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West Virginia State Office of Rural Health

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CAH Quality Improvement

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

The West Virginia Flex Program, in collaboration with the WV 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 West Virginia CAHs' reporting to Hospital Compare using The Centers for Medicare and Medicaid Services Abstraction and Reporting Tool (CART) and other approved tools. 

The West Virginia Flex Program, in collaboration with the WV CAH Network, will improve participation and the provision of technical assistance for the WV 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. They will also maintain and direct a performance improvement listserv. 

The West Virginia Flex Program, in collaboration with the WV CAH Network, will provide technical assistance and collaboration to support the development of hospital quality benchmarking and quality improvement education and training activities related to Antibiotic Stewardship by providing training and technical assistance to reduce the use of unnecessary antibiotics. The hospitals will also report antibiotic use on a monthly basis, which will allow them to compare the use of antibiotics by provider. The FLEX program will provide access to a physician resource, who specializes in antibiotic use to help coach physicians on talking with patients and parents about the proper use of antibiotics.

The West Virginia Flex Program, in collaboration with the WV CAH Network, will provide technical assistance in support of CAH participation in data collection and analysis on a quarterly basis and implement combined data analytics with the Hospital Quality Improvement (HQIC), Eastern US Quality Improvement Collaborative (EQIC). 

CAH Operational and Financial Improvement

The West Virginia Flex Program, in collaboration with the WV CAH Network, will provide analysis and discussion of WV CAH Network members' financial, clinical, and operational performance at quarterly WV CAH Network meetings. The WV CAH Network will provide technical assistance and will maintain and direct a CAH Chief Executive Officer (CEO), Chief Financial Officer (CFO), and Patient Account Representative listserv. At the request of the CAHs, the CAH Network is also adding an additional listserv for dietitians.

The West Virginia Flex Program, in collaboration with the WV CAH Network, will provide technical assistance onsite, telephonic, and electronic consultation and education related to cost reporting, revenue cycle management, revenue, and cost analysis, or other performance-related measures.

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

The West Virginia Flex Program and WV 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 2021 Needs Assessment survey from the CAHs. The common goal of all the West Virginia Flex Program and WV 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, West Flex Program, WV CAHs, and WV 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 cross-state collaborations you may be working on related to the Flex Program.

The West Virginia Flex Program and WV CAH Network currently collaborates with North Dakota on Conditions of Participation (CoP) webinars and works with multiple states on the Swing Bed Pilot Project.

Please describe how your state Flex Program is reaching out to non-traditional partners to support its work.

The West Virginia Flex Program and WV CAH Network currently share any available funding opportunities for CAHs from groups that promote physical activities in rural communities.

Program Statistics

Do you have any hospitals interested in converting to CAH status?:
No
Type of Organization State Government
Staffing (FTE) 2
Website Organization Website
Number of CAHs 21

Flex Program Staff

Stephanie Moore
State Office Director, West Virginia
(304) 352-6001

State Office Director since October 2018

Lisa Lewis
Associate Director/Flex Coordinator, West Virginia
(304) 352-5997

Associate Director since 2021, Flex Coordinator 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, $1,560,000 (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.