2012 National Conference of State Flex Programs

Below are the handouts and presentations for the 2012 National Conference of State Flex Programs. The times listed do not represent the full conference schedule. Handouts and presentations will be delivered electronically via this website. Flash drives will also be provided to conference participants.

Strength in Numbers - 2012 National Conference of State Flex Programs

Conference Agenda [PDF - 220 KB]

Tuesday, July 10, 2012

8:00 a.m. Opening Welcome

Kristi Martinsen, Director, Hospital State Division, Office of Rural Health Policy, Health Resources and Services Administration

Terry Hill, Executive Director, National Rural Health Resource Center, Technical Assistance and Services Center (TASC)

Pat Schou, Executive Director, Illinois Critical Access Hospital Network and Chair of the Technical Assistance and Services Center (TASC) Advisory Committee

8:30 a.m. Direction of the Flex Program

Flex Direction: Where Are We Going, Where Have We Been? [PDF - 423 KB]
Mike McNeely, Deputy Director, Hospital State Division, Office of Rural Health Policy, Health Resources and Services Administration

9:00 a.m. Flex Monitoring Team Update [PDF - 1.42 MB]
Ira Moscovice, Director and Principal Investigator, Rural Health Research Center, University of Minnesota

George Pink, Senior Research Fellow, North Carolina Rural Health Research and Policy Analysis Center, University of North Carolina‐Chapel Hill

Andy Coburn, Deputy Director, Maine Rural Health Research Center, University of Southern Maine

9:45 a.m. Break

10:00 a.m. Keynote- Flex and Critical Access Hospitals in a Post-2014 Enviornment

Tom Morris, Office of Rural Health Policy, Health Resources and Services Administration

Dr. Mary Wakefield, Administrator, Health Resources and Services Administration

10:50 a.m. Breakout Session #1

Flex Monitoring Team Reports: Review of the State Financial Indicators Report and State Hospital Compare Quality Measures Report

Flex Financial and Quality Reports: Making Sense for CAHs [PDF - 501 KB]
Pat Schou, Executive Director, Illinois Critical Access Hospital Network

Using Flex Monitoring Team (FMT) Financial Indicator Reports to Support Arizona CAHs [PDF - 979 KB]
Kevin Driesen, Director, Arizona Rural Hospital Hospital Flexibility Program

Overview of the CAH Survey Process

Overview of the CAH Survey & Certification Process [PDF - 936 KB]
Kianna Banks, Nurse Consultant, Office of Clinical Standards and Quality, Centers for Medicare & Medicaid Services

Use of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) in Critical Access Hospitals (CAHs)

Shawnda Schroeder, Critical Access Hospital Quality Network Coordinator, Center for Rural Health, University of North Dakota School of Medicine

HCAHPS [PDF - 2.29 MB]
Bill Sexton, Chief Executive Officer, Prairie du Chien Memorial Hospital, Wisconsin

Pat Wangler, Chief Executive Officer, Essentia Health Fosston, Minnesota

Discussion Notes [PDF 201 KB]

Critical Access Hospital Leadership Development

Healthcare Leadership Training Program [PDF - 124 KB]
Steve Bahmer, Director, Wyoming Critical Access Hospital Network

The Nebraska CAH Executive Fellowship Program [PDF - 178 KB]
David Palm, Flex Coordinator, Nebraska Office of Rural Health

11:45 a.m. Lunch

1:00 p.m. Using Resources and Models to Strengthen State Flex Programs

Using Resources and Models to Strengthen State Flex Programs [PDF - 1.15 MB]
David Palm, Flex Coordinator, Nebraska Office of Rural Health

The Flex Logic Model [PDF - 1.53 MB]
John Eich, Director, Wisconsin Office of Rural Health

1:45 p.m. Update from the Centers for Medicare & Medicaid Services

Jonathan Blum, Deputy Administrator and Director, Center for Medicare, Centers for Medicare & Medicaid Services

2:30 p.m. Breakout Session #2

Community Paramedicine  

Community Paramedicine [PDF - 375 KB]
Office of Rural Health and Primary Care, Maine Department of Health and Human Services

Flex Dollars Helping Advance Healthcare in Rural Communities Through Innovation [PDF - 534 KB]
Michelle Mills, Interim Chief Executive Officer, Director of Hospital and Clinic Programs, Colorado Rural Health Center

Quality Reporting Benchmarking

Joint Presentations: The Nevada Flex Program, The Hospital Strength Index, and Indiana Quality Reporting and Benchmarking [PDF - 5.95 MB]
John Packham, Director of Health Policy Research, Flex Coordinator, Center for Education and Health Services Outreach, University of Nevada School of Medicine

Michael Topchik, Vice President, iVantage Health Analytics

Cindy Large, R.N., Flex Coordinator, Indiana Rural Health Association

National Health Service Corp CAH Eligibility and Participation

Critical Access Hospital as National Health Services Corps Sites [PDF - 1.05 MB]
Lindsey Toohey, Deputy Director, Bureau of Clinician Recruitment and Service, Health Resources and Services Administration

Applying Community Health Assessments for Rural Hospital Strategy

Applying Community Health Assessments for Rural Hospital Strategy [PDF - 1.87 MB]
Pat Wangler, Chief Executive Officer, Essentia Health Fosston, Minnesota

3:20 p.m. Quality Improvement Organizations and Flex: Collaborating for Quality Improvement

Quality Improvement Organizations and Flex: Collaborating for Quality Improvement [PDF - 66 KB]
Jennifer Lundblad, President and Chief Executive Officer, Stratis Health, President, American Health Quality Association (AHQA)

3:50 p.m. Keynote-Outcomes from Financial Leadership Summit Panel Discussion

Chris Johnson, Healthcare Financial Consultant, A & C Johnson Consulting, LLC

Greg Rosenvall, Flex Coordinator, Utah Hospital Association

Achieving the Triple Aim in Healthcare: Strategies for Rural Hospital Success [PDF - 247 KB]
Eric Shell, CPA, Principal, Stroudwater Associates

Discussion Notes [PDF 194 KB]

Wednesday, July 11, 2012

8:00 a.m. Opening Welcome & Recap

Tracy Morton, MPH, Program Manager, National Rural Health Resource Center and TASC

8:15 a.m. Partner Perspectives Panel: Strength in Numbers for the Flex Program

Jennifer Lundblad, PhD, MBA, President and Chief Executive Officer, Stratis Health, President, AHQA

Brock Slabach, MPH, FACHE, Senior Vice President for Member Services, National Rural Health Association

John Supplitt, MPA, MBA, Senior Director, Section for Small or Rural Hospitals, American Hospital Association

Discussion Notes [PDF 210 KB]

9:30 a.m. Breakout Session #3  

Panel Discussion: Balancing the Flex Coordinator Role  

Angie Emge, Hospital Program Administrator, Michigan Center for Rural Health

Kathryn Miller, Flex Coordinator, Wisconsin Office of Rural Health

Map of Iowa Hospitals [PDF - 219 KB]
Kate Payne, Flex Coordinator, Bureau of Oral and Health Delivery Systems, Iowa Department of Public Health

CAH Site Visit Prep Form [PDF - 13 KB]
Mary Sheridan, Director, Idaho State Office of Rural Health and Primary Care

Discussion Notes [182 KB]

Trauma System Development and Performance Improvement

EMS and Flex Performance Improvement: EMS and Flex Working Together to Improve Health in Rural Communities [PDF - 1.23 MB]
Don Wood, M.D., Director, Office of Primary Care and Rural Health, Utah Department of Health

Minnesota Trauma System Development and Performance Improvement [PDF - 1.2 MB]
Judy Bergh, Flex Coordinator, Office of Rural Health and Primary Care, Minnesota Department of Health

Overview of Revenue Cycle Management

Revenue Cycle Management in a Critical Access or Small Rural Hospital [PDF - 2.43 MB]
Revenue Cycle Dashboard Template [XLSX - 234 KB]
Revenue Cycle Assessment: Facility Questionnaire [PDF - 143 KB]
Steve Boline, Regional Chief Financial Officer, Nevada Rural Hospital Partners

CAH Revenue Cycle Assessment Project [PDF - 2.27 MB]
Jane Faubion, Flex Coordinator, Kansas Office of Rural Health

Performance Improvement Initiatives in CAHs

New Hampshire CAH Lean/Process Improvement Project [PDF - 283 KB]
Alisa Druzba, State Office Director, Rural and Primary Care Section, New Hampshire Department of Health

Lean [PDF - 699 KB]
Bill Sexton, Chief Executive Officer, Prairie du Chien Memorial Hospital,Wisconsin

10:30 a.m. Medicare Beneficiary Quality Improvement Project  

Flex Medicare Beneficiary Quality Improvement Project [PDF - 606 KB]
Paul Moore, Senior Health Policy Advisor, Office of Rural Health Policy, Health Resources and Services Administration

11:15 a.m. Closing Keynote—Strength in Numbers: Impact of Flex on Rural Communities

Strength in Numbers: Impact of Flex on Rural Communities [PDF - 1.01 MB]
Brock Slabach, Senior Vice President for Member Services, National Rural Health Association

12:00 p.m. Adjourn