Telehealth & Covid-19
Rural Health’s Leapfrog Transformation:
From In-Person- to Virtual-First
A few decades ago, much of the African continent skipped a stage of infrastructure that took the rest of the world a century to build. Many countries never built extensive landline networks — they [...]
Rural Health Implementation Science: TeleEmergency
In last week’s article, Kathy Letendre and I made the case that TeleEmergency is rural America's most urgent telehealth priority — and that the CMS Rural Health Transformation Program presents a great opportunity to fund [...]
The Fastest Access to the Best Care: Tele-Emergency Is Rural America’s Most Urgent Telehealth Priority
There is a phrase that sums up the entire promise and urgency of emergency telehealth into seven words: "The fastest access to the best care." That is not a cute slogan. It is a [...]
Moses Lake Community Health Center Video Visit Re-Launch
Four Years of Trying. Then Everything Changed. How Moses Lake Community Health Center Finally Made Telehealth Work — and What Any Rural FQHC Can Learn From Their Journey Most community health centers didn't choose to adopt telehealth. They were [...]
The Telehealth Leadership Gap: Still Drifting
Why Good People Doing Good Things Is Not Enough to Fully Leverage Telehealth's Potential In May 2026, the American Telemedicine Association held its 30th annual conference. I have attended about eight of them since 2013, and after each one I [...]
The PM Toolkit for Change Management: 3 Disciplines for RHTP Transformation
The main reason many RHTP initiatives will fall short of achieving the outcomes expected by CMS is not technology — it is the unmanaged resistance to change by clinicians, by staff, by administrators, and by patients. Sustainable transformation requires [...]
7 Proven Habits for Effectively Managing RHTP Transformation — Creating Engagement
At the core of every rural health transformation is one fundamental task: creating the desire in clinicians, staff, patients, and leaders to do things differently. As most leaders in healthcare know, that is harder than it sounds. And it [...]
7 Proven Habits for Effectively Managing RHTP Transformation — Preparation
Inspired by Stephen Covey's "The 7 Habits of Highly Effective People" In 1976, a doctoral student named Stephen Covey set out to understand what made people truly effective. His method was ambitious: he read and analyzed 200 years of [...]
Skip a Step, Fail the Change: RHTP Success with ADKAR®
A quote from Dr. Charlie Mayo has stayed with me since my years at the Mayo Clinic:"Today, the only thing that is permanent is change."Dr. Mayo’s guidance to the clinic he and his brother started were recorded in 1931. Nearly [...]