

R. Kyle Kramer, CEO of Day Kimball Health
Jun 10, 2025
R. Kyle Kramer discusses the challenges faced by rural hospitals, including workforce shortages and financial pressures. He emphasizes the importance of tailored strategies to improve care access for aging populations. The conversation highlights innovative programs designed to attract qualified nursing candidates. Additionally, Kramer shares insights on empowering young leaders to engage with their teams, ensuring operational challenges are addressed and enhancing the quality of care in these communities.
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Rural Healthcare Challenges
- Rural hospitals heavily depend on Medicaid funding, so federal budget changes directly impact them.
- Workforce shortages, especially in nursing, create ongoing challenges that require community investment in healthcare careers.
Population-Focused Care Strategy
- Focusing on population-specific needs leads to targeted program development like cardiology and orthopedics.
- Building primary care locally improves proactive management and specialty care access.
Orthopedic Program Rebuild Success
- Rebuilding orthopedic services allowed patients to receive joint replacements locally instead of traveling far.
- The initiative greatly improved patient access and received positive community feedback.