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Nebraska Health and Human Services

Top Flex Activities

CAH Quality Improvement

Nebraska's key activities for quality improvement are: 

  • Supporting critical access hospitals (CAHs) participating in Medicare Beneficiary Quality Improvement Project (MBQIP)
  • Continue to support the training and implementation of Capture Falls within the CAHs
  • Conducting mock surveys
  • Supporting participation of CAHs in an annual quality conference in Nebraska
  • Swing Bed training

CAH Operational and Financial Improvement

Nebraska's key activity for this area includes conducting comprehensive financial and operational assessments for low or negative margin CAHs.

CAH Population Health Improvement

Nebraska's key activities for population health improvement include:

  • Working with stakeholders to set target goals for implementing strategies
  • Provide technical assistance to help the community achieve the target goals
  • A strategic planning workshop for population health and value-based care (VBC) transformation

Rural Emergency Medical Services (EMS) Improvement 

Nebraska's key EMS activities include:

  • Community EMS assessments
  • Leadership education

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

The Nebraska Flex Program utilizes five CAH networks which range in size from seven to 28 members. The networks consist of CAHs and one larger regional or urban hospital. The networks hold regular meetings with member CAHs to share information and identify technical assistance needs. Each network has a network coordinator that leads the process.  All network coordinators participate in quarterly network coordinator meetings facilitated by Nebraska Flex staff. The purpose of these meetings is to network, share best practices and information, and identify technical assistance needs.

The Nebraska Flex Program sponsors the Quality Steering Committee to monitor all things quality. Regular meetings are held to review current data submissions, identify technical assistance needs, and share best practices. 

This past year, the committee hosted a Quality Residency Program for CAH staff.  The residency program consisted of five, two-day trainings. Participants had to attend all sessions to successfully complete the course. All sessions were led by volunteer quality professionals in Nebraska. Each participant was assigned a mentor to help guide them along their journey.

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

Several of the CAH networks include member hospitals from bordering states. These CAHs participate in network activities.

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

Nebraska has partnered with the Nebraska Health Information Initiative (NeHii) to bring MBQIP reporting to three pilot CAHs this year. The project focuses on pulling and automatically reporting MBQIP metrics. 

Program Statistics

Do you have any hospitals interested in converting to CAH status?:
No
Type of Organization State Government
Staffing (FTE) 1
Website Organization Website 
Number of CAHs 64

Flex Program Staff

Margaret Brockman
State Office Director, Nebraska
(402) 471-6057

Specialty Areas / Background

Margaret Brockman joined the Office of Community & Rural Health in July 2013. As a registered nurse, she has been employed in both rural and urban hospitals.She has experience in Medicaid, Patient Centered Medical Homes, Nursing Education, Certified Case Manager, Certified Occupational Health Nurse, commercial insurance, workers compensation and as a private business owner of a healthcare consulting firm.

State Office Director since July 2014

Nancy Jo Hansen
Flex Coordinator, Nebraska
(402) 471-4616

Specialty Areas / Background

Nancy Jo Hansen joined the Office of Community and Rural Health in December, 2014. Prior to joining the Rural Health Team, she spent 20+ years working in the field of HIV prevention and health promotion. Nancy Jo served as a team member of the HIV Prevention Program at Nebraska Department of Health and Human Services where she worked closely with community members and local public health agencies. Nancy Jo also served as the Program Coordinator for the HIV Prevention Program at the Nebraska Department of Education where she worked with local school personnel to develop HIV prevention curriculum.

Flex Coordinator since December 2014

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.