What have we learned?

- Data exports were challenging for rural hospitals
- Education and Support is critical to success
- Exceeded budgetary expectations
- Small numbers have been an issue
- Limited resources: Budget and Equipment
- Limited human resources Manpower, financial
- Independent, have a tendency to resist outside influence
- Short term view is focused on revenue to survive
- Different problems with patient safety
- Knowledge is broad but superficial
- Some of the hospitals do not take the time to code self paying patients due to no change or impact on their reimbursement
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