Strategies

Expand incentives such as scholarships and loans with service requirements and loan repayment or forgiveness programs for health care providers who practice in rural or other underserved areas

Expand use of J-1 physician visa waivers for foreign national physicians who have trained in the U.S. and will serve patients in designated Health Professional Shortage Areas (HPSAs)

Use regulation to extend nurse practitioners’ (NPs’) scope of practice to provide care to the full scope of their training and skills without physician oversight, especially for primary care

Improve work environments for nurses via establishment of strong nursing leadership, organizational support, etc.

Make clinician, hospital, clinic, long-term care facility, and insurance plan performance on health care quality measures publicly available via report cards, reporting websites, or similar tools

Expand medical school training and learning experiences focused on the skills necessary to practice successfully in rural areas

Adopt universal trauma precautions and provide trauma-specific care to patients in health care organizations