Northern Border Region

Technical Assistance Center

About NBR Technical Assistance Center

The NBR Technical Assistance Center (NBR-TAC), which launched in 2022 and concluded in 2025, offered comprehensive support for rural Northern Border Region communities. The NBR-TAC was designed to help organizations improve healthcare access, transition to value-based care, and recruit and retain healthcare workers to support their communities. This initiative was a collaborative effort supported by the Health Resources and Services Administration (HRSA) and the Northern Border Regional Commission (NBRC). The technical assistance provided was comprehensive and free of charge for qualifying rural healthcare providers and communities.
Map of the USA with a circular call-out displaying States that NBR Serves. Includes New England and New York

Our Impact

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Healthcare projects completed

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Healthcare organizations served

The NBR-TAC has significantly improved healthcare across the Northern Border Region, impacting over

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Lives 

Our current strategic plan also has planned work extending into the next two years to look at the feasibility of and models for further expansion of community-based services, for example expansion of services into long term care facilities and exploring the pros and cons of developing a mobile dental unit."
Anonymous
Dental Center
We are benefitting from improved communications among the staff; improved organization of the Center with establishment of lead positions and leadership meetings; improved work flows; improved QI/QA programs; growth of community-based work that helps expand access to care for our community without having to expand our physical space; and a successful expansion of the scope of our community-based services in our Head Start and Early Childhood Education programs so children have access to a full spectrum of oral health care with 85% receiving all the services they need to maintain their oral health within their classroom setting and all participating children having a dental home with Waterville Community Dental Center."
Anonymous
Dental Center
The team was energizing, experienced, knowledgeable, and a pleasure to work with. They clearly appreciated both the importance and challenges of providing rural based health care services."
Anonymous
Dental Center
The team made themselves available at any time and were willing to brainstorm and work through programmatic decisions to achieve the best outcome. The survey results of the program were better than we could have hoped when we started the project."
Anonymous
Healthcare Non-Profit
The additional tools RHRC provided, including a workflow study and written analysis, identification of grant resources when the need for IT updating was identified, benchmarked information and templates for use in both analysis of our clinical practice and in our board building and re-organization were very helpful."
Anonymous
Dental Center
The biggest challenges we had in working on this process were those internal to our own organization in terms of time limitations and continually evolving trials such as staffing turnover that made work on a longer sighted strategic planning process difficult. RHRC was very helpful organizing our meetings and keeping us on track with the work. We appreciated their patience, energy, and expertise. I cannot identify a way they could have been more helpful."
Anonymous
Dental Center
It is hard to cut it down into one most helpful part. The assistance with the analysis of our workflow, strengths, and challenges and the organization of the work that needed to be done into a structured strategic plan was a big piece. Time challenges and limited experience had led to significant barriers in doing the work without the RHRC support we received."
Anonymous
Dental Center
The team have been great partners of ours, and the the other groups they have brought in to work with us have been top-notch."
Anonymous
Hospital
Thank you—we truly appreciated the opportunity to work with your organization and get to know each of you. Everyone brought something unique to the table, and we valued your responsiveness, flexibility, and willingness to help us work through a complex and important process."
Anonymous
Hospital
The collaborative approach to preparing meeting agendas, along with reflecting on previous meetings and clearly identifying next steps, was especially helpful. RHRC staff brought valuable perspectives from their experience working in both local health department and hospital settings, which helped us navigate challenges and move the work forward with our partners. We specifically felt grateful to be a true participant at the planning meetings."
Anonymous
Hospital
RHRC staff really listened and "got it" when it came to boots-on-the-ground implementation and development. They were incredibly knowledgeable, supportive, and helpful. They took as much of the burden off our shoulders as they could. I cannot believe the vast array of knowledge and support that we got. We could not have paid for anything better!! Thoroughly impressed!”
Anonymous
Hospital
Deep understanding of rural health, highly engaged, very supportive.”
Anonymous
Hospital
All our engagements have been top notch and have helped us significantly improve operations. We could not afford this level of consultative services without the help of the RHRC.”
Anonymous
Hospital
Our team has been through some of these kinds of [strategic planning] experiences before with groups that felt like they were working from afar and never made the effort to understand existing operations, so I just wanted to share that even the skeptics [on the team] feel more confident this time around."
Anonymous
Dental Center

Cottage Hospital

Rochester Regional

Waterville

Vermont

Program Footprint

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Maine

Counties

Androscoggin

Aroostook

Franklin

Hancock

Kennebec

Knox

Oxford

Penobscot

Piscataquis

Somerset

Waldo

Washington

Image of New Hampshire // it is a flat illustration with a light blue fill and a deep blue stroke

New Hampshire

Counties

Belknap

Carroll

Cheshire

Coös

Grafton

Sullivan

Image of New York // it is a flat illustration with a light green fill and a deep blue stroke

New York

Counties

Cayuga

Clinton

Essex

Franklin

Fulton

Genesee

Greene

Hamilton

Herkimer

Jefferson

Lewis

Livingston

Madison

Montgomery

Niagara

Oneida

Orleans

Oswego

Rensselaer

Saratoga

Schenectady

Seneca

St. Lawrence

Sullivan

Washington

Warren

Wayne

Yates

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Vermont

Counties

Addison

Bennington

Caledonia

Chittenden

Essex

Franklin

Grand Isle

Lamoille

Orange

Orleans

Rutland

Washington

Windham

Windsor

Learn more about our programs and services

The Rural Northern Border Region Healthcare Support Program was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $2,970,000 with 0% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

tom harlow
Tom Harlow
Program Director

Tom has over 43 years of healthcare experience, with 24 in executive leadership and 16 in rural settings. In his role, he provides tactical assistance to rural providers in areas such as workforce, strategic planning, and value-based care.

gary rhodes
Gary Rhodes
Regional Liaison
Gary joined the team in 2022 with over 31 years of healthcare leadership experience. He previously occupied the dual roles of V.P. and President at 2 rural hospitals, one of which is a 10-bed PPS hospital that implemented the first rural P.A. telemedicine unit with a regional trauma center.
Cameron Knox
Cameron Knox
MPH
Project Coordinator
Cameron is a Project Coordinator at the Rural Health Redesign Center, managing healthcare initiatives by overseeing projects, facilitating stakeholder collaboration, and ensuring timelines are met. With a Master of Public Health from East Tennessee State University, Cameron brings experience working in rural Appalachia and knowledge in healthcare administration, management, project coordination, and reporting. His work focuses on improving healthcare access and outcomes through collaborative planning and effective coordination.