West Virginia Flex State Profile

Top Flex Activities

Program Area: Support for Quality Improvement: 

The West Virginia State Office of Rural health (SORH)/Flex and the West Virginia Hospital Association (WVHA) Critical Access Hospitals (CAH) Network plans to continue education efforts to increase participation in Hospital Consumer Assessment of Healthcare Providers and Systems (HCAPHS) initiatives through technical assistance as well as the implementation and continued reporting HCAHPS Measures. West Virginia Flex will continue to promote reporting to Hospital Compare by CAHs using Cart and other approved tools.

The WV SORH/Flex and WVHA CAH Network plans to continue education efforts to increase participation in Medicare Beneficiary Quality Improvement Project (MBQIP) initiatives through technical assistance, implementation and continued reporting of Out Patient Measures and Influenza Immunization Measures, and continue to promote reporting to Hospital Compare by WV CAHs using the Centers for Medicare & Medicaid Services (CMS) Abstraction and Reporting Tool (CART) and other approved tools. 

The West Virginia SORH/Flex and WVHA CAH Network will collaborate to improve participation and provision of technical assistance for the WVHA CAH Network Executive Director and possible West Virginia CAH staff representatives for contract administration and to attend training and educational networking opportunities to discuss best practices. 

The WV CAH Network will also maintain and direct a Performance Improvement Listserv.

The WVHA CAH Network provided technical assistance and collaboration to support development of hospital quality benchmarking and quality improvement education/training activities at the 2015 West Virginia Rural Health Conference and 2016 Association for Professionals in Infection Control and Epidemiology (APIC) Conference. This initiative provided scholarships for participating CAHs to attend at no cost for registration.

Program Area: Support for Financial and Operational Improvement: 

West Virginia SORH/Flex and the WVHA CAH Network will 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 onsite, telephonic and electronic consultation 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 will maintain and direct a CAH Chief Executive Officer, CAH Chief Financial Officer and Patient Account Representative Listserv.

Program Area: Support for Population Health Management and Emergency Medical Services Integration: 

The West Virginia SORH/Flex and WVHA CAH Network will collaborate and provide technical assistance in support of CAH population health management needs as identified through the needs assessment conducted in the 2015-2016 Flex fiscal year. The activity will be provided to all West Virginia CAHs dependent on their main need indicated by the assessment.

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

West Virginia SORH/Flex and WVHA CAH Network have brought in speakers from Stroudwarter Associates and CMS to discuss value-based purchasing and accountable care organizations for all West Virginia CAHs.

Please provide information about network activities in your state to support Flex Program activities (such as financial improvement networks, CAH quality networks, operational improvement with CEOs or EHR workgroups): 

The West Virginia SORH/Flex Program works collaboratively with the WVHA CAH Network on all Flex activities. The West Virginia SORH and Flex Programs work collaboratively with WV Rural Health Association, West Virginia Rural Health Advisory Council and other rural health organizations across the state.

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

The West Virginia Flex program and the Kentucky Flex Program will be working on a collaborative project with the Appalachian Regional Healthcare hospitals in the two states to improve reporting of the Medicare Beneficiary Quality Improvement Project (MBQIP) and emergency department transfer communication (EDTC) data.

From the last Flex Program year, please describe a best practice you would like to share with other states: 

Working with the WVHA and CAH Network has been extremely beneficial to the Flex Program and ARH hospitals SORH. If a state does not have a CAH network or organizations, the West Virginia Flex Program suggests that they should develop one. West Virginia formed its network through Flex and feel it is the best thing the state has done for its CAHs.

Program Statistics

What type of organization is your Flex office housed in?: 
State Government
What is the number of full time employees (FTE) in your Flex office?: 
How many CAHs are in your state?: 
Do you have any hospitals interested in converting to CAH status?: 

Additional Information

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.