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New York State Department of Health, Office of Rural Health

Top Flex Activities

CAH Quality Improvement

The primary focus of the New York Flex Program is performance improvement on Medicare Beneficiary Quality Improvement Project (MBQIP), Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), and emergency department transfer communication (EDTC). The group is working on a statewide  Patient and Family Advisory Council (PFAC) for the QI project that all 18 CAHS are participating in.

CAH Operational and Financial Improvement

The New York Flex Program works with all CAHs to improve financial and operational performance through the New York State CAH Performance Improvement Network (PI Network), which meets quarterly to review and discuss data and best practices to improve performance. Hospitals can benchmark using data from the previous quarter that is submitted monthly, compiled, and compared with CAHs regionally and nationally. The PI Network sets a goal for each measure, that all hospitals strive to meet collectively.

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

A major focus of the New York Flex Program is the continued development and implementation of the PI Network. The PI Network seeks to help its member CAHs improve performance by assessing publicly and self-reported data, establishing network targets, comparing data to CAHs regionally and nationally, and identifying best practices. The PI Network has a Quality Workgroup and a Finance and Operations Workgroup. All 18 CAHs in New York participate in the PI Network. The PI Network participates in zoom meetings six times per year to review and discuss data and best practices. Meetings also include hospital presentations and updates on current market trends.

Program Statistics

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Type of Organization State Government
Staffing (FTE) 3
Website None Provided
Number of CAHs 18

Flex Program Staff

Karen Madden
State Office Director, New York
(518) 402-0102
Helen Smith
Flex Coordinator, New York
(518) 402-0102
Dorothy Marcello
Rural Health Grants Coordinator, New York
(518) 402-0102

Health Program Administrator Since 2020

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, $1,560,000 (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.