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After much discussion and consideration, the ACHE Board of Governors and leadership team have decided to cancel the 2020 Congress on Healthcare Leadership due to the need for leaders and healthcare organizations to manage their responses to coronavirus (COVID-19) within their communities. Learn more at

28X – Improving Margins for Rural, Community Hospitals

Monday, March 23rd

About the Session

Although the trend of rural hospitals affiliating or merging with larger integrated systems has not slowed in the past few years, the rural, independent hospitals that remain have continued to be successful over the past five to eight years. However, these hospitals must be diligent in their efforts to remain relevant to their communities, which adds financial and operational pressures they have not previously experienced. Typically, rural, independent hospitals need a 3-4 percent margin to remain relevant and to be able to reinvest in their people, places, processes and equipment; however, many rural hospitals are investing in physician services that outpace their margins. This session will provide the strategic planning and steps needed to assess current opportunities, and it will introduce the tools needed to assist in making data-driven decisions for market and provider investments. Participants will learn how to implement an operational assessment for immediate cost saving strategies and patient care pathways that assist case management and utilization improvements.

Learning Objectives:

  • Explore how to develop and align revenue and cost initiatives while collaborating with physicians and management to achieve speed, accountability and sustainability.
  • Discover the importance of utilizing data analytics in driving collaboration with physicians, leaders and management to assist in making data-driven decisions.


Presented By

Kevin A. Rash, FACHE

BKD, Health Care Performance Advisory Services

Angy Littrell

Fitzgibbon Hospital