Texas Department of Agriculture
Top Flex Activities
Program Area: Support for Quality Improvement
The State Office of Rural Health (SORH) contracts with a statewide hospital association who provides technical assistance on the Medicare Beneficiary Quality Improvement Project (MBQIP). The technical assistance consists of onsite visits, webinars, conference calls, and statewide workshops. The quality improvement (QI) partners have developed a database which provides reports back to the critical access hospitals (CAHs) quickly so that improvements can be made. A best practice the group has developed for the emergency department transfer communication (EDTC) measure is creating a Memorandum of Transfer document that contains all of the required measures.
Program Area: Support for Financial and Operational Improvement
The SORH, in partnership with our financial and operational (F&O) contractor, selected 10 CAHs by examining various measures and confirmed their participation. Ten onsite condition assessments were completed and the group of CAHs identified three intervention projects: Hispanic marketing demographic, marketing, and telemedicine roadmap. A total of four onsite cohort meetings and one general education webinar on the telemedicine roadmap were conducted. Moving forward, the Texas Flex Program will continue to monitor the participating CAHs to see the impact of the interventions, as well as select new CAHs to participate.
Please provide information about any efforts to assist CAHs/communities and partner organizations in the transition to value-based care.
The SORH assists CAHs/communities in the transition to value-baed care by providing information and resources during the annual CAH conference. Additionally, the Texas Flex Program provides support during in-person site visits.
Please provide information about network activities in your state to support Flex Program activities.
The SORH is working on identifying key quality improvement stakeholders in the state to bring together for future meetings. The SORH also participates in a bi-monthly Hospital Membership Call where updates on the Flex Program are discussed.
Please provide information about cross-state collaborations you may be working on related to the Flex Program.
The SORH partners with and supports a statewide advocacy association in hosting an annual CAH Conference. Additionally, the SORH hosts an annual stakeholder meeting where champions from across the state come in and participate. In the agenda there is a specific agenda item dedicated to the Flex Program where the QI and F&O contractors give an update on the project and provide a close-out presentation for the project year.
Please describe how your state Flex Program has enhanced its use of data in the past year.
The SORH utilizes Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS) for grant writing purposes and for selecting CAHs, with the F&O partner, to participate in F&O activities. The QI partners have also developed a database which is utilized to provide real-time comparisons so improvements can be made. In addition, the QI partners have developed a reporting template which is given to the CAHs to provide feedback on the different QI domains.
|Type of Organization||State Government|
|Number of CAHs||83|
|Website URL||Organization Website|