1. Reinvent WSHA Rural Services to Increase Value, Decrease Dues AWPHD Rural 38 Hospitals $380,177 dues WSHA Rural 53 Hospitals $1.84 Million Dues RHQN 37 Critical Access Hospitals $641K+ Dues WHS Rural Current State 3/13

2. Current Organizational Functions RHQNAWPHD Peer Review Survey Readiness QI Support Infection Prevention Coaching MBQIP Reports Patient Safety Culture Survey RHQN QUALITY WSHA REPRESENTATION and ADVOCACY Health Policy Licensing and Regulation Patient Safety System Development Political Action Board Education AWPHD NETWORKING/ PROFESSIONAL DEVELOPMENT --Member Meetings --Gov’t Ops, Law/ Regs --UPL/CPE/DSH Programs --Election Laws --Auditor Rules --Local Governments --Commissioner Education

3. One Idea--A “Functional” Model Peer Review Survey Readiness QI Support Infection Prevention Coaching MBQIP Reports Patient Safety Culture Survey Quality Representation and Advocacy Rural Health Policy Political Action State Election Laws Govt Ops Law/Regs Licensing and Regulation State Auditor Rules UPL/CPE/DSH Leadership Development Board Education Health Care Future Communication Legal Issues Transparency CEO/C-Suite System Development SHARED ADMINISTRATIVE SERVICES (EFFICIENCIES) Payroll, Office Space, Legal/Contracting, IT MEMBER PURCHASED SERVICES (REVENUE/SERVICE) Group Purchasing, Insurance, Revenue Cycle, Human Resources, Clinical Services Mainly via WHS