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West Virginia State Office of Rural Health

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Program Area: Support for Quality Improvement

The West Virginia Flex Program, with the West Virginia Hospital Association (WVHA) Critical Access Hospitals (CAH) Network, plans to continue education efforts to increase participation and continued reporting in the following areas through technical assistance, implementation and promotion.

  • Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) initiatives
  • Medicare Beneficiary Quality Improvement Project (MBQIP) outpatient measures and influenza immunization measures
  • Hospital Compare submissions using the Centers for Medicare & Medicaid Services (CMS) Abstraction and Reporting Tool (CART) and other approved tools

The WVHA CAH Network supports the development of hospital quality benchmarking and quality improvement education/training activities. Recently, the network provided scholarships for participating CAHs to attend the 2017 Association for Professionals in Infection Control and Epidemiology (APIC) Conference at no cost for registration. The WV CAH Network also maintains and directs a performance improvement listserv.

Please share a success story about reporting quality data or using quality data to help CAHs in your state improve patient care.

The West Virginia Flex Program has begun working with the West Virginia Health Information Network to assist with data collection for the West Virginia CAHs. This has provided a fantastic collaboration that allows for better data collection and reporting for the CAHs.

Program Area: Support for Financial and Operational Improvement

West Virginia Flex and the WVHA CAH Network collaborate to provide the following:

  • Technical assistance in support of CAH participation in the Balanced Scorecard data collection and analysis on a quarterly basis
  • Analysis and discussion of WVHA CAH Network members’ financial, clinical and operational performance at quarterly WVHA CAH Network meetings
  • Technical assistance and education related to cost reporting, revenue cycle management (to include two non-CAH small rural hospitals), revenue and cost analysis or other performance-related measures

The WV CAH Network maintains and directs CAH CEO, CAH CFO and Patient Account Representative listservs.

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

The West Virginia Flex Program and WVHA CAH Network conduct annual needs assessments and on-site visits to West Virginia CAHs. This provides input from the CAHs to ensure the programs are meeting the needs of the CAH communities and catchment areas.

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

The WV Flex Program's collaboration with the WVHA CAH Network continues to provide support for quality improvement, operational and financial improvement and population health management.

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

The West Virginia Flex Program and WVHA CAH Network collaborate with the Virginia Hospital Association to improve MBQIP data reporting.

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

The West Virginia Flex Program assists with quarterly reporting and provides training in collaboration with the WVHA CAH Network. In the care area of quality improvement, the CAHs are more attuned to HCAHPS, inpatient and outpatient measures and emergency department transfer communication (EDTC) measures as a result of the collaboration's data collection and reporting activities.

Please share any resources or tools that you found useful in your state Flex Program's work this past year that you would recommend to your Flex Program colleagues.

The WV CAH Network has and continues to be the most valuable asset the West Virginia Flex Program and West Virginia State Office of Rural Health (SORH) to date. It is beyond words how collaboration, assistance and continued work with the Network and West Virginia Hospital Association is appreciated by the West Virginia SORH and Flex Program.

Program Statistics

Type of Organization State Government
Staffing 1.0 FTE
Number of CAHs 20
Website URL none provided

Flex Program Staff

Melissa Wheeler
State Office Director, West Virginia
(304) 558-4382

Specialty Areas / Background

  • Recruitment and retention
  • Loan repayment
  • J-1 Visa waivers

State Office Director since June 2007 

Shawn Balleydier
Flex Coordinator, West Virginia
(304) 558-4382

Specialty Areas / Background

  • Mental health
  • Rural health
  • Medicare and Medicaid
  • Non-profits
  • Substance abuse
  • Homelessness and shelters

Flex Coordinator since April 2004 

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.