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Needs assessment

Understanding rural health needs across each parish

Health needs and access to care vary across Louisiana. RHTLA brings together statewide data to help identify where needs are greatest, where barriers to care exist, and how communities compare.

Use the parish picker in the summary sentence, or click a parish on the tile map, to open a specific parish profile.

Is my location rural?

Is my location rural?

Find out whether a Louisiana location counts as rural for Rural Health Transformation Program (RHTP) funding. Enter a ZIP code, address, or organization name. You'll get an answer, the record we matched it to, and what to do next.

ZIP code gives the most reliable match. Searching by name shows up to six possible matches — check the address before you use one.

Check many locations at once

Upload a spreadsheet and get a result for every row. Useful if you're preparing an application covering several sites.

Download the template (CSV)

Your file needs one column named name, address, or zip. Up to 100 rows. Results appear below.

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The location falls in one of three categories.
Rural

Meets the geographic rural definition

This location meets the geographic rural criteria used for Pathway 1 of RHTP rural eligibility. Final eligibility remains subject to the requirements and review process of the applicable funding opportunity.

Not rural by geography

Does not meet the geographic rural definition

This location does not currently meet the geographic criteria for Pathway 1. That does not necessarily mean the organization is ineligible. Other pathways may apply based on facility designation or the rural communities served by the organization.

See how Pathway 2 and Pathway 3 work →
Not found

Not enough information available

The available data are not sufficient to determine the geographic rural status of this location. This does not mean the location is not rural and does not prevent an organization from applying for eligible funding opportunities.

Try searching by ZIP code instead.

Three ways to qualify — you only need one

RHTP uses three separate tests. Passing any one of them meets the rural requirement.

Pathway 1 · Where the location is

A location qualifies if it sits in an area the federal government designates rural — RUCA codes 4 through 10, or a ZIP classified Rural or Partially Rural. This page checks Pathway 1 automatically.

Pathway 2 · What kind of facility you are

Pathway 2 guidance is being confirmed with ORHTS and is not published here yet. This page does not check Pathway 2. Check the funding notice you're applying under for current requirements.

Pathway 3 · Where your patients live

If more than half of your active patients live in rural ZIP codes (RUCA 4–10), you qualify even if Pathways 1 and 2 don't. You'll need your patient ZIP code counts to show this. Provide your patient data in the application. This page does not check Pathway 3.

The challenge

Current rurality methods don't reach every patient

Census-tract codes like RUCA classify geography, not people. A clinic on the "wrong" side of a tract line, a new road that changed drive times, or a practice type no registry enumerates can all leave a genuinely rural patient outside the definition.

RHTLA's work is to expand the reach of these methods — layering drive time, service availability, and enumeration coverage on top of the federal codes — with the patient at the center of the determination, not the tract.

Terms used on this page

RUCA
Rural-Urban Commuting Area. A federal code from 1 to 10, based on where people in an area commute for work. Codes 4 through 10 count as rural.
FORHP
The Federal Office of Rural Health Policy, which maintains the federal list of rural areas.
Partially Rural
A ZIP code containing both rural and non-rural areas. It passes Pathway 1.
Transitional At-Risk
A flag on locations close to the rural cut-off. It warns that the classification could change as population or commuting patterns shift. It doesn't change your result today.
Source date
When the record you matched was last updated.
Matching runs on identifiers first — NPI, CCN, TIN — then a maintained alias table of legal and trading names. When only a name match is possible, the result names the record it actually matched. A proxy match is never substituted silently. Every determination can be reproduced from the stated methodology: the pathway applied, the record matched, and the source date used are part of the result.
Home›Needs assessment›{{ parishName }} Parish

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As of: {{ asOf }} · every figure carries its source and source date
Rural needs indexProvisional composite: the average percentile rank, across parishes, of the real indicators shown below (poverty rate, uninsured rate, digital-literacy gap, and food access — each weighted equally). Not an official ranking; more indicators may be added as they are vetted.
Need rankOrders all 64 parishes from greatest need (#1) to lowest relative need (#64) by that same composite index.
ZIP codes assessedCount of ZIP-level records contributing to this parish profile, out of {{ zipsAssessedStatewide }} statewide.

Need indicators

Indicators were selected when they were statewide, reproducible, relevant to rural health decisions, and maintained by a named public steward. They are grouped into vetted domains below. Bars show this parish (navy) vs. state (hairline).

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Services on file

One record per location, counted from the same facility registry the Atlas map uses. This is a count of what's on file, not a measure of how complete that registry is against the real number of facilities — a zero means "none on file," not "none exists."

Facility typeIn parishStatusSource date
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A zero means "none on file," not "none exists." Read each facility count with its named source and registry notes before drawing conclusions about local access.
{{ parishName }} Parish, LouisianaOpen this parish in the Atlas →

RHTP in this parish

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Ask Atlas AI about this parish

Plain-language questions, answered from the Atlas data with sources shown. Any answer can be exported to PDF for planning notes or an application.

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Next steps

Which programs address these needs? → Is my location rural? → Find funding →
Focus areas

Understanding rural patient needs, by domain

Statewide views · source dates shown
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The challenge

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The RHTP response

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Program transparency

Follow Louisiana's rural health transformation

Louisiana's Rural Health Transformation Program (RHTP) is working to strengthen rural healthcare and improve health outcomes over the next five years. Our priorities include making rural healthcare sustainable, high quality, data-driven, and patient-centered.

RHTLA provides a public view of program activities, goals, and progress, so communities can see what is being addressed, where activity is occurring, and how progress is being measured. Figures are sourced and dated throughout this page.

Find funding opportunities Before you apply: is my location rural? →

What is Louisiana working to achieve?

Explore key goals included in Louisiana's Rural Health Transformation Program, and follow progress from baseline measures toward five-year targets.

Committed outcomes: establishing baseline

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The four headline targets from the state's application to CMS. Progress bars run baseline → Year-5 target.
(All committed outcomes are reported to CMS)

Projects identified for funding

Identified projects are grouped by organization type and priority region.

Funding status matters: a project identified for potential funding is not a final award. Project status will be updated as funding decisions and implementation progress are confirmed.

Explore projects identified through the Rural Health Transformation Program, including the communities and health priorities they are designed to address.

Organization typeRegionProjects identified
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Grouped public view · 128 projects identifiedOpen project records in the Atlas →
See open funding opportunities Direct, competitive, and partnership routes — and what to check before you apply. This project is supported by CMS/HHS as part of a financial assistance award totaling $208,374,447.57, with 100 percent of funding provided by CMS/HHS.
Find funding

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{{ funding.noticesAction }} ↗ About the program at ldh.la.gov ↗ Rural eligibility methodology (PDF) ↗
Projects identified on the Programs page are not awards. Final recipients and funding amounts are reported after awards are made, and RHTLA does not accept or review applications. A location qualifies through where it is (Pathway 1), what kind of facility it is (Pathway 2), or where its patients live (Pathway 3). The rurality check on this site screens Pathway 1 automatically.
Data & methods

Every figure has a source, a source date, and a method

RHTLA is built to be checked. This page lists what the platform holds, how complete it is, and how the rural accessibility index is computed — so a determination can be reproduced by anyone.

Selected source inventory

Highlights primary sources used across the public Atlas. Not the complete field-level data dictionary; expanded documentation planned with the full methodology package.

SourceStewardSource dateRefresh
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Facilities on file by type

Counts show records currently carried in the Atlas — they describe the registry, not a verified census of every operating facility.

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The displayed types match the Atlas facility layers: acute/specialty hospitals, FQHCs, rural health clinics, dental facilities, pharmacies.

Rural accessibility index

A 0–100 composite of need and access, computed per ZIP and rolled up to parish:

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Weights are provisional — pending ORHTS sign-off and external academic review.

The three-state model

No silent blanks. Every lookup returns verified rural, verified not rural, or not enumerated — and a "not enumerated" result is a statement about the registry, never about the place.

Reporting a problem with a figure

If a count, indicator, facility record, or rurality result looks wrong, report it from the page where you saw it. The form captures the parish, ZIP, facility, or indicator in question so the RHTLA team can trace the record to its source. Each report receives a reference number.

If a count, indicator, facility record, or rurality result looks wrong, tell us through the LDH contact form. Please include the parish, ZIP, facility, or indicator in question and the page where you saw it so the RHTLA team can trace the record to its source.

Report a data issue →

For researchers

Full methodology documentation, a REST API specification, and bulk extracts are planned but are not yet published. The rural eligibility methodology below is available now.

Read the methodology (PDF) →
About RHTLA

Closing the gap between data and decisions for Rural Health

RHTLA brings a clear, shared, sourced, transparent picture of the facts to every decision about rural health in Louisiana: where to expand a clinic, where broadband is missing, where a program is falling short. When residents, providers, and policymakers see the same evidence, resources reach the communities that need them most.

RHTLA brings together information otherwise scattered across agencies, datasets, and systems: community health needs, healthcare services and facilities, rural eligibility, and Rural Health Transformation Program (RHTP) activities into a single public, transparent platform.

Who this is for

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Built with academic rigor

RHTLA is designed and developed by the Center for Applied Artificial Intelligence (CAAI) at the University of Louisiana at Lafayette, in collaboration with the Louisiana Department of Health, the Louisiana Center for Health Innovation (LCHI), and NSF AHeAD. The AI assistant is grounded in named Atlas sources and always shows its evidence, and the tool is tested regularly with rural providers, patients, and researchers to keep it accurate and clear.

Want the details — data sources, index methodology, or how we evaluate the assistant? See Data & methods →

How to use the Atlas

Choose a parish or ZIP, turn facility layers on and off, inspect a source-labeled indicator, or ask the assistant a question.

  1. Search for your parish or ZIP code to see local facilities, health indicators, and program activity.
  2. Turn facility layers on and off — hospitals, FQHCs, rural health clinics, dental, and pharmacies — to see what's nearby.
  3. Click any indicator to see its source and how current it is.
  4. Ask RHIA, the AI assistant, a question about broadband, workforce, or access to care in plain language.

If a facility count reads zero, check the source and registry notes next to it — it usually means the record isn't on file yet, not that nothing exists there.

RHTLA Atlas with the map layers, health indicator controls, facility legend, and AI assistant visible Open the Atlas →
Center for Applied Artificial Intelligence
Delivery partner

UL Lafayette Center for Applied Artificial Intelligence

caai.louisiana.edu →
This project is supported by CMS/HHS as part of a financial assistance award totaling $208,374,447.57, with 100 percent of funding provided by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, CMS/HHS or the U.S. Government.