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This report is designed to help rural EMS leaders and health care providers during the transition to value-based payment, providing ideas for collaboration and potential strategies to better prepare and integrate into the new value-based environment.

This final session of the 2020 Reverse Site Visit featured the Calico Quality Leadership Award presentation as well as closing remarks from the Federal Office of Rural Health Policy.

Carondelet Holy Cross Hospital was recognized for innovation in emergency medical services (EMS). In 2014, health care providers serving residents of Santa Cruz County, Arizona, came together to create the Community Healthcare Integrated Paramedicine Project (CHIPP).

The March Virtual Knowledge Group (VKG) covered program management through a finance lens and addressed such topics as implementing programs at the hospital level, finances post-public health emergency (PHE), and workforce challenges.

Lincoln County Medical Center (LCMC), located in Ruidoso, New Mexico, was one of only four CAHs that earned national recognition for demonstrating innovative care coordination initiatives to improve population health.

The Federal Office of Rural Health Policy's (FORHP) Flex Program Virtual Reverse Site Visit (RSV) is an opportunity for state Flex Programs to make connections, share best practices and gather lessons learned to better engage and empower CAHs in activities to support healthy rural communities.

The MBQIP Toolkit contains resources related to the Medicare Beneficiary Quality Improvement Project (MBQIP), which is part of the Flex Program.

Explain the basic components of remote patient monitoring (RPM) services. Describe the value of RPM to rural patients. Recall data and evidence related to the effectiveness of RPM. Recognize the opportunities and challenges of RPM for rural health providers. Understand what RPM means for value-based models.

In response to the high levels of mental health needs and the challenge of limited resources, Athol Hospital partnered to develop a collaborative school-based telepsychiatry model focused on bridging care gaps for children and families residing in the Athol Hospital service area.

This document summarizes the consensus of a discussion with CAH financial leaders and experts about the most important performance indicators, the CAH financial distress model from the FMT, CAH interventions for optimizing financial performance and the evolving health care system.

Following the webinar, participants gained knowledge regarding new and emerging models of care influencing rural health care providers and improved their ability to recognize and locate resources related to emerging models of care that can inform their office, partners, and rural providers.

Ellenville Regional Hospital is recognized for implementing an innovative project to fight the opioid crisis in collaboration with a federally qualified health care center (FQHC). The Opiate Reduction Medicaid Accelerated Exchange Series Pilot (Max) Project has provided a new model of care in an effort to decrease the administration of opioids in the Emergency Department (ED).

The dramatic turnaround at Pershing General Hospital began with a top-to-bottom facility assessment by hospital administration of unprofitable service lines and a comprehensive review of community health needs.

Ste. Genevieve County Memorial Hospital (SGCMH), located in Ste. Genevieve, Missouri, is one of only four CAHs that received national recognition for demonstrating innovative care coordination initiatives to improve population health.

Identify promising practices other state Flex programs have implemented in their states. Recognize activities state Flex programs can support to ensure critical access hospitals (CAHs) in their state are prepared for the transition to value-based payment models. Develop next steps needed to implement programs and services related to building capacity towards population health.

In this module, we’re going to take a broad look at your health care organization and help you think about how you and your team contribute to its long-term success. We’ll also explore the ways you impact culture and relationships through your daily interactions with others. 

Two new educational videos now available from the National Rural Health Resource Center highlight the prevalence of chronic obstructive pulmonary disease (COPD) in the country’s rural communities and the steps that critical access hospitals and other small rural hospitals can take to improve access to much-needed pulmonary rehabilitation services.

With assistance from the North Carolina SORH, Vidant Chowan Hospital implemented a ‘No Patient Left Behind’ transitional health program, a free service through which patients with chronic obstructive pulmonary disease, diabetes, post-acute AMI, congestive heart failure and pneumonia are helped to transition back to their home upon discharge.

Describe the financial and quality impacts of rural hospital and clinic telehealth use. Express market protection concerns for rural hospitals from non-traditional competitors with broad increased use and acceptance of telehealth. Recognize enhanced access to health care for rural patients. Recognize the benefits of telehealth use in value-based payment models.
Recall peer Flex Program experiences with telehealth initiatives

View week one webinar recordings and supporting materials related to a web-based learning collaborative to gain knowledge and understanding about the ways state Flex Programs can support CAHs as they transition to value-based payment and population health.