Wyoming State Flex Profile

Top Flex Activities

Program Area: Support for Quality Improvement: 

Support for quality improvement (QI) activities includes the annual state planning meeting with stakeholders scheduled for March 2017. This planning meeting will incorporate ideas, lessons learned and best practices as shared by administration and staff of Wyoming's critical access hospitals (CAH), emergency medical services (EMS), subcontractors, Wyoming Hospital Association (WHA), State of Wyoming Behavioral Health and Office of Health Equity. A survey will be conducted after the meeting to determine areas of improvement and success. 

The utilization of QI Roundtable calls will continue. These monthly calls provide an opportunity for CAH administration and staff to share lessons learned, best practices and areas of concern. A survey will be conducted after the roundtable and attendance will be measured.

For the Medicare Beneficiary Quality Improvement Project (MBQIP), Wyoming will provide continued education on submitting data, interpretation,  discussion of improvement plans, implementation and communication analysis of results. Wyoming will track the number of CAHs submitting data, implementation of improvements and improvement results. 

Please share a success story about reporting quality data or using quality data to help Critical Access Hospitals (CAHs) in your state improve patient care: 

The number of CAHs that report MBQIP measures on a regular and consistent basis is one of the biggest successes for Wyoming Flex.

Program Area: Support for Financial and Operational Improvement: 

Established through the grant support for financial and operational improvement include further review of a needs assessment that was conducted in December 2014. The analysis of the data is used to determine areas of improvement. Several Wyoming CAHs apply chargemaster review activities, decreased days in accounts receivable, employed training in billing and coding and revenue cycle management.

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

A state needs assessment will be conducted with published results in early 2018. This state needs assessment along with community needs assessments and emergency medical services needs assessment will determine the population within the CAH community. This provides the information necessary to meet the health needs of the people within the community.  

Please provide information about Collaboration/Shared Services (specifically connected to population health management): 

Previously the Wyoming Flex Program collaborated with Montana and Idaho to offer group rates on Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Pursuit of additional opportunities to collaborate and share services connected to population health will continue. 

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): 

Current networks in Wyoming are the Wyoming Hospital Association (WHA), Wyoming Primary Care Association (WYPCA), the Wyoming Office of Rural Health, Emergency Medical Services, Behavioral Health and the Office of Health Equity. The use of Roundtable Conferences will continue to be utilized throughout this year for continued opportunities to develop stronger network relationships.

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

The Wyoming Flex office has worked with Montana, Idaho, Alaska, Hawaii, Arizona, Illinois and California. It is currently working with Arkansas, with plans to continue to work in collaboration with states. 

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

Several practices that were established by the previous Wyoming Flex Coordinator continue to produce positive results. One of the best things the office has done is to utilize the services of subcontractors who work diligently to insure that the CAHs in Wyoming are reporting and then using this information to provide measureable quality improvement. 

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

Sharla Allen, MSHA
State Office Director, Wyoming
(307) 777-7293

Specialty Areas / Background

  • Recruitment and retention
  • Team building
  • Grant writing

Sharla has split her 25 year career between working in rural health and reproductive health in both state government and non-profit organizations.

State Office Director since September 2007 

Kyle Cameron
Flex Coordinator, Wyoming
(307) 777-8902

Specialty Areas / Background

Kyle has a master's degree in organizational leadership including human resource management, change theory, business, policy, procedures, systems and social science. Her previous work experience includes the Rural and Frontier Health unit of the Wyoming Public Health Division, Laramie County Community College as adjunct staff and human resource specialist at Community Action of Laramie County.

Flex Coordinator since October 2016

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.