Exemplary Practices Showcase

The National Rural Accountable Care Consortium worked with over 2700 practices nationwide encouraging practice transformation efforts which led to better patient care, increased practice financial performance, and reduced health care costs. These 10 practice stories below are exceptional reflections of the work being done at the practice level to create noteworthy patient care results.

Coleman Medical Associates

Coleman Medical Associates provides care to patients in and around Coleman, Texas, which has a population of 8,397. Coleman County is challenged economically, with 25.2% of the population living below the poverty line. Poverty is at the heart of many health conditions faced by Coleman County residents, such as high Hemoglobin A1c levels. 

Click HERE to read the entire Coleman Medical Associates transformation story.

David Kavtaradze MD Inc.

Dr. David Kavtaradze’s clinic is a single-office, one-provider practice in rural Cordele, Georgia, that serves primarily a Medicare population. The clinic joined the National Rural Accountable Care Consortium with two goals in mind: to gain membership in an Accountable Care Organization and to prepare for the transition to an Alternative Payment Model. 

Click HERE to read the entire David Kavtaradze MD Inc. transformation story.

Family Physicians of Evans

Family Physicians of Evans is a privately owned clinic in Evans, Georgia. A staff of six providers offers care to about 2,500 Medicare patients in an upscale suburb 11 miles from Augusta.  The clinic joined the Transforming Clinical Practice Initiative in June 2017 to take its service to the next level, including giving better training to care coordinators and strengthening tracking of quality measures to ensure it met Merit-based Incentive Payment System requirements. The clinic also had to improve its interoperability and ensure Electronic Health Records were up to date so patients could connect to other practices and specialists. 

Click HERE to read the entire Family Physicians of Evans transformation story.

Frances Mahon Deaconess Hospital

Frances Mahon Deaconess Hospital in Glasgow, Montana, is a Critical Access Hospital and Rural Health Clinic, and an integral part of its local community. Since joining NRACC in 2016, they have introduced improvements and population health infrastructure resulting in significant benefits to the community, including 36% improvement in diabetes poor control and 18% increase in depression screening over a two year period. 

Click HERE to read the entire Frances Mahon Deaconess Hospital transformation story.

 Gulf Coast Medical Center

Gulf Coast Medical Center is a privately-owned organization with five locations in Pasco and Hernando counties in Florida. They provide care for more than 25,000 patients, including about 4,000 in Medicare. The most prevalent conditions across their patient population include diabetes, heart disease and chronic obstructive pulmonary disease. More than 22% of the nearly 540,000 residents of Pasco County is over the age of 65. 

Click HERE to read the entire Gulf Coast Medical Center transformation story.

Jeremy Bradley MD

Jeremy Bradley, M.D., serves nearly 5,000 patients from Owensboro, Kentucky, and the surrounding area, more than 3,000 of whom are traditional Medicare patients.  Dr. Bradley provides annual wellness exams for children and adults, along with chronic disease management, acute care services, radiology and in-house laboratory services, electrocardiograms, stress tests, pulmonary function tests, joint injections, Department of Transportation physicals, and various minor surgical procedures. The practice is located in tobacco and coal country and serves one of the unhealthiest regions in the United States. 

Click HERE to read the entire Jeremy Bradley MD transformation story.

Lexington Regional Health Center

LexingtonRegional Health Center is a Critical Access Hospital in Lexington, Nebraska serving the south-central counties of Dawson, Phelps, and Gosper. The community has a large Hispanic and Somali population accounting for approximately 38% of residents according to the latest community health survey, and the majority of this population has no health insurance. More than 95% of the respondents for the Lexington Community Health Survey are refugees, immigrants, and/or minorities per the U.S. Census. LRHC focused on breaking down cultural barriers and overcoming communication limitations related to language and health literacy. In 2018, 27% of our encounters were with patients whose primary language was not English. 

Click HERE to read the entire Lexington Regional Health Center transformation story.

Sound Health Care Center 

Sound Health Care Center is located in Port Orchard, Washington, in south Kitsap County. While only 13 miles as the crow flies from Seattle, they are situated on a piece of land that juts out into the Puget Sound. As a result, it takes about an hour to get to Seattle, whether you drive or take the ferry. This creates a pretty unique kind of town – parts feel very suburban, while others feel very rural. Port Orchard has three naval bases and a naval shipyard in our county, which regularly brings in new people from all over the country. 

Click HERE to read the entire Sound Health Care Center transformation story.

TJ Health Family Medicine Clinic

TJ Health Family Medicine Clinic is part of TJ Regional Health in Glasgow, Kentucky, a city of 14,318 and the seat of Barren County. The clinic has more than 14 physicians who serve more than 8,000 patients per year. It is also host to the University of Louisville Residency Program, a three-year program that prepares residents to become family practitioners under the guidance of local physicians. The clinic offers an in-office laboratory, cardiovascular testing and minor procedures. The facility has received Patient-Centered Medical Home recognition from the National Committee for Quality Assurance for using evidence-based, patient-centered processes that focus on highly coordinated care and long-term, participative relationships. 

Click HERE to read the entire TJ Health Family Medicine Clinic transformation story.

Wagoner Community Hospital

Wagoner Community Hospital is an acute-care facility in Oklahoma providing quality health care to almost 2,300 patients. Wagoner has improved the care they provide to their diabetic patients. The percentage of patients with poor control of their blood sugar (Hemoglobin A1c >9%) has decreased from nearly 62% at the end of 2016, to 48% at the end of last year. 

Click HERE to read the entire Wagoner Community Hospital transformation story.


From Our Participants

"What I learned at the symposium and quarterly workshops was a key part of my success while designing a work flow to fit our clinic. I believe we're off to a great start and have a solid foundation to build on. Thank you for all the support and help."

Michelle Russo
Population Health Nurse
San Juan Health Partners, Internal Medicine