Arizona Rural Hospital Flexibility Program (AZ Flex) Highlights of FY 2014 Work Plan Core Area: Quality Improvement (QI) Objective Activity Impact  Support AZ CAHs in reporting MBQIP Phase 3 measures (ED Communication) Encourage AZ CAHs to publically report  Achieve 100% participation Hospital Compare (HC) on relevant  Provide education/generate reports to  Quality improves by using data inpatient, outpatient, and HCAHPS use, track and benchmark quality scores  Patient satisfaction improves patient assessment of care measures.  Adopt use of HCAHPS to establish QI interventions

Convene Directors of Nursing and  Assess future direction of the Quality  Survey results guide direction Quality from 12 AZ CAHs to participate Network  Hospital communication needs in the multi-hospital Quality Network.  Distribute TeamSTEPPS Culture survey identified

Develop capacity of 15 AZ CAHs to  Convene HIT and Quality Mangers achieve Meaningful Use standards and  EMR used to support quality quarterly focused on Electronic Quality utilize EMR to support quality improvement initiatives Measures improvement initiatives.

Core Area: Operational and Financial Performance Improvement (OPI) Objective Activity Impact  Sponsor Annual Performance  Leadership strengthened/ Support AZ CAH leadership by Improvement Summit resources aligned based on need promoting peer-to-peer exchange and  Support AZ CAH leadership to attend  Best practices shared among implementing evidence-based strategies to Western Region Flex Conference western states improve operational and financial (Tucson)  Hospital Boards understand performance.  Support CAH Board of Trustee web- health care issues based training Assist AZ CAHs in identifying potential  Distribution of FMT Financial Indicator  Improvement of financial/ areas of financial and operational Reports operational performance improvement. Support AZ CAHs in planning and  TA provided on Revenue Cycle  Improvement of financial/ implementing interventions to improve Management operational performance financial improvement.

Core Area: Health System Development and Community Engagement Objective Activity Impact  Support CAHs to maintain Level IV  Current L4TCs maintain Work with ADHS-BEMSTS, Banner certification certification Health, & Trauma One Centers to  Assess impact of L4TCs  L4TCs enhance AZ’s Trauma increase/maintain CAH Level IV Trauma System Centers; assess impact of designation  Conduct state wide EMS needs assessment  Support direction for FY 2015 Support CAHs in reviewing existing  Provide TA to CAHs in using results  CAHs use data from needs community health needs assessments and from Community Health Needs assessment to improve care and assessing project (s) implementation. Assessments finances

This program is made possible with funding from HRSA Office of Rural Health Policy to the Arizona Rural Hospital Flexibility Program at The University of Arizona, Mel and Enid Zuckerman College of Public Health, Center for Rural Health