National Rural Health Services Center

In response to the increasing number of rural hospital closures, the Federal Office of Rural Health Policy administers the Small Rural Hospital Transition Project (SHRT).  The program provides technical assistance (TA) through comprehensive onsite consultations to eligible hospitals that have 49 beds or less and located in a federally designated persistent poverty county. Core areas of technical assistance include: 1) financial operational assessment (FOA) and 2) quality improvement (QI) projects. A total of nine hospitals will be selected based on a competitive process. A minimum of three FOA projects and three QI projects will be selected in each core area. Interested applicants that meet SRHT readiness requirements and project expectations must submit the required Letter of Intent by September 15. If a sufficient number of applications is not received, SRHT on-site TA may be extended to small rural hospitals (49 beds or less) residing in non-persistent poverty counties. Should this option become available, additional information will be provided.