Albury Wodonga Health's former chair believes all levels of government must take action on the findings of the health service's master plan.
The plan is due for release soon after being delayed by more than a month.
The original timeline had consultants completing their work by the end of October, but board chair Matt Burke said that was impacted by AWH's need to respond to the local outbreak.
"We are in the final stages of finalising the plan, which will provide the blueprint to guide the buildings and facilities required over the next 15 to 20 years to deliver the objectives of the clinical services plan," he said.
A key area of interest will be whether it recommends a new build, or the upgrade of existing facilities to consolidate acute care.
Former board chair of 11 years Nicki Melville said a round-table with Commonwealth and state governments should occur following the plan's release.
"We know for the community, it's the best thing we've ever done to have Albury Wodonga Health," she said.
"We've now got cardiac cardiology, respiratory physicians and the cancer centre, none of which would have happened if we'd been two little health services.
"So the amalgamation has been the great thing, but the border is still a problem.
"So it would be wonderful if the federal government could take a lead, in partnership with the two states."
Albury MP Justin Clancy agreed collaboration was needed and said he was engaging the NSW government about "a significant contribution by NSW".
"I do think that there is an important place for Commonwealth investment given the unique nature of health in our region," he said.
Mr Clancy said there was urgency to both the master plan and current upgrades.
"The other aspect is ... we've got an emergency department upgrade and mental health facility that have been funded.
"The lack of progress on those is a concern."
AWH chief executive Michael Kalimnios told the health service's AGM current demands were firmly in focus while planning ahead.
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"Early works have already commenced on the emergency department redevelopment and construction should begin early next year, so that project is well on the way," he said.
"Planning and feasibility for a 32-bed custom-built acute mental health unit ... is underway.
"We have begun a process which seeks input in the design from consumers with lived experience."