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Grants to North Carolina Organizations to Improve Hospitals in Rural Areas

Rural Hospital Flexibility Grant Program 2023-2024


GrantWatch ID#

Funding Source
North Carolina Department of Health and Human Services (DHHS)
Office of Rural Health (ORH)
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Geographic Focus
USA: North Carolina

Important Dates
Deadline: 05/26/23 5:00 PM Save

Grant Description
Grants to North Carolina organizations to enhance healthcare in rural areas. Eligible organizations are those with the capacity to provide assistance to small, rural hospitals. Funding is intended to improve the quality of healthcare and the operational and financial performance of Critical Access Hospitals.

The Rural Hospital Flexibility Program (Flex Program) is a federal grant program directed to State Offices of Rural Health to support:

  • Improving the quality of health care provided in communities served by Critical Access Hospitals (CAHs)
  • Improving the financial and operational performance of CAHs
  • Developing collaborative regional and systems in CAH communities to improve Population Health management.

The purpose of these Flex Program funds is to improve the quality of care provided by CAHs by focusing on improvement of financial and operational implementation, quality measures, and management of population health according to the measures from the Federal Office of Rural Health Policy. These funds will support a technical assistance model that includes group and individual CAH projects. 

This grant will be awarded to an organization or organizations that create a plan to perform the following activities:

  • Conduct, manage, and facilitate meetings of CAH executives to share best practices, receive technical assistance for quality, financial and operational areas of interest, population health; investigate primary care capacity, develop innovative model ideas and assist with workforce recruitment and retention. 
  • The statewide and/or regional meetings that will require contractor attendance and participation.
  • Individual projects with CAHs or a network of CAHs to identify opportunities for and initiate improvement in quality, financial and operational measures.
  • Engage CAHs in submitting quality performance data as required by the Medicare Beneficiary Quality Improvement Program (MBQIP).
  • Organize collaborative networks for CAHs to share best practices and work together on various quality initiatives.
  • Support ongoing network needs and activities by providing technical assistance when necessary.

The activities will be performed with intent to improve CAH performance in the following areas:

  • Key financial indicators identified by the Flex Monitoring Team (FMT)
  • Inpatient core measures as defined by MBQIP
  • Outpatient core measures as defined by MBQIP
  • Patient satisfaction / Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores


Additional Eligibility Criteria
Any organization that is staffed to provide quality and operational technical assistance to Critical Access Hospital is eligible to apply.

Pre-Application Information
Grant applications must be electronically received and submitted within the survey link, or by the individual listed below, by 5:00 PM May 26, 2023.

Additional Funding Information

Estimated Total Program Funding:


Estimated Size of Grant
The maximum total per grant year not to exceed $395,000. (Funding is dependent on federal allocation).

Term of Contract
Funding Period is September 1, 2023, through August 31, 2024.

Contact Information
How to Apply: Using the link provided below, you will enter your contact information and a personalized link to the application will be sent to the e-mail address you provide:

Questions regarding the grant application may be directed to Nick Galvez at

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