0.0% 1

Telephone Assistance 0 3 0 100.0% 0.0% 1

E-mail Assistance 0 3 0 100.0% 0.0% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Alabama Survey Participants: 3

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 3 0 0 0.0% 0.0% 3 16Budgeting 3 0 0 0.0% 0.0% 3 16Accounting Systems 3 0 0 0.0% 0.0% 3 16Billing Systems 2 1 0 33.3% 0.0% 1 5Fee Schedule 3 0 0 0.0% 0.0% 3 16Sliding Fee Scale 3 0 0 0.0% 0.0% 3 16Coding 3 0 0 0.0% 0.0% 3 16Cost Reports 2 0 1 33.3% 33.3% 1 5Other 1 0 0 0.0% 0.0% 3 16

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 3 0 0 0.0% 0.0% 1 16Staffing 3 0 0 0.0% 0.0% 1 16Organization Chart 3 0 0 0.0% 0.0% 1 16Position Descriptions 3 0 0 0.0% 0.0% 1 16Management/Leadership Skills 3 0 0 0.0% 0.0% 1 16Strategic Planning 3 0 0 0.0% 0.0% 1 16Marketing/Outreach 3 0 0 0.0% 0.0% 1 16Staff Training 3 0 0 0.0% 0.0% 1 16Ownership/Governance 3 0 0 0.0% 0.0% 1 16Board Training 3 0 0 0.0% 0.0% 1 16Other 1 0 0 0.0% 0.0% 1 16

CLINICAL ASSISTANCEQuality Improvement 2 1 0 33.3% 0.0% 2 5Best Practices (adopting, using) 3 0 0 0.0% 0.0% 5 16Coding for Clinicians 3 0 0 0.0% 0.0% 5 16Provider Relations 3 0 0 0.0% 0.0% 5 16Provider Recruitment 1 1 1 66.7% 33.3% 1 2Provider Retention 1 1 0 33.3% 0.0% 2 5Continuing Education 1 1 0 33.3% 0.0% 2 5Credentialing 3 0 0 0.0% 0.0% 5 16RHC Provider Enrollment 3 0 0 0.0% 0.0% 5 16Disease Management 3 0 0 0.0% 0.0% 5 16Other 1 0 0 0.0% 0.0% 5 16

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 1 1 1 66.7% 33.3% 2 2Patient Registration/Eligibility 3 0 0 0.0% 0.0% 5 16Patient Appointments 3 0 0 0.0% 0.0% 5 16Electronic Medical Records (EMR) 0 1 2 100.0% 66.7% 1 1Clinical Tracking 2 1 0 33.3% 0.0% 3 5Management Information System (MIS) 1 1 0 33.3% 0.0% 3 5Other 0 0 0 0.0% 0.0% 5 16

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 1 2 0 66.7% 0.0% 1 2Working with Consortiums/Networks 3 0 0 0.0% 0.0% 6 16Emergency Preparedness 2 1 0 33.3% 0.0% 2 5Pharmacy Assistance for Patients 1 1 0 33.3% 0.0% 2 5Migrant/Seasonal Farmworkers 3 0 0 0.0% 0.0% 6 16Developing Grants 1 1 0 33.3% 0.0% 2 5Develop Other Resources 1 1 0 33.3% 0.0% 2 5Facility Planning 3 0 0 0.0% 0.0% 6 16Facility Renovation 3 0 0 0.0% 0.0% 6 16Improving Cultural Competence 2 0 0 0.0% 0.0% 6 16Other 1 0 0 0.0% 0.0% 6 16

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Arizona Total Participants: 2

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 2 100.0% Part of a Network 0 0.0%Independent 0 0.0% No Network Affiliation 2 100.0%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 0 0.0% Local Ownership 0 0.0%Non-Profit 2 100.0% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 2 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 1 50.0%Nurse Practitioner 0 0.0% Billing or Coding Staff 0 0.0%Physician Assistant 0 0.0% Other 1 50.0%

Do you know the staff in your State Office of Rural Health? Yes: 0 No: 10.0% 50.0%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $0

Maximum $0 0 1 2 3 4 5 >5

0 1 0 0 0 0 0 = Count of Responses0.0% 50.0% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 50.0%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 1 0 50.0% 0.0% 1

Workshops or Training Programs 0 1 0 50.0% 0.0% 1

Webinars or Other On-Line Programs 0 1 0 50.0% 0.0% 1

On-Site Assistance 0 1 0 50.0% 0.0% 1

Telephone Assistance 0 1 0 50.0% 0.0% 1

E-mail Assistance 0 1 0 50.0% 0.0% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Arizona Survey Participants: 2

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 0 1 0 50.0% 0.0% 1 1Budgeting 0 1 0 50.0% 0.0% 1 1Accounting Systems 0 0 1 50.0% 50.0% 1 1Billing Systems 0 1 0 50.0% 0.0% 1 1Fee Schedule 0 0 1 50.0% 50.0% 1 1Sliding Fee Scale 0 0 1 50.0% 50.0% 1 1Coding 1 0 0 0.0% 0.0% 8 25Cost Reports 0 0 1 50.0% 50.0% 1 1Other 0 0 0 0.0% 0.0% 8 25

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 1 0 0 0.0% 0.0% 3 25Staffing 1 0 0 0.0% 0.0% 3 25Organization Chart 1 0 0 0.0% 0.0% 3 25Position Descriptions 1 0 0 0.0% 0.0% 3 25Management/Leadership Skills 1 0 0 0.0% 0.0% 3 25Strategic Planning 0 1 0 50.0% 0.0% 1 1Marketing/Outreach 1 0 0 0.0% 0.0% 3 25Staff Training 1 0 0 0.0% 0.0% 3 25Ownership/Governance 1 0 0 0.0% 0.0% 3 25Board Training 0 1 0 50.0% 0.0% 1 1Other 0 0 0 0.0% 0.0% 3 25

CLINICAL ASSISTANCEQuality Improvement 1 0 0 0.0% 0.0% 5 25Best Practices (adopting, using) 1 0 0 0.0% 0.0% 5 25Coding for Clinicians 1 0 0 0.0% 0.0% 5 25Provider Relations 1 0 0 0.0% 0.0% 5 25Provider Recruitment 0 1 0 50.0% 0.0% 1 1Provider Retention 0 1 0 50.0% 0.0% 1 1Continuing Education 1 0 0 0.0% 0.0% 5 25Credentialing 0 1 0 50.0% 0.0% 1 1RHC Provider Enrollment 1 0 0 0.0% 0.0% 5 25Disease Management 0 1 0 50.0% 0.0% 1 1Other 0 0 0 0.0% 0.0% 5 25

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 1 0 0 0.0% 0.0% 4 25Patient Registration/Eligibility 1 0 0 0.0% 0.0% 4 25Patient Appointments 1 0 0 0.0% 0.0% 4 25Electronic Medical Records (EMR) 0 0 1 50.0% 50.0% 1 1Clinical Tracking 0 1 0 50.0% 0.0% 1 1Management Information System (MIS) 0 1 0 50.0% 0.0% 1 1Other 0 0 0 0.0% 0.0% 4 25

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 0 1 0 50.0% 0.0% 1 1Working with Consortiums/Networks 0 1 0 50.0% 0.0% 1 1Emergency Preparedness 1 0 0 0.0% 0.0% 9 25Pharmacy Assistance for Patients 0 0 1 50.0% 50.0% 1 1Migrant/Seasonal Farmworkers 0 1 0 50.0% 0.0% 1 1Developing Grants 0 0 1 50.0% 50.0% 1 1Develop Other Resources 0 0 1 50.0% 50.0% 1 1Facility Planning 0 1 0 50.0% 0.0% 1 1Facility Renovation 0 0 1 50.0% 50.0% 1 1Improving Cultural Competence 1 0 0 0.0% 0.0% 9 25Other 0 0 0 0.0% 0.0% 9 25

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Arkansas Total Participants: 2

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 0 0.0% Part of a Network 0 0.0%Independent 2 100.0% No Network Affiliation 2 100.0%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 1 50.0% Local Ownership 0 0.0%Non-Profit 1 50.0% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 2 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 1 50.0% Certified Nurse Midwife 0 0.0%Physician 1 50.0% Office Manager 0 0.0%Nurse Practitioner 0 0.0% Billing or Coding Staff 0 0.0%Physician Assistant 0 0.0% Other 1 50.0%

Do you know the staff in your State Office of Rural Health? Yes: 0 No: 10.0% 50.0%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $12,000

Maximum $12,000 0 1 2 3 4 5 >5

0 0 0 0 0 0 1 = Count of Responses0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 50.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 50.0%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 0 1 50.0% 50.0% 1

Workshops or Training Programs 0 1 0 50.0% 0.0% 1

Webinars or Other On-Line Programs 0 1 0 50.0% 0.0% 1

On-Site Assistance 0 0 1 50.0% 50.0% 1

Telephone Assistance 0 1 0 50.0% 0.0% 1

E-mail Assistance 0 0 1 50.0% 50.0% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Arkansas Survey Participants: 2

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 1 0 0 0.0% 0.0% 5 26Budgeting 0 0 1 50.0% 50.0% 1 5Accounting Systems 0 0 1 50.0% 50.0% 1 5Billing Systems 0 0 0 0.0% 0.0% 5 26Fee Schedule 1 0 0 0.0% 0.0% 5 26Sliding Fee Scale 1 0 0 0.0% 0.0% 5 26Coding 0 1 0 50.0% 0.0% 1 5Cost Reports 0 0 1 50.0% 50.0% 1 5Other 0 0 0 0.0% 0.0% 5 26

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 1 0 0 0.0% 0.0% 6 26Staffing 0 1 0 50.0% 0.0% 1 5Organization Chart 1 0 0 0.0% 0.0% 6 26Position Descriptions 0 1 0 50.0% 0.0% 1 5Management/Leadership Skills 0 1 0 50.0% 0.0% 1 5Strategic Planning 0 0 0 0.0% 0.0% 6 26Marketing/Outreach 0 0 0 0.0% 0.0% 6 26Staff Training 0 0 1 50.0% 50.0% 1 5Ownership/Governance 0 1 0 50.0% 0.0% 1 5Board Training 0 0 0 0.0% 0.0% 6 26Other 0 0 0 0.0% 0.0% 6 26

CLINICAL ASSISTANCEQuality Improvement 0 0 1 50.0% 50.0% 2 5Best Practices (adopting, using) 0 0 0 0.0% 0.0% 8 26Coding for Clinicians 0 1 1 100.0% 50.0% 1 1Provider Relations 0 0 0 0.0% 0.0% 8 26Provider Recruitment 1 0 1 50.0% 50.0% 2 5Provider Retention 1 0 1 50.0% 50.0% 2 5Continuing Education 0 0 0 0.0% 0.0% 8 26Credentialing 0 1 0 50.0% 0.0% 2 5RHC Provider Enrollment 0 1 0 50.0% 0.0% 2 5Disease Management 0 1 0 50.0% 0.0% 2 5Other 0 0 0 0.0% 0.0% 8 26

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 0 0 2 100.0% 100.0% 1 1Patient Registration/Eligibility 1 0 1 50.0% 50.0% 3 5Patient Appointments 1 0 1 50.0% 50.0% 3 5Electronic Medical Records (EMR) 0 0 2 100.0% 100.0% 1 1Clinical Tracking 0 0 0 0.0% 0.0% 5 26Management Information System (MIS) 1 0 0 0.0% 0.0% 5 26Other 0 0 0 0.0% 0.0% 5 26

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 0 0 2 100.0% 100.0% 1 1Working with Consortiums/Networks 0 0 0 0.0% 0.0% 6 26Emergency Preparedness 1 0 1 50.0% 50.0% 2 5Pharmacy Assistance for Patients 0 0 0 0.0% 0.0% 6 26Migrant/Seasonal Farmworkers 0 0 0 0.0% 0.0% 6 26Developing Grants 0 1 0 50.0% 0.0% 2 5Develop Other Resources 0 0 0 0.0% 0.0% 6 26Facility Planning 0 0 0 0.0% 0.0% 6 26Facility Renovation 0 0 1 50.0% 50.0% 2 5Improving Cultural Competence 0 0 1 50.0% 50.0% 2 5Other 0 0 0 0.0% 0.0% 6 26

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

California Total Participants: 9

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 4 44.4% Part of a Network 5 55.6%Independent 4 44.4% No Network Affiliation 3 33.3%No Answer 1 11.1% No Answer 1 11.1%

Clinic Organization Government AffiliationFor-Profit 2 22.2% Local Ownership 1 11.1%Non-Profit 6 66.7% State Ownership 0 0.0%No Answer 1 11.1% No Affiliation/No Answer 8 88.9%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 3 33.3%Nurse Practitioner 1 11.1% Billing or Coding Staff 1 11.1%Physician Assistant 0 0.0% Other 4 44.4%

Do you know the staff in your State Office of Rural Health? Yes: 3 No: 433.3% 44.4%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $10,000

Maximum $20,000 0 1 2 3 4 5 >5

3 0 1 0 0 0 2 = Count of Responses33.3% 0.0% 11.1% 0.0% 0.0% 0.0% 22.2% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 33.3%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 3 4 77.8% 44.4% 1

Workshops or Training Programs 0 4 3 77.8% 33.3% 1

Webinars or Other On-Line Programs 0 2 4 66.7% 44.4% 4

On-Site Assistance 0 4 2 66.7% 22.2% 4

Telephone Assistance 0 4 3 77.8% 33.3% 1

E-mail Assistance 0 2 4 66.7% 44.4% 4

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

California Survey Participants: 9

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 2 5 1 66.7% 11.1% 1 3Budgeting 3 3 1 44.4% 11.1% 4 18Accounting Systems 3 3 1 44.4% 11.1% 4 18Billing Systems 1 3 2 55.6% 22.2% 2 10Fee Schedule 3 2 1 33.3% 11.1% 9 31Sliding Fee Scale 3 3 1 44.4% 11.1% 4 18Coding 3 4 1 55.6% 11.1% 2 10Cost Reports 2 3 1 44.4% 11.1% 4 18Other 1 2 2 44.4% 22.2% 4 18

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 4 3 0 33.3% 0.0% 5 31Staffing 4 3 0 33.3% 0.0% 5 31Organization Chart 4 3 0 33.3% 0.0% 5 31Position Descriptions 4 1 1 22.2% 11.1% 9 42Management/Leadership Skills 1 6 1 77.8% 11.1% 1 1Strategic Planning 0 6 1 77.8% 11.1% 1 1Marketing/Outreach 3 4 0 44.4% 0.0% 4 18Staff Training 1 5 1 66.7% 11.1% 3 3Ownership/Governance 4 2 0 22.2% 0.0% 9 42Board Training 2 3 0 33.3% 0.0% 5 31Other 0 0 0 0.0% 0.0% 11 46

CLINICAL ASSISTANCEQuality Improvement 1 4 1 55.6% 11.1% 4 10Best Practices (adopting, using) 0 4 2 66.7% 22.2% 1 3Coding for Clinicians 1 5 1 66.7% 11.1% 1 3Provider Relations 3 3 0 33.3% 0.0% 8 31Provider Recruitment 2 3 1 44.4% 11.1% 5 18Provider Retention 2 2 1 33.3% 11.1% 8 31Continuing Education 0 4 2 66.7% 22.2% 1 3Credentialing 2 2 2 44.4% 22.2% 5 18RHC Provider Enrollment 2 3 1 44.4% 11.1% 5 18Disease Management 3 1 2 33.3% 22.2% 8 31Other 0 0 0 0.0% 0.0% 11 46

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 0 3 3 66.7% 33.3% 1 3Patient Registration/Eligibility 2 3 1 44.4% 11.1% 5 18Patient Appointments 3 2 1 33.3% 11.1% 6 31Electronic Medical Records (EMR) 0 2 4 66.7% 44.4% 1 3Clinical Tracking 0 4 1 55.6% 11.1% 3 10Management Information System (MIS) 0 4 1 55.6% 11.1% 3 10Other 0 0 0 0.0% 0.0% 7 46

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 2 2 2 44.4% 22.2% 4 18Working with Consortiums/Networks 1 3 2 55.6% 22.2% 1 10Emergency Preparedness 1 4 1 55.6% 11.1% 1 10Pharmacy Assistance for Patients 2 4 0 44.4% 0.0% 4 18Migrant/Seasonal Farmworkers 3 2 0 22.2% 0.0% 9 42Developing Grants 1 4 1 55.6% 11.1% 1 10Develop Other Resources 1 2 2 44.4% 22.2% 4 18Facility Planning 2 2 1 33.3% 11.1% 7 31Facility Renovation 2 2 0 22.2% 0.0% 9 42Improving Cultural Competence 3 3 0 33.3% 0.0% 7 31Other 0 0 0 0.0% 0.0% 11 46

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Colorado Total Participants: 6

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 4 66.7% Part of a Network 2 33.3%Independent 2 33.3% No Network Affiliation 4 66.7%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 1 16.7% Local Ownership 2 33.3%Non-Profit 5 83.3% State Ownership 1 16.7%No Answer 0 0.0% No Affiliation/No Answer 3 50.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 1 16.7%Nurse Practitioner 0 0.0% Billing or Coding Staff 0 0.0%Physician Assistant 0 0.0% Other 3 50.0%

Do you know the staff in your State Office of Rural Health? Yes: 2 No: 133.3% 16.7%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $1,500

Maximum $100,000 0 1 2 3 4 5 >5

1 0 1 0 1 0 0 = Count of Responses16.7% 0.0% 16.7% 0.0% 16.7% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 33.3%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 1 0 2 33.3% 33.3% 4

Workshops or Training Programs 1 1 1 33.3% 16.7% 4

Webinars or Other On-Line Programs 0 1 2 50.0% 33.3% 1

On-Site Assistance 1 2 0 33.3% 0.0% 4

Telephone Assistance 0 3 0 50.0% 0.0% 1

E-mail Assistance 0 2 1 50.0% 16.7% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Colorado Survey Participants: 6

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 1 1 0 16.7% 0.0% 5 28Budgeting 2 1 0 16.7% 0.0% 5 28Accounting Systems 2 1 0 16.7% 0.0% 5 28Billing Systems 1 2 0 33.3% 0.0% 1 7Fee Schedule 1 2 0 33.3% 0.0% 1 7Sliding Fee Scale 2 0 0 0.0% 0.0% 9 45Coding 1 1 1 33.3% 16.7% 1 7Cost Reports 1 2 0 33.3% 0.0% 1 7Other 1 0 1 16.7% 16.7% 5 28

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 2 1 0 16.7% 0.0% 7 28Staffing 1 1 1 33.3% 16.7% 2 7Organization Chart 3 0 0 0.0% 0.0% 9 45Position Descriptions 1 2 0 33.3% 0.0% 2 7Management/Leadership Skills 1 2 0 33.3% 0.0% 2 7Strategic Planning 1 1 1 33.3% 16.7% 2 7Marketing/Outreach 1 1 1 33.3% 16.7% 2 7Staff Training 0 3 0 50.0% 0.0% 1 1Ownership/Governance 2 0 0 0.0% 0.0% 9 45Board Training 2 0 0 0.0% 0.0% 9 45Other 1 0 1 16.7% 16.7% 7 28

CLINICAL ASSISTANCEQuality Improvement 0 2 1 50.0% 16.7% 1 1Best Practices (adopting, using) 0 2 1 50.0% 16.7% 1 1Coding for Clinicians 1 1 1 33.3% 16.7% 3 7Provider Relations 1 1 1 33.3% 16.7% 3 7Provider Recruitment 2 0 1 16.7% 16.7% 6 28Provider Retention 2 1 0 16.7% 0.0% 6 28Continuing Education 1 1 1 33.3% 16.7% 3 7Credentialing 2 1 0 16.7% 0.0% 6 28RHC Provider Enrollment 2 0 0 0.0% 0.0% 11 45Disease Management 1 0 1 16.7% 16.7% 6 28Other 1 0 1 16.7% 16.7% 6 28

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 1 0 2 33.3% 33.3% 1 7Patient Registration/Eligibility 1 2 0 33.3% 0.0% 1 7Patient Appointments 2 1 0 16.7% 0.0% 6 28Electronic Medical Records (EMR) 1 0 2 33.3% 33.3% 1 7Clinical Tracking 1 0 2 33.3% 33.3% 1 7Management Information System (MIS) 1 0 2 33.3% 33.3% 1 7Other 1 0 1 16.7% 16.7% 6 28

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 0 3 0 50.0% 0.0% 1 1Working with Consortiums/Networks 2 0 1 16.7% 16.7% 8 28Emergency Preparedness 1 1 1 33.3% 16.7% 4 7Pharmacy Assistance for Patients 1 2 0 33.3% 0.0% 4 7Migrant/Seasonal Farmworkers 1 1 0 16.7% 0.0% 8 28Developing Grants 0 2 1 50.0% 16.7% 1 1Develop Other Resources 1 1 0 16.7% 0.0% 8 28Facility Planning 1 1 1 33.3% 16.7% 4 7Facility Renovation 0 1 2 50.0% 33.3% 1 1Improving Cultural Competence 1 1 1 33.3% 16.7% 4 7Other 1 0 1 16.7% 16.7% 8 28

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Florida Total Participants: 7

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 5 71.4% Part of a Network 0 0.0%Independent 1 14.3% No Network Affiliation 6 85.7%No Answer 1 14.3% No Answer 1 14.3%

Clinic Organization Government AffiliationFor-Profit 3 42.9% Local Ownership 0 0.0%Non-Profit 3 42.9% State Ownership 0 0.0%No Answer 1 14.3% No Affiliation/No Answer 7 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 2 28.6%Nurse Practitioner 0 0.0% Billing or Coding Staff 4 57.1%Physician Assistant 0 0.0% Other 0 0.0%

Do you know the staff in your State Office of Rural Health? Yes: 0 No: 40.0% 57.1%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $0

Maximum $0 0 1 2 3 4 5 >5

4 0 0 0 0 0 0 = Count of Responses57.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 0.0%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 0 4 57.1% 57.1% 1

Workshops or Training Programs 0 1 3 57.1% 42.9% 1

Webinars or Other On-Line Programs 0 1 3 57.1% 42.9% 1

On-Site Assistance 2 0 2 28.6% 28.6% 6

Telephone Assistance 0 2 2 57.1% 28.6% 1

E-mail Assistance 0 2 2 57.1% 28.6% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Florida Survey Participants: 7

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 1 2 1 42.9% 14.3% 2 4Budgeting 1 2 0 28.6% 0.0% 5 21Accounting Systems 1 3 0 42.9% 0.0% 2 4Billing Systems 2 1 1 28.6% 14.3% 5 21Fee Schedule 2 1 1 28.6% 14.3% 5 21Sliding Fee Scale 1 2 1 42.9% 14.3% 2 4Coding 1 3 1 57.1% 14.3% 1 1Cost Reports 3 2 0 28.6% 0.0% 5 21Other 1 0 0 0.0% 0.0% 9 46

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 1 1 2 42.9% 28.6% 1 4Staffing 2 2 0 28.6% 0.0% 5 21Organization Chart 1 3 0 42.9% 0.0% 1 4Position Descriptions 2 2 0 28.6% 0.0% 5 21Management/Leadership Skills 1 1 1 28.6% 14.3% 5 21Strategic Planning 1 2 0 28.6% 0.0% 5 21Marketing/Outreach 0 3 0 42.9% 0.0% 1 4Staff Training 1 2 1 42.9% 14.3% 1 4Ownership/Governance 1 1 1 28.6% 14.3% 5 21Board Training 1 0 1 14.3% 14.3% 10 42Other 1 0 1 14.3% 14.3% 10 42

CLINICAL ASSISTANCEQuality Improvement 0 2 1 42.9% 14.3% 3 4Best Practices (adopting, using) 0 4 0 57.1% 0.0% 1 1Coding for Clinicians 0 3 1 57.1% 14.3% 1 1Provider Relations 0 3 0 42.9% 0.0% 3 4Provider Recruitment 1 2 0 28.6% 0.0% 7 21Provider Retention 0 2 0 28.6% 0.0% 7 21Continuing Education 1 2 1 42.9% 14.3% 3 4Credentialing 1 0 2 28.6% 28.6% 7 21RHC Provider Enrollment 1 1 1 28.6% 14.3% 7 21Disease Management 0 3 0 42.9% 0.0% 3 4Other 1 0 0 0.0% 0.0% 11 46

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 0 3 0 42.9% 0.0% 1 4Patient Registration/Eligibility 1 1 1 28.6% 14.3% 4 21Patient Appointments 0 2 1 42.9% 14.3% 1 4Electronic Medical Records (EMR) 0 3 0 42.9% 0.0% 1 4Clinical Tracking 1 1 1 28.6% 14.3% 4 21Management Information System (MIS) 1 1 0 14.3% 0.0% 6 42Other 1 0 0 0.0% 0.0% 7 46

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 0 1 2 42.9% 28.6% 1 4Working with Consortiums/Networks 1 1 0 14.3% 0.0% 10 42Emergency Preparedness 1 1 1 28.6% 14.3% 4 21Pharmacy Assistance for Patients 0 3 0 42.9% 0.0% 1 4Migrant/Seasonal Farmworkers 1 1 1 28.6% 14.3% 4 21Developing Grants 0 1 2 42.9% 28.6% 1 4Develop Other Resources 1 1 1 28.6% 14.3% 4 21Facility Planning 1 2 0 28.6% 0.0% 4 21Facility Renovation 1 2 0 28.6% 0.0% 4 21Improving Cultural Competence 1 2 0 28.6% 0.0% 4 21Other 1 0 0 0.0% 0.0% 11 46

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Georgia Total Participants: 4

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 2 50.0% Part of a Network 1 25.0%Independent 1 25.0% No Network Affiliation 2 50.0%No Answer 1 25.0% No Answer 1 25.0%

Clinic Organization Government AffiliationFor-Profit 0 0.0% Local Ownership 0 0.0%Non-Profit 3 75.0% State Ownership 0 0.0%No Answer 1 25.0% No Affiliation/No Answer 4 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 0 0.0%Nurse Practitioner 0 0.0% Billing or Coding Staff 2 50.0%Physician Assistant 0 0.0% Other 1 25.0%

Do you know the staff in your State Office of Rural Health? Yes: 1 No: 125.0% 25.0%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $0

Maximum $0 0 1 2 3 4 5 >5

2 0 0 0 0 0 0 = Count of Responses50.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 0.0%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 2 0 50.0% 0.0% 1

Workshops or Training Programs 0 2 0 50.0% 0.0% 1

Webinars or Other On-Line Programs 0 2 0 50.0% 0.0% 1

On-Site Assistance 0 2 0 50.0% 0.0% 1

Telephone Assistance 0 2 0 50.0% 0.0% 1

E-mail Assistance 0 2 0 50.0% 0.0% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Georgia Survey Participants: 4

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 2 1 0 25.0% 0.0% 2 11Budgeting 2 1 0 25.0% 0.0% 2 11Accounting Systems 3 0 0 0.0% 0.0% 7 39Billing Systems 3 0 0 0.0% 0.0% 7 39Fee Schedule 2 1 0 25.0% 0.0% 2 11Sliding Fee Scale 1 2 0 50.0% 0.0% 1 1Coding 2 1 0 25.0% 0.0% 2 11Cost Reports 2 1 0 25.0% 0.0% 2 11Other 2 0 0 0.0% 0.0% 7 39

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 2 1 0 25.0% 0.0% 2 11Staffing 2 1 0 25.0% 0.0% 2 11Organization Chart 2 1 0 25.0% 0.0% 2 11Position Descriptions 2 1 0 25.0% 0.0% 2 11Management/Leadership Skills 2 1 0 25.0% 0.0% 2 11Strategic Planning 2 1 0 25.0% 0.0% 2 11Marketing/Outreach 2 1 0 25.0% 0.0% 2 11Staff Training 1 2 0 50.0% 0.0% 1 1Ownership/Governance 3 0 0 0.0% 0.0% 9 39Board Training 3 0 0 0.0% 0.0% 9 39Other 1 0 0 0.0% 0.0% 9 39

CLINICAL ASSISTANCEQuality Improvement 2 1 0 25.0% 0.0% 4 11Best Practices (adopting, using) 2 1 0 25.0% 0.0% 4 11Coding for Clinicians 1 2 0 50.0% 0.0% 1 1Provider Relations 2 1 0 25.0% 0.0% 4 11Provider Recruitment 1 2 0 50.0% 0.0% 1 1Provider Retention 2 1 0 25.0% 0.0% 4 11Continuing Education 1 2 0 50.0% 0.0% 1 1Credentialing 2 1 0 25.0% 0.0% 4 11RHC Provider Enrollment 2 1 0 25.0% 0.0% 4 11Disease Management 2 1 0 25.0% 0.0% 4 11Other 2 0 0 0.0% 0.0% 11 39

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 3 0 0 0.0% 0.0% 6 39Patient Registration/Eligibility 1 2 0 50.0% 0.0% 1 1Patient Appointments 2 1 0 25.0% 0.0% 4 11Electronic Medical Records (EMR) 1 2 0 50.0% 0.0% 1 1Clinical Tracking 1 2 0 50.0% 0.0% 1 1Management Information System (MIS) 2 1 0 25.0% 0.0% 4 11Other 2 0 0 0.0% 0.0% 6 39

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 0 2 0 50.0% 0.0% 1 1Working with Consortiums/Networks 2 0 0 0.0% 0.0% 10 39Emergency Preparedness 1 1 0 25.0% 0.0% 3 11Pharmacy Assistance for Patients 0 2 0 50.0% 0.0% 1 1Migrant/Seasonal Farmworkers 1 1 0 25.0% 0.0% 3 11Developing Grants 1 0 1 25.0% 25.0% 3 11Develop Other Resources 1 1 0 25.0% 0.0% 3 11Facility Planning 1 1 0 25.0% 0.0% 3 11Facility Renovation 1 1 0 25.0% 0.0% 3 11Improving Cultural Competence 1 1 0 25.0% 0.0% 3 11Other 1 0 0 0.0% 0.0% 10 39

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Idaho Total Participants: 14

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 9 64.3% Part of a Network 3 21.4%Independent 5 35.7% No Network Affiliation 11 78.6%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 4 28.6% Local Ownership 4 28.6%Non-Profit 10 71.4% State Ownership 2 14.3%No Answer 0 0.0% No Affiliation/No Answer 8 57.1%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 1 7.1% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 9 64.3%Nurse Practitioner 0 0.0% Billing or Coding Staff 1 7.1%Physician Assistant 1 7.1% Other 3 21.4%

Do you know the staff in your State Office of Rural Health? Yes: 12 No: 285.7% 14.3%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $1,200

Maximum $1,200 0 1 2 3 4 5 >5

11 3 0 0 0 0 0 = Count of Responses78.6% 21.4% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 21.4%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 1 10 1 78.6% 7.1% 5

Workshops or Training Programs 0 9 4 92.9% 28.6% 1

Webinars or Other On-Line Programs 0 7 6 92.9% 42.9% 1

On-Site Assistance 2 8 2 71.4% 14.3% 6

Telephone Assistance 0 9 4 92.9% 28.6% 1

E-mail Assistance 1 7 6 92.9% 42.9% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Idaho Survey Participants: 14

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 1 9 3 85.7% 21.4% 1 3Budgeting 5 5 2 50.0% 14.3% 6 33Accounting Systems 6 6 1 50.0% 7.1% 6 33Billing Systems 5 5 3 57.1% 21.4% 5 28Fee Schedule 1 6 5 78.6% 35.7% 2 8Sliding Fee Scale 2 6 4 71.4% 28.6% 3 15Coding 2 6 4 71.4% 28.6% 3 15Cost Reports 9 2 1 21.4% 7.1% 8 44Other 1 0 3 21.4% 21.4% 8 44

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 3 8 1 64.3% 7.1% 4 24Staffing 5 6 2 57.1% 14.3% 7 28Organization Chart 7 6 0 42.9% 0.0% 8 38Position Descriptions 4 8 1 64.3% 7.1% 4 24Management/Leadership Skills 3 8 2 71.4% 14.3% 2 15Strategic Planning 1 8 4 85.7% 28.6% 1 3Marketing/Outreach 3 8 2 71.4% 14.3% 2 15Staff Training 3 7 2 64.3% 14.3% 4 24Ownership/Governance 8 3 1 28.6% 7.1% 9 42Board Training 7 3 1 28.6% 7.1% 9 42Other 2 0 0 0.0% 0.0% 11 46

CLINICAL ASSISTANCEQuality Improvement 0 10 2 85.7% 14.3% 1 3Best Practices (adopting, using) 0 6 6 85.7% 42.9% 1 3Coding for Clinicians 2 7 3 71.4% 21.4% 4 15Provider Relations 2 7 3 71.4% 21.4% 4 15Provider Recruitment 6 4 1 35.7% 7.1% 10 41Provider Retention 3 5 3 57.1% 21.4% 6 28Continuing Education 1 4 7 78.6% 50.0% 3 8Credentialing 4 6 1 50.0% 7.1% 7 33RHC Provider Enrollment 4 4 3 50.0% 21.4% 7 33Disease Management 5 3 3 42.9% 21.4% 9 38Other 1 0 0 0.0% 0.0% 11 46

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 0 8 5 92.9% 35.7% 1 1Patient Registration/Eligibility 2 8 3 78.6% 21.4% 3 8Patient Appointments 5 7 1 57.1% 7.1% 6 28Electronic Medical Records (EMR) 2 3 9 85.7% 64.3% 2 3Clinical Tracking 0 6 5 78.6% 35.7% 3 8Management Information System (MIS) 1 6 5 78.6% 35.7% 3 8Other 1 0 0 0.0% 0.0% 7 46

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 0 9 4 92.9% 28.6% 1 1Working with Consortiums/Networks 6 6 0 42.9% 0.0% 10 38Emergency Preparedness 2 9 2 78.6% 14.3% 2 8Pharmacy Assistance for Patients 2 8 2 71.4% 14.3% 4 15Migrant/Seasonal Farmworkers 5 7 0 50.0% 0.0% 9 33Developing Grants 3 3 5 57.1% 35.7% 8 28Develop Other Resources 2 7 3 71.4% 21.4% 4 15Facility Planning 3 6 3 64.3% 21.4% 7 24Facility Renovation 2 9 1 71.4% 7.1% 4 15Improving Cultural Competence 2 10 1 78.6% 7.1% 2 8Other 1 0 0 0.0% 0.0% 11 46

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Illinois Total Participants: 15

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 11 73.3% Part of a Network 5 33.3%Independent 4 26.7% No Network Affiliation 9 60.0%No Answer 0 0.0% No Answer 1 6.7%

Clinic Organization Government AffiliationFor-Profit 2 13.3% Local Ownership 2 13.3%Non-Profit 12 80.0% State Ownership 1 6.7%No Answer 1 6.7% No Affiliation/No Answer 12 80.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 8 53.3%Nurse Practitioner 0 0.0% Billing or Coding Staff 4 26.7%Physician Assistant 0 0.0% Other 3 20.0%

Do you know the staff in your State Office of Rural Health? Yes: 1 No: 116.7% 73.3%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $35,000

Maximum $35,000 0 1 2 3 4 5 >5

11 0 0 1 1 0 0 = Count of Responses73.3% 0.0% 0.0% 6.7% 6.7% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 13.3%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 1 7 4 73.3% 26.7% 3

Workshops or Training Programs 0 7 5 80.0% 33.3% 1

Webinars or Other On-Line Programs 1 5 6 73.3% 40.0% 3

On-Site Assistance 2 6 3 60.0% 20.0% 6

Telephone Assistance 1 8 3 73.3% 20.0% 3

E-mail Assistance 0 10 2 80.0% 13.3% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Illinois Survey Participants: 15

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 7 5 2 46.7% 13.3% 3 15Budgeting 8 3 1 26.7% 6.7% 7 39Accounting Systems 9 1 1 13.3% 6.7% 8 41Billing Systems 7 4 2 40.0% 13.3% 5 28Fee Schedule 6 6 1 46.7% 6.7% 3 15Sliding Fee Scale 4 6 0 40.0% 0.0% 5 28Coding 6 4 4 53.3% 26.7% 1 9Cost Reports 2 8 0 53.3% 0.0% 1 9Other 2 0 0 0.0% 0.0% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 5 6 1 46.7% 6.7% 5 15Staffing 4 6 3 60.0% 20.0% 1 5Organization Chart 8 2 0 13.3% 0.0% 8 41Position Descriptions 6 4 3 46.7% 20.0% 5 15Management/Leadership Skills 5 4 4 53.3% 26.7% 2 9Strategic Planning 5 4 4 53.3% 26.7% 2 9Marketing/Outreach 6 5 2 46.7% 13.3% 5 15Staff Training 5 5 3 53.3% 20.0% 2 9Ownership/Governance 10 0 0 0.0% 0.0% 10 45Board Training 7 2 0 13.3% 0.0% 8 41Other 2 0 0 0.0% 0.0% 10 45

CLINICAL ASSISTANCEQuality Improvement 1 9 3 80.0% 20.0% 1 1Best Practices (adopting, using) 1 10 2 80.0% 13.3% 1 1Coding for Clinicians 3 6 4 66.7% 26.7% 3 3Provider Relations 7 4 2 40.0% 13.3% 7 28Provider Recruitment 7 3 3 40.0% 20.0% 7 28Provider Retention 6 6 1 46.7% 6.7% 5 15Continuing Education 4 6 3 60.0% 20.0% 4 5Credentialing 7 2 3 33.3% 20.0% 9 35RHC Provider Enrollment 7 3 2 33.3% 13.3% 9 35Disease Management 5 5 2 46.7% 13.3% 5 15Other 1 0 0 0.0% 0.0% 11 45

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 6 4 3 46.7% 20.0% 4 15Patient Registration/Eligibility 4 6 3 60.0% 20.0% 1 5Patient Appointments 7 3 3 40.0% 20.0% 6 28Electronic Medical Records (EMR) 5 5 3 53.3% 20.0% 3 9Clinical Tracking 4 7 2 60.0% 13.3% 1 5Management Information System (MIS) 6 4 3 46.7% 20.0% 4 15Other 1 1 0 6.7% 0.0% 7 44

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 3 9 1 66.7% 6.7% 1 3Working with Consortiums/Networks 5 6 1 46.7% 6.7% 2 15Emergency Preparedness 6 6 1 46.7% 6.7% 2 15Pharmacy Assistance for Patients 8 3 2 33.3% 13.3% 8 35Migrant/Seasonal Farmworkers 8 2 1 20.0% 6.7% 10 40Developing Grants 5 6 1 46.7% 6.7% 2 15Develop Other Resources 5 5 2 46.7% 13.3% 2 15Facility Planning 6 4 2 40.0% 13.3% 6 28Facility Renovation 6 2 3 33.3% 20.0% 8 35Improving Cultural Competence 4 5 1 40.0% 6.7% 6 28Other 2 0 0 0.0% 0.0% 11 45

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Indiana Total Participants: 9

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 2 22.2% Part of a Network 1 11.1%Independent 6 66.7% No Network Affiliation 7 77.8%No Answer 1 11.1% No Answer 1 11.1%

Clinic Organization Government AffiliationFor-Profit 4 44.4% Local Ownership 0 0.0%Non-Profit 4 44.4% State Ownership 0 0.0%No Answer 1 11.1% No Affiliation/No Answer 9 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 3 33.3%Nurse Practitioner 0 0.0% Billing or Coding Staff 3 33.3%Physician Assistant 0 0.0% Other 2 22.2%

Do you know the staff in your State Office of Rural Health? Yes: 2 No: 522.2% 55.6%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $5,000

Maximum $76,000 0 1 2 3 4 5 >5

2 0 1 0 0 0 2 = Count of Responses22.2% 0.0% 11.1% 0.0% 0.0% 0.0% 22.2% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 33.3%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 1 5 66.7% 55.6% 2

Workshops or Training Programs 0 1 6 77.8% 66.7% 1

Webinars or Other On-Line Programs 0 2 4 66.7% 44.4% 2

On-Site Assistance 0 0 5 55.6% 55.6% 6

Telephone Assistance 0 1 5 66.7% 55.6% 2

E-mail Assistance 0 1 5 66.7% 55.6% 2

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Indiana Survey Participants: 9

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 1 4 0 44.4% 0.0% 1 9Budgeting 2 2 0 22.2% 0.0% 4 30Accounting Systems 3 1 0 11.1% 0.0% 8 37Billing Systems 2 2 2 44.4% 22.2% 1 9Fee Schedule 3 2 0 22.2% 0.0% 4 30Sliding Fee Scale 3 2 0 22.2% 0.0% 4 30Coding 1 3 1 44.4% 11.1% 1 9Cost Reports 2 0 1 11.1% 11.1% 8 37Other 1 0 2 22.2% 22.2% 4 30

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 1 4 0 44.4% 0.0% 1 9Staffing 2 2 1 33.3% 11.1% 4 21Organization Chart 2 3 0 33.3% 0.0% 4 21Position Descriptions 3 2 0 22.2% 0.0% 8 30Management/Leadership Skills 2 2 1 33.3% 11.1% 4 21Strategic Planning 2 3 0 33.3% 0.0% 4 21Marketing/Outreach 1 3 1 44.4% 11.1% 1 9Staff Training 0 2 2 44.4% 22.2% 1 9Ownership/Governance 3 1 0 11.1% 0.0% 9 37Board Training 4 0 0 0.0% 0.0% 11 46Other 3 0 1 11.1% 11.1% 9 37

CLINICAL ASSISTANCEQuality Improvement 0 4 1 55.6% 11.1% 1 2Best Practices (adopting, using) 0 3 2 55.6% 22.2% 1 2Coding for Clinicians 2 2 1 33.3% 11.1% 5 21Provider Relations 4 1 0 11.1% 0.0% 7 37Provider Recruitment 3 0 1 11.1% 11.1% 7 37Provider Retention 3 0 1 11.1% 11.1% 7 37Continuing Education 2 1 3 44.4% 33.3% 3 9Credentialing 0 2 2 44.4% 22.2% 3 9RHC Provider Enrollment 3 0 1 11.1% 11.1% 7 37Disease Management 2 2 0 22.2% 0.0% 6 30Other 2 0 0 0.0% 0.0% 11 46

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 0 5 1 66.7% 11.1% 1 1Patient Registration/Eligibility 3 4 0 44.4% 0.0% 5 9Patient Appointments 2 4 0 44.4% 0.0% 5 9Electronic Medical Records (EMR) 1 5 0 55.6% 0.0% 2 2Clinical Tracking 1 5 0 55.6% 0.0% 2 2Management Information System (MIS) 1 4 1 55.6% 11.1% 2 2Other 1 0 0 0.0% 0.0% 7 46

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 0 3 2 55.6% 22.2% 1 2Working with Consortiums/Networks 1 3 0 33.3% 0.0% 5 21Emergency Preparedness 1 4 0 44.4% 0.0% 3 9Pharmacy Assistance for Patients 2 2 0 22.2% 0.0% 9 30Migrant/Seasonal Farmworkers 3 1 0 11.1% 0.0% 10 37Developing Grants 1 2 1 33.3% 11.1% 5 21Develop Other Resources 0 4 1 55.6% 11.1% 1 2Facility Planning 2 3 0 33.3% 0.0% 5 21Facility Renovation 2 3 0 33.3% 0.0% 5 21Improving Cultural Competence 1 4 0 44.4% 0.0% 3 9Other 2 0 0 0.0% 0.0% 11 46

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Iowa Total Participants: 14

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 9 64.3% Part of a Network 4 28.6%Independent 5 35.7% No Network Affiliation 10 71.4%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 7 50.0% Local Ownership 3 21.4%Non-Profit 7 50.0% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 11 78.6%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 1 7.1% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 11 78.6%Nurse Practitioner 0 0.0% Billing or Coding Staff 1 7.1%Physician Assistant 1 7.1% Other 1 7.1%

Do you know the staff in your State Office of Rural Health? Yes: 8 No: 257.1% 14.3%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $400

Maximum $20,000 0 1 2 3 4 5 >5

6 2 2 0 0 0 0 = Count of Responses42.9% 14.3% 14.3% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 28.6%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 1 4 5 64.3% 35.7% 4

Workshops or Training Programs 0 6 4 71.4% 28.6% 1

Webinars or Other On-Line Programs 0 3 7 71.4% 50.0% 1

On-Site Assistance 1 6 3 64.3% 21.4% 4

Telephone Assistance 0 5 5 71.4% 35.7% 1

E-mail Assistance 1 3 6 64.3% 42.9% 4

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Iowa Survey Participants: 14

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 4 9 0 64.3% 0.0% 1 7Budgeting 9 2 1 21.4% 7.1% 7 38Accounting Systems 8 3 1 28.6% 7.1% 5 36Billing Systems 10 3 0 21.4% 0.0% 7 38Fee Schedule 6 5 1 42.9% 7.1% 4 25Sliding Fee Scale 3 7 2 64.3% 14.3% 1 7Coding 5 7 1 57.1% 7.1% 3 12Cost Reports 8 3 1 28.6% 7.1% 5 36Other 1 2 0 14.3% 0.0% 9 43

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 5 7 0 50.0% 0.0% 4 19Staffing 5 7 1 57.1% 7.1% 2 12Organization Chart 12 1 0 7.1% 0.0% 10 45Position Descriptions 7 6 0 42.9% 0.0% 6 25Management/Leadership Skills 7 6 0 42.9% 0.0% 6 25Strategic Planning 5 7 1 57.1% 7.1% 2 12Marketing/Outreach 5 6 1 50.0% 7.1% 4 19Staff Training 3 9 1 71.4% 7.1% 1 1Ownership/Governance 8 3 0 21.4% 0.0% 8 38Board Training 9 3 0 21.4% 0.0% 8 38Other 1 0 1 7.1% 7.1% 10 45

CLINICAL ASSISTANCEQuality Improvement 2 9 0 64.3% 0.0% 3 7Best Practices (adopting, using) 2 10 0 71.4% 0.0% 1 1Coding for Clinicians 2 9 1 71.4% 7.1% 1 1Provider Relations 4 7 0 50.0% 0.0% 5 19Provider Recruitment 6 2 3 35.7% 21.4% 9 33Provider Retention 6 3 2 35.7% 14.3% 9 33Continuing Education 6 5 1 42.9% 7.1% 7 25Credentialing 4 6 2 57.1% 14.3% 4 12RHC Provider Enrollment 5 6 1 50.0% 7.1% 5 19Disease Management 5 6 0 42.9% 0.0% 7 25Other 1 0 0 0.0% 0.0% 11 47

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 1 7 3 71.4% 21.4% 1 1Patient Registration/Eligibility 4 6 1 50.0% 7.1% 5 19Patient Appointments 8 2 1 21.4% 7.1% 6 38Electronic Medical Records (EMR) 1 6 4 71.4% 28.6% 1 1Clinical Tracking 2 6 3 64.3% 21.4% 4 7Management Information System (MIS) 1 8 2 71.4% 14.3% 1 1Other 1 0 0 0.0% 0.0% 7 47

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 3 8 0 57.1% 0.0% 2 12Working with Consortiums/Networks 5 5 1 42.9% 7.1% 6 25Emergency Preparedness 5 6 0 42.9% 0.0% 6 25Pharmacy Assistance for Patients 2 7 2 64.3% 14.3% 1 7Migrant/Seasonal Farmworkers 8 2 0 14.3% 0.0% 10 43Developing Grants 4 6 0 42.9% 0.0% 6 25Develop Other Resources 2 8 0 57.1% 0.0% 2 12Facility Planning 3 8 0 57.1% 0.0% 2 12Facility Renovation 3 6 1 50.0% 7.1% 5 19Improving Cultural Competence 4 5 0 35.7% 0.0% 9 33Other 1 0 0 0.0% 0.0% 11 47

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Kansas Total Participants: 34

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 24 70.6% Part of a Network 6 17.6%Independent 10 29.4% No Network Affiliation 28 82.4%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 9 26.5% Local Ownership 9 26.5%Non-Profit 24 70.6% State Ownership 0 0.0%No Answer 1 2.9% No Affiliation/No Answer 25 73.5%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 18 52.9%Nurse Practitioner 0 0.0% Billing or Coding Staff 4 11.8%Physician Assistant 0 0.0% Other 13 38.2%

Do you know the staff in your State Office of Rural Health? Yes: 13 No: 1638.2% 47.1%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $1,500

Maximum $4,000 0 1 2 3 4 5 >5

24 6 1 0 0 0 0 = Count of Responses70.6% 17.6% 2.9% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 20.6%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 4 16 7 67.6% 20.6% 5

Workshops or Training Programs 2 17 10 79.4% 29.4% 1

Webinars or Other On-Line Programs 1 16 11 79.4% 32.4% 1

On-Site Assistance 7 17 4 61.8% 11.8% 6

Telephone Assistance 1 19 7 76.5% 20.6% 3

E-mail Assistance 0 12 14 76.5% 41.2% 3

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Kansas Survey Participants: 34

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 9 20 1 61.8% 2.9% 1 7Budgeting 16 10 2 35.3% 5.9% 5 32Accounting Systems 22 5 1 17.6% 2.9% 8 44Billing Systems 22 8 1 26.5% 2.9% 7 41Fee Schedule 19 8 2 29.4% 5.9% 6 38Sliding Fee Scale 15 10 3 38.2% 8.8% 4 26Coding 12 18 1 55.9% 2.9% 2 11Cost Reports 13 12 5 50.0% 14.7% 3 17Other 4 0 3 8.8% 8.8% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 14 14 3 50.0% 8.8% 4 17Staffing 17 10 3 38.2% 8.8% 6 26Organization Chart 21 6 2 23.5% 5.9% 10 43Position Descriptions 18 7 3 29.4% 8.8% 9 38Management/Leadership Skills 9 17 4 61.8% 11.8% 1 7Strategic Planning 12 15 3 52.9% 8.8% 2 15Marketing/Outreach 15 13 2 44.1% 5.9% 5 22Staff Training 11 14 4 52.9% 11.8% 2 15Ownership/Governance 17 8 3 32.4% 8.8% 8 35Board Training 15 12 1 38.2% 2.9% 6 26Other 3 0 0 0.0% 0.0% 11 47

CLINICAL ASSISTANCEQuality Improvement 6 20 4 70.6% 11.8% 1 1Best Practices (adopting, using) 7 19 4 67.6% 11.8% 2 3Coding for Clinicians 7 18 4 64.7% 11.8% 3 5Provider Relations 10 15 4 55.9% 11.8% 5 11Provider Recruitment 12 13 4 50.0% 11.8% 7 17Provider Retention 14 11 4 44.1% 11.8% 8 22Continuing Education 8 17 4 61.8% 11.8% 4 7Credentialing 17 7 5 35.3% 14.7% 10 32RHC Provider Enrollment 15 9 5 41.2% 14.7% 9 25Disease Management 10 18 1 55.9% 2.9% 5 11Other 4 0 1 2.9% 2.9% 11 46

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 8 16 6 64.7% 17.6% 3 5Patient Registration/Eligibility 13 14 3 50.0% 8.8% 4 17Patient Appointments 20 8 2 29.4% 5.9% 6 38Electronic Medical Records (EMR) 8 15 8 67.6% 23.5% 2 3Clinical Tracking 6 20 4 70.6% 11.8% 1 1Management Information System (MIS) 14 12 4 47.1% 11.8% 5 21Other 3 0 0 0.0% 0.0% 7 47

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 9 16 4 58.8% 11.8% 1 10Working with Consortiums/Networks 14 10 1 32.4% 2.9% 8 35Emergency Preparedness 17 10 1 32.4% 2.9% 8 35Pharmacy Assistance for Patients 14 12 1 38.2% 2.9% 4 26Migrant/Seasonal Farmworkers 17 9 0 26.5% 0.0% 10 41Developing Grants 8 14 5 55.9% 14.7% 2 11Develop Other Resources 10 12 3 44.1% 8.8% 3 22Facility Planning 14 11 2 38.2% 5.9% 4 26Facility Renovation 16 10 2 35.3% 5.9% 7 32Improving Cultural Competence 13 12 1 38.2% 2.9% 4 26Other 4 0 0 0.0% 0.0% 11 47

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Kentucky Total Participants: 8

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 4 50.0% Part of a Network 2 25.0%Independent 4 50.0% No Network Affiliation 6 75.0%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 5 62.5% Local Ownership 0 0.0%Non-Profit 3 37.5% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 8 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 2 25.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 2 25.0%Nurse Practitioner 0 0.0% Billing or Coding Staff 1 12.5%Physician Assistant 0 0.0% Other 3 37.5%

Do you know the staff in your State Office of Rural Health? Yes: 1 No: 312.5% 37.5%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $2,000

Maximum $2,000 0 1 2 3 4 5 >5

4 0 0 0 0 0 1 = Count of Responses50.0% 0.0% 0.0% 0.0% 0.0% 0.0% 12.5% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 12.5%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 4 0 50.0% 0.0% 1

Workshops or Training Programs 0 3 1 50.0% 12.5% 1

Webinars or Other On-Line Programs 0 2 2 50.0% 25.0% 1

On-Site Assistance 3 0 1 12.5% 12.5% 6

Telephone Assistance 1 0 3 37.5% 37.5% 5

E-mail Assistance 0 1 3 50.0% 37.5% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Kentucky Survey Participants: 8

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 4 3 0 37.5% 0.0% 3 10Budgeting 5 2 0 25.0% 0.0% 6 23Accounting Systems 6 1 0 12.5% 0.0% 8 33Billing Systems 4 2 1 37.5% 12.5% 3 10Fee Schedule 3 3 1 50.0% 12.5% 2 5Sliding Fee Scale 4 2 0 25.0% 0.0% 6 23Coding 1 6 0 75.0% 0.0% 1 1Cost Reports 4 3 0 37.5% 0.0% 3 10Other 3 0 1 12.5% 12.5% 8 33

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 2 3 0 37.5% 0.0% 2 10Staffing 2 3 0 37.5% 0.0% 2 10Organization Chart 4 1 0 12.5% 0.0% 7 33Position Descriptions 2 3 0 37.5% 0.0% 2 10Management/Leadership Skills 3 2 0 25.0% 0.0% 6 23Strategic Planning 2 3 0 37.5% 0.0% 2 10Marketing/Outreach 4 1 0 12.5% 0.0% 7 33Staff Training 1 3 1 50.0% 12.5% 1 5Ownership/Governance 4 1 0 12.5% 0.0% 7 33Board Training 4 0 1 12.5% 12.5% 7 33Other 3 0 0 0.0% 0.0% 11 45

CLINICAL ASSISTANCEQuality Improvement 0 5 0 62.5% 0.0% 1 2Best Practices (adopting, using) 0 4 1 62.5% 12.5% 1 2Coding for Clinicians 1 2 2 50.0% 25.0% 3 5Provider Relations 2 2 0 25.0% 0.0% 6 23Provider Recruitment 3 0 1 12.5% 12.5% 9 33Provider Retention 4 0 1 12.5% 12.5% 9 33Continuing Education 2 3 0 37.5% 0.0% 5 10Credentialing 3 0 2 25.0% 25.0% 6 23RHC Provider Enrollment 3 0 2 25.0% 25.0% 6 23Disease Management 1 4 0 50.0% 0.0% 3 5Other 2 0 0 0.0% 0.0% 11 45

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 2 2 1 37.5% 12.5% 2 10Patient Registration/Eligibility 0 5 0 62.5% 0.0% 1 2Patient Appointments 3 2 0 25.0% 0.0% 5 23Electronic Medical Records (EMR) 2 1 2 37.5% 25.0% 2 10Clinical Tracking 1 2 1 37.5% 12.5% 2 10Management Information System (MIS) 2 2 0 25.0% 0.0% 5 23Other 1 1 0 12.5% 0.0% 7 33

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 1 4 0 50.0% 0.0% 1 5Working with Consortiums/Networks 2 2 0 25.0% 0.0% 4 23Emergency Preparedness 4 1 0 12.5% 0.0% 6 33Pharmacy Assistance for Patients 2 2 0 25.0% 0.0% 4 23Migrant/Seasonal Farmworkers 3 0 0 0.0% 0.0% 9 45Developing Grants 1 2 1 37.5% 12.5% 2 10Develop Other Resources 1 2 1 37.5% 12.5% 2 10Facility Planning 4 1 0 12.5% 0.0% 6 33Facility Renovation 4 1 0 12.5% 0.0% 6 33Improving Cultural Competence 4 0 0 0.0% 0.0% 9 45Other 1 0 0 0.0% 0.0% 9 45

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Louisiana Total Participants: 7

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 5 71.4% Part of a Network 2 28.6%Independent 1 14.3% No Network Affiliation 4 57.1%No Answer 1 14.3% No Answer 1 14.3%

Clinic Organization Government AffiliationFor-Profit 2 28.6% Local Ownership 1 14.3%Non-Profit 4 57.1% State Ownership 0 0.0%No Answer 1 14.3% No Affiliation/No Answer 6 85.7%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 2 28.6%Nurse Practitioner 0 0.0% Billing or Coding Staff 1 14.3%Physician Assistant 0 0.0% Other 4 57.1%

Do you know the staff in your State Office of Rural Health? Yes: 4 No: 257.1% 28.6%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $100

Maximum $100 0 1 2 3 4 5 >5

5 1 0 0 0 0 0 = Count of Responses71.4% 14.3% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 14.3%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 4 1 71.4% 14.3% 1

Workshops or Training Programs 0 1 4 71.4% 57.1% 1

Webinars or Other On-Line Programs 0 2 2 57.1% 28.6% 4

On-Site Assistance 1 2 1 42.9% 14.3% 6

Telephone Assistance 0 3 2 71.4% 28.6% 1

E-mail Assistance 1 2 2 57.1% 28.6% 4

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Louisiana Survey Participants: 7

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 1 5 1 85.7% 14.3% 1 1Budgeting 5 2 0 28.6% 0.0% 7 37Accounting Systems 3 4 0 57.1% 0.0% 5 21Billing Systems 2 4 1 71.4% 14.3% 3 6Fee Schedule 4 2 1 42.9% 14.3% 6 28Sliding Fee Scale 2 5 0 71.4% 0.0% 3 6Coding 1 4 2 85.7% 28.6% 1 1Cost Reports 3 0 2 28.6% 28.6% 7 37Other 1 0 0 0.0% 0.0% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 2 5 0 71.4% 0.0% 2 6Staffing 5 2 0 28.6% 0.0% 7 37Organization Chart 6 1 0 14.3% 0.0% 10 44Position Descriptions 4 3 0 42.9% 0.0% 6 28Management/Leadership Skills 1 5 1 85.7% 14.3% 1 1Strategic Planning 2 5 0 71.4% 0.0% 2 6Marketing/Outreach 3 2 2 57.1% 28.6% 5 21Staff Training 2 3 2 71.4% 28.6% 2 6Ownership/Governance 5 1 1 28.6% 14.3% 7 37Board Training 5 0 2 28.6% 28.6% 7 37Other 1 0 0 0.0% 0.0% 11 45

CLINICAL ASSISTANCEQuality Improvement 1 4 1 71.4% 14.3% 1 6Best Practices (adopting, using) 1 4 1 71.4% 14.3% 1 6Coding for Clinicians 1 4 1 71.4% 14.3% 1 6Provider Relations 2 4 0 57.1% 0.0% 6 21Provider Recruitment 3 3 0 42.9% 0.0% 7 28Provider Retention 3 3 0 42.9% 0.0% 7 28Continuing Education 1 5 0 71.4% 0.0% 1 6Credentialing 3 3 0 42.9% 0.0% 7 28RHC Provider Enrollment 4 2 0 28.6% 0.0% 10 37Disease Management 1 4 1 71.4% 14.3% 1 6Other 0 0 0 0.0% 0.0% 11 45

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 2 2 2 57.1% 28.6% 3 21Patient Registration/Eligibility 3 3 0 42.9% 0.0% 5 28Patient Appointments 2 2 0 28.6% 0.0% 6 37Electronic Medical Records (EMR) 1 1 4 71.4% 57.1% 1 6Clinical Tracking 1 3 2 71.4% 28.6% 1 6Management Information System (MIS) 2 3 1 57.1% 14.3% 3 21Other 0 0 0 0.0% 0.0% 7 45

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 1 5 0 71.4% 0.0% 3 6Working with Consortiums/Networks 1 3 1 57.1% 14.3% 6 21Emergency Preparedness 0 6 0 85.7% 0.0% 1 1Pharmacy Assistance for Patients 0 5 1 85.7% 14.3% 1 1Migrant/Seasonal Farmworkers 3 3 0 42.9% 0.0% 8 28Developing Grants 1 2 3 71.4% 42.9% 3 6Develop Other Resources 1 3 2 71.4% 28.6% 3 6Facility Planning 3 2 1 42.9% 14.3% 8 28Facility Renovation 3 2 1 42.9% 14.3% 8 28Improving Cultural Competence 2 3 1 57.1% 14.3% 6 21Other 0 0 0 0.0% 0.0% 11 45

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Michigan Total Participants: 21

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 13 61.9% Part of a Network 7 33.3%Independent 8 38.1% No Network Affiliation 14 66.7%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 7 33.3% Local Ownership 1 4.8%Non-Profit 14 66.7% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 20 95.2%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 2 9.5% Certified Nurse Midwife 0 0.0%Physician 1 4.8% Office Manager 5 23.8%Nurse Practitioner 0 0.0% Billing or Coding Staff 1 4.8%Physician Assistant 1 4.8% Other 13 61.9%

Do you know the staff in your State Office of Rural Health? Yes: 8 No: 1038.1% 47.6%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $3,000

Maximum $25,000 0 1 2 3 4 5 >5

9 3 1 2 1 0 1 = Count of Responses42.9% 14.3% 4.8% 9.5% 4.8% 0.0% 4.8% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 38.1%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 1 12 5 81.0% 23.8% 1

Workshops or Training Programs 2 12 4 76.2% 19.0% 3

Webinars or Other On-Line Programs 1 10 6 76.2% 28.6% 3

On-Site Assistance 2 12 2 66.7% 9.5% 6

Telephone Assistance 1 12 5 81.0% 23.8% 1

E-mail Assistance 1 9 7 76.2% 33.3% 3

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Michigan Survey Participants: 21

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 6 12 1 61.9% 4.8% 2 6Budgeting 15 3 1 19.0% 4.8% 8 40Accounting Systems 10 8 0 38.1% 0.0% 6 30Billing Systems 8 7 3 47.6% 14.3% 5 21Fee Schedule 9 8 3 52.4% 14.3% 4 17Sliding Fee Scale 12 6 1 33.3% 4.8% 7 33Coding 5 13 1 66.7% 4.8% 1 3Cost Reports 7 8 4 57.1% 19.0% 3 9Other 3 1 0 4.8% 0.0% 9 43

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 12 7 1 38.1% 4.8% 4 30Staffing 13 4 3 33.3% 14.3% 6 33Organization Chart 19 1 0 4.8% 0.0% 10 43Position Descriptions 15 5 0 23.8% 0.0% 7 37Management/Leadership Skills 12 6 2 38.1% 9.5% 4 30Strategic Planning 7 11 2 61.9% 9.5% 1 6Marketing/Outreach 10 8 2 47.6% 9.5% 3 21Staff Training 8 11 1 57.1% 4.8% 2 9Ownership/Governance 15 3 2 23.8% 9.5% 7 37Board Training 15 3 2 23.8% 9.5% 7 37Other 3 0 0 0.0% 0.0% 11 47

CLINICAL ASSISTANCEQuality Improvement 6 12 2 66.7% 9.5% 3 3Best Practices (adopting, using) 2 15 3 85.7% 14.3% 1 1Coding for Clinicians 4 13 3 76.2% 14.3% 2 2Provider Relations 10 8 2 47.6% 9.5% 8 21Provider Recruitment 7 6 6 57.1% 28.6% 4 9Provider Retention 8 7 5 57.1% 23.8% 4 9Continuing Education 8 11 1 57.1% 4.8% 4 9Credentialing 10 9 1 47.6% 4.8% 8 21RHC Provider Enrollment 11 5 4 42.9% 19.0% 10 28Disease Management 9 9 2 52.4% 9.5% 7 17Other 1 0 0 0.0% 0.0% 11 47

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 8 6 6 57.1% 28.6% 2 9Patient Registration/Eligibility 7 9 3 57.1% 14.3% 2 9Patient Appointments 16 3 1 19.0% 4.8% 6 40Electronic Medical Records (EMR) 8 4 8 57.1% 38.1% 2 9Clinical Tracking 7 8 5 61.9% 23.8% 1 6Management Information System (MIS) 10 6 4 47.6% 19.0% 5 21Other 1 0 0 0.0% 0.0% 7 47

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 9 9 1 47.6% 4.8% 4 21Working with Consortiums/Networks 9 9 1 47.6% 4.8% 4 21Emergency Preparedness 10 9 0 42.9% 0.0% 6 28Pharmacy Assistance for Patients 8 9 2 52.4% 9.5% 2 17Migrant/Seasonal Farmworkers 18 0 1 4.8% 4.8% 10 43Developing Grants 5 6 8 66.7% 38.1% 1 3Develop Other Resources 8 9 2 52.4% 9.5% 2 17Facility Planning 12 5 2 33.3% 9.5% 7 33Facility Renovation 13 5 1 28.6% 4.8% 8 36Improving Cultural Competence 14 4 0 19.0% 0.0% 9 40Other 1 1 0 4.8% 0.0% 10 43

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Minnesota Total Participants: 16

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 13 81.3% Part of a Network 2 12.5%Independent 2 12.5% No Network Affiliation 12 75.0%No Answer 1 6.3% No Answer 2 12.5%

Clinic Organization Government AffiliationFor-Profit 3 18.8% Local Ownership 2 12.5%Non-Profit 13 81.3% State Ownership 1 6.3%No Answer 0 0.0% No Affiliation/No Answer 13 81.3%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 1 6.3% Certified Nurse Midwife 0 0.0%Physician 2 12.5% Office Manager 3 18.8%Nurse Practitioner 0 0.0% Billing or Coding Staff 1 6.3%Physician Assistant 0 0.0% Other 11 68.8%

Do you know the staff in your State Office of Rural Health? Yes: 10 No: 462.5% 25.0%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $5,000

Maximum $5,000 0 1 2 3 4 5 >5

11 1 1 1 0 0 0 = Count of Responses68.8% 6.3% 6.3% 6.3% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 18.8%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 10 4 87.5% 25.0% 1

Workshops or Training Programs 0 8 5 81.3% 31.3% 3

Webinars or Other On-Line Programs 0 9 5 87.5% 31.3% 1

On-Site Assistance 3 10 0 62.5% 0.0% 6

Telephone Assistance 2 8 3 68.8% 18.8% 4

E-mail Assistance 2 7 4 68.8% 25.0% 4

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Minnesota Survey Participants: 16

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 2 10 1 68.8% 6.3% 1 3Budgeting 8 4 0 25.0% 0.0% 7 31Accounting Systems 10 2 1 18.8% 6.3% 8 36Billing Systems 6 6 1 43.8% 6.3% 4 20Fee Schedule 6 7 1 50.0% 6.3% 3 11Sliding Fee Scale 5 7 0 43.8% 0.0% 4 20Coding 3 9 1 62.5% 6.3% 2 5Cost Reports 6 6 1 43.8% 6.3% 4 20Other 0 0 2 12.5% 12.5% 9 41

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 10 3 0 18.8% 0.0% 7 36Staffing 10 2 1 18.8% 6.3% 7 36Organization Chart 13 0 0 0.0% 0.0% 10 45Position Descriptions 9 4 0 25.0% 0.0% 5 31Management/Leadership Skills 5 8 0 50.0% 0.0% 1 11Strategic Planning 8 5 0 31.3% 0.0% 4 28Marketing/Outreach 6 6 2 50.0% 12.5% 1 11Staff Training 5 8 0 50.0% 0.0% 1 11Ownership/Governance 12 1 0 6.3% 0.0% 9 43Board Training 8 4 0 25.0% 0.0% 5 31Other 1 0 0 0.0% 0.0% 10 45

CLINICAL ASSISTANCEQuality Improvement 1 10 3 81.3% 18.8% 1 1Best Practices (adopting, using) 1 10 3 81.3% 18.8% 1 1Coding for Clinicians 3 6 4 62.5% 25.0% 3 5Provider Relations 4 5 3 50.0% 18.8% 5 11Provider Recruitment 6 2 5 43.8% 31.3% 9 20Provider Retention 5 6 3 56.3% 18.8% 4 8Continuing Education 5 7 1 50.0% 6.3% 5 11Credentialing 5 8 0 50.0% 0.0% 5 11RHC Provider Enrollment 6 5 2 43.8% 12.5% 9 20Disease Management 5 6 2 50.0% 12.5% 5 11Other 2 0 0 0.0% 0.0% 11 45

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 4 9 0 56.3% 0.0% 1 8Patient Registration/Eligibility 6 7 0 43.8% 0.0% 4 20Patient Appointments 8 5 0 31.3% 0.0% 5 28Electronic Medical Records (EMR) 5 6 2 50.0% 12.5% 3 11Clinical Tracking 4 7 2 56.3% 12.5% 1 8Management Information System (MIS) 7 4 1 31.3% 6.3% 5 28Other 1 0 0 0.0% 0.0% 7 45

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 2 9 2 68.8% 12.5% 1 3Working with Consortiums/Networks 11 2 0 12.5% 0.0% 9 41Emergency Preparedness 9 4 0 25.0% 0.0% 5 31Pharmacy Assistance for Patients 5 7 0 43.8% 0.0% 3 20Migrant/Seasonal Farmworkers 12 1 0 6.3% 0.0% 10 43Developing Grants 4 8 2 62.5% 12.5% 2 5Develop Other Resources 7 6 0 37.5% 0.0% 4 27Facility Planning 9 4 0 25.0% 0.0% 5 31Facility Renovation 10 3 0 18.8% 0.0% 7 36Improving Cultural Competence 10 3 0 18.8% 0.0% 7 36Other 1 0 0 0.0% 0.0% 11 45

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Mississippi Total Participants: 7

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 5 71.4% Part of a Network 3 42.9%Independent 2 28.6% No Network Affiliation 4 57.1%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 2 28.6% Local Ownership 2 28.6%Non-Profit 5 71.4% State Ownership 1 14.3%No Answer 0 0.0% No Affiliation/No Answer 4 57.1%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 1 14.3% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 1 14.3%Nurse Practitioner 0 0.0% Billing or Coding Staff 0 0.0%Physician Assistant 0 0.0% Other 5 71.4%

Do you know the staff in your State Office of Rural Health? Yes: 3 No: 342.9% 42.9%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $5,000

Maximum $5,000 0 1 2 3 4 5 >5

5 1 0 0 0 0 0 = Count of Responses71.4% 14.3% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 14.3%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 6 0 85.7% 0.0% 1

Workshops or Training Programs 0 4 2 85.7% 28.6% 1

Webinars or Other On-Line Programs 0 4 2 85.7% 28.6% 1

On-Site Assistance 2 3 1 57.1% 14.3% 6

Telephone Assistance 0 6 0 85.7% 0.0% 1

E-mail Assistance 1 4 1 71.4% 14.3% 5

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Mississippi Survey Participants: 7

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 3 2 1 42.9% 14.3% 2 20Budgeting 4 2 0 28.6% 0.0% 4 36Accounting Systems 4 1 1 28.6% 14.3% 4 36Billing Systems 3 1 2 42.9% 28.6% 2 20Fee Schedule 5 0 1 14.3% 14.3% 8 42Sliding Fee Scale 4 1 1 28.6% 14.3% 4 36Coding 4 1 1 28.6% 14.3% 4 36Cost Reports 2 2 2 57.1% 28.6% 1 2Other 2 0 0 0.0% 0.0% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 2 3 1 57.1% 14.3% 1 2Staffing 2 4 0 57.1% 0.0% 1 2Organization Chart 5 1 0 14.3% 0.0% 9 42Position Descriptions 3 3 0 42.9% 0.0% 7 20Management/Leadership Skills 2 2 2 57.1% 28.6% 1 2Strategic Planning 2 1 3 57.1% 42.9% 1 2Marketing/Outreach 2 1 3 57.1% 42.9% 1 2Staff Training 2 2 2 57.1% 28.6% 1 2Ownership/Governance 5 1 0 14.3% 0.0% 9 42Board Training 3 2 1 42.9% 14.3% 7 20Other 3 0 0 0.0% 0.0% 11 45

CLINICAL ASSISTANCEQuality Improvement 2 1 3 57.1% 42.9% 1 2Best Practices (adopting, using) 2 1 3 57.1% 42.9% 1 2Coding for Clinicians 2 2 2 57.1% 28.6% 1 2Provider Relations 2 2 2 57.1% 28.6% 1 2Provider Recruitment 3 2 1 42.9% 14.3% 6 20Provider Retention 3 3 0 42.9% 0.0% 6 20Continuing Education 2 2 2 57.1% 28.6% 1 2Credentialing 3 1 2 42.9% 28.6% 6 20RHC Provider Enrollment 3 3 0 42.9% 0.0% 6 20Disease Management 2 1 2 42.9% 28.6% 6 20Other 2 0 0 0.0% 0.0% 11 45

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 3 2 1 42.9% 14.3% 3 20Patient Registration/Eligibility 3 3 0 42.9% 0.0% 3 20Patient Appointments 4 2 0 28.6% 0.0% 6 36Electronic Medical Records (EMR) 3 2 1 42.9% 14.3% 3 20Clinical Tracking 2 3 1 57.1% 14.3% 1 2Management Information System (MIS) 2 3 1 57.1% 14.3% 1 2Other 2 0 0 0.0% 0.0% 7 45

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 2 1 3 57.1% 42.9% 2 2Working with Consortiums/Networks 1 5 0 71.4% 0.0% 1 1Emergency Preparedness 3 3 0 42.9% 0.0% 6 20Pharmacy Assistance for Patients 3 2 1 42.9% 14.3% 6 20Migrant/Seasonal Farmworkers 3 2 0 28.6% 0.0% 10 36Developing Grants 2 2 2 57.1% 28.6% 2 2Develop Other Resources 2 2 2 57.1% 28.6% 2 2Facility Planning 3 2 1 42.9% 14.3% 6 20Facility Renovation 3 2 1 42.9% 14.3% 6 20Improving Cultural Competence 2 1 3 57.1% 42.9% 2 2Other 2 0 0 0.0% 0.0% 11 45

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Missouri Total Participants: 65

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 33 50.8% Part of a Network 26 40.0%Independent 32 49.2% No Network Affiliation 37 56.9%No Answer 0 0.0% No Answer 2 3.1%

Clinic Organization Government AffiliationFor-Profit 31 47.7% Local Ownership 3 4.6%Non-Profit 33 50.8% State Ownership 2 3.1%No Answer 1 1.5% No Affiliation/No Answer 60 92.3%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 6 9.2% Certified Nurse Midwife 0 0.0%Physician 6 9.2% Office Manager 33 50.8%Nurse Practitioner 6 9.2% Billing or Coding Staff 12 18.5%Physician Assistant 0 0.0% Other 15 23.1%

Do you know the staff in your State Office of Rural Health? Yes: 25 No: 2838.5% 43.1%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $350

Maximum $10,000 0 1 2 3 4 5 >5

32 14 2 2 0 0 3 = Count of Responses49.2% 21.5% 3.1% 3.1% 0.0% 0.0% 4.6% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 32.3%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 6 30 13 66.2% 20.0% 5

Workshops or Training Programs 6 24 20 67.7% 30.8% 2

Webinars or Other On-Line Programs 7 27 17 67.7% 26.2% 2

On-Site Assistance 14 25 10 53.8% 15.4% 6

Telephone Assistance 5 26 18 67.7% 27.7% 2

E-mail Assistance 4 26 20 70.8% 30.8% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Missouri Survey Participants: 65

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 21 24 4 43.1% 6.2% 3 15Budgeting 33 12 5 26.2% 7.7% 7 35Accounting Systems 34 8 7 23.1% 10.8% 8 36Billing Systems 31 13 9 33.8% 13.8% 6 25Fee Schedule 21 20 9 44.6% 13.8% 2 12Sliding Fee Scale 22 22 3 38.5% 4.6% 4 20Coding 20 24 8 49.2% 12.3% 1 7Cost Reports 26 19 5 36.9% 7.7% 5 22Other 13 2 1 4.6% 1.5% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 29 18 4 33.8% 6.2% 4 25Staffing 32 14 5 29.2% 7.7% 6 32Organization Chart 39 9 1 15.4% 1.5% 10 44Position Descriptions 35 13 2 23.1% 3.1% 7 36Management/Leadership Skills 30 17 5 33.8% 7.7% 4 25Strategic Planning 24 21 8 44.6% 12.3% 3 12Marketing/Outreach 18 20 14 52.3% 21.5% 1 3Staff Training 21 24 7 47.7% 10.8% 2 8Ownership/Governance 37 10 2 18.5% 3.1% 9 42Board Training 34 10 3 20.0% 4.6% 8 41Other 14 0 0 0.0% 0.0% 11 47

CLINICAL ASSISTANCEQuality Improvement 13 32 6 58.5% 9.2% 2 2Best Practices (adopting, using) 13 32 8 61.5% 12.3% 1 1Coding for Clinicians 19 22 11 50.8% 16.9% 3 4Provider Relations 27 19 6 38.5% 9.2% 6 20Provider Recruitment 23 16 12 43.1% 18.5% 5 15Provider Retention 28 19 4 35.4% 6.2% 7 23Continuing Education 21 24 7 47.7% 10.8% 4 8Credentialing 36 10 4 21.5% 6.2% 10 39RHC Provider Enrollment 34 11 4 23.1% 6.2% 9 36Disease Management 27 19 2 32.3% 3.1% 8 28Other 12 0 0 0.0% 0.0% 11 47

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 19 25 8 50.8% 12.3% 1 4Patient Registration/Eligibility 27 22 5 41.5% 7.7% 3 17Patient Appointments 38 12 2 21.5% 3.1% 6 39Electronic Medical Records (EMR) 26 13 13 40.0% 20.0% 4 19Clinical Tracking 20 17 12 44.6% 18.5% 2 12Management Information System (MIS) 26 15 8 35.4% 12.3% 5 23Other 12 0 1 1.5% 1.5% 7 46

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 21 27 3 46.2% 4.6% 2 10Working with Consortiums/Networks 25 18 3 32.3% 4.6% 5 28Emergency Preparedness 32 18 1 29.2% 1.5% 8 32Pharmacy Assistance for Patients 25 22 5 41.5% 7.7% 4 17Migrant/Seasonal Farmworkers 36 10 1 16.9% 1.5% 10 43Developing Grants 16 23 10 50.8% 15.4% 1 4Develop Other Resources 19 22 8 46.2% 12.3% 2 10Facility Planning 30 15 3 27.7% 4.6% 9 34Facility Renovation 30 16 5 32.3% 7.7% 5 28Improving Cultural Competence 26 19 1 30.8% 1.5% 7 31Other 15 0 0 0.0% 0.0% 11 47

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Montana Total Participants: 21

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 19 90.5% Part of a Network 1 4.8%Independent 2 9.5% No Network Affiliation 19 90.5%No Answer 0 0.0% No Answer 1 4.8%

Clinic Organization Government AffiliationFor-Profit 1 4.8% Local Ownership 3 14.3%Non-Profit 20 95.2% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 18 85.7%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 1 4.8% Office Manager 4 19.0%Nurse Practitioner 1 4.8% Billing or Coding Staff 1 4.8%Physician Assistant 0 0.0% Other 14 66.7%

Do you know the staff in your State Office of Rural Health? Yes: 8 No: 1038.1% 47.6%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $900

Maximum $9,000 0 1 2 3 4 5 >5

13 2 1 0 0 0 0 = Count of Responses61.9% 9.5% 4.8% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 14.3%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 3 8 6 66.7% 28.6% 4

Workshops or Training Programs 2 9 7 76.2% 33.3% 3

Webinars or Other On-Line Programs 0 9 9 85.7% 42.9% 1

On-Site Assistance 3 6 7 61.9% 33.3% 6

Telephone Assistance 2 9 5 66.7% 23.8% 4

E-mail Assistance 0 11 6 81.0% 28.6% 2

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Montana Survey Participants: 21

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 6 10 2 57.1% 9.5% 2 14Budgeting 13 4 0 19.0% 0.0% 8 40Accounting Systems 13 5 1 28.6% 4.8% 6 37Billing Systems 11 6 2 38.1% 9.5% 4 32Fee Schedule 10 7 2 42.9% 9.5% 3 28Sliding Fee Scale 9 6 2 38.1% 9.5% 4 32Coding 5 11 3 66.7% 14.3% 1 6Cost Reports 12 3 2 23.8% 9.5% 7 38Other 2 3 1 19.0% 4.8% 8 40

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 7 12 0 57.1% 0.0% 3 14Staffing 9 7 3 47.6% 14.3% 5 21Organization Chart 13 5 0 23.8% 0.0% 9 38Position Descriptions 9 6 3 42.9% 14.3% 7 28Management/Leadership Skills 5 7 6 61.9% 28.6% 2 11Strategic Planning 5 8 4 57.1% 19.0% 3 14Marketing/Outreach 7 6 4 47.6% 19.0% 5 21Staff Training 5 9 5 66.7% 23.8% 1 6Ownership/Governance 12 3 1 19.0% 4.8% 10 40Board Training 8 6 2 38.1% 9.5% 8 32Other 2 0 0 0.0% 0.0% 11 45

CLINICAL ASSISTANCEQuality Improvement 1 14 3 81.0% 14.3% 1 1Best Practices (adopting, using) 2 10 6 76.2% 28.6% 2 2Coding for Clinicians 2 13 3 76.2% 14.3% 2 2Provider Relations 7 8 2 47.6% 9.5% 6 21Provider Recruitment 5 7 5 57.1% 23.8% 5 14Provider Retention 7 7 2 42.9% 9.5% 8 28Continuing Education 4 13 1 66.7% 4.8% 4 6Credentialing 9 8 0 38.1% 0.0% 9 32RHC Provider Enrollment 12 4 0 19.0% 0.0% 10 40Disease Management 6 8 2 47.6% 9.5% 6 21Other 2 0 0 0.0% 0.0% 11 45

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 5 10 4 66.7% 19.0% 2 6Patient Registration/Eligibility 8 8 2 47.6% 9.5% 5 21Patient Appointments 9 7 2 42.9% 9.5% 6 28Electronic Medical Records (EMR) 4 10 5 71.4% 23.8% 1 4Clinical Tracking 5 8 4 57.1% 19.0% 3 14Management Information System (MIS) 6 9 3 57.1% 14.3% 3 14Other 3 0 0 0.0% 0.0% 7 45

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 6 9 4 61.9% 19.0% 3 11Working with Consortiums/Networks 12 4 0 19.0% 0.0% 9 40Emergency Preparedness 9 8 0 38.1% 0.0% 8 32Pharmacy Assistance for Patients 4 12 2 66.7% 9.5% 2 6Migrant/Seasonal Farmworkers 13 0 0 0.0% 0.0% 10 45Developing Grants 2 11 4 71.4% 19.0% 1 4Develop Other Resources 5 10 3 61.9% 14.3% 3 11Facility Planning 8 9 1 47.6% 4.8% 6 21Facility Renovation 8 6 4 47.6% 19.0% 6 21Improving Cultural Competence 5 8 3 52.4% 14.3% 5 20Other 2 0 0 0.0% 0.0% 10 45

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Nebraska Total Participants: 16

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 11 68.8% Part of a Network 4 25.0%Independent 4 25.0% No Network Affiliation 10 62.5%No Answer 1 6.3% No Answer 2 12.5%

Clinic Organization Government AffiliationFor-Profit 4 25.0% Local Ownership 5 31.3%Non-Profit 11 68.8% State Ownership 0 0.0%No Answer 1 6.3% No Affiliation/No Answer 11 68.8%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 1 6.3% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 10 62.5%Nurse Practitioner 0 0.0% Billing or Coding Staff 1 6.3%Physician Assistant 0 0.0% Other 5 31.3%

Do you know the staff in your State Office of Rural Health? Yes: 11 No: 368.8% 18.8%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $1,200

Maximum $25,000 0 1 2 3 4 5 >5

11 3 0 0 0 0 0 = Count of Responses68.8% 18.8% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 18.8%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 8 6 87.5% 37.5% 1

Workshops or Training Programs 0 8 6 87.5% 37.5% 1

Webinars or Other On-Line Programs 1 10 3 81.3% 18.8% 5

On-Site Assistance 0 8 6 87.5% 37.5% 1

Telephone Assistance 1 10 3 81.3% 18.8% 5

E-mail Assistance 0 9 5 87.5% 31.3% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Nebraska Survey Participants: 16

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 6 7 2 56.3% 12.5% 4 20Budgeting 8 6 0 37.5% 0.0% 8 36Accounting Systems 8 7 0 43.8% 0.0% 5 29Billing Systems 8 7 0 43.8% 0.0% 5 29Fee Schedule 5 9 1 62.5% 6.3% 2 13Sliding Fee Scale 6 5 2 43.8% 12.5% 5 29Coding 3 12 0 75.0% 0.0% 1 8Cost Reports 3 9 1 62.5% 6.3% 2 13Other 1 1 0 6.3% 0.0% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 8 7 0 43.8% 0.0% 6 29Staffing 5 8 1 56.3% 6.3% 5 20Organization Chart 11 3 0 18.8% 0.0% 10 43Position Descriptions 9 5 1 37.5% 6.3% 8 36Management/Leadership Skills 2 11 2 81.3% 12.5% 2 3Strategic Planning 2 13 0 81.3% 0.0% 2 3Marketing/Outreach 0 13 2 93.8% 12.5% 1 1Staff Training 4 10 1 68.8% 6.3% 4 10Ownership/Governance 8 5 0 31.3% 0.0% 9 39Board Training 5 6 1 43.8% 6.3% 6 29Other 2 0 0 0.0% 0.0% 11 46

CLINICAL ASSISTANCEQuality Improvement 2 11 2 81.3% 12.5% 2 3Best Practices (adopting, using) 1 11 3 87.5% 18.8% 1 2Coding for Clinicians 2 11 2 81.3% 12.5% 2 3Provider Relations 4 8 2 62.5% 12.5% 5 13Provider Recruitment 5 5 3 50.0% 18.8% 7 25Provider Retention 6 5 3 50.0% 18.8% 7 25Continuing Education 3 11 0 68.8% 0.0% 4 10Credentialing 6 6 1 43.8% 6.3% 9 29RHC Provider Enrollment 8 5 1 37.5% 6.3% 10 36Disease Management 3 10 0 62.5% 0.0% 5 13Other 1 0 0 0.0% 0.0% 11 46

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 5 5 4 56.3% 25.0% 3 20Patient Registration/Eligibility 9 4 1 31.3% 6.3% 5 39Patient Appointments 10 4 1 31.3% 6.3% 5 39Electronic Medical Records (EMR) 4 3 7 62.5% 43.8% 1 13Clinical Tracking 4 6 4 62.5% 25.0% 1 13Management Information System (MIS) 6 8 1 56.3% 6.3% 3 20Other 1 0 0 0.0% 0.0% 7 46

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 4 8 3 68.8% 18.8% 3 10Working with Consortiums/Networks 7 5 0 31.3% 0.0% 9 39Emergency Preparedness 5 10 0 62.5% 0.0% 4 13Pharmacy Assistance for Patients 7 6 1 43.8% 6.3% 8 29Migrant/Seasonal Farmworkers 10 3 0 18.8% 0.0% 10 43Developing Grants 1 9 4 81.3% 25.0% 1 3Develop Other Resources 2 9 3 75.0% 18.8% 2 8Facility Planning 4 7 1 50.0% 6.3% 6 25Facility Renovation 3 8 1 56.3% 6.3% 5 20Improving Cultural Competence 5 8 0 50.0% 0.0% 6 25Other 1 0 0 0.0% 0.0% 11 46

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Nevada Total Participants: 2

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 2 100.0% Part of a Network 0 0.0%Independent 0 0.0% No Network Affiliation 2 100.0%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 0 0.0% Local Ownership 0 0.0%Non-Profit 2 100.0% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 2 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 1 50.0%Nurse Practitioner 0 0.0% Billing or Coding Staff 1 50.0%Physician Assistant 0 0.0% Other 0 0.0%

Do you know the staff in your State Office of Rural Health? Yes: 1 No: 150.0% 50.0%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $0

Maximum $0 0 1 2 3 4 5 >5

2 0 0 0 0 0 0 = Count of Responses100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 0.0%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 2 0 100.0% 0.0% 1

Workshops or Training Programs 0 1 1 100.0% 50.0% 1

Webinars or Other On-Line Programs 0 1 1 100.0% 50.0% 1

On-Site Assistance 0 1 1 100.0% 50.0% 1

Telephone Assistance 0 1 1 100.0% 50.0% 1

E-mail Assistance 0 1 1 100.0% 50.0% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Nevada Survey Participants: 2

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 0 2 0 100.0% 0.0% 1 1Budgeting 0 2 0 100.0% 0.0% 1 1Accounting Systems 0 2 0 100.0% 0.0% 1 1Billing Systems 0 2 0 100.0% 0.0% 1 1Fee Schedule 0 2 0 100.0% 0.0% 1 1Sliding Fee Scale 0 2 0 100.0% 0.0% 1 1Coding 0 2 0 100.0% 0.0% 1 1Cost Reports 0 2 0 100.0% 0.0% 1 1Other 0 0 0 0.0% 0.0% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 1 1 0 50.0% 0.0% 8 37Staffing 0 1 1 100.0% 50.0% 1 1Organization Chart 0 2 0 100.0% 0.0% 1 1Position Descriptions 0 2 0 100.0% 0.0% 1 1Management/Leadership Skills 0 2 0 100.0% 0.0% 1 1Strategic Planning 0 2 0 100.0% 0.0% 1 1Marketing/Outreach 0 1 1 100.0% 50.0% 1 1Staff Training 0 2 0 100.0% 0.0% 1 1Ownership/Governance 1 1 0 50.0% 0.0% 8 37Board Training 1 0 1 50.0% 50.0% 8 37Other 0 0 0 0.0% 0.0% 11 45

CLINICAL ASSISTANCEQuality Improvement 0 2 0 100.0% 0.0% 1 1Best Practices (adopting, using) 0 2 0 100.0% 0.0% 1 1Coding for Clinicians 0 2 0 100.0% 0.0% 1 1Provider Relations 0 2 0 100.0% 0.0% 1 1Provider Recruitment 1 0 1 50.0% 50.0% 8 37Provider Retention 0 1 1 100.0% 50.0% 1 1Continuing Education 0 2 0 100.0% 0.0% 1 1Credentialing 1 1 0 50.0% 0.0% 8 37RHC Provider Enrollment 1 1 0 50.0% 0.0% 8 37Disease Management 0 2 0 100.0% 0.0% 1 1Other 0 0 0 0.0% 0.0% 11 45

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 0 2 0 100.0% 0.0% 1 1Patient Registration/Eligibility 0 2 0 100.0% 0.0% 1 1Patient Appointments 0 1 0 50.0% 0.0% 6 37Electronic Medical Records (EMR) 0 1 1 100.0% 50.0% 1 1Clinical Tracking 0 2 0 100.0% 0.0% 1 1Management Information System (MIS) 0 2 0 100.0% 0.0% 1 1Other 0 0 0 0.0% 0.0% 7 45

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 0 2 0 100.0% 0.0% 1 1Working with Consortiums/Networks 0 2 0 100.0% 0.0% 1 1Emergency Preparedness 0 2 0 100.0% 0.0% 1 1Pharmacy Assistance for Patients 0 2 0 100.0% 0.0% 1 1Migrant/Seasonal Farmworkers 0 2 0 100.0% 0.0% 1 1Developing Grants 0 1 1 100.0% 50.0% 1 1Develop Other Resources 0 1 0 50.0% 0.0% 10 37Facility Planning 0 1 1 100.0% 50.0% 1 1Facility Renovation 0 1 1 100.0% 50.0% 1 1Improving Cultural Competence 0 1 1 100.0% 50.0% 1 1Other 0 0 0 0.0% 0.0% 11 45

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

New Hampshire Total Participants: 1

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 0 0.0% Part of a Network 0 0.0%Independent 1 100.0% No Network Affiliation 1 100.0%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 1 100.0% Local Ownership 0 0.0%Non-Profit 0 0.0% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 1 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 0 0.0%Nurse Practitioner 0 0.0% Billing or Coding Staff 1 100.0%Physician Assistant 0 0.0% Other 0 0.0%

Do you know the staff in your State Office of Rural Health? Yes: 1 No: 0100.0% 0.0%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $1,800

Maximum $1,800 0 1 2 3 4 5 >5

0 0 0 0 0 0 0 = Count of Responses0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 0.0%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 1 0 100.0% 0.0% 1

Workshops or Training Programs 0 1 0 100.0% 0.0% 1

Webinars or Other On-Line Programs 0 1 0 100.0% 0.0% 1

On-Site Assistance 0 1 0 100.0% 0.0% 1

Telephone Assistance 0 0 1 100.0% 100.0% 1

E-mail Assistance 0 0 1 100.0% 100.0% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

New Hampshire Survey Participants: 1

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 0 0 0 0.0% 0.0% 4 9Budgeting 0 0 0 0.0% 0.0% 4 9Accounting Systems 0 0 0 0.0% 0.0% 4 9Billing Systems 0 1 0 100.0% 0.0% 1 1Fee Schedule 0 0 0 0.0% 0.0% 4 9Sliding Fee Scale 0 0 0 0.0% 0.0% 4 9Coding 0 1 0 100.0% 0.0% 1 1Cost Reports 0 1 0 100.0% 0.0% 1 1Other 0 0 0 0.0% 0.0% 4 9

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 0 1 0 100.0% 0.0% 1 1Staffing 0 1 0 100.0% 0.0% 1 1Organization Chart 0 0 0 0.0% 0.0% 4 9Position Descriptions 0 0 0 0.0% 0.0% 4 9Management/Leadership Skills 0 1 0 100.0% 0.0% 1 1Strategic Planning 0 0 0 0.0% 0.0% 4 9Marketing/Outreach 0 0 0 0.0% 0.0% 4 9Staff Training 0 0 0 0.0% 0.0% 4 9Ownership/Governance 0 0 0 0.0% 0.0% 4 9Board Training 0 0 0 0.0% 0.0% 4 9Other 0 0 0 0.0% 0.0% 4 9

CLINICAL ASSISTANCEQuality Improvement 0 0 0 0.0% 0.0% 3 9Best Practices (adopting, using) 0 0 0 0.0% 0.0% 3 9Coding for Clinicians 0 0 0 0.0% 0.0% 3 9Provider Relations 0 0 0 0.0% 0.0% 3 9Provider Recruitment 0 0 0 0.0% 0.0% 3 9Provider Retention 0 0 0 0.0% 0.0% 3 9Continuing Education 0 0 0 0.0% 0.0% 3 9Credentialing 0 1 0 100.0% 0.0% 1 1RHC Provider Enrollment 0 1 0 100.0% 0.0% 1 1Disease Management 0 0 0 0.0% 0.0% 3 9Other 0 0 0 0.0% 0.0% 3 9

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 0 0 0 0.0% 0.0% 1 9Patient Registration/Eligibility 0 0 0 0.0% 0.0% 1 9Patient Appointments 0 0 0 0.0% 0.0% 1 9Electronic Medical Records (EMR) 0 0 0 0.0% 0.0% 1 9Clinical Tracking 0 0 0 0.0% 0.0% 1 9Management Information System (MIS) 0 0 0 0.0% 0.0% 1 9Other 0 0 0 0.0% 0.0% 1 9

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 1 0 0 0.0% 0.0% 1 9Working with Consortiums/Networks 1 0 0 0.0% 0.0% 1 9Emergency Preparedness 1 0 0 0.0% 0.0% 1 9Pharmacy Assistance for Patients 1 0 0 0.0% 0.0% 1 9Migrant/Seasonal Farmworkers 1 0 0 0.0% 0.0% 1 9Developing Grants 1 0 0 0.0% 0.0% 1 9Develop Other Resources 1 0 0 0.0% 0.0% 1 9Facility Planning 1 0 0 0.0% 0.0% 1 9Facility Renovation 1 0 0 0.0% 0.0% 1 9Improving Cultural Competence 1 0 0 0.0% 0.0% 1 9Other 1 0 0 0.0% 0.0% 1 9

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

North Carolina Total Participants: 9

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 6 66.7% Part of a Network 2 22.2%Independent 2 22.2% No Network Affiliation 7 77.8%No Answer 1 11.1% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 2 22.2% Local Ownership 1 11.1%Non-Profit 7 77.8% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 8 88.9%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 4 44.4%Nurse Practitioner 1 11.1% Billing or Coding Staff 1 11.1%Physician Assistant 1 11.1% Other 4 44.4%

Do you know the staff in your State Office of Rural Health? Yes: 7 No: 177.8% 11.1%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $1,500

Maximum $160,000 0 1 2 3 4 5 >5

7 1 0 0 0 0 1 = Count of Responses77.8% 11.1% 0.0% 0.0% 0.0% 0.0% 11.1% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 22.2%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 1 3 4 77.8% 44.4% 6

Workshops or Training Programs 1 3 5 88.9% 55.6% 5

Webinars or Other On-Line Programs 0 4 5 100.0% 55.6% 1

On-Site Assistance 0 4 5 100.0% 55.6% 1

Telephone Assistance 0 4 5 100.0% 55.6% 1

E-mail Assistance 0 5 4 100.0% 44.4% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

North Carolina Survey Participants: 9

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 3 5 1 66.7% 11.1% 2 12Budgeting 5 4 0 44.4% 0.0% 6 29Accounting Systems 6 3 0 33.3% 0.0% 7 34Billing Systems 4 4 1 55.6% 11.1% 4 21Fee Schedule 4 5 0 55.6% 0.0% 4 21Sliding Fee Scale 7 2 0 22.2% 0.0% 8 41Coding 3 6 0 66.7% 0.0% 2 12Cost Reports 2 4 3 77.8% 33.3% 1 3Other 2 0 0 0.0% 0.0% 9 44

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 5 4 0 44.4% 0.0% 6 29Staffing 6 3 0 33.3% 0.0% 8 34Organization Chart 9 0 0 0.0% 0.0% 10 44Position Descriptions 6 3 0 33.3% 0.0% 8 34Management/Leadership Skills 2 7 0 77.8% 0.0% 1 3Strategic Planning 2 7 0 77.8% 0.0% 1 3Marketing/Outreach 2 6 1 77.8% 11.1% 1 3Staff Training 4 5 0 55.6% 0.0% 5 21Ownership/Governance 5 4 0 44.4% 0.0% 6 29Board Training 3 4 2 66.7% 22.2% 4 12Other 1 0 0 0.0% 0.0% 10 44

CLINICAL ASSISTANCEQuality Improvement 1 6 2 88.9% 22.2% 1 1Best Practices (adopting, using) 1 7 1 88.9% 11.1% 1 1Coding for Clinicians 2 6 1 77.8% 11.1% 3 3Provider Relations 4 5 0 55.6% 0.0% 5 21Provider Recruitment 6 1 2 33.3% 22.2% 8 34Provider Retention 7 0 2 22.2% 22.2% 10 41Continuing Education 5 4 0 44.4% 0.0% 7 29Credentialing 4 4 1 55.6% 11.1% 5 21RHC Provider Enrollment 6 2 1 33.3% 11.1% 8 34Disease Management 3 6 0 66.7% 0.0% 4 12Other 1 0 0 0.0% 0.0% 11 44

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 2 4 3 77.8% 33.3% 1 3Patient Registration/Eligibility 6 2 1 33.3% 11.1% 5 34Patient Appointments 7 2 0 22.2% 0.0% 6 41Electronic Medical Records (EMR) 3 3 3 66.7% 33.3% 4 12Clinical Tracking 2 3 4 77.8% 44.4% 1 3Management Information System (MIS) 2 4 3 77.8% 33.3% 1 3Other 1 0 0 0.0% 0.0% 7 44

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 2 6 0 66.7% 0.0% 2 12Working with Consortiums/Networks 2 6 0 66.7% 0.0% 2 12Emergency Preparedness 4 5 0 55.6% 0.0% 6 21Pharmacy Assistance for Patients 4 3 2 55.6% 22.2% 6 21Migrant/Seasonal Farmworkers 6 3 0 33.3% 0.0% 10 34Developing Grants 1 5 2 77.8% 22.2% 1 3Develop Other Resources 2 4 2 66.7% 22.2% 2 12Facility Planning 4 3 2 55.6% 22.2% 6 21Facility Renovation 5 3 1 44.4% 11.1% 9 29Improving Cultural Competence 2 6 0 66.7% 0.0% 2 12Other 1 0 0 0.0% 0.0% 11 44

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

North Dakota Total Participants: 8

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 6 75.0% Part of a Network 3 37.5%Independent 2 25.0% No Network Affiliation 5 62.5%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 1 12.5% Local Ownership 0 0.0%Non-Profit 7 87.5% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 8 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 3 37.5%Nurse Practitioner 0 0.0% Billing or Coding Staff 2 25.0%Physician Assistant 0 0.0% Other 3 37.5%

Do you know the staff in your State Office of Rural Health? Yes: 5 No: 162.5% 12.5%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $2,000

Maximum $15,000 0 1 2 3 4 5 >5

2 2 1 0 0 1 0 = Count of Responses25.0% 25.0% 12.5% 0.0% 0.0% 12.5% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 50.0%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 4 1 62.5% 12.5% 3

Workshops or Training Programs 1 3 2 62.5% 25.0% 3

Webinars or Other On-Line Programs 0 1 5 75.0% 62.5% 1

On-Site Assistance 1 3 1 50.0% 12.5% 6

Telephone Assistance 0 3 3 75.0% 37.5% 1

E-mail Assistance 0 3 2 62.5% 25.0% 3

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

North Dakota Survey Participants: 8

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 2 3 1 50.0% 12.5% 2 14Budgeting 3 2 1 37.5% 12.5% 4 24Accounting Systems 2 2 1 37.5% 12.5% 4 24Billing Systems 1 4 1 62.5% 12.5% 1 6Fee Schedule 3 2 1 37.5% 12.5% 4 24Sliding Fee Scale 3 2 1 37.5% 12.5% 4 24Coding 1 4 0 50.0% 0.0% 2 14Cost Reports 3 1 1 25.0% 12.5% 8 36Other 3 0 0 0.0% 0.0% 9 44

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 3 2 1 37.5% 12.5% 5 24Staffing 3 3 0 37.5% 0.0% 5 24Organization Chart 6 0 0 0.0% 0.0% 10 44Position Descriptions 3 3 0 37.5% 0.0% 5 24Management/Leadership Skills 2 4 0 50.0% 0.0% 3 14Strategic Planning 1 3 2 62.5% 25.0% 1 6Marketing/Outreach 1 3 2 62.5% 25.0% 1 6Staff Training 2 3 1 50.0% 12.5% 3 14Ownership/Governance 4 2 0 25.0% 0.0% 9 36Board Training 3 3 0 37.5% 0.0% 5 24Other 2 0 0 0.0% 0.0% 10 44

CLINICAL ASSISTANCEQuality Improvement 2 2 2 50.0% 25.0% 7 14Best Practices (adopting, using) 0 3 3 75.0% 37.5% 1 1Coding for Clinicians 0 4 2 75.0% 25.0% 1 1Provider Relations 1 4 1 62.5% 12.5% 4 6Provider Recruitment 0 2 4 75.0% 50.0% 1 1Provider Retention 1 1 4 62.5% 50.0% 4 6Continuing Education 1 4 1 62.5% 12.5% 4 6Credentialing 3 2 0 25.0% 0.0% 9 36RHC Provider Enrollment 4 1 0 12.5% 0.0% 10 41Disease Management 1 3 1 50.0% 12.5% 7 14Other 1 1 0 12.5% 0.0% 10 41

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 1 2 3 62.5% 37.5% 2 6Patient Registration/Eligibility 3 2 0 25.0% 0.0% 5 36Patient Appointments 4 0 1 12.5% 12.5% 6 41Electronic Medical Records (EMR) 0 2 4 75.0% 50.0% 1 1Clinical Tracking 0 2 2 50.0% 25.0% 3 14Management Information System (MIS) 1 2 1 37.5% 12.5% 4 24Other 2 0 0 0.0% 0.0% 7 44

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 2 4 0 50.0% 0.0% 3 14Working with Consortiums/Networks 2 4 0 50.0% 0.0% 3 14Emergency Preparedness 3 3 0 37.5% 0.0% 6 24Pharmacy Assistance for Patients 3 2 1 37.5% 12.5% 6 24Migrant/Seasonal Farmworkers 5 0 0 0.0% 0.0% 10 44Developing Grants 1 3 2 62.5% 25.0% 2 6Develop Other Resources 0 4 2 75.0% 25.0% 1 1Facility Planning 2 4 0 50.0% 0.0% 3 14Facility Renovation 3 3 0 37.5% 0.0% 6 24Improving Cultural Competence 3 1 1 25.0% 12.5% 9 36Other 2 0 0 0.0% 0.0% 10 44

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Ohio Total Participants: 3

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 0 0.0% Part of a Network 0 0.0%Independent 2 66.7% No Network Affiliation 2 66.7%No Answer 1 33.3% No Answer 1 33.3%

Clinic Organization Government AffiliationFor-Profit 2 66.7% Local Ownership 0 0.0%Non-Profit 0 0.0% State Ownership 0 0.0%No Answer 1 33.3% No Affiliation/No Answer 3 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 1 33.3%Nurse Practitioner 0 0.0% Billing or Coding Staff 0 0.0%Physician Assistant 0 0.0% Other 1 33.3%

Do you know the staff in your State Office of Rural Health? Yes: 2 No: 066.7% 0.0%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $1,500

Maximum $1,500 0 1 2 3 4 5 >5

1 1 0 0 0 0 0 = Count of Responses33.3% 33.3% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 33.3%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 2 0 66.7% 0.0% 1

Workshops or Training Programs 0 2 0 66.7% 0.0% 1

Webinars or Other On-Line Programs 0 2 0 66.7% 0.0% 1

On-Site Assistance 0 1 1 66.7% 33.3% 1

Telephone Assistance 0 0 2 66.7% 66.7% 1

E-mail Assistance 0 0 2 66.7% 66.7% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Ohio Survey Participants: 3

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 1 1 0 33.3% 0.0% 4 22Budgeting 1 1 0 33.3% 0.0% 4 22Accounting Systems 1 1 0 33.3% 0.0% 4 22Billing Systems 1 1 0 33.3% 0.0% 4 22Fee Schedule 1 1 0 33.3% 0.0% 4 22Sliding Fee Scale 0 1 1 66.7% 33.3% 1 1Coding 0 2 0 66.7% 0.0% 1 1Cost Reports 0 0 2 66.7% 66.7% 1 1Other 1 0 0 0.0% 0.0% 9 40

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 1 1 0 33.3% 0.0% 3 22Staffing 1 0 1 33.3% 33.3% 3 22Organization Chart 1 1 0 33.3% 0.0% 3 22Position Descriptions 0 2 0 66.7% 0.0% 1 1Management/Leadership Skills 1 1 0 33.3% 0.0% 3 22Strategic Planning 0 2 0 66.7% 0.0% 1 1Marketing/Outreach 1 0 1 33.3% 33.3% 3 22Staff Training 1 1 0 33.3% 0.0% 3 22Ownership/Governance 2 0 0 0.0% 0.0% 10 40Board Training 0 1 0 33.3% 0.0% 3 22Other 0 0 0 0.0% 0.0% 10 40

CLINICAL ASSISTANCEQuality Improvement 0 2 0 66.7% 0.0% 1 1Best Practices (adopting, using) 0 2 0 66.7% 0.0% 1 1Coding for Clinicians 0 1 1 66.7% 33.3% 1 1Provider Relations 1 1 0 33.3% 0.0% 9 22Provider Recruitment 0 0 2 66.7% 66.7% 1 1Provider Retention 0 1 1 66.7% 33.3% 1 1Continuing Education 0 1 1 66.7% 33.3% 1 1Credentialing 0 1 1 66.7% 33.3% 1 1RHC Provider Enrollment 0 2 0 66.7% 0.0% 1 1Disease Management 1 1 0 33.3% 0.0% 9 22Other 0 0 0 0.0% 0.0% 11 40

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 2 0 0 0.0% 0.0% 4 40Patient Registration/Eligibility 1 1 0 33.3% 0.0% 1 22Patient Appointments 2 0 0 0.0% 0.0% 4 40Electronic Medical Records (EMR) 2 0 0 0.0% 0.0% 4 40Clinical Tracking 1 1 0 33.3% 0.0% 1 22Management Information System (MIS) 1 1 0 33.3% 0.0% 1 22Other 1 0 0 0.0% 0.0% 4 40

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 0 2 0 66.7% 0.0% 1 1Working with Consortiums/Networks 0 1 1 66.7% 33.3% 1 1Emergency Preparedness 0 1 1 66.7% 33.3% 1 1Pharmacy Assistance for Patients 0 1 1 66.7% 33.3% 1 1Migrant/Seasonal Farmworkers 0 0 1 33.3% 33.3% 9 22Developing Grants 0 0 2 66.7% 66.7% 1 1Develop Other Resources 0 1 1 66.7% 33.3% 1 1Facility Planning 0 2 0 66.7% 0.0% 1 1Facility Renovation 0 1 1 66.7% 33.3% 1 1Improving Cultural Competence 1 0 0 0.0% 0.0% 10 40Other 0 0 0 0.0% 0.0% 10 40

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Oklahoma Total Participants: 2

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 1 50.0% Part of a Network 0 0.0%Independent 1 50.0% No Network Affiliation 2 100.0%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 0 0.0% Local Ownership 0 0.0%Non-Profit 1 50.0% State Ownership 0 0.0%No Answer 1 50.0% No Affiliation/No Answer 2 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 0 0.0%Nurse Practitioner 0 0.0% Billing or Coding Staff 2 100.0%Physician Assistant 0 0.0% Other 0 0.0%

Do you know the staff in your State Office of Rural Health? Yes: 0 No: 20.0% 100.0%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $0

Maximum $0 0 1 2 3 4 5 >5

2 0 0 0 0 0 0 = Count of Responses100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 0.0%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 0 2 100.0% 100.0% 1

Workshops or Training Programs 0 0 2 100.0% 100.0% 1

Webinars or Other On-Line Programs 0 0 2 100.0% 100.0% 1

On-Site Assistance 0 1 1 100.0% 50.0% 1

Telephone Assistance 0 0 2 100.0% 100.0% 1

E-mail Assistance 0 0 2 100.0% 100.0% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Oklahoma Survey Participants: 2

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 0 1 1 100.0% 50.0% 1 1Budgeting 1 1 0 50.0% 0.0% 6 19Accounting Systems 0 1 1 100.0% 50.0% 1 1Billing Systems 0 0 2 100.0% 100.0% 1 1Fee Schedule 0 2 0 100.0% 0.0% 1 1Sliding Fee Scale 1 0 0 0.0% 0.0% 8 40Coding 0 1 1 100.0% 50.0% 1 1Cost Reports 0 1 0 50.0% 0.0% 6 19Other 0 0 0 0.0% 0.0% 8 40

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 0 1 1 100.0% 50.0% 1 1Staffing 1 0 1 50.0% 50.0% 2 19Organization Chart 1 0 1 50.0% 50.0% 2 19Position Descriptions 1 0 1 50.0% 50.0% 2 19Management/Leadership Skills 1 0 1 50.0% 50.0% 2 19Strategic Planning 1 0 0 0.0% 0.0% 7 40Marketing/Outreach 1 0 0 0.0% 0.0% 7 40Staff Training 1 0 1 50.0% 50.0% 2 19Ownership/Governance 1 0 0 0.0% 0.0% 7 40Board Training 1 0 0 0.0% 0.0% 7 40Other 0 0 0 0.0% 0.0% 7 40

CLINICAL ASSISTANCEQuality Improvement 0 1 1 100.0% 50.0% 1 1Best Practices (adopting, using) 0 2 0 100.0% 0.0% 1 1Coding for Clinicians 0 1 1 100.0% 50.0% 1 1Provider Relations 1 0 1 50.0% 50.0% 5 19Provider Recruitment 1 0 1 50.0% 50.0% 5 19Provider Retention 1 0 1 50.0% 50.0% 5 19Continuing Education 0 1 1 100.0% 50.0% 1 1Credentialing 1 1 0 50.0% 0.0% 5 19RHC Provider Enrollment 1 0 1 50.0% 50.0% 5 19Disease Management 0 1 0 50.0% 0.0% 5 19Other 0 0 0 0.0% 0.0% 11 40

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 0 1 1 100.0% 50.0% 1 1Patient Registration/Eligibility 0 1 1 100.0% 50.0% 1 1Patient Appointments 1 0 1 50.0% 50.0% 6 19Electronic Medical Records (EMR) 0 0 2 100.0% 100.0% 1 1Clinical Tracking 0 0 2 100.0% 100.0% 1 1Management Information System (MIS) 0 0 2 100.0% 100.0% 1 1Other 0 0 0 0.0% 0.0% 7 40

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 0 1 1 100.0% 50.0% 1 1Working with Consortiums/Networks 1 0 1 50.0% 50.0% 4 19Emergency Preparedness 0 1 1 100.0% 50.0% 1 1Pharmacy Assistance for Patients 0 1 1 100.0% 50.0% 1 1Migrant/Seasonal Farmworkers 1 0 1 50.0% 50.0% 4 19Developing Grants 1 0 1 50.0% 50.0% 4 19Develop Other Resources 1 0 1 50.0% 50.0% 4 19Facility Planning 1 0 1 50.0% 50.0% 4 19Facility Renovation 1 0 1 50.0% 50.0% 4 19Improving Cultural Competence 1 0 1 50.0% 50.0% 4 19Other 0 0 0 0.0% 0.0% 11 40

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Oregon Total Participants: 7

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 1 14.3% Part of a Network 0 0.0%Independent 6 85.7% No Network Affiliation 7 100.0%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 3 42.9% Local Ownership 0 0.0%Non-Profit 4 57.1% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 7 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 1 14.3% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 3 42.9%Nurse Practitioner 2 28.6% Billing or Coding Staff 2 28.6%Physician Assistant 0 0.0% Other 4 57.1%

Do you know the staff in your State Office of Rural Health? Yes: 5 No: 171.4% 14.3%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $300

Maximum $4,000 0 1 2 3 4 5 >5

3 2 0 0 0 0 0 = Count of Responses42.9% 28.6% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 28.6%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 1 3 2 71.4% 28.6% 4

Workshops or Training Programs 0 4 2 85.7% 28.6% 1

Webinars or Other On-Line Programs 0 2 4 85.7% 57.1% 1

On-Site Assistance 1 5 0 71.4% 0.0% 4

Telephone Assistance 1 4 1 71.4% 14.3% 4

E-mail Assistance 0 4 2 85.7% 28.6% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Oregon Survey Participants: 7

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 3 1 1 28.6% 14.3% 5 28Budgeting 2 2 2 57.1% 28.6% 1 9Accounting Systems 2 2 1 42.9% 14.3% 2 17Billing Systems 3 3 0 42.9% 0.0% 2 17Fee Schedule 3 2 0 28.6% 0.0% 5 28Sliding Fee Scale 3 1 1 28.6% 14.3% 5 28Coding 3 2 0 28.6% 0.0% 5 28Cost Reports 2 2 1 42.9% 14.3% 2 17Other 0 0 2 28.6% 28.6% 5 28

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 4 2 0 28.6% 0.0% 8 28Staffing 2 4 0 57.1% 0.0% 3 9Organization Chart 5 1 0 14.3% 0.0% 9 41Position Descriptions 3 3 0 42.9% 0.0% 4 17Management/Leadership Skills 3 3 0 42.9% 0.0% 4 17Strategic Planning 1 2 3 71.4% 42.9% 1 2Marketing/Outreach 1 4 1 71.4% 14.3% 1 2Staff Training 3 3 0 42.9% 0.0% 4 17Ownership/Governance 4 1 0 14.3% 0.0% 9 41Board Training 2 2 1 42.9% 14.3% 4 17Other 0 1 0 14.3% 0.0% 9 41

CLINICAL ASSISTANCEQuality Improvement 1 4 0 57.1% 0.0% 4 9Best Practices (adopting, using) 1 5 0 71.4% 0.0% 1 2Coding for Clinicians 2 4 0 57.1% 0.0% 4 9Provider Relations 3 2 0 28.6% 0.0% 9 28Provider Recruitment 2 1 3 57.1% 42.9% 4 9Provider Retention 1 3 2 71.4% 28.6% 1 2Continuing Education 1 2 3 71.4% 42.9% 1 2Credentialing 3 2 1 42.9% 14.3% 8 17RHC Provider Enrollment 5 0 1 14.3% 14.3% 10 41Disease Management 1 4 0 57.1% 0.0% 4 9Other 1 0 0 0.0% 0.0% 11 45

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 1 2 3 71.4% 42.9% 2 2Patient Registration/Eligibility 3 2 0 28.6% 0.0% 5 28Patient Appointments 4 2 0 28.6% 0.0% 5 28Electronic Medical Records (EMR) 0 3 3 85.7% 42.9% 1 1Clinical Tracking 1 5 0 71.4% 0.0% 2 2Management Information System (MIS) 2 3 1 57.1% 14.3% 4 9Other 1 0 0 0.0% 0.0% 7 45

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 2 3 1 57.1% 14.3% 1 9Working with Consortiums/Networks 2 3 0 42.9% 0.0% 2 17Emergency Preparedness 3 1 1 28.6% 14.3% 5 28Pharmacy Assistance for Patients 2 3 0 42.9% 0.0% 2 17Migrant/Seasonal Farmworkers 4 0 0 0.0% 0.0% 9 45Developing Grants 3 1 1 28.6% 14.3% 5 28Develop Other Resources 1 3 0 42.9% 0.0% 2 17Facility Planning 4 1 1 28.6% 14.3% 5 28Facility Renovation 4 1 1 28.6% 14.3% 5 28Improving Cultural Competence 4 0 0 0.0% 0.0% 9 45Other 1 0 0 0.0% 0.0% 9 45

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Pennsylvania Total Participants: 3

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 0 0.0% Part of a Network 0 0.0%Independent 3 100.0% No Network Affiliation 3 100.0%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 2 66.7% Local Ownership 0 0.0%Non-Profit 1 33.3% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 3 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 1 33.3%Nurse Practitioner 0 0.0% Billing or Coding Staff 1 33.3%Physician Assistant 0 0.0% Other 1 33.3%

Do you know the staff in your State Office of Rural Health? Yes: 1 No: 233.3% 66.7%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $0

Maximum $0 0 1 2 3 4 5 >5

3 1 0 0 0 0 0 = Count of Responses100.0% 33.3% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 33.3%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 1 2 100.0% 66.7% 1

Workshops or Training Programs 0 0 3 100.0% 100.0% 1

Webinars or Other On-Line Programs 0 0 3 100.0% 100.0% 1

On-Site Assistance 1 2 0 66.7% 0.0% 5

Telephone Assistance 0 2 1 100.0% 33.3% 1

E-mail Assistance 1 0 2 66.7% 66.7% 5

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Pennsylvania Survey Participants: 3

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 0 2 0 66.7% 0.0% 2 8Budgeting 0 1 0 33.3% 0.0% 4 27Accounting Systems 1 0 1 33.3% 33.3% 4 27Billing Systems 0 2 1 100.0% 33.3% 1 1Fee Schedule 2 1 0 33.3% 0.0% 4 27Sliding Fee Scale 2 1 0 33.3% 0.0% 4 27Coding 2 1 0 33.3% 0.0% 4 27Cost Reports 1 1 1 66.7% 33.3% 2 8Other 1 0 0 0.0% 0.0% 9 38

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 0 2 0 66.7% 0.0% 2 8Staffing 1 0 0 0.0% 0.0% 6 38Organization Chart 3 0 0 0.0% 0.0% 6 38Position Descriptions 3 0 0 0.0% 0.0% 6 38Management/Leadership Skills 1 1 0 33.3% 0.0% 5 27Strategic Planning 0 2 0 66.7% 0.0% 2 8Marketing/Outreach 1 2 0 66.7% 0.0% 2 8Staff Training 0 2 1 100.0% 33.3% 1 1Ownership/Governance 2 0 0 0.0% 0.0% 6 38Board Training 2 0 0 0.0% 0.0% 6 38Other 0 0 0 0.0% 0.0% 6 38

CLINICAL ASSISTANCEQuality Improvement 0 2 0 66.7% 0.0% 1 8Best Practices (adopting, using) 0 2 0 66.7% 0.0% 1 8Coding for Clinicians 0 2 0 66.7% 0.0% 1 8Provider Relations 0 2 0 66.7% 0.0% 1 8Provider Recruitment 0 0 2 66.7% 66.7% 1 8Provider Retention 0 0 2 66.7% 66.7% 1 8Continuing Education 1 2 0 66.7% 0.0% 1 8Credentialing 1 1 0 33.3% 0.0% 10 27RHC Provider Enrollment 0 2 0 66.7% 0.0% 1 8Disease Management 0 2 0 66.7% 0.0% 1 8Other 0 0 0 0.0% 0.0% 11 38

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 0 2 1 100.0% 33.3% 1 1Patient Registration/Eligibility 0 3 0 100.0% 0.0% 1 1Patient Appointments 1 2 0 66.7% 0.0% 6 8Electronic Medical Records (EMR) 0 2 1 100.0% 33.3% 1 1Clinical Tracking 0 3 0 100.0% 0.0% 1 1Management Information System (MIS) 0 2 1 100.0% 33.3% 1 1Other 0 0 0 0.0% 0.0% 7 38

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 0 1 1 66.7% 33.3% 1 8Working with Consortiums/Networks 1 2 0 66.7% 0.0% 1 8Emergency Preparedness 1 1 0 33.3% 0.0% 5 27Pharmacy Assistance for Patients 2 1 0 33.3% 0.0% 5 27Migrant/Seasonal Farmworkers 2 0 0 0.0% 0.0% 9 38Developing Grants 2 1 0 33.3% 0.0% 5 27Develop Other Resources 2 1 0 33.3% 0.0% 5 27Facility Planning 1 1 1 66.7% 33.3% 1 8Facility Renovation 1 1 1 66.7% 33.3% 1 8Improving Cultural Competence 2 0 0 0.0% 0.0% 9 38Other 0 0 0 0.0% 0.0% 9 38

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

South Carolina Total Participants: 36

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 10 27.8% Part of a Network 8 22.2%Independent 23 63.9% No Network Affiliation 24 66.7%No Answer 3 8.3% No Answer 4 11.1%

Clinic Organization Government AffiliationFor-Profit 18 50.0% Local Ownership 3 8.3%Non-Profit 16 44.4% State Ownership 1 2.8%No Answer 2 5.6% No Affiliation/No Answer 32 88.9%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 2 5.6% Certified Nurse Midwife 0 0.0%Physician 2 5.6% Office Manager 15 41.7%Nurse Practitioner 2 5.6% Billing or Coding Staff 10 27.8%Physician Assistant 0 0.0% Other 12 33.3%

Do you know the staff in your State Office of Rural Health? Yes: 21 No: 558.3% 13.9%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $300

Maximum $6,000 0 1 2 3 4 5 >5

13 5 3 3 0 0 2 = Count of Responses36.1% 13.9% 8.3% 8.3% 0.0% 0.0% 5.6% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 36.1%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 1 15 8 63.9% 22.2% 3

Workshops or Training Programs 0 13 12 69.4% 33.3% 1

Webinars or Other On-Line Programs 2 14 8 61.1% 22.2% 5

On-Site Assistance 3 13 8 58.3% 22.2% 6

Telephone Assistance 0 17 8 69.4% 22.2% 1

E-mail Assistance 0 15 8 63.9% 22.2% 3

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

South Carolina Survey Participants: 36

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 5 16 5 58.3% 13.9% 1 1Budgeting 11 10 4 38.9% 11.1% 8 17Accounting Systems 8 13 3 44.4% 8.3% 5 10Billing Systems 9 12 4 44.4% 11.1% 5 10Fee Schedule 9 14 4 50.0% 11.1% 4 5Sliding Fee Scale 6 12 4 44.4% 11.1% 5 10Coding 6 15 4 52.8% 11.1% 3 3Cost Reports 5 11 9 55.6% 25.0% 2 2Other 1 0 2 5.6% 5.6% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 12 10 1 30.6% 2.8% 2 24Staffing 15 8 1 25.0% 2.8% 6 30Organization Chart 18 3 2 13.9% 5.6% 9 43Position Descriptions 17 5 1 16.7% 2.8% 8 41Management/Leadership Skills 13 10 1 30.6% 2.8% 2 24Strategic Planning 11 10 1 30.6% 2.8% 2 24Marketing/Outreach 11 9 2 30.6% 5.6% 2 24Staff Training 10 11 2 36.1% 5.6% 1 19Ownership/Governance 16 3 0 8.3% 0.0% 10 44Board Training 12 7 0 19.4% 0.0% 7 37Other 2 0 0 0.0% 0.0% 11 49

CLINICAL ASSISTANCEQuality Improvement 4 14 3 47.2% 8.3% 1 6Best Practices (adopting, using) 4 13 4 47.2% 11.1% 1 6Coding for Clinicians 4 11 5 44.4% 13.9% 3 10Provider Relations 13 5 2 19.4% 5.6% 9 37Provider Recruitment 9 8 4 33.3% 11.1% 5 21Provider Retention 10 6 4 27.8% 11.1% 6 29Continuing Education 7 10 6 44.4% 16.7% 3 10Credentialing 13 5 2 19.4% 5.6% 9 37RHC Provider Enrollment 11 5 3 22.2% 8.3% 8 35Disease Management 11 6 3 25.0% 8.3% 7 30Other 1 0 1 2.8% 2.8% 11 47

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 6 11 8 52.8% 22.2% 1 3Patient Registration/Eligibility 13 9 3 33.3% 8.3% 5 21Patient Appointments 17 4 2 16.7% 5.6% 6 41Electronic Medical Records (EMR) 6 5 11 44.4% 30.6% 2 10Clinical Tracking 10 7 6 36.1% 16.7% 4 19Management Information System (MIS) 8 7 7 38.9% 19.4% 3 17Other 2 0 2 5.6% 5.6% 7 45

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 6 15 2 47.2% 5.6% 1 6Working with Consortiums/Networks 11 8 1 25.0% 2.8% 6 30Emergency Preparedness 15 6 1 19.4% 2.8% 10 37Pharmacy Assistance for Patients 10 10 2 33.3% 5.6% 4 21Migrant/Seasonal Farmworkers 11 8 1 25.0% 2.8% 6 30Developing Grants 3 10 7 47.2% 19.4% 1 6Develop Other Resources 4 10 5 41.7% 13.9% 3 16Facility Planning 10 6 5 30.6% 13.9% 5 24Facility Renovation 11 5 3 22.2% 8.3% 9 35Improving Cultural Competence 11 7 2 25.0% 5.6% 6 30Other 1 0 1 2.8% 2.8% 11 47

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

South Dakota Total Participants: 4

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 4 100.0% Part of a Network 2 50.0%Independent 0 0.0% No Network Affiliation 2 50.0%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 1 25.0% Local Ownership 0 0.0%Non-Profit 3 75.0% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 4 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 1 25.0%Nurse Practitioner 0 0.0% Billing or Coding Staff 0 0.0%Physician Assistant 0 0.0% Other 3 75.0%

Do you know the staff in your State Office of Rural Health? Yes: 2 No: 250.0% 50.0%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $0

Maximum $0 0 1 2 3 4 5 >5

4 0 0 0 0 0 0 = Count of Responses100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 0.0%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 1 1 2 75.0% 50.0% 6

Workshops or Training Programs 0 1 3 100.0% 75.0% 1

Webinars or Other On-Line Programs 0 1 3 100.0% 75.0% 1

On-Site Assistance 0 4 0 100.0% 0.0% 1

Telephone Assistance 0 3 1 100.0% 25.0% 1

E-mail Assistance 0 2 2 100.0% 50.0% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

South Dakota Survey Participants: 4

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 3 0 0 0.0% 0.0% 7 40Budgeting 3 0 0 0.0% 0.0% 7 40Accounting Systems 2 1 0 25.0% 0.0% 4 30Billing Systems 2 1 0 25.0% 0.0% 4 30Fee Schedule 3 0 0 0.0% 0.0% 7 40Sliding Fee Scale 1 1 1 50.0% 25.0% 1 13Coding 1 2 0 50.0% 0.0% 1 13Cost Reports 1 2 0 50.0% 0.0% 1 13Other 1 1 0 25.0% 0.0% 4 30

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 4 0 0 0.0% 0.0% 9 40Staffing 3 1 0 25.0% 0.0% 6 30Organization Chart 4 0 0 0.0% 0.0% 9 40Position Descriptions 2 1 0 25.0% 0.0% 6 30Management/Leadership Skills 2 2 0 50.0% 0.0% 3 13Strategic Planning 1 3 0 75.0% 0.0% 1 1Marketing/Outreach 1 3 0 75.0% 0.0% 1 1Staff Training 2 2 0 50.0% 0.0% 3 13Ownership/Governance 3 1 0 25.0% 0.0% 6 30Board Training 2 2 0 50.0% 0.0% 3 13Other 1 0 0 0.0% 0.0% 9 40

CLINICAL ASSISTANCEQuality Improvement 2 1 1 50.0% 25.0% 3 13Best Practices (adopting, using) 1 2 1 75.0% 25.0% 1 1Coding for Clinicians 2 2 0 50.0% 0.0% 3 13Provider Relations 2 2 0 50.0% 0.0% 3 13Provider Recruitment 2 0 2 50.0% 50.0% 3 13Provider Retention 2 0 2 50.0% 50.0% 3 13Continuing Education 2 1 1 50.0% 25.0% 3 13Credentialing 2 0 2 50.0% 50.0% 3 13RHC Provider Enrollment 1 1 2 75.0% 50.0% 1 1Disease Management 3 0 1 25.0% 25.0% 10 30Other 1 0 0 0.0% 0.0% 11 40

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 1 3 0 75.0% 0.0% 1 1Patient Registration/Eligibility 3 0 1 25.0% 25.0% 5 30Patient Appointments 2 1 0 25.0% 0.0% 5 30Electronic Medical Records (EMR) 0 2 1 75.0% 25.0% 1 1Clinical Tracking 1 2 1 75.0% 25.0% 1 1Management Information System (MIS) 1 2 1 75.0% 25.0% 1 1Other 2 0 0 0.0% 0.0% 7 40

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 2 1 1 50.0% 25.0% 5 13Working with Consortiums/Networks 1 3 0 75.0% 0.0% 1 1Emergency Preparedness 4 0 0 0.0% 0.0% 10 40Pharmacy Assistance for Patients 2 2 0 50.0% 0.0% 5 13Migrant/Seasonal Farmworkers 3 1 0 25.0% 0.0% 9 30Developing Grants 1 3 0 75.0% 0.0% 1 1Develop Other Resources 1 3 0 75.0% 0.0% 1 1Facility Planning 1 3 0 75.0% 0.0% 1 1Facility Renovation 2 0 2 50.0% 50.0% 5 13Improving Cultural Competence 2 2 0 50.0% 0.0% 5 13Other 2 0 0 0.0% 0.0% 10 40

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Tennessee Total Participants: 3

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 1 33.3% Part of a Network 0 0.0%Independent 2 66.7% No Network Affiliation 3 100.0%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 2 66.7% Local Ownership 1 33.3%Non-Profit 1 33.3% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 2 66.7%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 2 66.7%Nurse Practitioner 0 0.0% Billing or Coding Staff 0 0.0%Physician Assistant 0 0.0% Other 1 33.3%

Do you know the staff in your State Office of Rural Health? Yes: 2 No: 166.7% 33.3%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $3,295

Maximum $3,295 0 1 2 3 4 5 >5

2 1 0 0 0 0 0 = Count of Responses66.7% 33.3% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 33.3%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 1 2 100.0% 66.7% 1

Workshops or Training Programs 0 0 2 66.7% 66.7% 4

Webinars or Other On-Line Programs 0 0 3 100.0% 100.0% 1

On-Site Assistance 1 0 2 66.7% 66.7% 4

Telephone Assistance 1 0 2 66.7% 66.7% 4

E-mail Assistance 0 1 2 100.0% 66.7% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Tennessee Survey Participants: 3

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 1 1 1 66.7% 33.3% 2 11Budgeting 1 2 0 66.7% 0.0% 2 11Accounting Systems 1 2 0 66.7% 0.0% 2 11Billing Systems 1 1 0 33.3% 0.0% 8 33Fee Schedule 1 1 1 66.7% 33.3% 2 11Sliding Fee Scale 0 2 1 100.0% 33.3% 1 1Coding 1 2 0 66.7% 0.0% 2 11Cost Reports 1 1 1 66.7% 33.3% 2 11Other 0 0 0 0.0% 0.0% 9 42

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 1 2 0 66.7% 0.0% 3 11Staffing 1 2 0 66.7% 0.0% 3 11Organization Chart 3 0 0 0.0% 0.0% 10 42Position Descriptions 2 1 0 33.3% 0.0% 7 33Management/Leadership Skills 1 2 0 66.7% 0.0% 3 11Strategic Planning 0 3 0 100.0% 0.0% 1 1Marketing/Outreach 1 2 0 66.7% 0.0% 3 11Staff Training 0 3 0 100.0% 0.0% 1 1Ownership/Governance 2 1 0 33.3% 0.0% 7 33Board Training 2 1 0 33.3% 0.0% 7 33Other 0 0 0 0.0% 0.0% 10 42

CLINICAL ASSISTANCEQuality Improvement 0 3 0 100.0% 0.0% 1 1Best Practices (adopting, using) 0 3 0 100.0% 0.0% 1 1Coding for Clinicians 1 2 0 66.7% 0.0% 5 11Provider Relations 1 2 0 66.7% 0.0% 5 11Provider Recruitment 1 1 0 33.3% 0.0% 8 33Provider Retention 1 2 0 66.7% 0.0% 5 11Continuing Education 0 3 0 100.0% 0.0% 1 1Credentialing 2 0 1 33.3% 33.3% 8 33RHC Provider Enrollment 2 0 1 33.3% 33.3% 8 33Disease Management 0 3 0 100.0% 0.0% 1 1Other 0 0 0 0.0% 0.0% 11 42

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 1 2 0 66.7% 0.0% 1 11Patient Registration/Eligibility 0 2 0 66.7% 0.0% 1 11Patient Appointments 0 2 0 66.7% 0.0% 1 11Electronic Medical Records (EMR) 1 2 0 66.7% 0.0% 1 11Clinical Tracking 0 2 0 66.7% 0.0% 1 11Management Information System (MIS) 1 2 0 66.7% 0.0% 1 11Other 0 0 0 0.0% 0.0% 7 42

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 0 2 1 100.0% 33.3% 1 1Working with Consortiums/Networks 3 0 0 0.0% 0.0% 9 42Emergency Preparedness 2 1 0 33.3% 0.0% 7 33Pharmacy Assistance for Patients 1 1 1 66.7% 33.3% 4 11Migrant/Seasonal Farmworkers 2 0 1 33.3% 33.3% 7 33Developing Grants 0 1 2 100.0% 66.7% 1 1Develop Other Resources 0 1 2 100.0% 66.7% 1 1Facility Planning 1 1 1 66.7% 33.3% 4 11Facility Renovation 1 1 1 66.7% 33.3% 4 11Improving Cultural Competence 3 0 0 0.0% 0.0% 9 42Other 1 0 0 0.0% 0.0% 9 42

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Texas Total Participants: 28

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 18 64.3% Part of a Network 12 42.9%Independent 9 32.1% No Network Affiliation 15 53.6%No Answer 1 3.6% No Answer 1 3.6%

Clinic Organization Government AffiliationFor-Profit 11 39.3% Local Ownership 4 14.3%Non-Profit 15 53.6% State Ownership 1 3.6%No Answer 2 7.1% No Affiliation/No Answer 23 82.1%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 2 7.1% Certified Nurse Midwife 0 0.0%Physician 1 3.6% Office Manager 13 46.4%Nurse Practitioner 2 7.1% Billing or Coding Staff 0 0.0%Physician Assistant 0 0.0% Other 12 42.9%

Do you know the staff in your State Office of Rural Health? Yes: 12 No: 1042.9% 35.7%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $1,000

Maximum $10,000 0 1 2 3 4 5 >5

15 5 3 1 0 0 0 = Count of Responses53.6% 17.9% 10.7% 3.6% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 32.1%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 2 17 2 67.9% 7.1% 2

Workshops or Training Programs 0 15 6 75.0% 21.4% 1

Webinars or Other On-Line Programs 2 10 9 67.9% 32.1% 2

On-Site Assistance 9 6 5 39.3% 17.9% 6

Telephone Assistance 6 10 5 53.6% 17.9% 5

E-mail Assistance 2 13 6 67.9% 21.4% 2

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Texas Survey Participants: 28

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 10 11 1 42.9% 3.6% 3 24Budgeting 15 6 1 25.0% 3.6% 8 36Accounting Systems 12 9 1 35.7% 3.6% 5 29Billing Systems 11 9 3 42.9% 10.7% 3 24Fee Schedule 8 12 1 46.4% 3.6% 1 17Sliding Fee Scale 10 9 1 35.7% 3.6% 5 29Coding 11 11 2 46.4% 7.1% 1 17Cost Reports 12 7 2 32.1% 7.1% 7 33Other 3 3 2 17.9% 7.1% 9 42

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 11 12 2 50.0% 7.1% 3 11Staffing 17 5 2 25.0% 7.1% 7 36Organization Chart 21 2 1 10.7% 3.6% 10 45Position Descriptions 15 8 1 32.1% 3.6% 6 33Management/Leadership Skills 6 14 2 57.1% 7.1% 1 6Strategic Planning 8 12 2 50.0% 7.1% 3 11Marketing/Outreach 10 9 3 42.9% 10.7% 5 24Staff Training 6 15 1 57.1% 3.6% 1 6Ownership/Governance 16 3 1 14.3% 3.6% 9 44Board Training 11 6 1 25.0% 3.6% 7 36Other 5 1 0 3.6% 0.0% 11 46

CLINICAL ASSISTANCEQuality Improvement 2 18 3 75.0% 10.7% 1 1Best Practices (adopting, using) 2 17 3 71.4% 10.7% 2 2Coding for Clinicians 5 12 5 60.7% 17.9% 3 3Provider Relations 8 11 2 46.4% 7.1% 5 17Provider Recruitment 9 9 4 46.4% 14.3% 5 17Provider Retention 10 9 2 39.3% 7.1% 7 27Continuing Education 7 14 1 53.6% 3.6% 4 8Credentialing 14 6 1 25.0% 3.6% 9 36RHC Provider Enrollment 18 4 1 17.9% 3.6% 10 42Disease Management 9 10 1 39.3% 3.6% 7 27Other 3 1 0 3.6% 0.0% 11 46

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 5 15 2 60.7% 7.1% 1 3Patient Registration/Eligibility 8 12 2 50.0% 7.1% 3 11Patient Appointments 12 9 1 35.7% 3.6% 6 29Electronic Medical Records (EMR) 8 9 5 50.0% 17.9% 3 11Clinical Tracking 4 13 2 53.6% 7.1% 2 8Management Information System (MIS) 9 10 3 46.4% 10.7% 5 17Other 3 1 0 3.6% 0.0% 7 46

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 6 12 2 50.0% 7.1% 3 11Working with Consortiums/Networks 10 9 0 32.1% 0.0% 8 33Emergency Preparedness 7 13 0 46.4% 0.0% 5 17Pharmacy Assistance for Patients 4 14 1 53.6% 3.6% 2 8Migrant/Seasonal Farmworkers 9 10 0 35.7% 0.0% 7 29Developing Grants 4 10 7 60.7% 25.0% 1 3Develop Other Resources 5 10 3 46.4% 10.7% 5 17Facility Planning 13 7 0 25.0% 0.0% 9 36Facility Renovation 13 6 0 21.4% 0.0% 10 41Improving Cultural Competence 5 14 0 50.0% 0.0% 3 11Other 2 1 0 3.6% 0.0% 11 46

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Utah Total Participants: 7

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 5 71.4% Part of a Network 3 42.9%Independent 2 28.6% No Network Affiliation 4 57.1%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 1 14.3% Local Ownership 3 42.9%Non-Profit 6 85.7% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 4 57.1%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 2 28.6% Certified Nurse Midwife 0 0.0%Physician 1 14.3% Office Manager 1 14.3%Nurse Practitioner 2 28.6% Billing or Coding Staff 0 0.0%Physician Assistant 0 0.0% Other 3 42.9%

Do you know the staff in your State Office of Rural Health? Yes: 3 No: 342.9% 42.9%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $0

Maximum $0 0 1 2 3 4 5 >5

6 0 0 0 0 0 0 = Count of Responses85.7% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 0.0%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 5 1 85.7% 14.3% 1

Workshops or Training Programs 1 5 0 71.4% 0.0% 5

Webinars or Other On-Line Programs 0 5 1 85.7% 14.3% 1

On-Site Assistance 1 5 0 71.4% 0.0% 5

Telephone Assistance 0 6 0 85.7% 0.0% 1

E-mail Assistance 0 5 1 85.7% 14.3% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Utah Survey Participants: 7

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 5 1 0 14.3% 0.0% 5 34Budgeting 5 1 0 14.3% 0.0% 5 34Accounting Systems 4 1 1 28.6% 14.3% 3 22Billing Systems 5 0 1 14.3% 14.3% 5 34Fee Schedule 2 3 1 57.1% 14.3% 1 2Sliding Fee Scale 2 3 1 57.1% 14.3% 1 2Coding 4 1 1 28.6% 14.3% 3 22Cost Reports 5 1 0 14.3% 0.0% 5 34Other 3 1 0 14.3% 0.0% 5 34

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 4 2 0 28.6% 0.0% 4 22Staffing 6 0 0 0.0% 0.0% 6 41Organization Chart 6 0 0 0.0% 0.0% 6 41Position Descriptions 6 0 0 0.0% 0.0% 6 41Management/Leadership Skills 4 2 0 28.6% 0.0% 4 22Strategic Planning 3 3 0 42.9% 0.0% 2 13Marketing/Outreach 3 3 0 42.9% 0.0% 2 13Staff Training 2 4 0 57.1% 0.0% 1 2Ownership/Governance 6 0 0 0.0% 0.0% 6 41Board Training 6 0 0 0.0% 0.0% 6 41Other 3 0 0 0.0% 0.0% 6 41

CLINICAL ASSISTANCEQuality Improvement 3 2 1 42.9% 14.3% 4 13Best Practices (adopting, using) 2 3 1 57.1% 14.3% 2 2Coding for Clinicians 2 3 1 57.1% 14.3% 2 2Provider Relations 4 2 0 28.6% 0.0% 7 22Provider Recruitment 4 2 0 28.6% 0.0% 7 22Provider Retention 3 2 1 42.9% 14.3% 4 13Continuing Education 0 5 1 85.7% 14.3% 1 1Credentialing 3 3 0 42.9% 0.0% 4 13RHC Provider Enrollment 4 2 0 28.6% 0.0% 7 22Disease Management 5 1 0 14.3% 0.0% 10 34Other 2 0 0 0.0% 0.0% 11 41

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 2 4 0 57.1% 0.0% 1 2Patient Registration/Eligibility 3 3 0 42.9% 0.0% 2 13Patient Appointments 4 2 0 28.6% 0.0% 6 22Electronic Medical Records (EMR) 3 3 0 42.9% 0.0% 2 13Clinical Tracking 3 3 0 42.9% 0.0% 2 13Management Information System (MIS) 3 3 0 42.9% 0.0% 2 13Other 3 0 0 0.0% 0.0% 7 41

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 1 4 0 57.1% 0.0% 1 2Working with Consortiums/Networks 1 4 0 57.1% 0.0% 1 2Emergency Preparedness 4 2 0 28.6% 0.0% 6 22Pharmacy Assistance for Patients 2 3 1 57.1% 14.3% 1 2Migrant/Seasonal Farmworkers 2 2 0 28.6% 0.0% 6 22Developing Grants 2 2 2 57.1% 28.6% 1 2Develop Other Resources 1 2 2 57.1% 28.6% 1 2Facility Planning 4 1 1 28.6% 14.3% 6 22Facility Renovation 5 0 1 14.3% 14.3% 10 34Improving Cultural Competence 4 2 0 28.6% 0.0% 6 22Other 3 0 0 0.0% 0.0% 11 41

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Vermont Total Participants: 2

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 0 0.0% Part of a Network 0 0.0%Independent 2 100.0% No Network Affiliation 2 100.0%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 2 100.0% Local Ownership 0 0.0%Non-Profit 0 0.0% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 2 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 1 50.0% Certified Nurse Midwife 0 0.0%Physician 1 50.0% Office Manager 1 50.0%Nurse Practitioner 0 0.0% Billing or Coding Staff 0 0.0%Physician Assistant 0 0.0% Other 0 0.0%

Do you know the staff in your State Office of Rural Health? Yes: 1 No: 150.0% 50.0%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $0

Maximum $0 0 1 2 3 4 5 >5

2 0 0 0 0 0 0 = Count of Responses100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 0.0%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 1 1 100.0% 50.0% 1

Workshops or Training Programs 0 2 0 100.0% 0.0% 1

Webinars or Other On-Line Programs 0 1 1 100.0% 50.0% 1

On-Site Assistance 1 1 0 50.0% 0.0% 6

Telephone Assistance 0 1 1 100.0% 50.0% 1

E-mail Assistance 0 0 2 100.0% 100.0% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Vermont Survey Participants: 2

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 0 1 1 100.0% 50.0% 1 1Budgeting 0 0 2 100.0% 100.0% 1 1Accounting Systems 0 1 1 100.0% 50.0% 1 1Billing Systems 1 0 1 50.0% 50.0% 7 30Fee Schedule 1 0 1 50.0% 50.0% 7 30Sliding Fee Scale 0 2 0 100.0% 0.0% 1 1Coding 0 2 0 100.0% 0.0% 1 1Cost Reports 0 1 1 100.0% 50.0% 1 1Other 0 0 0 0.0% 0.0% 9 44

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 0 2 0 100.0% 0.0% 1 1Staffing 0 1 0 50.0% 0.0% 7 30Organization Chart 1 1 0 50.0% 0.0% 7 30Position Descriptions 1 1 0 50.0% 0.0% 7 30Management/Leadership Skills 0 2 0 100.0% 0.0% 1 1Strategic Planning 0 1 1 100.0% 50.0% 1 1Marketing/Outreach 0 2 0 100.0% 0.0% 1 1Staff Training 0 2 0 100.0% 0.0% 1 1Ownership/Governance 0 0 2 100.0% 100.0% 1 1Board Training 0 0 1 50.0% 50.0% 7 30Other 0 0 1 50.0% 50.0% 7 30

CLINICAL ASSISTANCEQuality Improvement 0 1 1 100.0% 50.0% 1 1Best Practices (adopting, using) 0 1 1 100.0% 50.0% 1 1Coding for Clinicians 0 2 0 100.0% 0.0% 1 1Provider Relations 1 1 0 50.0% 0.0% 8 30Provider Recruitment 0 1 1 100.0% 50.0% 1 1Provider Retention 0 2 0 100.0% 0.0% 1 1Continuing Education 0 1 0 50.0% 0.0% 8 30Credentialing 0 2 0 100.0% 0.0% 1 1RHC Provider Enrollment 1 0 1 50.0% 50.0% 8 30Disease Management 0 2 0 100.0% 0.0% 1 1Other 0 0 0 0.0% 0.0% 11 44

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 0 0 2 100.0% 100.0% 1 1Patient Registration/Eligibility 0 1 1 100.0% 50.0% 1 1Patient Appointments 2 0 0 0.0% 0.0% 6 44Electronic Medical Records (EMR) 0 0 2 100.0% 100.0% 1 1Clinical Tracking 0 1 1 100.0% 50.0% 1 1Management Information System (MIS) 0 0 1 50.0% 50.0% 5 30Other 0 0 0 0.0% 0.0% 6 44

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 0 1 1 100.0% 50.0% 1 1Working with Consortiums/Networks 0 2 0 100.0% 0.0% 1 1Emergency Preparedness 0 2 0 100.0% 0.0% 1 1Pharmacy Assistance for Patients 1 0 1 50.0% 50.0% 7 30Migrant/Seasonal Farmworkers 1 0 0 0.0% 0.0% 10 44Developing Grants 0 1 1 100.0% 50.0% 1 1Develop Other Resources 0 1 1 100.0% 50.0% 1 1Facility Planning 0 1 1 100.0% 50.0% 1 1Facility Renovation 1 0 1 50.0% 50.0% 7 30Improving Cultural Competence 1 0 1 50.0% 50.0% 7 30Other 0 0 0 0.0% 0.0% 10 44

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Virginia Total Participants: 3

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 1 33.3% Part of a Network 0 0.0%Independent 2 66.7% No Network Affiliation 3 100.0%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 1 33.3% Local Ownership 0 0.0%Non-Profit 2 66.7% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 3 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 1 33.3% Certified Nurse Midwife 0 0.0%Physician 1 33.3% Office Manager 0 0.0%Nurse Practitioner 1 33.3% Billing or Coding Staff 0 0.0%Physician Assistant 0 0.0% Other 1 33.3%

Do you know the staff in your State Office of Rural Health? Yes: 1 No: 133.3% 33.3%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $1,500

Maximum $15,000 0 1 2 3 4 5 >5

0 1 2 0 0 0 0 = Count of Responses0.0% 33.3% 66.7% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 100.0%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 2 0 66.7% 0.0% 1

Workshops or Training Programs 0 2 0 66.7% 0.0% 1

Webinars or Other On-Line Programs 0 2 0 66.7% 0.0% 1

On-Site Assistance 0 2 0 66.7% 0.0% 1

Telephone Assistance 0 1 1 66.7% 33.3% 1

E-mail Assistance 0 1 1 66.7% 33.3% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Virginia Survey Participants: 3

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 1 0 2 66.7% 66.7% 3 5Budgeting 2 0 1 33.3% 33.3% 7 27Accounting Systems 1 1 1 66.7% 33.3% 3 5Billing Systems 1 1 1 66.7% 33.3% 3 5Fee Schedule 0 2 1 100.0% 33.3% 1 1Sliding Fee Scale 0 2 1 100.0% 33.3% 1 1Coding 1 1 1 66.7% 33.3% 3 5Cost Reports 2 0 1 33.3% 33.3% 7 27Other 0 0 0 0.0% 0.0% 9 43

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 2 0 1 33.3% 33.3% 5 27Staffing 2 0 0 0.0% 0.0% 10 43Organization Chart 2 0 1 33.3% 33.3% 5 27Position Descriptions 0 0 2 66.7% 66.7% 1 5Management/Leadership Skills 1 1 1 66.7% 33.3% 1 5Strategic Planning 2 0 1 33.3% 33.3% 5 27Marketing/Outreach 0 1 1 66.7% 33.3% 1 5Staff Training 1 1 1 66.7% 33.3% 1 5Ownership/Governance 2 0 1 33.3% 33.3% 5 27Board Training 2 0 1 33.3% 33.3% 5 27Other 0 0 0 0.0% 0.0% 10 43

CLINICAL ASSISTANCEQuality Improvement 1 1 1 66.7% 33.3% 2 5Best Practices (adopting, using) 0 2 1 100.0% 33.3% 1 1Coding for Clinicians 1 0 2 66.7% 66.7% 2 5Provider Relations 2 0 1 33.3% 33.3% 7 27Provider Recruitment 2 1 0 33.3% 0.0% 7 27Provider Retention 2 1 0 33.3% 0.0% 7 27Continuing Education 1 2 0 66.7% 0.0% 2 5Credentialing 2 0 1 33.3% 33.3% 7 27RHC Provider Enrollment 1 0 2 66.7% 66.7% 2 5Disease Management 1 1 1 66.7% 33.3% 2 5Other 1 0 0 0.0% 0.0% 11 43

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 0 2 1 100.0% 33.3% 1 1Patient Registration/Eligibility 1 1 1 66.7% 33.3% 2 5Patient Appointments 1 1 1 66.7% 33.3% 2 5Electronic Medical Records (EMR) 1 1 1 66.7% 33.3% 2 5Clinical Tracking 1 1 1 66.7% 33.3% 2 5Management Information System (MIS) 1 1 1 66.7% 33.3% 2 5Other 1 0 0 0.0% 0.0% 7 43

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 1 0 2 66.7% 66.7% 1 5Working with Consortiums/Networks 1 1 1 66.7% 33.3% 1 5Emergency Preparedness 2 0 1 33.3% 33.3% 5 27Pharmacy Assistance for Patients 2 0 1 33.3% 33.3% 5 27Migrant/Seasonal Farmworkers 2 0 1 33.3% 33.3% 5 27Developing Grants 1 1 1 66.7% 33.3% 1 5Develop Other Resources 1 1 1 66.7% 33.3% 1 5Facility Planning 2 1 0 33.3% 0.0% 5 27Facility Renovation 3 0 0 0.0% 0.0% 10 43Improving Cultural Competence 2 1 0 33.3% 0.0% 5 27Other 1 0 0 0.0% 0.0% 10 43

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Washington Total Participants: 31

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 13 41.9% Part of a Network 9 29.0%Independent 17 54.8% No Network Affiliation 21 67.7%No Answer 1 3.2% No Answer 1 3.2%

Clinic Organization Government AffiliationFor-Profit 16 51.6% Local Ownership 8 25.8%Non-Profit 14 45.2% State Ownership 1 3.2%No Answer 1 3.2% No Affiliation/No Answer 22 71.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 5 16.1% Certified Nurse Midwife 0 0.0%Physician 5 16.1% Office Manager 8 25.8%Nurse Practitioner 2 6.5% Billing or Coding Staff 6 19.4%Physician Assistant 0 0.0% Other 11 35.5%

Do you know the staff in your State Office of Rural Health? Yes: 13 No: 1141.9% 35.5%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $500

Maximum $50,000 0 1 2 3 4 5 >5

16 3 3 0 0 0 1 = Count of Responses51.6% 9.7% 9.7% 0.0% 0.0% 0.0% 3.2% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 22.6%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 4 14 5 61.3% 16.1% 5

Workshops or Training Programs 2 19 1 64.5% 3.2% 4

Webinars or Other On-Line Programs 2 15 6 67.7% 19.4% 1

On-Site Assistance 5 12 3 48.4% 9.7% 6

Telephone Assistance 2 13 8 67.7% 25.8% 1

E-mail Assistance 2 13 8 67.7% 25.8% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Washington Survey Participants: 31

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 12 14 0 45.2% 0.0% 3 11Budgeting 17 5 0 16.1% 0.0% 8 42Accounting Systems 15 6 2 25.8% 6.5% 7 35Billing Systems 14 6 3 29.0% 9.7% 6 32Fee Schedule 14 8 3 35.5% 9.7% 4 22Sliding Fee Scale 15 9 1 32.3% 3.2% 5 27Coding 8 15 3 58.1% 9.7% 2 4Cost Reports 7 15 4 61.3% 12.9% 1 2Other 3 0 3 9.7% 9.7% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 15 9 1 32.3% 3.2% 5 27Staffing 16 5 1 19.4% 3.2% 8 39Organization Chart 19 3 1 12.9% 3.2% 10 44Position Descriptions 16 7 1 25.8% 3.2% 7 35Management/Leadership Skills 11 13 1 45.2% 3.2% 1 11Strategic Planning 10 11 3 45.2% 9.7% 1 11Marketing/Outreach 12 8 4 38.7% 12.9% 4 20Staff Training 10 13 1 45.2% 3.2% 1 11Ownership/Governance 14 4 2 19.4% 6.5% 8 39Board Training 10 7 3 32.3% 9.7% 5 27Other 6 0 0 0.0% 0.0% 11 46

CLINICAL ASSISTANCEQuality Improvement 5 18 2 64.5% 6.5% 1 1Best Practices (adopting, using) 5 15 4 61.3% 12.9% 2 2Coding for Clinicians 7 13 4 54.8% 12.9% 4 7Provider Relations 12 8 4 38.7% 12.9% 8 20Provider Recruitment 5 11 7 58.1% 22.6% 3 4Provider Retention 7 11 4 48.4% 12.9% 5 9Continuing Education 8 12 2 45.2% 6.5% 6 11Credentialing 10 12 1 41.9% 3.2% 7 18RHC Provider Enrollment 15 5 2 22.6% 6.5% 10 38Disease Management 11 11 0 35.5% 0.0% 9 22Other 5 0 0 0.0% 0.0% 11 46

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 9 14 1 48.4% 3.2% 1 9Patient Registration/Eligibility 14 7 2 29.0% 6.5% 5 32Patient Appointments 18 4 1 16.1% 3.2% 6 42Electronic Medical Records (EMR) 15 8 2 32.3% 6.5% 4 27Clinical Tracking 8 11 2 41.9% 6.5% 2 18Management Information System (MIS) 12 10 1 35.5% 3.2% 3 22Other 4 0 0 0.0% 0.0% 7 46

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 7 11 6 54.8% 19.4% 2 7Working with Consortiums/Networks 12 6 3 29.0% 9.7% 8 32Emergency Preparedness 13 10 1 35.5% 3.2% 5 22Pharmacy Assistance for Patients 13 8 3 35.5% 9.7% 5 22Migrant/Seasonal Farmworkers 15 5 1 19.4% 3.2% 10 39Developing Grants 5 13 5 58.1% 16.1% 1 4Develop Other Resources 7 10 4 45.2% 12.9% 3 11Facility Planning 13 8 2 32.3% 6.5% 7 27Facility Renovation 15 7 1 25.8% 3.2% 9 35Improving Cultural Competence 10 12 2 45.2% 6.5% 3 11Other 4 0 0 0.0% 0.0% 11 46

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

West Virginia Total Participants: 2

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 1 50.0% Part of a Network 0 0.0%Independent 1 50.0% No Network Affiliation 2 100.0%No Answer 0 0.0% No Answer 0 0.0%

Clinic Organization Government AffiliationFor-Profit 1 50.0% Local Ownership 0 0.0%Non-Profit 1 50.0% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 2 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 1 50.0%Nurse Practitioner 0 0.0% Billing or Coding Staff 0 0.0%Physician Assistant 0 0.0% Other 1 50.0%

Do you know the staff in your State Office of Rural Health? Yes: 0 No: 10.0% 50.0%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $0

Maximum $0 0 1 2 3 4 5 >5

2 0 0 0 0 0 0 = Count of Responses100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 0.0%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 0 1 0 50.0% 0.0% 1

Workshops or Training Programs 0 0 1 50.0% 50.0% 1

Webinars or Other On-Line Programs 0 1 0 50.0% 0.0% 1

On-Site Assistance 0 1 0 50.0% 0.0% 1

Telephone Assistance 0 1 0 50.0% 0.0% 1

E-mail Assistance 0 0 1 50.0% 50.0% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

West Virginia Survey Participants: 2

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 1 1 0 50.0% 0.0% 1 1Budgeting 1 1 0 50.0% 0.0% 1 1Accounting Systems 1 1 0 50.0% 0.0% 1 1Billing Systems 1 1 0 50.0% 0.0% 1 1Fee Schedule 1 1 0 50.0% 0.0% 1 1Sliding Fee Scale 2 0 0 0.0% 0.0% 8 26Coding 1 1 0 50.0% 0.0% 1 1Cost Reports 1 1 0 50.0% 0.0% 1 1Other 1 0 0 0.0% 0.0% 8 26

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 1 1 0 50.0% 0.0% 1 1Staffing 2 0 0 0.0% 0.0% 6 26Organization Chart 2 0 0 0.0% 0.0% 6 26Position Descriptions 2 0 0 0.0% 0.0% 6 26Management/Leadership Skills 1 1 0 50.0% 0.0% 1 1Strategic Planning 1 1 0 50.0% 0.0% 1 1Marketing/Outreach 1 1 0 50.0% 0.0% 1 1Staff Training 1 1 0 50.0% 0.0% 1 1Ownership/Governance 2 0 0 0.0% 0.0% 6 26Board Training 2 0 0 0.0% 0.0% 6 26Other 1 0 0 0.0% 0.0% 6 26

CLINICAL ASSISTANCEQuality Improvement 1 1 0 50.0% 0.0% 1 1Best Practices (adopting, using) 1 1 0 50.0% 0.0% 1 1Coding for Clinicians 1 1 0 50.0% 0.0% 1 1Provider Relations 1 0 0 0.0% 0.0% 7 26Provider Recruitment 2 0 0 0.0% 0.0% 7 26Provider Retention 1 1 0 50.0% 0.0% 1 1Continuing Education 2 0 0 0.0% 0.0% 7 26Credentialing 1 1 0 50.0% 0.0% 1 1RHC Provider Enrollment 1 1 0 50.0% 0.0% 1 1Disease Management 2 0 0 0.0% 0.0% 7 26Other 1 0 0 0.0% 0.0% 7 26

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 1 1 0 50.0% 0.0% 1 1Patient Registration/Eligibility 1 1 0 50.0% 0.0% 1 1Patient Appointments 1 1 0 50.0% 0.0% 1 1Electronic Medical Records (EMR) 1 1 0 50.0% 0.0% 1 1Clinical Tracking 1 1 0 50.0% 0.0% 1 1Management Information System (MIS) 1 0 0 0.0% 0.0% 6 26Other 1 0 0 0.0% 0.0% 6 26

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 1 1 0 50.0% 0.0% 1 1Working with Consortiums/Networks 1 0 0 0.0% 0.0% 3 26Emergency Preparedness 1 1 0 50.0% 0.0% 1 1Pharmacy Assistance for Patients 1 0 0 0.0% 0.0% 3 26Migrant/Seasonal Farmworkers 1 0 0 0.0% 0.0% 3 26Developing Grants 1 0 0 0.0% 0.0% 3 26Develop Other Resources 1 0 0 0.0% 0.0% 3 26Facility Planning 1 0 0 0.0% 0.0% 3 26Facility Renovation 1 0 0 0.0% 0.0% 3 26Improving Cultural Competence 1 0 0 0.0% 0.0% 3 26Other 1 0 0 0.0% 0.0% 3 26

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Wisconsin Total Participants: 14

RHC DEMOGRAPHIC PROFILE

Countof Res-ponses

% ofTotal Part-

icipants

Countof Res-ponses

% ofTotal Part-

icipants

RHC Type Network AffiliationProvider Based 9 64.3% Part of a Network 2 14.3%Independent 5 35.7% No Network Affiliation 11 78.6%No Answer 0 0.0% No Answer 1 7.1%

Clinic Organization Government AffiliationFor-Profit 3 21.4% Local Ownership 0 0.0%Non-Profit 11 78.6% State Ownership 0 0.0%No Answer 0 0.0% No Affiliation/No Answer 14 100.0%

Role of Survey Respondent in the operation of the RHC (respondent could select no more than two categories)Owner 0 0.0% Certified Nurse Midwife 0 0.0%Physician 0 0.0% Office Manager 7 50.0%Nurse Practitioner 1 7.1% Billing or Coding Staff 6 42.9%Physician Assistant 0 0.0% Other 4 28.6%

Do you know the staff in your State Office of Rural Health? Yes: 7 No: 550.0% 35.7%

CONSULTATIONS PAID FOR WITHIN PAST YEAR

How many times have you paid for consultation in the past year? Range of Amounts Paid:Note: Not all participants responded or provided specific information. Minimum $4,000

Maximum $20,000 0 1 2 3 4 5 >5

7 3 1 1 0 0 1 = Count of Responses50.0% 21.4% 7.1% 7.1% 0.0% 0.0% 7.1% = Percent of Total Participants

Percent of Total Participants who responded that they utilized paid consultants one or more times in past year: 42.9%

METHODS OF ASSISTANCE THAT MIGHT BE USEFUL

NotHelpful Helpful Very

Helpful

"Helpful"+ "Very Helpful"

"VeryHelpful"

Written Instructions/Guidance Materials 4 8 0 57.1% 0.0% 4

Workshops or Training Programs 7 3 2 35.7% 14.3% 6

Webinars or Other On-Line Programs 3 4 5 64.3% 35.7% 3

On-Site Assistance 4 8 0 57.1% 0.0% 4

Telephone Assistance 2 6 4 71.4% 28.6% 1

E-mail Assistance 2 6 4 71.4% 28.6% 1

Ranking of"Helpful"

plus "VeryHelpful"

Description Description

Method of Assistance

Assistance Method(Counts of Responses)

Percent ofTotal Participants

NOSORH - 2010 RHC Survey - 20100915 Page 1 of 2

2010 Rural Health Clinic SurveyNational Organization of State Offices of Rural Health

Wisconsin Survey Participants: 14

TYPES OF ASSISTANCE THAT MIGHT BE USEFUL

None Some Lots"Some"

plus"Lots"

"Lots" WithinType

Over-all

FINANCIAL ASSISTANCEFinancial Policies and Procedures 9 3 2 35.7% 14.3% 3 17Budgeting 9 4 0 28.6% 0.0% 4 28Accounting Systems 13 1 0 7.1% 0.0% 8 41Billing Systems 9 2 2 28.6% 14.3% 4 28Fee Schedule 11 2 1 21.4% 7.1% 6 34Sliding Fee Scale 11 2 1 21.4% 7.1% 6 34Coding 6 6 1 50.0% 7.1% 1 10Cost Reports 7 5 1 42.9% 7.1% 2 13Other 4 0 0 0.0% 0.0% 9 45

ADMINISTRATIVE ASSISTANCEPersonnel Policies and Procedures 6 5 0 35.7% 0.0% 4 17Staffing 3 8 0 57.1% 0.0% 1 5Organization Chart 10 1 0 7.1% 0.0% 10 41Position Descriptions 8 3 0 21.4% 0.0% 8 34Management/Leadership Skills 5 4 2 42.9% 14.3% 3 13Strategic Planning 6 2 2 28.6% 14.3% 5 28Marketing/Outreach 6 2 2 28.6% 14.3% 5 28Staff Training 4 5 2 50.0% 14.3% 2 10Ownership/Governance 9 1 1 14.3% 7.1% 9 39Board Training 6 3 1 28.6% 7.1% 5 28Other 4 0 0 0.0% 0.0% 11 45

CLINICAL ASSISTANCEQuality Improvement 2 7 2 64.3% 14.3% 1 1Best Practices (adopting, using) 2 5 3 57.1% 21.4% 3 5Coding for Clinicians 4 2 4 42.9% 28.6% 5 13Provider Relations 5 4 1 35.7% 7.1% 6 17Provider Recruitment 2 4 5 64.3% 35.7% 1 1Provider Retention 3 7 1 57.1% 7.1% 3 5Continuing Education 5 3 2 35.7% 14.3% 6 17Credentialing 9 1 1 14.3% 7.1% 9 39RHC Provider Enrollment 10 1 0 7.1% 0.0% 10 41Disease Management 5 3 2 35.7% 14.3% 6 17Other 4 0 0 0.0% 0.0% 11 45

INFORMATION SYSTEM ASSISTANCEHealth Information Technology (HIT) 3 6 2 57.1% 14.3% 2 5Patient Registration/Eligibility 5 3 2 35.7% 14.3% 5 17Patient Appointments 5 5 0 35.7% 0.0% 5 17Electronic Medical Records (EMR) 3 8 0 57.1% 0.0% 2 5Clinical Tracking 4 3 3 42.9% 21.4% 4 13Management Information System (MIS) 2 7 2 64.3% 14.3% 1 1Other 4 0 0 0.0% 0.0% 7 45

OTHER ASSISTANCEPreparing for Annual RHC Evaluation 5 5 2 50.0% 14.3% 2 10Working with Consortiums/Networks 6 4 1 35.7% 7.1% 3 17Emergency Preparedness 10 3 0 21.4% 0.0% 8 34Pharmacy Assistance for Patients 10 3 0 21.4% 0.0% 8 34Migrant/Seasonal Farmworkers 11 1 0 7.1% 0.0% 10 41Developing Grants 4 7 2 64.3% 14.3% 1 1Develop Other Resources 7 4 1 35.7% 7.1% 3 17Facility Planning 7 5 0 35.7% 0.0% 3 17Facility Renovation 7 5 0 35.7% 0.0% 3 17Improving Cultural Competence 9 4 0 28.6% 0.0% 7 28Other 4 0 0 0.0% 0.0% 11 45

Type of Assistanceand Topic Area

Need for Services or Assistance (Counts of Responses)

Percent ofTotal Participants

Ranking of"Some" plus "Lots"

NOSORH - 2010 RHC Survey - 20100915 Page 2 of 2