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A shift to performance-integrated grants management

The Rural Health Transformation Program (RHTP) requires a new approach

When basic compliance isn’t enough

RHTP operates through a stage-gate funding model, where continued funding depends on meeting specific performance milestones. In order to avoid delayed or even reduced funding, grants management must be expanded beyond just ensuring compliance to playing a role in effective program implementation. This becomes even more important for states managing large RHTP portfolios that require coordination across a variety of funding categories, agencies, and delivery partners.

In this paper, we discuss how incorporating effective controls to monitor and manage program performance can help protect funding and lead to more successful outcomes.

Dive into our thinking:

As states move to implement their RHTP initiatives, it is essential that they consider integrating performance-based requirements into their grants management operations.

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The time to act is now

Choices made during the first 90 to 120 days of RHTP implementation will set the direction for the next five years, influencing states’ ability to adjust their strategies later to keep their initiatives thriving.

States that re-think grants management and enable it to become a performance engine will be better positioned to:

1

Protect continued funding

2

Demonstrate credible outcomes to CMS

3

Accelerate learnings across initiatives

4

Build durable capabilities that persist beyond the grant period

The success of RHTP will depend in part on how states tackle this challenge.

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