2018 Flex Program Reverse Site Visit

Event Details
Tuesday, July 17, 2018 to Wednesday, July 18, 2018
Federal Office of Rural Health Policy (FORHP)

Engage. Measure. Improve.

2018 Rural Health Care Improvement Collaboration

The purpose of this collaborative meeting is to create a shared learning environment that supports innovations and discovery of successful rural health improvement and program implementation across Federal Office of Rural Health Policy (FORHP) programs. The meeting will engage participants from two rural health care improvement grant programs: the Medicare Rural Hospital Flexibility (Flex) Program in the FORHP Hospital State Division (HSD) and the Small Health Care Provider Quality Improvement Program (SHCP) in the FORHP Community-Based Division (CBD). In addition to program-specific meeting objectives, this meeting will also provide participants with an enhanced opportunity to make connections, share best practices and gather lessons learned from fellow rural programs across the country that are focusing on improving rural health care services. 

Overall Learning Objectives

  • Discover ways to communicate the value of your FORHP Program
  • Understand the future direction of the national transition to value in health care
  • Identify opportunities to implement best practices and lessons learned  
  • Strengthen the leadership of your FORHP program
  • Share and learn from the experiences of fellow rural programs
  • Make connections and identify opportunities for collaboration with fellow rural programs across FORHP

Flex Program RSV

FORHP HSD's Flex Program Reverse Site Visit (RSV) is an opportunity for state Flex Program recipients to convene and share information about the Flex Program and critical access hospitals (CAHs). This event will focus on the latest information in the Flex Program including discussion of strategies to engage CAHs in measurement and performance improvement to deliver value in rural health care. States will share stories of their Flex Program experiences and successes with one another, with their FORHP project officers and with other rural partners and stakeholders. We look forward to your attendance at this educational and informative event.

Flex Program RSV Learning Objectives


The intended audience for the Flex Program RSV is State Office Directors, Flex Coordinators/other key Flex personnel (two per state), the Flex Monitoring Team (FMT), Stratis Health's Rural Quality Improvement Technical Assistance (RQITA) consultants, staff and Advisory Committee of the Technical Assistance and Services Center (TASC) and FORHP staff.


Omni Shoreham, Washington DC
2500 Calvert Street NW
Washington, NC 20008

For more information, please contact:

Shannon Greely
(218) 216-7039

Flex RSV Presentations and Materials

Please see the SHCP Program Partnership Meeting page for a list of the SHCP Program grantees as well as presentations and materials.

FORHP Welcome

Tom Morris, MPA, FORHP, HRSA
Sarah Young, MPH, FORHP, HRSA
Katy Lloyd, MPH, FORHP, HRSA 

Keynote: Engage. Measure. Improve.

Shantanu Agrawal, DO, National Quality Forum

Federal Rural Health Policy and Regulatory Update

Paul Moore, D.PH, FORHP, HRSA
Wakina Scott, MPH, PhD, FORHP , HRSA
Brock Slabach, MPH, FACHE, National Rural Health Association (NRHA)
John Supplitt, MPA, MBA, American Hospital Association (AHA)

Engaging in Financial Improvement for the Future

Ralph Llewellyn, CPA, CHFP, Eide Bailly

Measuring CAH Swing Bed Quality

Ira Moscovice, PhD, FMT, University of Minnesota Rural Health Research Center
Leslie Marsh, RN, BSN, MSN, MBA, Lexington Regional Health Center
Gregory Wolf, MBA, Stroudwater Associates 

Supporting Population Health Through Collaboration

Lindy Vincent, Washington State Department of Health

Scott Daniels, PhD, Hawaii Department of Health, Office of Primary Care and Rural Health

Supporting Regional Emergency Medical Services (EMS) Capacity

Angie Lockwood, University of North Dakota Center for Rural Health

Daniel Prokop, MHSA, Ohio Department of Health

ACOs, QPP and VBP - Oh MI!

Karla Weng, MPH, Stratis Health

John Barnas, Michigan Center for Rural Health

Crystal Barter, Michigan Center for Rural Health

Engaging with EMS and Community Partners to Impact Health Outcomes

Sarah Craig, MHA, CRCA, South Carolina Office of Rural Health

CAH Administrator Panel: Engaging with System and Independent CAHs

Leslie Marsh, RN, BS, MSN, MBA, Lexington Regional Health Center
Steve Barnett, DHA, CRNA, FACHE, McKenzie Health System

Integrating Behavioral Health Through Flex Program Activities

Judy Bergh, BAN, Minnesota Department of Health, Office of Rural Health and Primary Care

Stephanie Nantz, MPA, North Carolina Office of Rural Health

Flex Program Update: What to Expect in 2019

Sarah Young, MPH, FORHP, HRSA
Katy Lloyd, MPH, FORHP, HRSA

MBQIP and SHCP Program Awards

Nisha Patel, MA, CHES, FORHP, HRSA 
Kristi Martinsen, MPM,  FORHP, HRSA
Michael Fallahkhair, MPH,  FORHP, HRSA 
Katy Lloyd, MPH, FORHP, HRSA
Yvonne Chow, MPP, FORHP, HRSA

The ABCs of Abx Stewardship

Sarah Brinkman, MBA, MA, CPHQ, Stratis Health

Lisa Carhuff, RN, MSN, Georgia State Office of Rural Health

Alia Hayes, MPH, New Hampshire State Office of Rural Health

Jack King, Montana Hospital Association

CAH Finance 101: Understanding the Basics

Ralph Llewellyn, CPA, CHFP, Eide Bailly

CAH Finance 101

CAH Finance 101 (PDF Document - 32 pages)

CAHMPAS Updates to Help Inform Your Workplan

Kristin Reiter, PhD, FMT, University of North Carolina - Chapel Hill

Keynote: A Michigan Tale of Combating Opioids

Steve Barnett, DHA, CRNA, FACHE, McKenzie Health System 
Mark Hamed, MD, MBA, MPH, McKenzie Health System

Supporting CAHs through Quality Staff Turnover

Kyle Cameron, MS, Wyoming Department of Health

Stacie Rothwell, Oregon Office of Rural Health

Sarah Brinkman, MBA, MA, CPHQ, Stratis Health

Peer Stories: Flex Program Internal Process Improvement Strategies

Ernie Scott, Kentucky Office of Rural Health

Kayla Combs, MHA, Kentucky Office of Rural Health

Hannah Robinson, MPH, Utah Office of Primary Care and Rural Health

Greg Rosenvall, Utah Hospital Association

Leading Change Through Operational Improvement

Jack King, Montana Hospital Association

Karen Madden, MA, New York State Office of Rural Health

Keynote: Role and Value of Effective Leadership in Rural Health

Lieutenant Commander Fred Butler Jr., MPH, MBA, Centers for Medicare and Medicaid Services (CMS)

Substance Abuse Learning Meeting Keynote: Community Engagement to Address the Opioid Crisis

Dr. Laura Palombi, PharmD, MPH, MAT, AE-C, University of Minnesota