Welcome to the 2020 Flex Program Virtual Reverse Site Visit (RSV) Portal!

The focus of the Federal Office of Rural Health Policy's (FORHP) 2020 Flex Program Reverse Site Visit (RSV) is the importance of flexibility and adaptability in today's rapidly changing health care environment.
The purpose of this event is to provide state Medicare Rural Hospital Flexibility (Flex) Programs with a collaborative learning environment to make connections, share best practices, and gather lessons learned to empower and support state Flex Program and critical access hospital (CAH) flexibility. Through content and discussions, participants will be able to create clarity, or a 20/20 vision, for improving and strengthening rural health care. We look forward to your participation at this educational and informative virtual event.

Schedule

All times are Pacific
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11:30 AM - 12:15 PM (CT)
Opening Keynote: Achieving Health Equity in Rural America

Upon conclusion of this session, participants will be able to:

  • Name at least two disparities within rural communities
  • Identify two drivers of health disparities
  • Identify one resource that can be used to help reduce disparities
12:15 PM - 12:25 PM (CT)
Break
12:25 PM - 01:10 PM (CT)
1A - Administering Federal Rural State Health Grant Programs from State, Non-Profit, and University Settings

2

Upon conclusion of this session, participants will be able to:

  • Compare best practices and lessons learned for administering and integrating efforts across Flex, Small Rural Hospital Improvement Grant Program (SHIP), and State Office of Rural Health (SORH) programs from state government, nonprofit, and university settings
  • Identify innovative models of care implemented by CAHs
  • Apply various approaches to support CAHs facing challenges

12:25 PM - 01:10 PM (CT)
1B - Transitioning to Value-Based Models with Flex Program Support

Upon conclusion of this session, participants will be able to:

  • Identify the need for value-based care
  • Conclude projects progress and impact
  • Apply ways for Flex Programs to step into the value-based care arena
12:25 PM - 01:10 PM (CT)
1C - Assessing Emergency Medical Services (EMS) Need and Identifying Impactful Activities

Upon conclusion of this session, participants will be able to:

  • Recall two state Flex Programs’ needs assessment examples
  • Recognize ways to replicate similar methods in their Flex Program work
  • Describe how information gathered empowered clear decision-making for future activities
01:10 PM - 01:20 PM (CT)
Break
01:20 PM - 02:30 PM (CT)
Small Group Discussions: Managing the State Flex Program During COVID-19

Upon conclusion of this session, participants will be able to:

  • Connect with Flex Program peers in small group discussions to share challenges and strategies of managing the state Flex Program during the pandemic
  • Recognize resources, initiatives or tactics to implement supporting program management and project execution
11:00 AM - 11:15 AM (CT)
Federal Office of Rural Health Policy Welcome
11:15 AM - 12:15 PM (CT)
Federal Rural Health Policy and Regulatory Update

Upon conclusion of this session, participants will be able to:

  • Identify opportunities and mitigate challenges for rural safety net providers in the current state of health care policy and regulations with the ever changing environment
12:15 PM - 12:25 PM (CT)
Break
12:25 PM - 01:10 PM (CT)
2A - Fostering Community Engagement for Improved Health Outcomes

2

Upon conclusion of this session, participants will be able to:

  • Interpret how Arizona Center for Rural Health leveraged federal grant funds, and their process for forming the Weaver Mountains Health Initiative
  • Assemble local and regional organizations to improve health care access
  • Replicate various state Flex Program/CAH community projects, and apply current tools and resources to assist and encourage CAHs to undertake substantive community engagement efforts to address social determinants of health
12:25 PM - 01:10 PM (CT)
2B - Building a Rural Community-Based Palliative Care Program

2

Upon conclusion of this session, participants will be able to:

  • Identify key components of palliative care and relevance in rural settings
  • Outline a model for supporting development of palliative care services in rural communities
  • Discuss lessons learned from implementation across multiple states
12:25 PM - 01:10 PM (CT)
2C - Swing Bed Patient Experience

Upon conclusion of this session, participants will be able to:

  • Identify specific measures to capture patient experience
  • Create a swing bed patient survey to enhance the overall program
  • Determine patient needs and improvement opportunities to enhance care transitions
  • Identify pros and cons of pilot project using tablet versus paper surveys
01:10 PM - 01:20 PM (CT)
Break
01:20 PM - 02:30 PM (CT)
Small Group Discussions: Technical Assistance Strategies to Support System-Affiliated Critical Access Hospitals

Upon conclusion of this session, participants will be able to:

  • Participate in a consensus workshop to determine Flex Program technical assistance (TA) strategies to provide relevant TA to system-affiliated, managed, or owned CAHs
  • Adapt the identified strategies to your Flex Program’s work plan to support similar facilities in your state
11:00 AM - 11:15 AM (CT)
Federal Office of Rural Health Policy Welcome and MBQIP Awards
11:15 AM - 11:25 AM (CT)
Break
11:25 AM - 12:10 PM (CT)
3A - Using Processes and Tools to Simplify MBQIP

2

Upon conclusion of this session, participants will be able to:

  • Identify emerging capabilities, documents, and resources used to identify, aggregate, report, and analyze quality performance
  • Create a one-stop shop for resources on education and marketing of current outcomes
  • Identify new and quick tool for quality reporting of MBQIP measures, and new models of care to enhance overall CAH performance
11:25 AM - 12:10 PM (CT)
3B - Supporting Rural Provider Financial Pressure During the Pandemic

Upon conclusion of this session, participants will be able to:

  • Recognize the financial pressures facing critical access hospitals and other rural providers during COVID-19 response
  • Describe the purpose and elements of the Rural Health Care Providers COVID Funding Resource Tool
  • Give examples of actions a state Flex Program could take to support the financial stability of their rural providers during the pandemic
11:25 AM - 12:10 PM (CT)
3C - How CAHs and Rural Health Clinics (RHCs) Address Mental Health and Substance Use in Their Communities

Upon conclusion of this session, participants will be able to:

  • Replicate strategies and frameworks that CAHs and RHCs can use to address mental health and substance use issues
  • Examine opioid prescription reduction and successful outcomes from the Hopi Tribal Departments, Law Enforcement, and Hopi Substance Abuse Prevention Center collaboration
12:10 PM - 12:20 PM (CT)
Break
12:20 PM - 01:05 PM (CT)
4A - Rural Hospital Closures - What has been and will be the role of Flex Program?

Upon conclusion of this session, participants will be able to:

  • Differentiate roles peer programs have had with pre- and post- closure facilities
  • Identify innovative models that have been implemented in other states
  • Compare state-wide approaches to the rural hospital closure situation
12:20 PM - 01:05 PM (CT)
4B - Use of Financial Data in the CAH Measurement and Performance Assessment System (CAHMPAS)

Upon conclusion of this session, participants will be able to:

  • Navigate the financial portal of the CAHMPAS system
  • Access and manipulate CAH data related to financial measures
12:20 PM - 01:05 PM (CT)
4C - MBQIP 101

Upon conclusion of this session, participants will be able to:

  • Recognize the purpose and importance of CAH and state Flex Program participation in MBQIP
  • Differentiate the roles of various players in implementing MBQIP, including FORHP, state Flex Programs, the Rural Quality Improvement Technical Assistance (RQITA) team and more
  • Identify MBQIP resources and available support
01:05 PM - 01:15 PM (CT)
Break
01:15 PM - 02:15 PM (CT)
Closing Keynote: Seeing 2020: Experimentation, Innovation, Opportunity

Upon conclusion of this session, participants will be able to:

  • Identify at least one “silver lining” in the current pandemic
  • Describe the evidence-based leadership components that produce sustainable excellence
  • Adapt their leadership actions in a time of crisis, modelling, vision, understanding, courage, and adaptability
11:30 AM - 12:15 PM (CT)
August 04 2020
Opening Keynote: Achieving Health Equity in Rural America

Upon conclusion of this session, participants will be able to:

  • Name at least two disparities within rural communities
  • Identify two drivers of health disparities
  • Identify one resource that can be used to help reduce disparities
12:15 PM - 12:25 PM (CT)
August 04 2020
Break
12:25 PM - 01:10 PM (CT)
August 04 2020
1A - Administering Federal Rural State Health Grant Programs from State, Non-Profit, and University Settings

Upon conclusion of this session, participants will be able to:

  • Compare best practices and lessons learned for administering and integrating efforts across Flex, Small Rural Hospital Improvement Grant Program (SHIP), and State Office of Rural Health (SORH) programs from state government, nonprofit, and university settings
  • Identify innovative models of care implemented by CAHs
  • Apply various approaches to support CAHs facing challenges

12:25 PM - 01:10 PM (CT)
August 04 2020
1B - Transitioning to Value-Based Models with Flex Program Support

Upon conclusion of this session, participants will be able to:

  • Identify the need for value-based care
  • Conclude projects progress and impact
  • Apply ways for Flex Programs to step into the value-based care arena
12:25 PM - 01:10 PM (CT)
August 04 2020
1C - Assessing Emergency Medical Services (EMS) Need and Identifying Impactful Activities

Upon conclusion of this session, participants will be able to:

  • Recall two state Flex Programs’ needs assessment examples
  • Recognize ways to replicate similar methods in their Flex Program work
  • Describe how information gathered empowered clear decision-making for future activities
01:10 PM - 01:20 PM (CT)
August 04 2020
Break
01:20 PM - 02:30 PM (CT)
August 04 2020
Small Group Discussions: Managing the State Flex Program During COVID-19

Upon conclusion of this session, participants will be able to:

  • Connect with Flex Program peers in small group discussions to share challenges and strategies of managing the state Flex Program during the pandemic
  • Recognize resources, initiatives or tactics to implement supporting program management and project execution
11:00 AM - 11:15 AM (CT)
August 05 2020
Federal Office of Rural Health Policy Welcome
11:15 AM - 12:15 PM (CT)
August 05 2020
Federal Rural Health Policy and Regulatory Update

Upon conclusion of this session, participants will be able to:

  • Identify opportunities and mitigate challenges for rural safety net providers in the current state of health care policy and regulations with the ever changing environment
12:15 PM - 12:25 PM (CT)
August 05 2020
Break
12:25 PM - 01:10 PM (CT)
August 05 2020
2A - Fostering Community Engagement for Improved Health Outcomes

Upon conclusion of this session, participants will be able to:

  • Interpret how Arizona Center for Rural Health leveraged federal grant funds, and their process for forming the Weaver Mountains Health Initiative
  • Assemble local and regional organizations to improve health care access
  • Replicate various state Flex Program/CAH community projects, and apply current tools and resources to assist and encourage CAHs to undertake substantive community engagement efforts to address social determinants of health
12:25 PM - 01:10 PM (CT)
August 05 2020
2B - Building a Rural Community-Based Palliative Care Program

Upon conclusion of this session, participants will be able to:

  • Identify key components of palliative care and relevance in rural settings
  • Outline a model for supporting development of palliative care services in rural communities
  • Discuss lessons learned from implementation across multiple states
12:25 PM - 01:10 PM (CT)
August 05 2020
2C - Swing Bed Patient Experience

Upon conclusion of this session, participants will be able to:

  • Identify specific measures to capture patient experience
  • Create a swing bed patient survey to enhance the overall program
  • Determine patient needs and improvement opportunities to enhance care transitions
  • Identify pros and cons of pilot project using tablet versus paper surveys
01:10 PM - 01:20 PM (CT)
August 05 2020
Break
01:20 PM - 02:30 PM (CT)
August 05 2020
Small Group Discussions: Technical Assistance Strategies to Support System-Affiliated Critical Access Hospitals

Upon conclusion of this session, participants will be able to:

  • Participate in a consensus workshop to determine Flex Program technical assistance (TA) strategies to provide relevant TA to system-affiliated, managed, or owned CAHs
  • Adapt the identified strategies to your Flex Program’s work plan to support similar facilities in your state
11:00 AM - 11:15 AM (CT)
August 06 2020
Federal Office of Rural Health Policy Welcome and MBQIP Awards
11:15 AM - 11:25 AM (CT)
August 06 2020
Break
11:25 AM - 12:10 PM (CT)
August 06 2020
3A - Using Processes and Tools to Simplify MBQIP

Upon conclusion of this session, participants will be able to:

  • Identify emerging capabilities, documents, and resources used to identify, aggregate, report, and analyze quality performance
  • Create a one-stop shop for resources on education and marketing of current outcomes
  • Identify new and quick tool for quality reporting of MBQIP measures, and new models of care to enhance overall CAH performance
11:25 AM - 12:10 PM (CT)
August 06 2020
3B - Supporting Rural Provider Financial Pressure During the Pandemic

Upon conclusion of this session, participants will be able to:

  • Recognize the financial pressures facing critical access hospitals and other rural providers during COVID-19 response
  • Describe the purpose and elements of the Rural Health Care Providers COVID Funding Resource Tool
  • Give examples of actions a state Flex Program could take to support the financial stability of their rural providers during the pandemic
11:25 AM - 12:10 PM (CT)
August 06 2020
3C - How CAHs and Rural Health Clinics (RHCs) Address Mental Health and Substance Use in Their Communities

Upon conclusion of this session, participants will be able to:

  • Replicate strategies and frameworks that CAHs and RHCs can use to address mental health and substance use issues
  • Examine opioid prescription reduction and successful outcomes from the Hopi Tribal Departments, Law Enforcement, and Hopi Substance Abuse Prevention Center collaboration
12:10 PM - 12:20 PM (CT)
August 06 2020
Break
12:20 PM - 01:05 PM (CT)
August 06 2020
4A - Rural Hospital Closures - What has been and will be the role of Flex Program?

Upon conclusion of this session, participants will be able to:

  • Differentiate roles peer programs have had with pre- and post- closure facilities
  • Identify innovative models that have been implemented in other states
  • Compare state-wide approaches to the rural hospital closure situation
12:20 PM - 01:05 PM (CT)
August 06 2020
4B - Use of Financial Data in the CAH Measurement and Performance Assessment System (CAHMPAS)

Upon conclusion of this session, participants will be able to:

  • Navigate the financial portal of the CAHMPAS system
  • Access and manipulate CAH data related to financial measures
12:20 PM - 01:05 PM (CT)
August 06 2020
4C - MBQIP 101

Upon conclusion of this session, participants will be able to:

  • Recognize the purpose and importance of CAH and state Flex Program participation in MBQIP
  • Differentiate the roles of various players in implementing MBQIP, including FORHP, state Flex Programs, the Rural Quality Improvement Technical Assistance (RQITA) team and more
  • Identify MBQIP resources and available support
01:05 PM - 01:15 PM (CT)
August 06 2020
Break
01:15 PM - 02:15 PM (CT)
August 06 2020
Closing Keynote: Seeing 2020: Experimentation, Innovation, Opportunity

Upon conclusion of this session, participants will be able to:

  • Identify at least one “silver lining” in the current pandemic
  • Describe the evidence-based leadership components that produce sustainable excellence
  • Adapt their leadership actions in a time of crisis, modelling, vision, understanding, courage, and adaptability

Featured Speakers

Dr. Cara James

Grantmakers in Health (GIH)

Opening Keynote

Craig Deao

Studer Group

Closing Keynote

Federal Rural Health Policy and Regulatory Panel

Kerri Cornejo

Federal Office of Rural Health Policy

Brock Slabach

National Rural Health Association

John Supplitt

American Hospital Association

Host

Coordinated by

Partners

NRHA
Center for Optimizing Rural...
Rural Health Research Gateway
Rural Health Information Hu...
National Organization of St...
Rural Health Value
Stratis Health/Rural Qualit...
Flex Monitoring Team

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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, $1,205,000 (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.

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