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Florida Department of Health

Top Flex Activities

Program Area: Support for Quality Improvement

Florida has consultants providing one-on-one quality and financial assessments, site visits, and webinars to educate the critical access hospitals (CAHs) on reporting techniques and best practices of quality and financial improvements.  

Program Area: Support for Financial and Operational Improvement

With support from Stratis Health, the Health Services Advisory Group (HSAG) and contracted consultants, Florida provides in-depth individual financial and operational assistance and guidance to all of the Flex-participating CAHs.

Program Area: Support for Population Health Management and Emergency Medical Services Integration 

The Florida State Offfice of Rural Health has partnered with the Bureau of Emergency Medical Oversite at The Florida Department of Health to assist and educate rural emergency medical services (EMS) agencies in the areas of population health management and community para-medicine practices.

Please provide information about any efforts to assist CAHs/communities and partner organizations in the transition to value-based care.

Florida has been holding quarterly webinars and facility focused trainings with selected CAHs to educate the hospitals in the necessary steps for the transition to value-base care.

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

Each fiscal year, the Flex Coordinator and Director of Rural Health meet with each CAH's Chief Executive Officer (CEO) and key staff via scheduled site visits to discuss activities and projects pertinent to their perspective hospitals and communities. During the site visits, best practices are shared and CAHs are given contact information of other CAHs for collaborative activities or networking with each other.

Floirda utilizes a consulting firm that is in constant contact with the CAH CEOs and staff to connect and network collaborative efforts based on quality and financial assessment outcomes for best-fit collaborations, activities, and projects.

Please describe how your state Flex Program has enhanced its use of data in the past year.

Florida uses the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS) financial and the Medicare Beneficiary Quality Improvement Project (MBQIP) measure data reports to provide each CAH with individualized best-fit resources and information to improve upon data outcomes. These tools are great for comparison usage and helping the CAHs to see where improvements can be made.

Do you have any hospitals interested in converting to CAH status?


Program Statistics

Type of Organization State Government
Staffing 1.0 FTEs
Number of CAHs 12
Website URL Organization Website

Flex Program Staff

Lela Shepard
State Office Director, Florida

Specialty areas and background include PMP, grants and contracts, public health preparedness and response, crisis and emergency risk communications, health education and promotion.

Abbie Parmenter
Flex Coordinator, Florida

Flex Coordinator since June 2019

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.