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Michigan Center for Rural Health

Top Flex Activities

CAH Quality Improvement

Michigan Flex Program's activities:

  • Supporting the Michigan Critical Access Hospital (MICAH) Quality Network (QN) activities, including their three strategy groups.
    1. Making care safer by reducing harm caused in the delivery of care
    2. Data management and analysis
    3. Promoting effective communication and coordination of care

Measurement of activities includes engagement with each strategy group and performance on associated metrics. 

  • Supporting the Medicare Beneficiary Quality Improvement Project (MBQIP) measuring reporting performance and improvement
  • Aligning MBQIP metrics into the Blue Cross Blue Shield (BCBS) Pay-for-Performance Program measuring performance on program requirements

CAH Operational and Financial Improvement

Michigan Flex Program's activities:

  • Recruitment of all critical access hospitals (CAHs) to participate in the Financial Benchmark Group (currently 20 of 37 CAHs are participating)
  • Supporting bi-yearly meetings of CAH chief financial officers (CFOs) measuring participation and engagement
  • Encouraging CFO efforts to submit financial benchmarks into a benchmarking tool facilitated by Eide Bailly
  • Supporting hospital service line analysis and inpatient and outpatient Lean analysis measuring project-specific performance thresholds

CAH Population Health Improvement

Supporting CAHs in completing the Population Health Readiness Assessment. This will be measured by engagement and participation in the tool. 

Rural Emergency Medical Services (EMS) Improvement

EMS Leadership Academies facilitated by SafeTech Solutions. This activity is measured by pre and post-test evaluations and a self-assessment. 

Innovative Model Development 

Promoting quality improvement and reporting in certified rural health clinics (RHCs), via the Quality Health Indicators Tool. 

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

The Michigan Flex Program has a great working relationship with the Michigan Health and Hospital Association, who has the Great Lakes Partnership for Patients Hospital Improvement Innovation Network contract, focusing on reducing harm in inpatient facilities. 

Program Statistics

Do you have any hospitals interested in converting to CAH status?:
Type of Organization Non-profit Organization
Staffing (FTE) 4
Website Organization Website
Number of CAHs 37

Flex Program Staff

John Barnas
State Office Director, Michigan
(517) 432-9216
Crystal Barter
Flex Coordinator, Michigan
(517) 432-0006
Sara Wright
Community Programs Assistant, Michigan
(517) 353-3990
Jeff Nagy
Quality Improvement Advisor, Michigan
(517) 884-8641

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, $1,009,121 (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.