Critical Access Hospital Recognition Nomination Form

Do you know of a critical access hospital (CAH) that has implemented an innovative approach to Post-Acute Care, that supports a patient’s continued recovery from illness or management of a chronic illness or disability?  If so, please consider nominating them for Critical Access Hospital Recognition, an initiative of the Technical Assistance and Service Center (TASC), a program of the National Rural Health Resource Center (The Center), and the Federal Office of Rural Health Policy (FORHP).

The purpose of the Critical Access Hospital (CAH) Recognition initiative, is in large part, to capture best practices and recognize the innovative work being done in CAHs across the country.  It is also an opportunity for state Flex Coordinators to highlight the support state Flex Programs are providing to CAHs.

Below, please nominate a CAH who is demonstrating excellence and innovation in the area of Post-Acute Care, that supports a patient’s continued recovery from illness or management of a chronic illness or disability. Please only nominate a CAH where the state Flex Program supported the initiative. Support may include things such as having provided funding for the initiative, participation in a planning committee, assistance in measuring and evaluating the effectiveness of the initiative, etc.

The deadline to submit nominations is Friday, July 10, 2020.

CAH Nominee
Hospital Administrator
Flex Coordinator
Justification
Supporting documentation may be emailed to Angie LaFlamme at alaflamme@ruralcenter.org.
(0-3 points)
(0-2 points)
(0-5 points)
(0-2 points)

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, $1,205,000 (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.