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New York State Department of Health, Office of Rural Health

Top Flex Activities

Program Area: Support for 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). An optional activity has been added to collect and review falls data. All critical access hospitals (CAHs) have shared best practices to reduce the number of falls in their Improvement Network Quality Workgroup.

Program Area: Support for Financial and Operational 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 are able to 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 any efforts to assist CAHs/communities and partner organizations in the transition to value-based care.

CAHs throughout the state participate in the Value-Based Payment (VBP) Bootcamp that is conducted by the New York State Department of Health. Bootcamps are held throughout the state and are available via webcast recording. Topics of the Bootcamp include VBP arrangements and associated measure sets, contracting best practices, managed care organization adjustments, and managed long-term care design and quality measures. 

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

A major focus of the New York Flex Program has been the 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 meets four times per year to review and discuss data and best practices. Meetings also include hospital presentations and updates on current market trends.

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

The New York Flex Program has begun an effort to use quality data to determine why hospitals may not be submitting data on a regular basis. Hospital-specific technical assistance efforts are being developed to assist those facilities who are having issues with data collection and submission.

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


Program Statistics

Type of Organization State Government
Staffing 1.4 FTEs
Number of CAHs 18
Website URL Organization Website

Flex Program Staff

Karen Madden
State Office Director, New York
(518) 402-0102
Helen Smith
Flex Coordinator, New York
(518) 402-0102

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.