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This collection of financial and operational resources directs you to consultant-recommended best practices and strategies for improving financial performance and increasing operational efficiencies. These tools include industry accepted key performance indicators (KPIs) for monitoring performance. Other resources include revenue cycle best practices and financial management training for both critical access hospitals (CAHs) and prospective payment system (PPS) hospitals. Implement these best practices and adopt the recommended strategies to position your hospital and/or network for the future.
This quality improvement collection will assist you to access resources to enhance performance in a number of areas related to health care, including clinical, leadership and operational growth.
The future of rural health depends on local voices, bold ideas, and shared commitment.
This MBQIP Virtual Knowledge Group webinar from the RQITA Resource Center shared information and resources about MBQIP 2025 and the Hybrid Hospital-Wide Readmissions measure with state Flex Program personnel and their subcontractors.
Review proposed measures for MBQIP.
Learn about the next steps for providing comments on the proposed measures.
Hear other MBQIP-related updates.
Learn about the next steps for providing comments on the proposed measures.
Hear other MBQIP-related updates.
Toolkit
Analyzing MBQIP Data
Resources to support hospitals interpret Medicare Beneficiary Quality Improvement Project (MBQIP) reports and make use of their data.
Understand the importance of care coordination and the foundational elements of an effective program as your hospital or clinic moves forward into Value-Based Payments.
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.
Guides to provide a brief overview and links to key documents to help rural health care professionals, practices and hospitals understand the billing code, consider the benefit to their patients and organization and begin billing for the code.
Developed specifically for rural organizations, this assessment is designed to provide a preliminary review of critical factors for organizations looking to develop, expand or enhance care coordination efforts.
Toolkit
Outcomes and Impact Resources
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
Resources related to Population Health: Quality, Operations, and Processes Resources
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.
This manual was developed for use by staff and boards of small rural hospitals and clinics as well as state Flex Programs. The content is designed to be as non-technical as possible and provide answers to frequently asked questions regarding CAH, small rural hospital and RHC finance and financial performance.
The Critical Access Hospital Financial Sustainability Guide guide is intended for use by state Medicare Rural Hospital Flexibility (Flex) Program personnel, leaders of critical access hospitals (CAHs), and other individuals and/or teams that provide guidance and assistance to these providers in managing their long-term financial stability.
America’s rural health care system faces growing challenges in accessing capital funding for essential infrastructure projects. This paper provides a historical overview of major capital funding programs and analyzes the persistent challenges that prevent rural health care providers from converting available funding into usable capital—undermining sustainability in rural health systems.
Document
MBQIP MOU and Consent Forms
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.
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.