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Mississippi State Department of Health

Top Flex Activities

Program Area: Support for Quality Improvement

The Mississippi State Office of Rural Health (MS SORH) has contracted with a consulting group to provide technical assistance on the Medicare Beneficiary Quality Improvement Project (MBQIP) to all 31 critical access hospitals (CAHs). This technical assistance includes hospital site visits if required and hospital staff education on MBQIP measures and reporting requirements. MBQIP technical assistance is measured by the number of CAHs participating in the activity and improvements in outcomes.

Program Area: Support for Financial and Operational Improvement

MS SORH has engaged subcontractors to provide financial improvement assistance through revenue cycle activities. The activities will be measured by the number of CAHs participating and improvements in days in net accounts receivable.

For operational improvement, the office will subcontract with a consulting group to perform outmigration analysis. This activity will be measured over the long term by increased market share.

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

The Mississippi Flex Program completed a statewide population health assessment to compare results from an assessment conducted in 2015-2016.

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

Educational sessions on this topic area are provided through hospital network meetings. The activity is measured by the number of CAHs participating in accountable care organizations (ACOs).

In addition to the education sessions, the Mississippi Flex Program is providing financial and educational support in the formation of an ACO for Mississippi CAHs.

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

MS SORH subcontracts to provide financial network meetings for education and sharing of best practices on financial and operational subject matter. The activity will be measured by the number of CAHs participating.

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

The Mississippi Flex Program currently participates in inter-state collaboration with state offices in the mid-south for in the organization of regional CAH conferences. The 2019 Regional CAH conference will be hosted by Mississippi with assistance from neighboring states.

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

MS SORH staff are in the process of reviewing the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS) tool. The Mississippi Flex Program has utilized it to validate data for our hospital awards programs.

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


Program Statistics

Type of Organization State Government
Staffing 1.55 FTEs
Number of CAHs 31
Website URL Organization Website

Flex Program Staff

Rachel Sprinkle
State Office Director, Mississippi
(601) 576-7226

State Office Director since February 2019

Kenya Gilkey
Flex Coordinator

Began in September 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.