Carrie Foote on Making Rural Healthcare Transformation Last

Carrie Foote, president of the Arizona Rural Health Association, joins Target Continuum’s Karmen Horton to explore how telehealth can expand access and improve outcomes in rural communities.

They discuss patient-centered program design, workforce development, sustainable funding strategies, and why technology alone cannot transform care.

Takeaways

  • Telehealth can reduce rural health disparities, but programs must be designed around the real needs and circumstances of patients.
  • Patient experiences and stories should inform both healthcare program design and rural health policy.
  • Technology is only a tool; lasting transformation depends on people, workflows, change management, and organizational commitment.
  • Rural organizations should align funding proposals with state priorities, internal capacity, measurable outcomes, and a clear sustainability plan.
  • Pursuing funding before an organization is prepared can create more risk than opportunity, making “no” or “not yet” a valid strategic decision.
  • Organizations that miss the first round of funding can learn from early recipients and position themselves more effectively for future opportunities.
  • Upskilling existing employees can expand rural healthcare capabilities while improving workforce engagement and retention.
  • Creative partnerships can bring specialty care, behavioral health services, school-based care, and emergency OB capabilities to communities that cannot support them independently.

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