Northern Border Region

Technical Assistance Center

If you are a healthcare provider or organization located in the rural areas of Maine, New Hampshire, New York, or Vermont, you may be eligible for technical assistance from the Northern Border Region Technical Assistance Center (NBR-TAC).

WHO WE ARE

About NBR Technical Assistance Center

The NBR Technical Assistance Center offers comprehensive support for rural Northern Border Region communities. We pride ourselves on fostering meaningful relationships with the communities we serve. The Center is designed to help your organization improve healthcare access, transition to value-based care, and recruit and retain healthcare workers to support your community’s well-being.

This initiative is a collaborative effort supported by the Health Resources and Services Administration (HRSA) and the Northern Border Regional Commission (NBRC). The technical assistance provided is comprehensive and free of charge for qualifying rural healthcare providers and communities.

WHAT WE DO

What the NBR Technical Assistance Center Offers

Strategic Planning & Organizational Development

Our Services Include:

  • Mission, vision, values review, and refinement
  • SWOT analysis
  • Market analysis
  • SMART goal development
  • Action planning
  • Ongoing monitoring, reporting, and coaching

Value-Based Care

Our Services Include:

  • Assessment
  • Stakeholder engagement
  • Clinical transformation
  • Data and financial analytics

Cultural, Leadership & Staff Development

Our Services Include:

  • Leadership training
  • Staff and provider assessment surveys​
  • Team development and integration​
  • DISC personality assessment​
  • Staff and workflow efficiency review and optimization​
  • Performance improvement evaluation and monitoring​
  • Rounding (Gemba walks)​

Funding, Finance, & Reporting

Our Services Include:

  • Local, state, and federal stakeholder engagement​
  • Grant and funding support​
  • Quality and regulatory compliance​
  • Project management​

Our Partners

Testimonials

Our Impact

NBR-TAC strengthens the healthcare organizations we work with. Through leadership training, strategic planning, financial and operational improvements, and fostering strong partnerships, we’ve helped organizations use resources more effectively and secure more funding. This approach lays the foundation for ongoing improvements in healthcare outcomes in the NBR Region.

Our initiatives have broadened access to vital health services, such as HIV and STI testing, substance use disorder treatments, oral pediatric healthcare, and other projects focusing on social determinants of health. These efforts have improved healthcare access and advanced health equity, providing underserved and rural communities with a healthier future.

The NBR-TAC is poised to continue expanding its impact, supporting positive change and growth in rural communities across the region.

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Health projects underway

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Healthcare organizations

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

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Lives 

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Health projects underway

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Healthcare organizations

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

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Lives 

Eligibility

Is your organization eligible? The NBR Technical Assistance Center is open to public and private entities, including nonprofits and for-profits. Faith-based organizations, community-based organizations, tribes, and tribal organizations in the designated states are also eligible. Each year, selected communities in the Northern Border Region receive focused assistance based on identified needs.

Eligible Areas Include:

Maine

Counties

Androscoggin

Aroostook

Franklin

Hancock

Kennebec

Knox

Oxford

Penobscot

Piscataquis

Somerset

Waldo

Washington

New Hampshire

Counties

Belknap

Carroll

Cheshire

Coös

Grafton

Sullivan

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

Vermont

Counties

Addison

Bennington

Caledonia

Chittenden

Essex

Franklin

Grand Isle

Lamoille

Orange

Orleans

Rutland

Washington

Windham

Windsor

Interested in receiving technical assistance?

Please contact us at NBRSupport@rhrco.org.

Meet the NBR Team

Tom Harlow

Program Director

Josh Miller

Sr. Project Manager

Gary Rhodes

Regional Liaison

The Rural Northern Border Region Healthcare Support Program is 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 $1,890,000 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
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.

Josh Miller Sr. Project Manager
Josh Miller
Senior Project Manager

Josh is a resident of rural Maine with extensive experience managing programs and working with state partners in the Northern Border Region. He is passionate about improving access and quality of care, especially as it relates to substance use disorder.

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.
Janice Walters
Executive Director

Janice has been leading the work of the RHRC since its inception. She has a background in health nance and is a highly rated rural health expert with over 20 years of relevant leadership experience. She works closely with rural health executives, state and federal partners, and other community stakeholders to ensure access to quality healthcare in maintained across the rural U.S.

Northern Border Region Technical Assistance Center GET IN TOUCH If you are a healthcare provider or organization located in the rural areas of Maine, New Hampshire, New York, or Vermont, […]

Northern Border Region Technical Assistance Center GET IN TOUCH If you are a healthcare provider or organization located in the rural areas of Maine, New Hampshire, New York, or Vermont, […]

Ken Harman RHRC Regional Liaison
Ken Harman
Regional Liaison

Ken Harman is a Regional Liaison with the Rural Health Redesign Center and the Rural Emergency Hospital Technical Assistance Center for the Midwest and Western States. He brings over 30 years’ healthcare experience, with the last 20 years being a rural Critical Access Hospital CEO. He has served in Wyoming, Colorado, Idaho, California, Utah and Minnesota. He graduated in 1996 from the University of Minnesota with a Master’s in Healthcare Administration and from the University of Utah in 1990 with a Bachelors of Science in Economics. He has a passion for rural healthcare and in assisting organizations and communities in sustaining and growing to take care of community needs.

Northern Border Region Technical Assistance Center (NBR)