Support at the state level

With deep experience across hospital systems, telehealth vendors, and public-sector initiatives, Pivot Digital Health Advisors utilizes that expertise to help state health agencies allocate Rural Health Transformation funding to build durable digital infrastructure, empower rural providers, and deliver equitable, scalable care models that last. 

State health departments play a critical role in ensuring Rural Health Transformation funding is deployed strategically, equitably, and with measurable impact. As states allocate and oversee digital health investments across diverse rural and community providers, the challenge is not access to technology—but governance, alignment, and execution at scale.

Pivot Digital Health Advisors supports state health agencies to design, govern, and operationalize digital health funding in ways that strengthen rural systems, accelerate adoption, and deliver sustainable outcomes.

We work with state leaders to define a cohesive digital health strategy that supports shared infrastructure—such as telehealth platforms, digital front doors, remote monitoring, and AI-enabled tools—while allowing flexibility for local implementation. This approach reduces duplication, increases buying power, and enables interoperability across rural hospitals, FQHCs, clinics, libraries, and community sites. 

Pivot conducts structured digital health maturity assessments across participating hospitals and rural providers to determine readiness, gaps, and support needs. These assessments enable states to allocate funding based on need and impact, ensuring smaller or resource-constrained organizations are not left behind. 

Pivot helps define success metrics and reporting frameworks that demonstrate how digital health investments improve access, workforce efficiency, utilization, and outcomes. We also support sustainability planning—ensuring programs continue delivering value after initial funding cycles end.