Wyoming State Flex Profile
Top Flex Activities
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.
The number of CAHs that report MBQIP measures on a regular and consistent basis is one of the biggest successes for Wyoming Flex.
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.
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.
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.
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.
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.
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.
Flex Program Staff
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
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