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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, in collaboration with the West Virginia Hospital Association (WVHA) Critical Access Hospital (CAH) Network, will provide education to increase participation in Hospital Consumer Assessment of Providers and Healthcare Systems (HCAPHS) initiatives through technical assistance and the implementation and continued reporting of HCAHPS measures.  

The West Virginia Flex Program, in collaboration with the West Virginia Hospital Association CAH Network, will provide education to increase participation in Medicare Beneficiary Quality Improvement Project (MBQIP) initiatives through technical assistance, the implementation and continued reporting of Emergency Department Transfer Communication (EDTC) measures and influenza immunization measures, as well as continue to promote reporting to Hospital Compare by West Virginia CAHs using CART and other approved tools. 

The West Virginia Flex Program, in collaboration with the WVHA CAH Network, will improve participation and the provision of technical assistance for the WVHA CAH Network Executive Director and possibly the West Virginia CAH staff representative for contract administration. The West Virginia Flex Program will attend training and educational networking opportunities to discuss best practices. The West Virginia CAH Network will also maintain and direct a performance improvement listserv. 

The West Virginia Flex Program, in collaboration with the WVHA CAH Network, will provide technical assistance and collaboration to support development of hospital quality benchmarking and quality improvement education/training activities at the 2018 Association for Professionals in Infection Control and Epidemiology (APIC) Conference. This initiative will provide funding for participating CAHs to attend the APIC conference at no cost for registration and provide an activity during National Rural Health Day event.

The West Virginia Flex Program, in collaboration with the WVHA CAH Network, will provide technical assistance in support of CAH participation in the data collection and analysis on a quarterly basis and implement combined data analytics with the West Virginia Health Information Network (HIN). 

Program Area: Support for Financial and Operational Improvement

The West Virginia Flex Program, in collaboration with the WVHA CAH Network, will provide analysis and discussion of WVHA CAH Network members financial, clinical, and operational performance at quarterly WVHA CAH Network meetings. The WV CAH Network will provide technical assistance and will maintain and direct a CAH Chief Executive Officer, Chief Financial Officer and Patient Account Representative listserv.

The West Virginia Flex Program, in collaboration with the WVHA CAH Network, will provide 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 West Virginia Flex Program, in collaboration with the WVHA CAH Network, will work with a contractor to provide technical assistance to two qualifying CAHs located in rural communities with high rates of poverty, unemployment and substance abuse, which are Minnie Hamilton Health Care Center (Calhoun County, WV) and Webster County Memorial Hospital (Webster County, WV) to conduct rapid and focused analyses of targeted areas that result in the identification of concrete opportunities for quality improvement and financial/operational performance gains. 

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 with the CAHs through annual surveys and on-site visits. This allows the West Virginia Flex Program and WVHA CAH Network the ability to receive input from the CAHs to ensure the programs are meeting the needs of the CAH communities and catchment areas.

The West Virginia Flex Program and WVHA CAH Network continue to develop program priorities based on the Health Resources and Services Administration (HRSA), Federal Office of Rural Health Policy (FORHP), Flex Program Guidance requirements, identified areas of need and the results for the 2018 Needs Assessment survey from the CAHs. The common goal of all the West Virginia Flex Program and WVHA CAH collaborations is to provide effective, knowledgeable, quality health care for all West Virginians. With the aging population of West Virginia and the need for improvements to provide stable health care, the need for rural health stability is crucial. Support from HRSA, FORHP, the West Virginia Flex Program, WV CAHs and WVHA CAH Network will aid in improving clinical activities as reported to Hospital Compare and MBQIP, as well as financial and operational benchmarks as reported through the Balanced Scorecard and revenue cycle management.

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

The West Virginia SORH Flex Program Administrator/Assistant Director and WVHA CAH Network Executive Director worked closely in the past and during the current program year to eliminate duplication of effort and projects in the areas of MBQIP, HCAHPS, Balanced Scorecard, peer review, and quality improvement, just to name a few. 

The West Virginia SORH Flex Program Administrator/Assistant Director and WVHA CAH Network Executive Director continue to meet monthly to discuss current and long-range goal completion for all CAHs. The SORH Flex Program Administrator/Assistant Director continually shares information and gathers input from the WVHA CAH Network on issues that affect West Virginia CAHs and CAHs across the country.

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

The data provided for the West Virginia Flex Program is through the WVHA CAH Network; Stroudwater Associates; Applied Management Services (AMS); Hospital Compare CAH quality measure results; statewide financial performance of CAHs; community benefit activities of CAHs; non-metropolitan hospitals and metropolitan hospitals; and national and West Virginia data provided by the Flex Program Monitoring Team.

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

Program Statistics

Type of Organization State Government
Staffing 3.0 FTEs
Number of CAHs 20
Website URL None provided
 

Flex Program Staff

Stephanie Moore
State Office Director, West Virginia
(304) 356-4224

State Office Director since October 2018

Lisa Lewis
Flex Coordinator, West Virginia
(304) 356-4214

Flex Coordinator since December 2018

David Deutsch
Associate Director, West Virginia
(304) 356-4194

Assistant Director since December 2018

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.