
Episode #61
Panel: From Innovation to Implementation
What if the key to strengthening rural healthcare isn't doing more—but working smarter, together? In this episode of the California State Rural Health Association Podcast , we bring you a thought-provoking conference panel featuring Sylvia Trujillo , healthcare policy and regulatory attorney and leader at the California Telehealth Resource Center (CTRC), and Dr. Martin Entwistle , Chief of Medical Affairs at Marshall Medical Center. Together, they explore how rural healthcare organizations can move beyond simply adopting technology to building sustainable, scalable systems that improve patient care while protecting the future of rural hospitals. Drawing on Marshall Medical Center's real-world experience, Dr. Entwistle shares how his team shifted from fragmented digital initiatives to a comprehensive strategy centered on telehealth, remote patient monitoring, artificial intelligence, and value-based care. Rather than chasing every new technology, they focused on governance, infrastructure, partnerships, and workflows that could grow with their organization and support long-term success. The conversation also tackles some of rural healthcare's biggest challenges—including workforce shortages, reimbursement, interoperability, financial sustainability, and the risk of losing patients to larger health systems. Sylvia explains how collaboration, strategic planning, and the California Rural Health Transformation Fund can help organizations build stronger regional networks that keep specialty care and healthcare dollars within rural communities. Whether you're leading a rural hospital, community health center, clinic, or healthcare organization, this episode offers practical insights on: Building scalable digital health programs instead of isolated projects Using telehealth and remote patient monitoring to improve access and outcomes Creating successful hub-and-spoke partnerships that strengthen rural care Preparing for value-based care and future reimbursement models Leveraging available funding and no-cost technical assistance to support digital transformation If you're wondering how rural healthcare can remain financially viable while embracing innovation, this conversation provides both a roadmap and a call to action. Listen now to discover how strategic partnerships, thoughtful planning, and digital transformation can help rural communities deliver better care—without leaving patients behind. What You’ll Learn From This Episode: CTRC Mission and Audience Pulse Marshall Case for Virtual Care Hub and Spoke Partnerships Building Infrastructure to Scale Rural Transformation Fund Takeaways The CSRHA has been a go-to resource for rural healthcare and community leaders since 1995. The CSRHA brings an accumulation of actionable insights to the next generation of rural healthcare leaders. For more behind the scenes of this podcast follow @CSRHApodcast on Twitter or @csrha.advocate on Facebook. If you enjoy This Is Rural Health, we could use your support! Please consider leaving a 5-star rating and review, and share it with someone who needs to hear this! Learn more about the CSRHA at csrha.org . Connect with Sylvia Trujillo: LinkedIn Connect with Martin Entwistle: LinkedIn Resources California Telehealth Resource Center California State Office of Rural Health U.S. Department of Health & Human Services Marshall Medical Center

