Multistate Performance
Improvement Project
Strengthening our Quality Programs in
our Rural Hospitals
Participating States
•Alaska
•Arizona
•Kansas
•Oklahoma
•New Mexico
•Virginia
•Wyoming
Project Purpose
To help our small rural hospitals
develop quality programs that will
assist them in surviving the
challenges that will come with the
emerging era of intolerance in ways
tailored to the unique needs of their
settings.
Project Goals
• Streamlining compliance-related activities to promote success
while consuming minimal resources
• Assuring Medicare Conditions of Participation survey readiness
• Strengthening quality improvement activities to promote
sustainable and timely improvement
• Streamlining quality related activities for greater efficiency and
effectiveness
• Strengthening systems such as utilization review, infection
control, credentialing, privileging, medical staff bylaws, policies
and procedures, leadership development and board education
• Participating in benchmarking activities to establish baseline
performance and promote learning through the sharing
• of best practices
• Establishing strong systems for strategically managing the
hospitals’ future
Project Activities
•
Survey readiness
•
•
•
•
On-site consultation
Training webinars
Resource library
Benchmarking with peer group
•
Telephone and internet support
Project Timeline
QUALITY INITIATIVES
ARIZONA FLEX
PROGRAM
Alison Hughes, MPA, Flex Program, Az RHO
HRSA Grantee Partnership Meeting
Washington, D.C. September, 2009
Hopi Country, July, 2009
Photo by Alison
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Quality Initiatives
• Performance Improvement Summit for
Critical Access Hospital CEOs and CFOs.
• Rural Trauma Team Development.
• Mock Site Reviews.
• Targeted trainings and Webinars.
• Multi-State Quality Improvement Project.
• EMS First Responder manager training
and budget training.
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Arizona Critical Access Hospital CEOs,
CFO’s and other staff members gather for
2009 Performance Improvement Summit.
Phoenix, June, 2009
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Phoenix Police on Break July 2009
Photo by Alison
ARIZONA CAH-RELATED FIRST RESPONDERS
RECEIVE BUDGET TRAINING, 2008
Photo by Alison
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• INTRODUCING THE MULTI-STATE PROJECT
TO ARIZONA CRITICAL ACCESS HOSPITALS
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• Introducing the Multi-State Project to the
CEOs
• Teleconferences with consultant
• Teleconferences with Kansas Hospital
Association online Quality Health Indicators
project and interested critical access hospitals.
• Contract negotiations. The need for MOAs with
participating hospitals.
• Flex Staff site visits to critical access hospitals
with Darlene Bainbridge for consultations.
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• Webinar Involvement
• In-person Quality Managers meeting.
• Ongoing tele-consultations on identified needs.
–Swing bed policies
–Observation bed policies
–Personnel management challenges
• Useful tools for Quality Managers
–Quality calendar concept
• End-of-year assessment underway.
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Introducing the Multi-State Project to
Hospital personnel in Willcox, Arizona.
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Photo by Alison.
Quality Managers attend in-person training program
July, 2008, Phoenix, AZ. Darlene Bainbridge, trainer.
Photo by Alison.
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Lessons Learned
• Chief Executive Officer buy-in and
personal engagement impacts success.
• Flex staff engagement impacts success.
• The importance of Memoranda of
Agreement with the participating hospitals,
prior to participation.
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Navajo Land, Arizona
July, 2009
Photo by Alison
END
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QUALITY INITIATIVES
OKLAHOMA FLEX
PROGRAM
Val Schott, Flex Program, OK RHO
HRSA Grantee Partnership Meeting
Washington, D.C. September, 2009
Hopi Country, July, 2009
Photo by Alison
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Quality Initiatives
•
•
•
•
•
Multi-State Quality Improvement Project
Community assessments
Annual rural health conference
QIO Quality Initiative
EMS First Responder development
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Stronger quality
programs are
critical to the
future of our
rural hospitals
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Five Critical Outcomes
• Patient satisfaction that drives loyalty to our rural hospitals
• New patient acquisition
• Patient retention
• Patient profitability
• Market domination
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Critical Activities
• Teleconferences with consultant
• Participation in Quality Health Indicators project
• Flex Staff site visits to critical access hospitals
with Darlene Bainbridge for consultations.
• Internet and telephone support
• Resource library
• Partnership building with Oklahoma Hospital
Association and QIO
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Lessons Learned
• Need to keep it simple
• It is not a lack of desire that hurts our
hospitals, it’s a lack of knowledge and
resources
• This works best when we all work together
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