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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 West Virginia Hospital Association (WVHA) 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 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 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 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. They 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 the development of hospital quality benchmarking and quality improvement education and training activities at the 2019 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 data collection and analysis on a quarterly basis and implement combined data analytics with the West Virginia Health Information Network (HIN). 

CAH Operational and Financial 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 West Virginia 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.

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-COn AH small rural hospitals), 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 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 2019 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, West 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 cross-state collaborations you may be working on related to the Flex Program.

The West Virginia Flex Program and WVHA CAH Network currently collaborate with Kentucky on joint MBQIP webinars and have reached out to Idaho regarding participation in MBQIP webinars. They also collaborate with North Dakota on Conditions of Participation (CoP) webinars and work 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 WVHA 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) 3
Website Organization Website
Number of CAHs 21

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, $1,009,121 (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.