Nevada State Flex Profile

Top Flex Activities

Program Area: Support for Quality Improvement: 

In this area, Nevada will:

  • Develop statewide strategies for quality improvement (QI) via quarterly meetings of a Flex-supported Nevada Rural Hospital Quality Improvement Network comprised of CAH QI and Risk Managers during each year of the project period
  • Assist Nevada CAHs with the ongoing development of non-Medicare Beneficiary Quality Improvement Project (MBQIP) quality benchmarking capacity and utilization of non-MBQIP benchmarking data for QI and risk management projects
  • Support Nevada critical access hospital (CAH) participation in ongoing infection control programs and surveillance via quarterly meetings of a Flex-supported Infection Control (IC) Workgroup during each year of the project period
Please share a success story about reporting quality data or using quality data to help Critical Access Hospitals (CAHs) in your state improve patient care: 

For over a decade, Flex funding has been utilized to support a QI network that meets quarterly to develop hospital-level and network-based strategies to increase quality reporting and to utilize quality and patient safety data to improve the quality of care provided by Nevada's rural and frontier hospitals. 

Program Area: Support for Financial and Operational Improvement: 

In this area, Nevada will: 

  • Develop statewide strategies for performance improvement (PI) via quarterly meetings of a Flex-supported Critical Access Hospital Performance Improvement (CAH PI) Network comprised of CAH Chief Executive Officers (CEOs), Chief Financial Officers (CFOs) and critical financial and operational staff for each facility during each quarter of the three-year project period
  • Support and assist the ongoing development and implementation of data-driven analytical tools and strategies to any requesting Nevada CAH or group of CAHs, including but not limited to topic-driven workshops, financial and operational analysis, assistance with the use of benchmarking core financial and operational performance indicators, and hospital staff training on the use of software programs and reporting tools
Program Area: Support for Population Health Management and Emergency Medical Services Integration: 

In this area, Nevada will:

  • Undertake an annual statewide population health management needs assessment and Nevada rural and frontier population health profile, including an assessment of statewide rural and frontier emergency medical services (EMS) needs
  • Plan, produce and disseminate the next edition of the Nevada Rural and Frontier Health Data Book in conjunction with the ongoing data collection and analysis
  • Provide financial and staff support for the Annual Nevada Rural EMS Conference and associated continuing education classes offered in conjunction with the conference during each year of the three-year project period

The Nevada Rural and Frontier Health Data Book will contain county-level data on demographics, social and economic conditions, health insurance, population health status, health workforce and health professions shortage areas and health care economics.

Program Area: Support for Integration of Innovative Health Care Models: 

The Nevada Flex Program supports Nevada CAH clinical and non-clinical staff participation in Project Extension for Community Health Outcomes (ECHO) Nevada activities, provider education and technical assistance. ECHO is a telehealth linkage connecting university-based faculty specialists to primary care providers in rural and under-served areas of Nevada to extend specialty care to patients with chronic, costly and complex medical illnesses.

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

For over a decade, Flex funding has been utilized to support a QI network that has provided education and training to QI and Risk Managers on topics that include the transition to value-based care among Nevada's rural and frontier hospitals. This strategy has informed the recent development of PI network whose aim is to develop network-oriented performance improvement strategies among Nevada's CAHs.

Please provide information about network activities in your state to support Flex Program activities (such as financial improvement networks, CAH quality networks, operational improvement with CEOs or EHR workgroups): 

For over a decade, Flex funding has been utilized to support a QI network that meets quarterly to develop hospital-level and network-based strategies to increase quality reporting and to utilize quality and patient safety data to improve the quality of care provided by Nevada's rural and frontier hospitals.

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

For the past 15 years, the Nevada Flex Program has collaborated with our colleagues in Arizona, California, Hawaii, New Mexico, Utah and other western states to support CEO and CFO participation in the Western Region Flex Conference.

From the last Flex Program year, please describe a best practice you would like to share with other states: 

The Nevada Flex Program and colleagues in Arizona, California, Hawaii, New Mexico, Utah and other western states plan and implement an annual state of the art conference, the Western Region Flex Conference, attended by 100-150 CAH CEOs, CFOs and staff in the western half of the US each year. This conference features nationally recognized speakers on a wide-range of current financial, operational and quality-improvement issues facing CAHs.

Program Statistics

What type of organization is your Flex office housed in?: 
University
What is the number of full time employees (FTE) in your Flex office?: 
1.50
How many CAHs are in your state?: 
13
Do you have any hospitals interested in converting to CAH status?: 
No

Additional Information

Flex Program Staff

Gerald Ackerman
State Office Director, Nevada
(775) 738-1525
John Packham, PhD
Flex Coordinator, Nevada
(775) 784-1235

Specialty Areas / Background

  • Health policy
  • Health workforce
  • Health services research and policy analysis
  • Public health

Flex Coordinator since December 1999 

Tabor Griswold, MS
Health Services Research Analyst, Nevada
(775) 682-8475

Specialty Areas / Background

  • Health services research
  • Geographic information system (GIS) research and mapping
  • Health workforce
  • Health economics

Health Services Research Analyst since July 2006 

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.