RHTP Roadmap | From Award to Outcome

Aerial view of a rural community with location markers representing rural healthcare access and RHTP implementation

PYA’s video series, “RHTP Roadmap: From Award to Outcome,” is designed to help rural organizations of all sizes successfully implement their Rural Health Transformation Program (RHTP)-funded projects by providing practical, timely guidance on the critical steps that follow RHTP grant awards. Watch the video series introduction.

Through concise, topic-focused episodes released throughout fall 2026, the series will cover key areas:

  1. Developing work plans and the first 90 days
  2. Conducting facility assessments and rightsizing
  3. Establishing compliance strategies
  4. Tracking outcomes and dashboarding
  5. Meeting audit requirements
  6. Planning for future years

Emphasizing the importance of strong documentation, clear accountability, and sustainable processes from Day 1, PYA aims to help organizations reduce risk, demonstrate progress, maintain funding eligibility, and build a foundation for long-term success.

Your entire RHTP implementation team, including organization leaders, grant leads, finance directors, compliance officers, operations managers, and community partners, can learn from the video series. Whether you and your team are just beginning implementation or evaluating your progress, the videos will provide actionable insights to help keep your project audit ready and on track. Contact PYA’s Rural Health Transformation team for more help with RHTP decision-making and implementation.

Stay informed:


Video Summary

Receiving RHTP funding shifts the focus from application to implementation. In this introduction to RHTP Roadmap: From Award to Outcome, PYA Principal Tracy Purcell explains how the series will help healthcare organizations establish practical, documented processes as they carry out funded initiatives.

Upcoming episodes will address work plans, facility assessments, compliance strategies, outcomes tracking, single audit requirements, and planning for future years. The series is designed as a resource for the full implementation team, including leadership, finance, compliance, operations, and community partners.

Key Takeaways

  • After an RHTP award, the priority shifts to thoughtful implementation and clear documentation.
  • Milestones, deliverables, and ownership should trace back to the approved scope and budget.
  • RHTP implementation is a cross-functional effort that should involve more than the individual grant lead.

Frequently Asked Questions

What is RHTP Roadmap: From Award to Outcome?

RHTP Roadmap: From Award to Outcome is a PYA video series focused on practical steps healthcare organizations can take as they implement RHTP-funded initiatives. Planned topics include work plans, facility assessments, compliance strategies, outcomes tracking, single audit requirements, and planning for future years.

What should organizations prioritize after receiving RHTP funding?

The immediate priority is thoughtful implementation. That includes translating the approved scope and budget into an actionable work plan, establishing clear documentation, setting milestones, and assigning responsibility for deliverables.

Why is documentation important during RHTP implementation?

Clear documentation helps connect activities and spending to the approved scope and budget, supports accountability, and reduces the need to reconstruct decisions and actions later.

Who should be involved in RHTP implementation?

The implementation team may include leadership, finance, compliance, operations, community partners, and other functions responsible for carrying out the funded activities. The goal is a shared understanding of the structure and discipline required for implementation.

Transcript: RHTP Roadmap: From Award to Outcome

Speaker: Tracy Purcell | 5:07

Good afternoon. I’m Tracy Purcell with PYA. We are excited to share with you that we are creating a video series titled RHTP Roadmap: From Award to Outcome, with insights from our experienced team at PYA. Our sessions will be short and focused on specific topics to help you determine next steps in your implementation.

If your organization has received RHTP funding, the next priority is thoughtful implementation. This video series will highlight some of the critical steps you should take as you begin implementation to be sure you are establishing processes that are audit ready with clear documentation. We will be releasing 30-minute videos every few weeks focusing on critical steps of implementation now that you’ve received RHTP funding. If you are already well on your way to implementation, you can use this series to gauge your progress and be sure you are establishing something that can be sustainable over the next five years and beyond. The series is designed to be practical, digestible, and timely. Our goal is for each video to mirror the steps you are taking in the process of implementing your project.

If you haven’t received grant funding in the past, this roadmap will provide you with information about what is important for successful implementation, with the goal for your organization to have the best opportunity for additional funding in future years.

Grant dollars come with obligations, and it’s critical to have good documentation from day one. This prevents disallowed costs, audit findings, and potential reductions in funding in future years. CMS and states are watching year one execution to determine continued grant funding. The habits you set in the first few months can set you up for success going forward.

Our first episode is with Lori Foley and focuses on building your work plan and concrete steps for your first 90 days. You’ll hear about how milestones you should set trace directly from your approved scope and budget, so there isn’t a question about whether an activity is an allowable cost. We will also discuss how every deliverable needs a named owner. While numerous people may work on a task, you want an individual named in your work plan to lead each task for clear accountability. Documentation should be built as you go, because reconstructing it later is where many organizations lose time, and we all know trying to reconstruct what happened in the past and why it happened is extremely difficult. At the end of the first 90 days, we want you to be able to see the progress you have made.

Here are some examples of topics we plan to cover: work plans, facility assessments, compliance strategies, tracking outcomes, single audit requirements, and a look forward to year two. Along the way, we will update or add topics as we learn alongside RHTP grantees. Our goal is to provide you with relevant information, regardless of whether you are a large health system or a single rural primary care office.

We encourage you to use this series as a resource for your entire team, not just the grant lead. Leadership, finance, compliance, operations, and community partners are all part of implementation. If you are struggling to get the implementation team on the same page about reporting outcomes, for example, it might be worth watching the reporting episode together and discussing afterwards. We want your implementation team to have a shared understanding of the structure and discipline that year one requires.

As I mentioned, our first episode with Lori Foley is coming soon and focuses on building your work plan and concrete steps for your first 90 days. We encourage you to watch each episode and send us your questions. Go to our website, pyapc.com, to the RHTP page to submit your questions and request future topics. You can follow PYA on social media to catch each new episode as it comes out, or head over to the website for more information. Thank you for your time. We look forward to our future discussions during the RHTP Roadmap series.

PYA
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