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Back to Glossary

Hub-and-Spoke Model

Hub-and-Spoke Model Banner Image

A care delivery architecture that centralizes complex, specialized services at a main facility (the hub) and connects it to smaller, local clinics (spokes) for basic care and follow-up. The model creates a tiered system for efficient, coordinated, and scalable patient care, leveraging technology like telehealth for real-time support and data exchange between hub and spoke sites.

The hub-and-spoke model has become a foundational framework for rural health infrastructure planning nationally, appearing in RHTP applications, CMS innovation models, and state telehealth strategies. It acknowledges that not every rural community can support specialist services, but that every community should have a connection point to those services.

Related Terms

Remote Patient Monitoring

Remote Patient Monitoring

Rural Health Transformation Program

Rural Health Transformation Program

Telehealth

Critical Infrastructure Terms

#

Workforce Development for Critical Infrastructure 6D Attack Methodology 63-20 Financing 95th Percentile Latency Rule

A

ACP Administrative Expenses Advanced Communications Networks Aerial Deployment Aerial Installation AI Edge Node AI-Supportive Telecommunications Infrastructure Alternative Connection Paths (Network Resilience)Annual Outage Allowance Application Model Area Challenge Module ARPA ARPU Assassin's Maces Assassin's Maces (杀手锏, Shashoujian)Asymmetric Autonomous Recovery

B

BABA BABA Whitelist Compliant Equipment Backhaul Bandwidth BEAD Grant Cybersecurity Requirements BEAD II BEAD Program BEAD Supporting Funds BEAD Timelines Benefit of the Bargain Analysis BGP BIP Bit Blended Domains Broadband Broadband Audit Broadband DATA Act Broadband DATA Maps Broadband Feasibility Study Broadband Service Provider Broadband Serviceable Locations BTOP Budget Period Bulk Fabric Challenge Buried Fiber Deployment

C

Cable CAF CAH CAI CAP Capex Capital Projects Program Capital Stack CareerTech Carrier-Neutral Infrastructure Cascading Failure CBG CCBHC Census Block Challenge Process CHW Clawback Provisions CMC Pilot Program Co-op Coax Common Stock Commonly Accepted Standards Communications Act of 1934 Community Development Financial Institution Community Reinvestment Act Conduit Financing Conduit Systems and Manholes Connectivity Profile Consolidated Appropriations Act of 2021 Content Provider Contested Logistics CPE Cyber and Electromagnetic Attacks Cybersecurity for Emergency Communications Cybersecurity Resilience

D

Data Packet Davis-Bacon Act (for BEAD)Debt/EBITDA Digital Contested Logistics Digital Divide Digital Equity Act Programs Digital Inclusion Digital Infrastructure Digital Infrastructure as a Strategic Target Digital Sovereignty Digital Twin Infrastructure Mapping Direct Network Interconnection (Edge AI Context)Disaster Exemption Standard DPP DSL DSRC

E

EBITDA EBITDA Margin Economic Development Incentive Edge Computing Readiness EHR Eligible Community Anchor Institution Eligible Entity Emergency Communications Center EMP Resitant Enclosures ESINet Ethernet Cable EV

F

Fabric False Confidence Paradox FCC FCC 80/80 Feasibility Study Federal Facilities Connectivity Requirements Fiber Fiber to the Home Fiber to the home/premises/curb/node Final Proposal Final Proposal Submission Five-Year Action Plan Formula Grant FQHC FRN FTTC FTTH FTTN FTTP Future Computing Technologies

G

GAN Geopolitical Technology Competition (US-China)GO Bond Gold Standard Science Golden Dome for America Initiative Graceful Degradation Grant Adjusted YOC Grant Revenue Anticipation Notes Gross Profit Margin Ground Deployment Guaranteed Bank Loan

H

HIE High Cost Area HPSAHub-and-Spoke Model

I

ILEC In-kind Matching Funds In-Line Amplifier Facilities Indian Tribe Infrastructure Hardening ROI Infrastructure Investment & Jobs Act Initial Funding Availability Initial Proposal Interconnectivity Internet Exchange Facility Internet Protocol Interoperability IRBs IRU ISP IXP

K

Kessler Cascade

L

Last Mile Legal Expenses Letter of Credit Limited-Tax General Obligation Pledge Loan LOC Local Coordination LOI Low-Cost Broadband Service Option

M

Make Ready Work MAT Match Funding Matching Funds for BEAD Grants Matching Requirements for Infrastructure Grants MDU Challenge Module Medicaid Mezz Debt Micro DC Middle Mile Millimeter Wave Mission-Critical Ruggedization Mobile Mobile Wireless Communications Infrastructure on Educational Facilities Multi-Dwelling Unit Multi-Modal Network Multi-Modality Muni Bond

N

Native American Native Entity Net Working Capital Network Capacity for AI Workloads Network Hardening Network Node NG911 NIST NOFO NTIA

O

OLT ONT Outside Plant Overbuilding

P

PACE Packet Loss Peering and Transit Agreements Performance Bonds for BEAD Grants Physical Layer Attack Ping Point to Point PPP PQC Preferred Equity Preparedness and Resilience Private Activity Bonds Project Finance Provider Collaborative Network PSAP PT&S

R

RDOF ReConnect RECs Reliability Reliable Broadband Service Remaining Amounts Request for Initial Planning Funds Resilient Digital Infrastructure Resilient Network Architecture Revenue Bond Revolver RHTP Route Server RPM Rural Residency Program Rural Utility Service

S

SACs SAFE Satellite Internet SCRM Secondary Addresses Secured Debt Security Senior Debt Service Continuity During Compromise Shareholders’ Equity SPA Space Dominance and Exploration Infrastructure Speed Speed Test Module State Strategic (High Altitude) EMP Strategic Telecommunications Infrastructure Subgrantee Subgrantee Selection Submarine Cable Landing Station Subordinated Debenture Subsidiarity Substance Use Disorder SUCCESS for BEAD Act Symmetric

T

Tactical (Close Range) EMP Take Rate Tax-Exempt Debt Taxable Debt Telecommunications Act of 1996 Telecommunications Backbone Hardening Telehealth Telehealth Portal / Kiosk The Good. The BEAD. The Ugly.Three-Legged Stool Model Transmission Diversity Tribal Broadband Connectivity Program Tribal Data Sovereignty Tribal Government Tribal Land Trust Land

U

Uncompensated Care Underserved Underserved Service Project Universal Service Fund Unlevered Returns Unlimited-Tax General Obligation Pledge Unsecured Debt Unserved community Unserved Service Project Upload and download USS Utility

V

W

Wholesale Business Models in Telecommunications Wholesale Fiber (Lit and Dark)Wi-Fi Wi-Fi Router Wireless

Y