The Rural Well being Transformation Program (RHTP), a $50 billion federal initiative spanning 5 years, presents states with a historic alternative to stabilize and modernize healthcare in rural communities. Central to sustaining rural healthcare is the hub and spoke mannequin, the place a big central hub hospital can present managed companies, specialist entry, and know-how help to smaller rural spoke services. This mannequin enhances care coordination, useful resource sharing, and specialist availability, making a sustainable regional healthcare ecosystem.
Scaling this mannequin requires vital infrastructure funding to construct a strong, safe, and high-performance digital spine. Investments should guarantee dependable broadband connectivity, safe networks, and scalable telehealth platforms tailor-made to the scale and capability of every rural hospital—from small Important Entry Hospitals (CAHs) to massive regional hubs. We encourage states to type collaborative consortiums involving a number of healthcare suppliers to leverage economies of scale and regional coordination, a important requirement of the grant. Cisco’s modular, scalable options allow states and their designated hubs to design and deploy this infrastructure, supporting steady affected person care, superior cybersecurity, and operational effectivity.
By investing in digital resilience via the hub and spoke mannequin, states can prolong high-quality care to rural populations, help the supply of care that may result in improved well being outcomes, and construct sustainable healthcare ecosystems that face up to disruptions and develop with group wants. The applying deadline for RHTP is November 5, 2025, making well timed funding important to leverage this historic funding alternative.
This method aligns with RHTP priorities by modernizing infrastructure, strengthening workforce capabilities, enabling modern care supply, and making certain long-term sustainability via scalable, safe, and adaptable digital well being ecosystems.
The necessity for digital resilience in rural healthcare
- Infrastructure Challenges by Hospital Dimension: Rural hospitals differ extensively—from small CAHs with fewer than 26 beds to bigger rural emergency hospitals and regional referral facilities. Digital resilience options have to be custom-made to hospital measurement and capability to optimize funding and impression.
- Connectivity and Cybersecurity: Smaller hospitals typically face higher challenges securing dependable broadband and defending towards cyber threats as a consequence of restricted sources. That is compounded by a historic lack of funding in rural healthcare infrastructure. Moreover, healthcare stays essentially the most focused sector for cyberattacks, with the proliferation of related medical gadgets growing the assault floor and complexity of securing these environments.
- Operational Continuity: Disruptions from cyberattacks or infrastructure failures disproportionately have an effect on smaller rural hospitals, risking affected person care and income streams.
Advantages of investing in digital resilience
- Tailor-made Infrastructure Design: Options are scalable and sized particularly for hospital complexity, making certain cost-effective deployment that meets distinctive operational calls for.
- Steady Affected person Care: Dependable networks and backup methods decrease downtime, making certain uninterrupted entry to EHRs, imaging, and telehealth. Digital resilience can scale back unplanned downtime by as much as 25%, strengthening continuity of look after rural sufferers, particularly important as almost 96% of healthcare organizations report at the least one unplanned EHR outage, impacting affected person security.
- Enhanced Safety: Superior, built-in cybersecurity protects delicate affected person knowledge and ensures compliance. Trendy frameworks can scale back safety incidents, with examples displaying a 97% discount in knowledge entry incidents from phishing simulations. That is very important, as 92% of healthcare organizations skilled at the least one cyberattack in 2024, disproportionately affecting rural hospitals.
- Operational Effectivity: Secure IT infrastructure reduces employees burden and helps modern care fashions like distant monitoring and digital collaboration. By scaling telehealth and RPM, states can prolong entry to specialists for an estimated 87% extra rural sufferers who presently journey greater than double the gap of city sufferers for care, considerably enhancing entry and completion charges.
- Financial and Neighborhood Stability: Dependable healthcare infrastructure attracts and retains residents, supporting rural financial growth.
Value and funding issues
| Hospital Dimension/Class | Bundle Description | Funding Estimate per Facility |
|---|---|---|
| Small/Important Entry Hospital (<26 beds) | Important connectivity, primary safety, telephony companies, telehealth by way of Webex endpoint | $1.25M |
| Medium/Rural Emergency Hospital (26-100 beds) | Enhanced community, full safety suite, built-in collaboration instruments | $2.5M |
| Massive/Rural Referral Middle/Regional Hub (>100 beds) | Excessive-performance community, superior cybersecurity, AI-ready compute, centralized collaboration instruments | $5M |
- Funding Scale: Prices differ primarily based on hospital measurement and current infrastructure. Smaller hospitals require foundational community upgrades and cybersecurity, whereas bigger hospitals ought to spend money on scalable knowledge facilities and superior telehealth platforms.
- Value Effectivity: Cisco’s modular and scalable options enable phased investments aligned with hospital capability and progress projections, optimizing return on funding.
Alignment with RHTP priorities
- Modernizing Infrastructure: Upgrading telemedicine/collaboration platforms, community resilience, and cybersecurity tailor-made to hospital measurement.
- Strengthening Workforce: Supporting recruitment and retention via dependable know-how and coaching.
- Modern Care Supply: Supporting the supply of preventative care, power illness administration, and behavioral well being companies via scalable AI-powered digital infrastructure tailor-made to rural well being group wants.
- Sustainability: Guaranteeing long-term operational and monetary viability via resilient methods and shared useful resource fashions.
Subsequent steps
States should submit their RHTP functions by November 5, 2025. Investing now in digital resilience tailor-made to rural hospital measurement will remodel healthcare supply, help the supply of care that may result in improved affected person outcomes, and construct sustainable well being ecosystems. Cisco stands able to companion along with your state to develop compelling functions and implement options that maximize this singular funding alternative.
For extra info on navigating the funding course of with confidence, attain out to Cisco’s Public Funding Workplace.
