1. CAH Administrator Meeting September 2011 Billings, MT

2. Follow Up 2010-2011 Leadership Institute-Celebrate! HIT Certification scholarships update Economic Impact Studies-Releases Champions-we need your help!

3. Some MT CAH Stats July 2010-June 2011 MT PIN Benchmarking Inpatient admits17,592 ER visits117,455 Outpatient visits853,825 Swing bed discharges2,630 Births2,164 Inpatient transfers1,302 ER transfers3,934 Total transfers5,236

4. More stats NumeratorDenominatorRate Acute care HAI 107Inpt discharges 17,4110.6 % Swing bed HAI 225Swing discharges 2,6308.5 % Readmit to inpatient 639Inpt discharges 17,4113.7 % Return to ER 2461ER visits 117,4552.0 %

5. Upcoming events CAH Regional DoN/QIC Meetings-at a location near you! Plains, Dillon, Fort Benton, Big Timber, Culbertson, Glendive Winter CAH CEO meeting-February 8-10 in Livingston

6. 2011-2012 Flex Award Total award$680,183 DPHHS Portion-$132,629 MHREF portion$574, 554

7. Flex 2011-2012 Business as usual CHSD Lean internships CFO scholarships to attend HFMA Meetings-Administrator and Nursing Directors Collaboration with HSM and MT REC Leadership Institute-3 rd year!

8. Flex 2011-2012 What’s new…Flex! HIMSS scholarships Expanded coding education Economic impact studies

9. Flex 2011-2012 Business as usual… PIN -Clinical improvement studies and clinical benchmarking project -Lunchtime Learning (for providers) -Credentialing staff support -Benchmarking project 10 years and going strong! -QI Showcase -Champions for Quality (for providers) -Regional meetings -PIN website

10. Flex 2011-2012 What’s new…PIN! New 3-yr PIN Strategic plan Peer review assistance Collaboration with QIO and 10 th SOW -new rural focus!

11. Flex 2011-2012 Business as usual…DPHHS Asthma – AHEAD Training External Cause of Injury (E-Coding) Trauma Designation EMS Manager Education Preventable Death Study

12. Flex 2011-2012 What’s new…DPHHS! Community Paramedicine

13. Flex 2011-2012 Medicare Beneficiary Quality Improvement Project (MBQIP)

14. Flex 2011-2012: MBQIP “Quality of Care and Patient Outcomes in Critical Access Rural Hospitals”; JAMA 2011 “Compared with non-CAHs, CAHs had fewer clinical capabilities, worse measured processes of care, and higher mortality rates for patients with AMI, CHF or pneumonia.”

15. Flex 2011-2012: MBQIP

17. Flex 2011-2012: MBQIP/ORHP What MT CAHs need to do Watch Paul Moore’s brief YouTube video on MBQIP (www.hrsa.gov/ruralhealth/about /video/index.html)www.hrsa.gov/ruralhealth/about /video/index.html Report on the rural-relevant MBQIP measures Return your Memorandum of Understanding to your State Flex Program (Carol) to enable ORHP access to your non-beneficiary level reported data Use your quarterly quality data results to drive your internal quality improvement activities At a Glance Currently, 41 of 48 MT CAHS submit data to the Quality Warehouse (85%) Of these 41 facilities: – 29 have submitted their signed MOU – 12 submit data but need to sign their MOU 12 CAHs report HCAHPS data – HCAHPS reporting for MBQIP effective date is Sept 1, 2012

18. Flex 2011-2012: MBQIP What’s In It For Me? Maximize payments for care Support ongoing funding of the Flex Grant (and possibly the CAH designation!) in face of Congressional budget cuts

19. Thanks! Carol Bischoff 406.457.8016carol@mtha.org Kathy Wilcox 406.461.6186kathy@mtha.org Kathy Lubke 406.444.9519Klubke@mt.gov