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Colorado Rural Health Center

Top Flex Activities

CAH Quality Improvement

The Colorado Rural Health Center (CRHC) continues to build on previous work in the area of quality improvement with the Critical Access Hospital (CAH) Quality Network, Regional Quality Improvement (QI) Workshops and Medicare Beneficiary Quality Improvement Project (MBQIP) Building Capacity Rapid Cycle Improvement Project, among other efforts. To measure the benefit of these projects, CRHC utilizes MBQIP data, benchmarking system reports, Lean Six Sigma, Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS) reports, as well as additional data and information gathered through site visits.

CAH Operational and Financial Improvement

CRHC is offering activities and support that build upon previous achievements. Annually, CRHC hosts webinars series on CAH swing beds, utilization management, admission criteria, and compliance to provide updates and training on any changes to regulations and best practices. CRHC continues to expand its CAH Financial Workgroup with CAH Chief Executive Officers (CEOs), Chief Financial Officers (CFOs), other members of the CAH finance team, and Quality Improvement staff. Additionally, CRHC offers financial and operational education to CAHs through its annual CAH Workshop. CRHC measures the impact of these activities through CAHMPAS and iVantage Hospital Strength INDEX Performance data, participation in technical assistance activities, number of CAH CFO workgroup meetings, number of CAH Financial and Operational Assessments completed, number of site visits, and coaching calls completed.

CAH Population Health Improvement

CRHC utilizes the results of the Community Health Needs Assessments (CHNAs) and Population Health Readiness Assessments to identify CAHs to participate in the Colorado Rural Sustainability (CORS) Network focused on chronic care management. CRHC facilitates the CORS Network to implement evidence-based chronic care management programs in rural counties through peer learning calls, workshops, and network meetings. CRHC convenes 1:1 coaching calls to share tools and resources using community-oriented, outcome and team-based care. Success is measured by knowledge gained through population health needs, number of performance activities identified, number of action plans created, baseline and target measures identified, number of site visits, and coaching calls.

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

CRHC holds quarterly Technology for Healthcare Excellence (THE) Consortium webinars which provide expert consultation, education, and resources to facilities seeking to adopt new or support their current Health Information Technology (HIT) efforts. Webinar topics include Quality Payment Program (QPP), Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security, and electronic health record (EHR) functionality.

CRHC manages the CORS Network to implement evidence-based chronic care management programs in rural counties through peer learning calls, workshops, and network meetings.

CRHC manages the CAH Peer Review Network in an effort to provide objective rural providers chart reviewers from other CAHs, who have an understanding of the unique working conditions of rural providers.

CRHC also manages a CAH Financial Workgroup with quarterly webinars where CAH CEOs, CFOs, and QI Directors learn about and discuss the latest financial trends and any new regulations.

CRHC hosts monthly CAH Quality Network webinars that focus on utilizing quality improvement methodologies, sharing best practices, and peer-to-peer education.

Please provide information about cross-state collaborations you may be working on related to the Flex Program.

CRHC will continue to work with the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Colorado for quality improvement, value-based purchasing program support, and technical assistance.

Please describe how your state Flex Program is reaching out to non-traditional partners to support its work.

Through their CORS Network, CRHC is helping facilities expand their work into the communities by building relationships with other healthcare clinics outside their system to better utilize resources and not duplicate efforts, partnering with already established diabetic education classes by providing staff and resources, and partnering with schools and libraries to reach the pediatric population and integrate healthcare practices into their daily activities at these community facilities.

Program Statistics

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Type of Organization Non-profit Organization
Staffing (FTE) 3.5
Website Organization Website
Number of CAHs 32

Flex Program Staff

Michelle Mills
State Office Director, Colorado
(303) 832-7493

Specialty Areas / Background

Colorado Rural Health Center's (CRHC) CEO, Michelle has over 18 years of healthcare experience in quality improvement and patient safety. Michelle has worked extensively with hospitals, nursing homes, and physician offices, and she has been a catalyst for creating synergy for quality improvement and patient safety efforts. Michelle began working with CRHC in January 2010.

State Office Director since August 2012

Marcy Cameron
Flex Coordinator, Colorado
(303) 468-3498

Specialty Areas / Background

As the Associate Director of Programs, Marcy is responsible for helping meet the needs of hospitals in rural and underserved areas of Colorado. Marcy is a health care management professional who has over 14 years of experience with health care quality improvement organizations, federal government reporting programs and hospital services. Her experience includes providing technical assistance, education and quality improvement support.

Flex Coordinator since February 2016

Rachel Williams
SHIP Coordinator, Colorado

Flex Program Staff member since April 2017

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, $1,560,000 (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.