Resources

The guide for state Flex Programs contains relevant and practical recommendations and tools to strengthen staff engagement and retention through the Staff Sustainability Cycle described within, which consists of recruiting, onboarding, learning and development, engagement and retention, and succession planning.

The Pulmonary Rehabilitation Campaign — with messages tied to the themes of “From Winded to Wonderful,” “Breathing is Easy. Until it’s Not.” and “Breathe Relief Into Your Life” — is designed to educate health care consumers and providers about services that can be easily accessed locally.

This guide provides information about the current status and history of the MBQIP. It is intended to help state Flex Program personnel, and relevant subcontractors understand the basics of MBQIP, including key resources available to support them in their work.

This list includes quality improvement resources that can be used across a variety of project topic areas.

These resources provide information about how to submit Medicare Beneficiary Quality Improvement Project (MBQIP) data and how to interpret data reports in order to inform quality improvement efforts.

These resources focus on quality improvement for care transitions.

These resources focus on quality improvement for outpatient hospital services, primarily those provided in the emergency department (ED).

These resources focus on quality improvement related to the patient experience.

These resources focus on quality improvement related to patient safety and inpatient care.

This white paper provides a menu of suggested measures for the three dimensions of the Triple Aim.

This resource includes a list of some of the MBQIP and CAH quality reporting and improvement topics on which RQITA is available to present to various audiences upon the request of a state Flex Program.

View a list of key resources curated by the Technical Assistance and Services Center (TASC) for use by state Flex Programs to support incorporation of performance management into program operations, feeding into program improvement and evaluation

Use this series of leadership tools to enable rural health care leadership teams to examine and clarify roles for achieving performance excellence during the transition to value-based health care. They are geared specifically toward administrative teams, board members and physician leaders.

An Excel-based data collection tool designed to collect participation and improvement data over one grant year to enable accurate reporting of PIMS measures at the end of the grant budget year.

Blue Mountain Hospital has been recognized by the National Rural Health Resource Center for its use of innovative approaches to improve the organization’s financial stability.

The National Rural Health Resource Center (The Center) has launched the 2025 update to its Population Health Toolkit, which is designed to assist State Offices of Rural Health, state Medicare Rural Hospital Flexibility (Flex) Programs and individual health care organizations as they seek to better understand, manage and improve population health in their communities and states.

View the criteria to be eligible to participate in Flex-related activities for Fiscal Year 2020. Learn exceptions and answers to frequently asked questions and access the 2019 MBQIP sample waiver template.

A MOU is required in order for any CAH to participate in MBQIP. Access current and past MBQIP MOU and consent forms as well as descriptions of when to use them.

Resources to support abstracting, submitting, and confirming data submission to the Centers for Medicare and Medicaid Services (CMS) QualityNet Warehouse, including the CMS Abstraction and Reporting Tool (CART) and reporting specifications manuals. 

Flex Program Fundamentals: An Introduction to the Medicare Rural Hospital Flexibility Program is designed to be used by both new and current Flex Program staff: as an orientation manual and as a guide to helpful resources.