Texas Department of Agriculture
Top Flex Activities
CAH Quality Improvement
The Texas State Office of Rural Health (SORH) contracts with the Texas Hospital Association and Texas A&M Rural and Community Health Institute to provide technical assistance on the Medicare Beneficiary Quality Improvement Project (MBQIP). Technical assistance consisted of two in-person statewide meetings, eight webinars, monthly phone calls, and site visits. Incorporating feedback from critical access hospital (CAH) quality improvement champions, the Texas Flex Program is working on a quality improvement training program and MBQIP Portal.
CAH Operational and Financial Improvement
The SORH, in partnership with their financial and operational contractor – the Texas Organization of Rural and Community Hospitals, selected 16 CAHs by examining various measures, with their confirmed participation. Onsite condition assessments were completed at each of the CAHs and the cohort met on a quarterly basis and focused on out-migration, penetration of Medicare Advantage, Managed Care Organization (MCO) contracts, and a hospital dashboard. Moving forward, they will continue to monitor the participating CAHs to see the impact of the interventions as well as take a statewide approach to provide assistance and support to CAHs. The Texas Flex Program is also excited about utilizing a newly developed hospital dashboard to drive technical assistance, as well as working with a few identified CAHs to provide in-depth onsite consultations.
Please provide information about network activities in your state to support Flex Program activities.
The state has been divided into six different regions composed of both CAHs and prospective payment systems (PPSs) – all rural hospitals, ranging from 20 to 30 in each region. The regions were developed looking at both formal and informal networks (state-identified regions of services and local rural health networks). The goal is that regions meet quarterly and implement technical assistance through this regional approach.
Please provide information about cross-state collaborations you may be working on related to the Flex Program.
The SORH supports a collaborative rural hospital stakeholder group that meets bi-monthly. The group originally came together to complete a strategic plan for the Flex grant and has since continued to meet. Members of the collaborative group include hospital administrators, CAH quality improvement champions, contractors, the Quality Innovation Network and Organization (QIN/QIO) for the state, and other state experts. The group is currently exploring sharing more recent state data and aligning technical assistance. The cross-state collaboration will also work on hosting a rural hospital conference.
Please describe how your state Flex Program is reaching out to non-traditional partners to support its work.
As needs and supports are identified by the rural hospitals and other stakeholders, the Texas SORH will reach out to the identified non-traditional partners to meet identified goals. In the future, they will work on bringing rural emergency medical services (EMS), nursing homes, local foundations, rural health clinics (RHCs), and federally qualified health centers (FQHCs) to the table.
|Type of Organization||State Government|
|Number of CAHs||86|