ND Flex Program Progress ( ) & Plans ( ) ND Flex Steering Committee
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1 ND Flex Program Progress ( ) & Plans ( ) July 20, 2011 (Video Conference) ND Flex Steering Committee Quality Improvement Operational & Financial Improvement ealth System Development & Community Engagement 2 ND Flex Program 1
2 CR Budget Overview Budget Overview ( ) CA Awards $255,000 Budget Overview ( ) CA Awards $255,000 NDA $56,000 NDA NDCRI (QIO) $34,000 NDCRI $6,000 NDDo (Trauma) $14,000 NDDo $17,000 EMS Training $15,000 SQIN (Supplement) $45,000 NDMA Quality Network $20,000 $55,000 Peer Exchange $10,000 Peer Exchange $10,000 Travel $25,000 Travel $25,000 Operating (includes quality network) $221,526 Operating (includes quality network) $245,000 Indirect expenses (15%) $86,474 Indirect expenses (15%) $84,000 TOTAL CR $777,000 TOTAL 3 $702,000 Flex Impact 9/1/2010-6/30/ total Flex encounters reported, impacting each of the state s 53 counties. The ND Flex website received 16,178 visits during this time period. 4 2
3 Flex Focus Area 1: Support for Quality Improvement ü Facilitate exchange of resources ü Provide technical assistance web visits ü Coordinate/provide education ü Support clinical projects 400 encounters v 30 CAs collect CMS inpatient measures v 19 ND CAS (53%) post inpatient data publically v 5 ND CAS (14%) post outpatient data publically 5 Flex Focus Area 1: Support for Quality Improvement Support Clinical Projects 1. ealthcare Safety Zone Portal 13 CAs currently participating Events reporting, studied fall rates, identify and share best practices 2. Statewide Stroke Program Collaboration with NDDo 26 CAs currently participating 6 3
4 Flex Focus Area 2: Support Operational & Financial Improvement Technical Assistance Strategic planning Community health needs assessments Staff surveys Economic impact studies Disseminate information Flex Updates CA profiles NDA Informer 7 Flex Focus Area 2: Support Operational & Financial Improvement Flex Grants Awarded $255,000 total 26 applications reviewed Total of 22 awards made to 17 CAs Support CA attendance to national meetings 3 CA administrators attended: NRA Policy Institute NRA CA meeting AA Annual meeting Grant types: (2) Network Enhancement Support mentoring program (2) Financial Analysis Total $8,000 Flex (13) Program Development funds (2) Community Engagement 11 peer exchange (1) Making A Difference activities supported (2) Regional Board Training 8 4
5 Flex Focus Area 2: Support Operational & Financial Improvement Conduct a CA Finance Project Flex subcontract to NDA/NDA Foundation support Contract with financial consultants LarsonAllen Understanding what separates top performing CAs from others Develop menu of specific initiatives to improve performance 9 Flex Focus Area 3: Support ealth System Development Develop Patient Centered Medical ome Model Demonstration focus on CAs Research models in other states Legislative study resolution was prepared & submitted Stakeholder meeting held 3/ meeting participants Meeting objectives: raise awareness of existing ND PCM activities, increase knowledge of other states PCM initiatives, identify issues, barriers, & potential, determine interest for further action 10 5
6 Flex Focus Area 3: Support ealth System Development Support ND Trauma System NDDo contract to fund ND trauma registry All ND hospitals (N=46) submit to registry Data used for: injury surveillance, used by statewide trauma team, used regionally and by individual hospitals 97% of ND CAs (35 of 36) are trauma designated centers 11 Flex Focus Area 3: Support ealth System Development Support ND EMS Flex director participates on statewide committee ND EMS strategic planning in progress ND EMSA s annual convention: Flex exhibited presented to EMS managers four conference speakers sponsored by Flex funds EMS representation on Flex Steering Committee 12 6
7 Flex Focus Area 3: Support ealth System Development Frontier Community ealth Integration Program (F-CIP) Examining potential alternate reimbursement model for frontier CAs Flex director served on national advisory committee NORC site visits to 2 ND CAs (Rugby, Carrington) ND Flex remains engaged and ready! 13 Flex Focus Area 1: Support for Quality Improvement Continued Efforts Support ND CA Quality Network (stroke, electronic patient registry (diabetes, cardiovascular disease), and more! Increase CA capacity to implement QI strategies Curriculum development and CA trainings (QIO): Teams & Tools for Teams Root Cause Analysis Support CA IT efforts New Efforts Partnership for Patients 100% CA Pledges Implement national movement: Medicare Beneficiary QI Project (ND MBQIP) Increased public reporting (inpatient and outpatient) CAPS Meaningful use *NOTE: Participation is tied 14 to all other Flex funding 7
8 Flex Focus Area 2: Support Operational & Financial Improvement Continued Efforts Support operational and financial needs of ND CAs Support mentoring program Offer relevant education Economic impact studies Support CA CEO attendance: NRA CA meeting NDA Convention National AA meeting New Efforts LarsonAllen CA Finance Project follow up Share findings at NDA Convention Assist CAs in identifying improvement areas Support implementation of evidence-based strategies for improvement Encourage collaborative learning across CAs 15 Flex Focus Area 2: Support Operational & Financial Improvement Continued CA funding 7/20 Release RFP *( Grant = Priority for EMS focus)* *Must be participant of MBQIP (see quality improvement)* 7/27 TA call 8/31 Applications Due 9/27 Steering Committee Review 9/29 Award notification 16 8
9 Flex Focus Area 3: Support ealth System Development Continued Efforts Support ND Trauma System Support participation in ND State Stroke Program Support NDEMSA collaborative efforts Exhibit at EMS Convention New Efforts Support ND EMS System JCREC involvement Support new Medical Director Manual use Provide TA to EMS leaders Partner to coordinate leadership trainings 17 Critical Access ospital QUESTIONS FEEDBACK SUGGESTIONS OTER ND Flex Program 18 9
10 For more information contact: Marlene Miller, Program Director Center for Rural ealth University of North Dakota School of Medicine and ealth Sciences Grand Forks, ND Tel: (701) Fax: (701)
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