title: Health reform from the perspective of a small and rural hospital.
abstract: Health care reform introduces new challenges and opportunities for small and rural hospitals across North Carolina. Successful transformation will require a new vision for the health system, the establishment of solid primary care networks, the implementation of an improvement engine, and the creation of new partnerships to support evolving payment mechanisms.
authors.affiliation: Caldwell Memorial Hospital, Lenoir, North Carolina, USA. leaston@caldwell-mem.org
authors.forename: Laura J
authors.initials: LJ
authors.lastname: Easton
mesh_terms: D018166:Health Care Reform; D006780:Hospitals, Rural; D006801:Humans; D009657:North Carolina