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QUALITY IMPROVEMENT MATTERS VOL. 1, ISSUE 1 JANUARY 2016

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WELCOME Back To The Wyoming Flex Newsletter! The Wyoming Flex team is pleased to provide you with Quality Improvement Matters - the monthly newsletter with information and updates on CAH quality improvement programs, resources, tools, and training opportunities.

VOL. 1, ISSUE 1 JANUARY 2016 VOL. 1, ISSUE 1 JANUARY 2016

QUALITY IMPROVEMENT MATTERS VOL. 1, ISSUE 1 JANUARY 2016 VOL. 1, ISSUE 1 JANUARY 2016 VOL. 1, ISSUE 1 JANUARY 2016 VOL. 1, ISSUE 1 JANUARY 2016 VOL. 1, ISSUE 1 JANUARY 2016 VOL. 1, ISSUE 13 JUNE 2017 PAGE 1

Medicare Rural Hospital Flexibility Program (Flex)

Flex—Wyoming Quality Improvement (QI) Needs Assessment Highlights. The Wyoming Medicare Rural Hospital Flexibility (Flex) Program conducts an annual quality improvement (QI) needs assessment of its 16 CAHs. The needs assessment focuses on: 1) Medicare Beneficiary Quality Improvement Project (MBQIP) measures and the needs and initiatives CAHs have in place to make improvements; 2) satisfaction with Flex Program initiatives and technical assistance; 3) plans and future use of program services, such as Quality Health Indicators (QHi) a financial and

operations benchmarking tool; 4) population health/community health needs assessment related work; and 5) other quality health needs and concerns. The survey was conducted in February 2017. Findings from the needs assessment are used to guide program development planning and activities for the coming grant year.

Fourteen of 16 Wyoming CAHs participated in the 2017 QI needs assessment, including the hospitals in Cody, Afton, Sundance, Torrington, Basin, Buffalo, Rawlins, Worland, Lovell, Lusk, Douglas, Newcastle, Powell, and Thermopolis. As part of the needs assessment, CAHs were asked to report their QI activity related to each one of the current MBQIP measures. More specifically, they were asked to report if they have completed a project, have a project in place, an initiative planned, or no initiative. They reported they are most likely to have a QI initiative completed or in place for OP-27 (91%), HCAHPS (82%) and IMM-2 (81%). They were most likely to have an initiative planned for HCAHPS (27%) and no initiative in place for OP-1 (55%). These findings are consistent with data reporting for each of the measures as well.

Wyoming CAHs were given a list of areas to focus Flex Program quality improvement efforts in the coming grant year and were asked to use a scale of 1-5 (1 indicating no need/interest and 5 indicating most need/interest) to indicate their need/interest. CAHs reported their greatest areas of interest are: care transitions through improved medication reconciliation (score of 40, 4 CAHs reporting it as a highest need) followed by adverse drug events and care transitions through improved discharge planning (both scoring 38 with 4 CAHs reporting them as a highest need). For a copy of the full QI needs assessment, contact Kyle Cameron at Kyle.Cameron@wyo.gov.

Patient Safety Culture (PSC) Survey

PSC QI Tip of the Month— Communicating About Errors. Feedback to the front-line staff is a critical component of demonstrating a commitment to safety and ensuring that staff members continue to report safety issues. If the leadership acts upon suggestions, staff members should know their voices were heard and should be recognized for their contributions, especially when the leadership’s response would otherwise be invisible from the front lines.

Maintaining a consistent flow of information from senior leadership affirms that every safety initiative is important and not a fleeting “idea of the month.”

QUALITY IMPROVEMENT MATTERS VOL. 1, ISSUE 13 JUNE 2017

QUALITY IMPROVEMENT MATTERS

Brought To You By:

Kyle Cameron—Wyoming Flex-Office of Rural Health 1.307.777.8902 Kyle.Cameron@wyo.gov

Shanelle Van Dyke—Quality Reporting Services 1.406.459.8420 Shanelle.VanDyke@QualityReportingServices.com

Rochelle Spinarski—Rural Health Solutions 1.651.731.5211 Rspinarski@rhsnow.com

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Published by the Wyoming Department of Health, Public Health Division, State Office of Rural Health, Flex Program with fundin g from the Medicare

Rural Hospital Flexibility Grant H54RH43-17 from the Health Resources and Services Administration

Flex Program Calendar

Educational Webinars—2017. Below is a list of upcoming events related to education and/or training for

the Wyoming Flex Program Activities.

PSC QI Series: Frequency of Events Reported: June 29th @ 11:30 am—12 pm

QI Roundtable: TBD: July 13th @ 10 am—11 am

PSC QI Series: Communication Openness: July 13th @ 11:30 am—12 pm

PSC QI Series: TBD: July 27th @ 11:30 am—12 pm

Medicare Beneficiary Quality Improvement Program (MBQIP)

MBQIP—15th Annual Western Region Flex Conference Update. The purpose of the conference was to provide a venue for Critical Access Hospitals (CAHs) and Flex programs in the Western Region of the United States to share information, ideas, and success stories. Kyle Cameron, the Wyoming state Flex Coordinator, attended and provided a summary of how it went.

“It is my honor to attend the 15th Annual Flex Conference with four representatives from Wyoming and over 100 from the Western Flex Region. Missy Swanson QI, Chad Turner CFO, Margie Molitor CEO, and Rick Schroeder CEO will share their experiences through the QI newsletter, QI roundtables, and other WY Flex opportunities. Their perspective of the information shared is unique to them, their position, and their hospital. Please feel free to reach out to them for information.

During the 15th Annual Flex Conference information was presented on MBQIP updates, integrated healthcare models, the future of rural health, financial health, innovative models of health, and health policy. The urge is to continue conversations with local and state representatives on the importance of rural health; and I ask the same of you. Determine the rural health concern that is most important to your community and speak to your local and state representatives about those concerns.

My final take-away from the conference is WY CAH staff will benefit most from continuing education and WY communities will benefit from the community health initiatives. WY CAHs can be the central force behind community health initiatives that lead to healthier communities and lower health care costs. I look forward to our partnerships in making WY a healthy, happy place to live.” - Kyle Cameron

The conference provided opportunities for CAH administrators and staff, state Flex program staff, and rural health care leaders to share information and best practices with their peers. It also provided an opportunity for participants to learn about the latest state and national health policy developments and their impact on CAHs and other rural health care providers.