Missouri Department of Health and Senior Services - Office of Rural Health
Top Flex Activities
CAH Quality Improvement
In order to achieve the critical access hospitals (CAHs) quality improvement objectives, the Missouri Medicare Rural Hospital Flexibility (Flex) Program utilizes a contractor to provide technical assistance for the Medicare Beneficiary Quality Improvement Project (MBQIP), utilizing webinars, conference calls, site visits, in-person training, regional training, and one statewide training annually.
Missouri CAHs have access to a dashboard that promotes MBQIP and utilizes quality data for improvement activities. Each hospital has the ability to view aggregate performance as well as the most current performance averages for the state and nation on the dashboard. The data collected is used to drive performance improvement in a variety of ways. The Missouri Flex Program contacts and assists low performing hospitals in regards to the identified gaps and addresses best practice strategies. A swing bed benchmarking project provides CAHs with access to a web-based application supporting national CAH Swing Bed performance improvement. Through facilitated peer to peer discussions, CAH participants foster relationships and share best practices on Core MBQIP measures. Additionally, regional meetings are hosted and attendees actively participate and network with others who might be struggling in the same areas. The main focus is increased reporting for MBQIP measures and continuous improvement to increase the number of hospitals reporting on such measures.
CAH Operational and Financial Improvement
The Missouri Flex Program utilizes a contractor to offer operational and financial technical assistance. Utilizing the Flex Monitoring Team Financial Indicator Report, struggling CAHs are identified and provided targeted technical assistance. Trainings and webinars are provided on new payment and care delivery models, how to improve revenue management and processes, and board education and leadership. Billing and coding education is provided to improve understanding, compliance, identify areas of improvement and increase productivity.
Please provide information about network activities in your state to support Flex Program activities.
The Missouri Flex Program hosts three rural health regional meetings that are held virtually in the spring and fall. CAHs are also encouraged to attend the Annual Missouri Flex Meeting in August, which encompasses a variety of topics that include quality and financial improvement.
|Type of Organization||State Government|
|Number of CAHs||35|