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Featured PartnerTechnology / SoftwareTREUE (Trusted, Responsible, Ethical, Unified, Explainable) is Aquila Health’s framework for building AI-ready health data ecosystems that combine robust governance, high-quality interoperable data, and transparent analytics to enable trusted collaboration across healthcare and public health.
Aquila Health PBC
www.aquilahealth.comThe Rural Health Transformation Program gives states a historic opportunity to strengthen rural care, but transformation only works if the data underneath it does. Today, rural health data lives in thousands of…
Company Overview
The Rural Health Transformation Program gives states a historic opportunity to strengthen rural care, but transformation only works if the data underneath it does. Today, rural health data lives in thousands of disconnected systems, all speaking different dialects of the same information. The result is clinical teams working from incomplete pictures, state agencies unable to see across their own rural networks, and investments that underperform because the data beneath them is fragmented. Aquila Health builds the infrastructure that changes that.
RHTP Capabilities
Primary focus
Health IT, EHR & InteroperabilityAI, Analytics & ReportingChronic Disease & Preventive Care
Service areas
Care Coordination & NavigationTelehealth & Virtual CareMobile Health & EMSHealth IT, EHR & InteroperabilityAI, Analytics & ReportingChronic Disease & Preventive CareCenter of Excellence & ImplementationFinancial Sustainability & Revenue Cycle
RHTP priority alignment
Sustainable AccessTechnology ModernizationInnovative Care ModelsCenter of ExcellenceData ModernizationEmergency PreparednessRural Infrastructure
Care settings
Public Health Department
Problems addressed
Limited access to primary careLong travel distanceMaternal care gapHospital readmission riskLack of EHR / interoperabilityLack of reporting capacityRevenue leakageGrant implementation burden
Use Cases
1Scenario
Statewide rural health visibility and RHT stewardship (State agency) A state health agency administering RHT funds needs to prove its program is working across dozens of rural facilities running different EHRs, and to show that federal dollars are spent responsibly. Aquila connects those systems, normalizes every record to FHIR R4, and feeds a single governed data layer, so the agency can measure outcomes like avoidable admissions, chronic disease control, and access gaps in near real time. That same complete, standardized data foundation powers fraud, waste, and abuse (FWA) monitoring, surfacing anomalous billing, duplicate or implausible claims, and utilization outliers that fragmented data would hide. Instead of chasing spreadsheets from each site, administrators get accurate, explainable program-performance and integrity data that stands up to federal accountability requirements.
2Scenario
Complete patient picture at a critical access hospital (Rural provider) A critical access hospital receives a patient with records scattered across an outside clinic, a regional lab, and a distant specialist. Because the hospital is connected to Aquila, the clinician sees a complete, standardized history at the point of care, without logging into multiple portals or waiting on faxes. The hospital connected once through modern APIs and kept its existing systems, cutting the integration burden that usually stalls rural IT and letting staff focus on the patient rather than hunting for data.
3Scenario
Predicting and preventing gaps in care across a rural network (AI/analytics) Once a network's data is connected and clean, Aquila's analytics layer flags patients overdue for follow-up, stratifies risk for conditions like diabetes and heart failure, and forecasts demand so under-resourced sites can staff and refer proactively. Because the models draw on complete, real-time data rather than fragmented records, providers and the state can trust the alerts and act on them, turning connected data into earlier interventions and measurable improvements in rural outcomes.
The Solution
Software PlatformSaaSData / Analytics ServiceOther
How it works
Aquila Health is the data infrastructure layer for rural health. Rural care runs on dozens of disconnected systems — different EHRs, labs, pharmacies, payers, and public health registries — that don't talk to each other, leaving clinicians with incomplete pictures and states unable to see across their own programs. Aquila connects those systems, translates their conflicting formats into one clean and standardized foundation, and makes that data available to the people and programs that depend on it. Providers connect once and keep the systems they already use — there is no rip-and-replace. Once the data is connected and trustworthy, everything built on top of it, from care coordination to reporting to AI, gets easier. Everything operates under our TREUE™ governance framework (Trusted, Reliable, Ethical, Unified, Explainable) and our public benefit corporation structure, which formalizes our accountability to patients, providers, and the public.
Standard package includes
The core platform every participant receives:
Automated data integration across any source or organization — EMRs/EHRs, labs, pharmacy, payer/claims, and public health systems — with inbound and outbound flows, historical loads, and ongoing real-time feeds, and no custom one-off builds.
Standardization and normalization to FHIR R4, with HL7 v2.x support and adherence to national interoperability standards including USCDI and TEFCA.
Optional add-ons
Capabilities that build on the standard foundation and can be added to fit each state's or provider's priorities:
AI and advanced analytics — earlier risk detection, care-gap identification, patient risk stratification, and demand forecasting across rural networks.
Rural relevance
The Rural Health Transformation Program gives states a historic opportunity to strengthen rural care, but transformation only works if the data underneath it does. Fragmented data is the reason rural care is hard to coordinate, program outcomes are hard to prove, and technology investments underperform. Aquila addresses the root cause: it gives states the complete, standardized, real-time clinical data they need to measure outcomes and demonstrate accountable stewardship of federal dollars, and it gives rural providers a complete patient picture at the point of care without adding cost or complexity to already-stretched organizations. Because the foundation is built once and extends to reporting, FWA integrity, population health, and AI, states can meet today's RHT priorities and keep building as the program matures over its five-year horizon — turning one-time funding into durable infrastructure rather than a project that ends when the grant does.
Implementation
Timeline
Depends on scope
Training
Yes
Ongoing Support
Yes
Grant Reporting
Yes
Site requirements
Staff timeAdministrative staffData sharing agreementHIPAA BAA
Detailed rollout plan
Implementation follows a phased, low-disruption path designed around the realities of stretched rural organizations.
We begin with discovery and planning alongside the state and participating facilities to map source systems, data types, priority use cases, and governance requirements. Because our integration is automated and standards-based, onboarding a facility does not require replacing or re-architecting its existing systems — each connects once through a repeatable process and remains connected as its systems change.
Reporting metrics supported
TBD
Who It's For
Ideal customers
Rural HospitalCritical Access HospitalFQHCRural Health ClinicLocal Health DepartmentBehavioral Health ProviderTribal Health OrganizationCommunity Health CenterState AgencySchool-based Health CenterSenior CenterPayer / Medicaid PlanNonprofit / CBOCorrectional Health ProgramCounty / Municipal GovernmentHome Health AgencyEMS / Mobile Care Program
Multi-site deployment
Statewide programs
Rural / frontier
Technical & Compliance
Involves PHI
Signs HIPAA BAA
Compliance documentation available
HIPAA statementSOC 2HITRUSTCybersecurity policyPrivacy policyData sharing agreement templateBAA template
EHR / system integrations
TBD
Credentials & Evidence
Critical Access HospitalsFQHCsRural Health ClinicsMedicaid populationsMedicare populationsState agenciesFederal grantsCMS programs
Expected outcomes / measurable benefits
Complete data at the point of care. Clinicians in critical access hospitals and rural clinics see a full, standardized patient history without portal-hopping or faxes, reducing delays and duplicative testing.
Measurable program outcomes. States gain near-real-time visibility into metrics such as avoidable admissions and readmissions, chronic disease control, and access gaps — the evidence RHT accountability requires.
Published outcomes / metrics
TBD
Rural health experience detail
Aquila Health is headquartered in Nebraska with deep operational roots in the midwest rural health ecosystem. Our focus on rural care is not a market we entered opportunistically; it reflects where we come from, the organizations we already work alongside, and the relationships we've built across the region. We understand the operating realities of rural providers firsthand — lean IT staff, thin margins, mixed and aging systems, long distances between patients and specialists, and the disproportionate burden that fragmented data places on organizations that can least afford it.
References available upon request