Technical Assistance

Tiered Technical Assistance Program

State Offices of Rural Health are invited to contract with NOSORH to develop, enhance and/or implement their technical assistance and/or engagement strategies in support of their rural primary care providers, including Rural Health Clinics, Federally Qualified Health Centers/Community Health Centers, Private Providers and other rural primary care providers.

This hands-on opportunity positions NOSORH to come alongside SORH to engage rural primary care providers and rural communities to better understand and build an innovative rural health landscape and infrastructure through providing direct technical assistance to rural communities and primary care providers. This service set is designed to provide support while developing a long(er)-term strategy for SORH to ensure quality technical assistance services are available where needed. The goals and deliverables are accomplished using innovative and individualized service and technical assistance strategies and resources.

Subjects to be addressed may include operational literacy, building technical assistance skills and technology/benchmarking tools to support and grow technical assistance, reach and engagement strategies of SORH.

Expected Impact:

  • Improve overall business literacy of participating rural primary care leaders, SORH team
    members and other participating stakeholders
  • Increase technical assistance and community outreach capacity of SORH
  • Evaluate sustainability potential of SORH technical assistance capacity through development of
    the technical assistance continuity plan
  • Establish and/or strengthen relationships with rural primary care providers and rural

Program Options

All technical assistance services are provided and/or coordinated by Tammy Norville, NOSORH Technical Assistance Director. Tammy maintains Registered Medical Manager, Registered Medical Biller, Registered Medical Coder, Certified Professional Coder and Certified Professional Coder–Instructor certifications. Tammy served rural communities during her almost 15-year tenure at the North Carolina State Office of Rural Health. The cornerstone of her experience is operational efficiency in various healthcare settings allowing flexibility and innovative approaches to project management and challenge resolution.

Please contact Tammy if you have questions:

Tammy Norville, Technical Assistance Director
National Organization of State Offices of Rural Health
Phone: (888) 391-7258 Ext. 105

NOSORH & Lilypad to Co-Host Technical Assistance Web Session on June 26

i Jun 4th No Comments by

NOSORH and Lilypad will co-host a web session for State Offices of Rural Health POND subscribers to review NOSORH technical assistance as it relates to RHCs and other rural primary care providers. Additionally, the session will explore the importance and use of data at different levels – in clinics for performance improvement, at the SORH for technical assistance and other related topics.

Data-Driven Success: The Who, What, When, Where and Why of RHC Technical Assistance

To review the NOSORH technical assistance vision for RHCs and other rural primary care providers including the importance, collection and use of data.

Wednesday, June 26, 2019 at 1 PM ET (POND Subscriber States)
(No registration is required- click the link above to join the session)

Keep an eye out for the web session flyer with more information! Hope to see you there!

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Rural Health Clinic Technical Assistance Survey Results

i Apr 28th No Comments by

Thank you to the forty states who completed the RHC Committee survey last month. The survey was used to query SORH on the types and amounts of technical assistance provided by SORH to RHCs and other safety net providers in each state, and to help determine what resources need to be developed to assist SORH in this effort. The top priorities for SORH working with RHCs are:

  1. Workforce recruitment and retention in RHCs
  2. Providing practice assessments to help non RHCs become RHCs
  3. How RHCs can help with the opioid epidemic

SORH also indicated they need more resources for RHCs on Value Based Care, Primary Care Medical Homes, mock surveys, data, quality improvement, grant writing, Accountable Care Organizations, and telehealth.

The survey results will help the RHC Committee prioritize which resources to provide. Many states also indicated they are interested in participating in the RHC Institute, which is a 9-part webinar series designed to cover the basics of what an RHC is and help give SORH the capacity to provide technical assistance to RHCs on compliance, quality improvement, billing/coding, engagement in health reform, and more.

NOSORH would like to thank the RHC Committee co-chairs, Crystal Barter and Tammy Norville, along with John Gale and Penny Black for their contributions to the development of the survey. If your SORH does not currently participate in the RHC Committee, NOSORH invites you to participate. The RHC Committee meets every other month to facilitate sharing of state and partner resources. The next meeting is scheduled for June 19 at 2:00 pm ET. Contact Kassie Clarke for more information.

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Resource Helps SORH Determine Technical Assistance Role

i Apr 3rd No Comments by

Last November, NOSORH released the State Office of Rural Health Roadmap for Working with Vulnerable Hospitals and Communities followed by a webinar to share best practices from SORH working with these vulnerable communities. A valuable resource from this Roadmap is a SORH Self-Assessment to help SORH determine what role they should or should not play in providing technical assistance to vulnerable hospitals and communities. The assessment is meant to be a general guide for discussion and framework for articulating the technical assistance role of the SORH. It’s important to note that the role of the SORH may need to change over time, depending on the technical assistance needs of the vulnerable hospitals and communities. More resources to assist SORH with this issue can be found on the NOSORH website.

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Partnership to Build Technical Assistance Capacity of SORH and Partners for Rural Service Providers

i Dec 1st No Comments by

The National Network for Rural and Frontier Capacity was formed in 2013 with support from a Network Development Planning Grant from the Office of Rural Health Policy to assist rural and frontier health service organizations to be more accountable, adaptable, innovative and collaborative. The Network’s focus is to develop a toolkit and resources to assist State Offices of Rural Health and other state and local “capacity builders” to enhance their capacity to provide technical assistance and consultation services to rural and frontier health service organizations. The plans for the content of the toolkit were based upon surveys of SORH and health services organizations conducted earlier this year.  The toolkit will use creative approaches designed to broaden the scope of technical assistance offerings and specific tools and examples for how to develop and implement these services so they are financially viable and valued by customers.

This resource will also offer lessons learned from SORH staff on the front lines of local, state, and tribal organizations that are working to promote practice transformation. It is designed for SORH staff and other capacity builders who are interested in enhancing technical assistance services, whether for a fee or free of charge. The toolkit also identifies content experts who are available to guide SORH staff through challenging situations by offering advice, tools and joint problem solving.

The toolkit is scheduled to be available in the Spring of 2015 through NOSORH and National Center for Frontier Communities websites. The Network envisions this toolkit will evolve over time to best meet the capacity building needs of SORHs and the organizations they serve. For more information contact: Susan Wilger at or call 575-313-4720.



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Webinar: Building Capacity to Meet the Needs of Rural Service Providers (May 6, 2014)

i May 6th No Comments by


Viewable Recording

HSO Survey Report