North Dakota 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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Survey Results
- Encourage public quality reporting.
- Encourage (maintain) critical access hospital (CAH) participation in the Medicare Beneficiary Quality Improvement Project (MBQIP).
- Use ND CAH Quality Network to identify specific quality benchmarking and quality improvement activities.
- Collaborate with other quality improvement-related initiatives involving ND CAHs and emergency medical services (EMS).
- Assist CAHs in identifying potential areas of financial and operational improvement.
- Support revenue cycle management analysis to increase hospital revenue and cash flow.
- Support the inclusion of emergency medical services (EMS) into local and regional trauma systems of care.
- Support critical access hospitals (CAHs) and communities in conducting assessments to identify unmet community health and health service needs.
- Support CAHs and communities in developing collaborative projects to address unmet health and health service needs.
- Support for the sustainability and viability of EMS within the community.
North Dakota has 36 critical access hospitals (CAHs). The ND Flex program is 1 of 16 Flex programs with 100% participation in the Medicare Beneficiary Quality Improvement Project. We also had 100% CAH data submission for the inpatient hospital measures reporting to the CMS Clinical data warehouse for Quarter 2, 2012. The success of the Network is a result of a strong collaboration with our state quality improvement orgranization (North Dakota Health Care Review, Inc.). The partnership has included joint individual visits to all CAHs, quarterly technical assist calls and regional, state and national data review.
State Contact Details
Gary Hart, PhD
Specialty Areas / Background
Rural health, health workforce (physician, nurses, oral health personnel), rural geographic taxonomies, access to care, rural state and federal policy, and rural healthcare for the elderly, infants, and the underserved.
Center for Rural Health Director since October 2010
Lynette Dickson
Specialty Areas / Background
Masters Nutrition and Dietetics, Licensed
Associate Director since March 2003
Brad Gibbens
Specialty Areas / Background
Master Public Health
Deputy Director since May 1986
Jody Ward, RN, BSN
Specialty Areas / Background
Nurse
CAH Quality Network Coordinator since May 2008
Shawnda Schroeder, PhD
CAH Quality Network Coordinator since April 2011
Angie Lockwood
Project Assistant since January 2011
