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 expertise assist 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 important infrastructure funding to construct a sturdy, 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 giant regional hubs. We encourage states to kind collaborative consortiums involving a number of healthcare suppliers to leverage economies of scale and regional coordination, a vital 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 by way of the hub and spoke mannequin, states can prolong high-quality care to rural populations, assist 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 neighborhood wants. The appliance deadline for RHTP is November 5, 2025, making well timed funding vital to leverage this historic funding alternative.
This strategy aligns with RHTP priorities by modernizing infrastructure, strengthening workforce capabilities, enabling revolutionary care supply, and guaranteeing long-term sustainability by way of scalable, safe, and adaptable digital well being ecosystems.
The necessity for digital resilience in rural healthcare
- Infrastructure Challenges by Hospital Measurement: Rural hospitals differ broadly—from small CAHs with fewer than 26 beds to bigger rural emergency hospitals and regional referral facilities. Digital resilience options should be personalized to hospital dimension and capability to optimize funding and affect.
- Connectivity and Cybersecurity: Smaller hospitals typically face larger challenges securing dependable broadband and defending towards cyber threats as a result of restricted assets. That is compounded by a historic lack of funding in rural healthcare infrastructure. Moreover, healthcare stays probably 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, guaranteeing cost-effective deployment that meets distinctive operational calls for.
- Steady Affected person Care: Dependable networks and backup methods reduce downtime, guaranteeing uninterrupted entry to EHRs, imaging, and telehealth. Digital resilience can scale back unplanned downtime by as much as 25%, strengthening continuity of take care of rural sufferers, particularly vital as almost 96% of healthcare organizations report no less than one unplanned EHR outage, impacting affected person security.
- Enhanced Safety: Superior, built-in cybersecurity protects delicate affected person information and ensures compliance. Fashionable frameworks can scale back safety incidents, with examples displaying a 97% discount in information entry incidents from phishing simulations. That is very important, as 92% of healthcare organizations skilled no less than one cyberattack in 2024, disproportionately affecting rural hospitals.
- Operational Effectivity: Secure IT infrastructure reduces employees burden and helps revolutionary 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 space of city sufferers for care, considerably bettering entry and completion charges.
- Financial and Neighborhood Stability: Dependable healthcare infrastructure attracts and retains residents, supporting rural financial improvement.
Price and funding concerns
| Hospital Measurement/Class | Package deal Description | Funding Estimate per Facility |
|---|---|---|
| Small/Important Entry Hospital ( | Important connectivity, fundamental safety, telephony companies, telehealth through Webex endpoint | $1.25M |
| Medium/Rural Emergency Hospital (26-100 beds) | Enhanced community, full safety suite, built-in collaboration instruments | $2.5M |
| Giant/Rural Referral Heart/Regional Hub (>100 beds) | Excessive-performance community, superior cybersecurity, AI-ready compute, centralized collaboration instruments | $5M |
- Funding Scale: Prices differ based mostly on hospital dimension and current infrastructure. Smaller hospitals require foundational community upgrades and cybersecurity, whereas bigger hospitals ought to spend money on scalable information facilities and superior telehealth platforms.
- Price 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 dimension.
- Strengthening Workforce: Supporting recruitment and retention by way of dependable expertise and coaching.
- Revolutionary Care Supply: Supporting the supply of preventative care, continual illness administration, and behavioral well being companies by way of scalable AI-powered digital infrastructure tailor-made to rural well being neighborhood wants.
- Sustainability: Making certain long-term operational and monetary viability by way of 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 dimension will remodel healthcare supply, assist the supply of care that may result in improved affected person outcomes, and construct sustainable well being ecosystems. Cisco stands able to accomplice together 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.
