Transfer of Health Mission is an additional aspect of the decentralization process of power to local government organizations in the field of public health. The research project, which proposes policies to promote the transfer of rural health promotion hospitals to provincial administrative organizations, is based on lessons learned from the transfer of schools. The objectives of the research are: 1) to study the experiences of personnel and extract lessons from schools managed locally to apply to the transfer of rural health promotion hospitals to provincial administrative organizations; 2) to study the transfer of rural health promotion hospitals to provincial administrative organizations in terms of organizational structure, personnel, finance, management, basic health service data, and primary healthcare mission; and 3) to synthesize policy proposals for promoting a systemic relationship in the transfer of rural health promotion hospitals to provincial administrative organizations. The research employs qualitative methods by collecting data from educational personnel (116 participants) and healthcare personnel (89 participants) in four provinces, namely Roi Et, Khon Kaen, Maha Sarakham, and Kalasin. The data is collected through interviews, focus group discussions, operational meetings, and participatory observations conducted from September 2022 to February 2023. Part 1 : Lessons Learned from Schools under Local Management The research found that the transfer of educational institutes to local management had a positive impact on educational management, manpower, budget, organizational media knowledge of information systems, leadership, and good governance. The lessons learned are: 1) Formulating educational policies and guidelines for educational institutions to achieve quality, emphasizing the concept of School-Based Management for Local Development (SBMLD) that provides research-based education and develops it into the context and culture of the area. 2) Developing personnel potential and providing adequate personnel. 3) Receiving a budget to support the development of learning management and special projects. 4) System development of information systems. 5) Building confidence in the leader and establishing good governance. Part 2 : Transfer of Sub-district Health Promoting Hospitals to Provincial Administrative Organizations. The research found that the transfer of sub-district health promoting hospitals in four provinces amounted to 656 transfers out of a total of 808 locations. The study shows that the transfer process needs to focus on service systems, manpower management, budget allocation, knowledge media, information systems, and leadership and good governance. The proposed guidelines are: 1) A framework for providing health services to the public that is consistent with the original affiliation so that the transferred hospitals can provide services according to the original guidelines. 2) Prepare a recruitment or recruitment plan for public health personnel to support the transfer. Provide information on the advantages and limitations of transferring to the Provincial Administrative Organization. During the initial transfer of PAOs, they should provide manpower support to areas lacking manpower until PAOs are sustainable. Part 3 : Policy Proposals.