Table 1.

Major Strategic Challenges

	# of public hospital respondents	# of community clinic respondents
Transition to new financial/reimbursement structures and payment reform	5	4
Becoming a provider of choice under health reform	5	2
Improving access, quality, value	4	2
Infrastructure development (including EMR implementation)	3	4
External contracting/partnerships to create Accountable Care Organizations	3	5
Improving patient/staff experience	2	3
Maintaining an appropriately skilled workforce	1	4
Patient centered medical home certification/implementation	0	3