NM Department of Health/Population and Community Health/Office of Primary Care and Rural Health


United States

Top Flex Activities

CAH Quality Improvement

The New Mexico Flex Program is housed in the Office of Primary Care and Rural Health (OPCRH) and collaborates with contractors to support hospitals in their continued shared accountability of patient safety by offering hospital staff, senior leaders, and physicians on-site education regarding their roles in quality, patient safety and process improvement, high-reliability organizations, and team trainings. The New Mexico Flex Program also: 

  • Provides ongoing quality improvement support to the quality improvement leads through email, phone calls, site visits, or training and education opportunities
  • Hosts quarterly virtual meetings and one in-person opportunity per year for all the Quality Directors representing the participating hospitals to network and share learning opportunities
  • Provides webinars on specific clinical topics to improve patient safety on select nationally accepted Flex-related indicators
  • Promotes and supports hospital participation in patient safety training and other educational meetings provided by the New Mexico Hospital Association

New Mexico critical access hospitals (CAHs) all use different electronic systems, and have different methods of reporting and distributing data. The New Meixco Flex Program partners with the New Mexico Hospital Education and Research Foundation, to provide technical assistance focused on quality improvement (QI) related to the Medicare Beneficiaries Quality Improvement Project (MBQIP) measures. This has opened great sharing of quality measures and improvement ideas with these quality directors. New Mexico rural hospitals are identifying areas of QI and using a network-based approach to facilitate best practice exchanges among the participating hospitals.

CAH Operational and Financial Improvement

In New Mexico, financial assessment benchmarking is being done by a group of small rural hospitals and CAH leaders. They look at the financial indicators that they chose, assess the greatest need by the group, and focus on how to improve those measures. These activities are organized by the New Mexico Rural Hospital Network (NMRHN). This year they have focused on revenue and billing measures and also provided the CAHs support to participate in the online course of the Fundamentals of Critical Care Support to help the clinical staff better take care of sicker patients during the COVID-19 pandemic.

Rural Emergency Medical Services (EMS) Improvement

New Mexico Flex’s partnership with Eastern New Mexico Emergency Medical Services Corporation to improve quality EMS care for patients. Eastern New Mexico Emergency Medical Services works on improving access to quality data and to have comparative data, as well as educational opportunities on benchmarking data to drive change in measures. The main goal is to improve services being provided in rural communities by collecting and utilizing EMS data.

If your Flex Program was funded for one of the eight competitive Flex EMS awards, please describe your project, your partners, and intended long-term outcomes.

New Mexico Flex is addressing Focus Area 2 and is collaborating with our NMDOH EMS Bureau (EMSB) and Eastern NM EMS. The project will result in increased quality of input documentation and a better capability of running meaningful reports for QI activities. Review of inputted reports will reflect a better understanding of how to input and read data from inputted run reports and an enhanced ability to run regular and meaningful QI reports for improvement of patient care. It will also result in the participation of Emergency Medical Sevices Tracking and Reporting Systems (EMSTARS) by all rural EMS managers and medical directors. Long-term outcomes for this project include better access to quality rural EMS care and better health for New Mexicans.

Please provide information about network activities in your state to support Flex Program activities.

New Mexico has a strong networking focus. The New Mexico Rural Hospital Network and the New Mexico Hospital Association have regular leadership meetings.  Many subgroups have developed and now they have ED staff networking, quality directors, nurses, and financial staff. So many great things are being shared and learned through these networking groups. 

Program Statistics

Do you have any hospitals interested in converting to CAH status?:
Type of Organization State Government
Staffing (FTE) 1
Website Organization Website
Number of CAHs 9


Organization Contacts

Martina Garcia

Flex and SHIP Coordinator, New Mexico
(505) 257-8364

Flex and SHIP Coordinator since May 2019

Crystal Begay

State Office Director, New Mexico
(505) 699-8911

State Office Director since May 2022

Jasmin Hendrickson

Rural Primary Health Care Program Manager, New Mexico
(505) 331-6866

Rural Primary Health Care Program Manager since September 2022