The following are organizations that NRHP has a formal relationship with for the purpose of supporting rural hospital viability:


Comagine Health

Comagine (formerly HealthInsight) serves as the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Nevada. In this role, and under CMS’ 11th Scope of Work, Comagine provides invaluable support to NRHP and its members on healthcare quality improvement activities.

HealtHIE Nevada
Managed by Comagine, HealtHIE Nevada is a private, nonprofit, community-based organization dedicated to connecting the Nevada health care community by managing an accurate real time health information exchange.

Livanta serves as the Beneficiary and Family Centered Care-Quality Improvement Organization (BFCC-QIO) for Nevada. Under CMS’ 11th Scope of Work, BFCC-QIOs are responsible for case review.

University of Nevada School of Medicine (UNSOM)
The University of Nevada, Reno School of Medicine was established in 1969 by the Nevada State Legislature as a community-based medical school with a mission of educating primary care physicians for rural Nevada. Its mission is improving the health of Nevada’s diverse population through an innovative curriculum, competitive residency and fellowship programs and world-class biomedical research that complement a statewide network of urban and rural clinical facilities. UNR Med’s Office of Statewide Initiatives supports this mission through active community engagement and programs which increase access to care statewide. NRHP works closely with the Office of Statewide Initiatives through the following offices and programs:

Office of Rural Health (ORH)

The Nevada Office of Rural Health is dedicated to improving the health of rural Nevadans and serves as a focal point for a variety of programs. Key functions are to provide coordination and technical assistance for rural Nevadans seeking health resources, conduct community development activities, and advocate for rural health issues.

Nevada Flex Program

The Medicare Rural Hospital Flexibility Program (FLEX Program) was created by the Balanced Budget Act of 1997. Administered by the Federal Office of Rural Health Policy (ORHP), the FLEX Program provides grants to states to assist rural hospitals and communities. NRHP is a sub-recipient of the Nevada Flex Program funds.

Nevada SHIP

The Nevada Office of Rural Health administers the Nevada Small Rural Hospital Improvement Program (SHIP) grant, which provides support to small rural hospitals with implementation of delivery system changes. The Nevada SHIP Program is managed through a subcontract with NRHP.

Nevada Telehealth Network

NRHP works with the Office of Rural Health to support the Nevada Telehealth Network, which provides opportunities for telemedicine by utilizing a network of interactive video sites across the state.

Area Health Education Centers (AHEC)

The AHEC program aims to enhance access to quality health care, particularly primary and preventative care, by improving the supply and distribution of health care professional through community and academic educational partnerships.

Project ECHO

Project ECHO is an innovative telehealth initiative which aims to develop the knowledge base of primary care providers through consultations with specialists. The goal of Project ECHO Nevada is to meet the needs of these providers by offering an alternative to costly travel and long wait times for patients who need specialty care.

NRHP also works closely with many of the organizations, associations, and governmental entities listed below:


Access to Healthcare Network (AHN)

Nevada Hospital Association (NHA)

Nevada Health Care Association (NVHCA)

Perry Foundation

Nevada Association of Employers (NAE)

Nevada Dietetic Association

Nevada Nurses Association

Nevada Occupational Therapy Association

Nevada Osteopathic Medical Association

Nevada Physical Therapy Association

Nevada Primary Care Association

Nevada Speech-Language Hearing Association

Nevada State Medical Association


State of Nevada

Nevada 211

Nevada Health Link/Silver State Health Insurance Exchange

Nevada Department of Business & Industry (DBI)

Nevada Division of Insurance (DOI)

Nevada Department of Employment, Training and Rehabilitation (DETR)

Nevada Department of Health & Human Services (DHHS)

Nevada Division of Public and Behavioral Health (DPBH)
(formerly the Nevada State Health Division)

Bureau of Health Care Quality & Compliance (HCQC)

Office of Public Health Informatics & Epidemiology (OPHIE)

Preparedness Assurance Inspections & Statistics (PAIS)
(formerly the Bureau of Health Statistics, Planning, and Response)

Primary Care Office

Rural Mental Health Services

Aging and Disability Services Division (ADSD)

Long Term Care (LTC) Ombudsman

Division of Health Care Financing and Policy (DHCFP)

Nevada Medicaid

Indian Health Program

Center for Health Information and Analysis

Nevada Compare Care

Nevada Department of Taxation

Nevada State Boards:

Audiology and Speech Pathology

Dispensing Opticians

Homeopathic Medical Examiners

Marriage and Family Therapists and Clinical Professional Counselors

Medical Examiners


Occupational Therapy


Oriental Medicine

Osteopathic Medicine



Nevada State Legislature


American Hospital Association (AHA)

Association for Professionals in Infection Control and Epidemiology (APIC)

National Cooperative of Health Networks Association, Inc. (NCHN)

National Rural Health Association (NRHA)

National Rural Health Resource Center (NRHRC)

Rural HIT Network Development (RHITND)

Rural Hospital Performance Improvement (RHPI)

Technical Assistance & Services Center (TASC)

National Rural Recruitment and Retention Network (3RNet)


US Department of Agriculture Rural Development (USDA RD)

HRSA Office of Rural Health Policy (ORHP)

Rural Assistance Center (RAC)

Centers for Medicare and Medicaid Services (CMS)

Centers for Disease Control (CDC)

Agency for Healthcare Research and Quality (AHRQ)

Indian Health Services (IHS)