2017 Flex Program Reverse Site Visit

Event Details
Wednesday, July 19, 2017 to Thursday, July 20, 2017
Federal Office of Rural Health Policy (FORHP),
National Rural Health Resource Center (The Center)

Learning Objectives

  • Discover ways to communicate the value of your state Flex Program
  • Understand the future direction of the national Flex Program and the transition to value
  • Identify opportunities to implement present best practices and lessons learned by CAHs and state Flex Programs in supporting performance improvement in all of the Flex Program areas
  • Strengthen the leadership of your state Flex Program in the Core Competencies for State Flex Program Excellence, including Managing the Flex Program

The intended audience for the Reverse Site Visit is State Office Directors and Flex Coordinators/other key Flex personnel (two per state). The Flex Monitoring Team, Rural Quality Improvement Technical Assistance (RQITA), the TASC Advisory Committee and staff of FORHP will also be in attendance as speakers and technical experts.

Presentations and Materials

Health Resources and Services Administration (HRSA) Welcome

George Sigounas, MS, PhD, HRSA, US Department of Health and Human Services

MBQIP Awards 2017

MBQIP Awards 2017 (PDF Document - 2 pages)

Identifying High-Performing Flex States on Quality Reporting and Performance

The Future of the National Flex Program

Sarah Young, MPH, FORHP, HRSA

Leading the Transition to Change

Scott Wordelman, FACHE, Hennepin County Medical Center

Leading Transition

Leading Transition (PDF Document - 50 pages)

Hospital-Acquired Infections (HAI) and Antibiotic Stewardship

Denise Cardo, MD, Centers for Disease Control and Prevention

Financial Improvement for CAHs

Karen Madden, New York Flex Program

Matt Mendez, Stroudwater Associates

Addressing CAH Turnover - Medicare Beneficiary Quality Improvement Project (MBQIP) Strategies

Karla Weng, MPH, CPHQ, Stratis Health

Jody Ward, MS, RN, APHN, North Dakota Flex Program

Maximizing CAH Swing Beds in Bundled Payment Programs to Demonstrate Value

Leslie Marsh, MBA, MHP, Lexington Regional Health Center

Ira Moscovice, PhD, Minnesota Rural Health Research Center, Flex Monitoring Team (FMT)

CAH and Federally Qualified Health Center (FQHC) Collaborations

Alana Knudson, PhD, EdM, NORC, University of Chicago (PDF Pending)

Darrold Bertsch, Sakakawea Medical Center and Coal Country Community Health Center

Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS)

Kristin Reiter, PhD, Cecil G. Sheps Center for Health Services Research, FMT

Bryna Koch, MPH, Arizona Flex Program

CAH Leadership Development Strategies

Kayla Combs, MHA, Kentucky Flex Program

Andy Fosmire, MS, Oklahoma Hospital Association

The Vulnerable Hospitals Toolkit

Teryl Eisinger, MHA, National Organization of State Offices of Rural Health (NOSORH)

Melinda Merrell, South Carolina Flex Program

Cathleen McElligott, MS, Massachusetts Flex Program

MBQIP: Looking Back and Forward

Yvonne Chow, MPP, FORHP, HRSA

Karla Weng, Stratis Health

Managing the Financials in the Flex Grant

Will Davis, Office of Financial Assistance Management, HRSA

State Flex Program Activites Aiding in the Transition to Value-Based Models

John Gale, MS, University of Southern Maine, FMT

Larry Baronner, M.Ed, MA, Pennsylvania Flex Program

Pat Justis, MA, Washington Flex Program

Program Assessment - Establishing Measurable Outcomes

Penny Black, MS, PhD, Wisconsin Flex Program

Nicole Breton, RDH, Maine Flex Program

John Gale, MS, University of Southern Maine, FMT

Tools and Strategies for Building Capacity for Rural Emergency Medical Services (EMS)

John Eich, Wisconsin Flex Program

Lindy Vincent, Washington Flex Program

Using MBQIP Data for Improvement

Laura Grangaard Johnson, MPH, Stratis Health

Brian Cooper, North Carolina Flex Program

Debbie Hunter, MBA, North Carolina Hospital Association

State Flex Program Approaches to the Statewide Population Health Assessment

Lisa Carhuff, MSN, RN, Georgia Flex Program

Meredith Guardino, MPH, Oregon Flex Program

Rural Provider Engagement Strategies

Dave Schmitz, MD, University of North Dakota

John Barnas, Michigan Flex Program

Rural Use of Telehealth

Kathy Wibberly, PhD, Mid-Atlantic Telehealth Resource Center

Shellie Smith, MLS, MBA, Alaska Flex Program

National Rural EMS Update

Kevin McGinnis, MPS, National Association of State EMS Officials (NASEMSO)

Rural EMS Update

Rural EMS Update (PDF Document - 31 pages)

Engaging Hospitals in Population Health Improvement

Terry Hill, National Rural Health Resource Center


Lodging arrangements must be made independently of this Flex Program Reverse Site Visit registration process by calling the hotel. A room block has been set aside for this event.

Hyatt Regency Bethesda
One Bethesda Metro Center
Bethesda, MD 20814

Call: (301) 657-1234 to make reservations
Room block name: National Rural Health Resource Center
Rate: Starting at $172 per night plus tax. The deadline to make hotel reservations at the group rate is Friday, June 23, 2017.

For more information, please contact:

Bridget Hart
(218) 216-7039

Related Resources: 

Core Competencies for State Flex Program Excellence Guide

Author: National Rural Health Resource Center

This framework is intended for those who manage and/or work on the Medicare Rural Hospital Flexibility (Flex) Program. Directors and managers within State Offices of Rural Health, state Flex Program Coordinators and other staff working with state Flex Programs are charged with supporting improvements in critical access hospitals (CAHs), population health and the integration of health services in the 45 states that participate in the Flex Program.

This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,100,000 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.