2. Community & Rural Leaders SUPPORTED BY McKesson provides services and products to healthcare providers and payors. From pharmaceuticals and supplies to sophisticated medical workflow solutions, our offerings help customers reduce costs, streamline processes and, most importantly, improve patient care and medication safety. The Paragon ® hospital information system (HIS) delivers on McKesson’s vision for an affordable and contemporary solution designed for the community hospital market. The Microsoft ® -based HIS is a single database solution with fully integrated, robust clinical and financial capabilities, allowing users to improve both patient care and financial performance.

3. Geographic distribution varies While rural organizations are in every region of the country, the breakdown of rural vs. non-rural CEOs reveals some distinctions.

4. Type of organization varies Rural status also means considerable variation in the size and type of organization.

5. More non-profit organizations Rural facilities include a higher percentage of non-profits.

6. Grading the politicians on reform Regardless of rural or non-rural status, the CEOs' assessment of the healthcare reform stakeholders is pretty consistent regarding the politicians.

7. Grading the industry on reform There is some variation when it comes to healthcare leadership, with rural leaders somewhat more favorable toward hospital industry leadership and to industry lobbyists.

8. Assessing staffing trends While most observers recognize that the recession has had a temporary benefit to some workforce shortages, when asked to project over the next three years, CEOs' concerns continue.

9. Assessing staffing trends Rural CEOs anticipate a more negative impact from the shortage of primary care physicians.

10. Assessing staffing trends Rural CEOs anticipate a more negative impact from the shortage of specialty care physicians.