Resources

Resources to support hospitals interpret Medicare Beneficiary Quality Improvement Project (MBQIP) reports and make use of their data.

These tools and resources will help the Community Champion build a comprehensive foundation to identify and connect with diverse community partners to host a Community Connect Event.

These tools and resources will help the Community Champion collaborate with community joint partners to identify and address community/patient health needs by maximizing capacity and available assets during their Community Priority Action Planning Workshop.

These tools and resources will help the Community Champion monitor progress, strengthen collaboration and strategize for sustainability to ensure underserved populations benefit from coordinated care and support the facilitation of the Stay the Course Workshop.

Learn about how the DRCHSD program defines Community Care Coordination.

The DRCHSD Program (The Program) supports one Community Champion (CC) per selected organization to assist executive leadership with the Program goal of strengthening the local Health Care delivery system to position for population health.

The process of bringing a new employee into the organization.

The extent to which employees are passionate about their work and committed to the organization (engagement) and the choice by an employee to stay with an organization instead of seeking employment elsewhere (retention).

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. 

Managing the cooperative agreement is one of the primary responsibilities of state Flex Programs and includes: budgeting, cooperative agreement application writing, working with partners, information management, and reporting.

View resources related to the Rural Community Ambulance Agency Transformation Readiness core competency Patients, Partners, and the Community.

View resources related to the Rural Community Ambulance Agency Transformation Readiness core competency Data, Collection, Management, and Analysis.

Customer engagement is an important outcome of an overall learning and performance excellence strategy. Use these resources to learn more about identifying population health partners.

Planning ought to be purposeful, active, and relevant, with input from key stakeholders such as internal staff, rural provider leaders and staff, and the state rural health and clinic organizations.

Resources related to Population Health: Outcomes and Impact Resources

Program evaluation relies on data and analysis. Data management is essential to the success of your population's health efforts.

Resources Related to Population Health: Understanding Value-Based Models

Leaders play a central role in setting values and directions. Use these resources to help develop leadership and planning for your organization.

Resources related to Population Health: Quality, Operations, and Processes Resources

Evaluation reporting to program stakeholders should be included in Flex Program activities. Reporting supports overall program transparency and development, stakeholder buy-in, engagement, and accountability.