POND
Practice Operations National Database
For ClinicsFor ProvidersFor HospitalsFor SORHs

Finally, a way to compare rural practice performance, productivity and compensation.

Lilypad’s Practice Operations National Database (POND) is a web-based data collection, reporting and benchmarking application for rural providers including rural health clinics, community health centers, health system satellite practices, and independent physician or advanced level provider practices.

POND is designed to fill a critical gap in actionable and comparative practice level data that can be used by rural primary and specialty care provider entities seeking to optimize clinic financial performance, compensation and productivity. POND provides a vehicle for rural practices to selectively share blinded operational and financial data and to use peer benchmark information to guide improvements in performance and inform recruitment and hospital-physician alignment activities.


The National Organization of State Offices of Rural Health (NOSORH) has partnered with Lilypad, LLC to implement the Practice Operations National Database (POND) program, a web-based data collection, reporting and benchmarking application for rural providers including rural health clinics, community health centers, health system satellite practices, and independent physician or advanced level clinician practices. POND is differentiated from other benchmarking programs by its focus on rural relevant financial, operational, productivity and compensation measures for which no systematic data sets currently exist.

Primary care clinics are the foundation of the new rural healthcare delivery system

With the transition from fee-for-service to fee-for-value, primary care practices emerge as the nucleus of the healthcare delivery system in rural communities. How well these clinics manage populations, provide access to care and reduce unnecessary costs will dictate the future health of rural America.

However, there is a lack of valid and reliable information required to manage these practices effectively. POND addresses that problem by offering the first and only benchmarking system developed specifically for rural clinic performance.

Now rural physicians and advanced practitioners can understand their true market value

As the healthcare industry continues its transition to population health based payment, rural primary care providers assume greater responsibility and strategic importance. Their role will evolve from loss-leaders to linchpins.

But the economic value, performance expectations and cost effectiveness of rural physicians and advanced practitioners remains elusive. That’s why we created POND – to establish rural relevant benchmarks for provider productivity, compensation and financial performance.

Rural hospitals have different objectives, operations and performance metrics than rural practices

During the last several years, the healthcare industry has undergone massive consolidation. One result: Over half of the 4,000+ rural health clinics now are owned and managed by hospitals. And that number will increase in the future.

Yet effective physician practice management requires a unique set of skills, staff and performance measurement. POND distills the universe of data into an annual survey of only the information that matters to clinic operators.

Small rural hospitals have performance improvement networks – now it’s time to incorporate primary care practices

For over a decade, State Offices of Rural Health and Flex programs have developed rural hospital performance improvement networks. The question now is how to enhance the value of these hospital networks to maintain relevance – and to fulfill the objectives of a vast array of complex grants.

We think the next wave of innovation centers on the engagement of rural primary care practices. While these clinics will emerge as mission-critical elements of the rural delivery system, they have historically operated in isolation without access to networking opportunities or valid performance benchmarks.

Pricing Model


Lilypad has developed the POND program to be cost effective for participating clinics because we want to maximize involvement – while making the application easy to use. That’s why Lilypad partners with NOSORH and individual State Offices of Rural Health.

If your SORH subscribes to POND, your clinic will have unlimited access to the data collection and benchmarking tools ... at no cost.

The POND Application


The POND application is a web-based tool for rural practices to benchmark performance data. Individual clinics can use the secure website to enter data and compare operational, financial, compensation and productivity performance.

End users will have a private, dedicated account to enable annual data collection and access to dynamic, customized analytics.

DATA WILL ALWAYS BE BLINDED AND SECURE