Program Details
New Hampshire Flex State Profile
The Technical Assistance and Services Center (TASC), a program of the National Rural Health Resource Center, provides technical assistance for the Rural Hospital Medicare Flexibility (Flex) Program in the form of information, tools and resources. State Flex Programs benefit from sharing information with one another and the Flex State Profiles are meant to be a method to encourage that sharing.
State Contacts
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State Office Director, New Hampshire
Survey Results
In each core area, what are the top Flex activities in your state?
Core Area 1: Support for Quality Improvement
Support participation in quality reporting and benchmarking initiatives to include the New England Performance Improvement Project (NEPI) with the Institute for Healthcare Improvement (IHI) Rural Network and the creation of resources to increase the number of CAHs with a staff member who is a a Certified Professional in Healthcare Quality (CPHQ).
Core Area 2: Support for Operational and Financial Improvement
Support critical access hospitals (CAHs) in planning and implementing the Financial Improvement Network (FIN) to employ evidence-based strategies for improving financial performance and supporting CAH team participation in Lean/performance improvement training.
Core Area 3: Support for Health System Development and Community Engagement
Support the development of ST segment elevation myocardial infarction (STEMI) stroke systems of care and support the partnering of critical access hospitals (CAHs) with public health for community needs assessments.
Please describe a success story or innovative program from the Flex program in your state:
The New England Performance Improvement Project (NEPI) network was developed in 2004 as a collaboration among the Flex Programs in Maine, New Hampshire, Vermont, and Massachusetts. The network, coordinated through the New England Rural Health RoundTable (NERHRT), utilizes a portion of each state’s Flex grant funds to offer quality improvement resources for critical access hospitals (CAHs). To date, network activities have included an expansion of the RoundTable Web site, hosting an annual performance improvement summit, funding individual hospital projects, and conducting rural-relevant research.
State Contact Details
Alisa Druzba
State Office Director, New Hampshire
(603) 271-5934
Specialty Areas / Background
Improving access to care, workforce development, and public health system leadership
State Office Director since May 2006