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Strengthening the evidence for maternal and child health programs

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Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.

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U.S. Office of Rural Health Policy. 2004. Starting a rural health clinic: A how-to manual. Rockville, MD: U.S. Office of Rural Health Policy, ca. 200 pp.

Annotation: The purpose of this guide is to walk the reader through the steps required to become a federally certified rural health clinic (RHC) and to complete the necessary financial audit to determine the clinic's per visit rate. The goals of RHCs are to improve access to primary health care in rural, underserved communities and to promote a collaborative model of health care delivery using physicians, nurse practitioners, and physician assistants. The guide includes the following sections: (1) overview of the RHC Program, (2) getting started -- does your site qualify?, (3) feasibility analysis -- is the RHC program for you?, (4) how to file the RHC application, (5) preparing for the RCH certification inspection, (6) completing the cost report, and (7) RCH coding and billing issues. The guide includes five appendices: (1) state survey and certification agencies, (2) state offices of rural health, (3) criteria for designation as an HPSA or MUA, (4) sample policy and procedures manual, and (5) other resources.

Keywords: Auditing, Clinic administration, Clinic characteristics, Collaboration, Costs, Federal government, Federal programs, Health care delivery, Nurse practitioners, Office visits, Physician assistants, Physicians, Primary health care, Rural health, Underserved communities


This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.