Rural Route
 
January, 2020
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TASC Updates
MBQIP Updates
Webinars & Events
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Hello everyone,

Happy January! I hope you all have had a great start to the new year.

We are looking forward to the upcoming February TASC 90 on New Models of Care! Please reach out to me if you have any questions related to this upcoming webinar.  Also, be sure to check out the TASC Updates section below for more information on the Request for Proposals (RFP) for the 2020 Reverse Site Visit and the Critical Access Hospital (CAH) Recognition Nomination.

For those of you attending the American Hospital Association's Rural Health Care Leadership Conference next week, let Tracy Morton know so you can connect!

As always, thank you for taking some time to read Rural Route. If you have questions or need assistance, please reach out to me or TASC.


Thank s,                              
Andy Naslund
Program Coordinator
Technical Assistance and Services Center (TASC)
             

Federal Office of Rural Health Policy (FORHP) Updates   
by  Tori Leach

Thank you all for being so welcoming as I adjust to the new role as your FORHP Flex Program Coordinator. I have thoroughly enjoyed getting to know the states that I will serve as your Project Officer, and I look forward to diving into the Flex Program.

 

Your former H54 Flex Grant for Fiscal Year (FY) 2018 (September 1, 2018 - August 31, 2019) Federal Financial Reports (FFRs) are due January 30, 2020. Please refer to my email on January 27, 2020 for more information.

 

In case you missed it, the Flex Monitoring Team (FMT) released a data summary report earlier this month, Patients' Experiences in CAHs: HCAHPS Results, 2018.

 

In Medicare Beneficiary Quality Improvement Project (MBQIP) news, a revised emergency department transfer communication (EDTC) measure has been implemented as of January 1, 2020 for discharges/transfers beginning in Q1 2020. Flex Programs should refer to the updated specifications manual, training videos, and other tools/resources available on the EDTC main resources page.

CAH Regulatory Update
Updates include:
  • The Centers for Medicare and Medicaid Services' (CMS) feedback request on Medicare Scope of Practice Regulations
  • Comment Requests for Transparency in Coverage Proposed Rule, Medicaid Fiscal Accountability Proposed Rule, and Medicare Advantage Advance Notice for 2021 Plan Year Risk Adjustment
  • CMS Technical Expert Panels Nominations
  • Guidance on Providing Opioid Treatment Services to Dually-Eligible Enrollees
Continue reading CAH Regulatory Updates (Flex Forum login required - contact  TASC for details)
This month, we bid a fond farewell to Matt McCullough of Utah. We wish you well Matt! 
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Please keep your Flex staff contact information current by completing the  State Flex Program Contact Information Form  whenever there are staffing changes in your office. 
Coming Up:

Flex TASC 90 webinar -- Wednesday, February 19, 2020 from 2:00 p.m. - 3:30 p.m. Central Time.

MBQIP VKG webinar -- Thursday, February 20, 2020 from 2:00 p.m. - 3:30 p.m. Central Time.

TASCUpdatesTASC Updates

2020 FORHP Flex Reverse Site Visit -- Request for Breakout Session Proposals

TASC and the Flex Program Reverse Site Visit (RSV) Planning Committee are seeking proposals for up to 15 60-minute breakout sessions at the FORHP  2020 Flex Program RSV , scheduled for  August 5-6, 2020 in Washington, DC. 

Proposals are only accepted electronically through  Friday, February 14, 2020 . We are looking for proposals to come from the state Flex Programs.
 
The Request for Proposal can be accessed on the TASC website. Y ou will also find detailed information on:
  • Breakout session format
  • Proposal guidelines and scoring criteria
  • Speaker expectations
Intended Audience and Theme

The intended audience for the 2020 Flex Program RSV is State Office of Rural Health Directors, Flex Coordinators and other key Flex personnel (two per state), the Flex Monitoring Team (FMT), Stratis Health's Rural Quality Improvement Technical Assistance (RQITA) team, TASC staff and Advisory Committee, and FORHP staff. The theme for this year's event is " Creating 20/20 Vision: Empowering Flexibility in Rural" and will focus on the  importance of flexibility and adaptability in today's rapidly changing health care environment.  Through content and discussions, participants will be able to create clarity, or a 20/20 vision, for improving and strengthening rural health care.
 
Flex Program RSV Learning Objectives

By attending the Flex Program RSV, participants will be able to:
  • Replicate successful state Flex Program models for empowering flexibility in today's rapidly changing environment
  • Determine what 20/20 vision looks like for improving and strengthening rural health
  • Strengthen the leadership of your state Flex Program in the Core Competencies for State Flex Program Excellence
Breakout Session Proposal Review

The RSV Planning Committee will assist TASC in the review and selection of breakout sessions. Together, we will create a RSV agenda that is balanced by both content and geography. To the extent possible, we will work toward presenters coming from all regions of the country. The main contact person listed for each proposal submitted will be notified regardless of being selected.
 
Submit a Proposal

The deadline to submit a breakout session proposal is  5:00 p.m. Central Time, Friday, February 14, 2020 . Proposals are only accepted via electronic submission through the 2020 RSV Request for Breakout Session Proposals page Please do not hesitate to contact Andy Naslund with questions. We look forward to your receiving your submissions. 

CAH Recognition Request for Nomination

Do you know of a critical access hospital (CAH) that has implemented an innovative approach to care coordination that is worthy of recognition? If so, please consider nominating them for Critical Access Hospital Recognition, an initiative of TASC, a program of the National Rural Health Resource Center (The Center), and supported by FORHP.

The purpose of the CAH Recognition initiative is to capture best practices and recognize the innovative work being done in CAHs across the country. It is also an opportunity for state Flex Coordinators to highlight the support state Flex Programs are providing to CAHs.

Based on scoring criteria listed below, chosen CAHs will each receive a certificate of recognition. They will also be profiled in this newsletter, promoted on The Center's social media platforms, and a press release will be sent to the communities in which the CAHs reside. 

Please plan to present the certificate of recognition in person. We also encourage you to gather a few quotes as well as take pictures of the event for the above promotional purposes.

Nomination Criteria:  CAH Care Coordination initiatives must meet the following requirements:
  • Was supported by the state Flex Program
  • Has a well-developed evaluation plan
  • Able to share two to five qualitative and/or quantitative outcomes
Thorough descriptions required for the following:
  • Innovative approach to care coordination implemented to improve population health. 
  • How implementing care coordination was identified as a need. 
  • Two to five qualitative and/or quantitative outcomes that explain how the initiative is successfully meeting community need and improving population health. 
  • How the state Flex Program supported the CAH in their care coordination implementation efforts. 
Nominations will be accepted through Friday, February 7, 2020 . Please submit your CAH Recognition nominations here .

For questions, please contact Angie LaFlamme

New Resource: 2020 State Flex Profiles
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Thank you to everyone who completed the annual update of the State Flex Profiles, maintained by TASC, in coordination with FORHP. We are pleased to announce that 39 of 45 Flex states updated the information on their profile. The State Flex Profiles can be found on the TASC website.

State Flex Profiles showcase the beneficial activities occurring at the state-level to support critical access hospitals (CAHs) and their communities around the country. No two states have the same approaches and the profiles are updated annually as an opportunity for states to share their excellent work and to learn from one another. The profiles include information on the work occurring in the six Flex Program areas as well as successes, best practices, and innovations. Use the State Flex Profiles to identify approaches to similar rural health issues, identify best practice opportunities, and access contact information for individuals at the state-level who are supporting Flex Program activities.

States that did not submit updated profile content will only have contact information on their State Flex Profile. Should a state wish to update their profile, it can be done by completing the State Flex Profile questionnaire.

New Resource: 2020 Flex Program Fundamentals: An Introduction to the Medicare Rural Hospital Flexibility
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TASC, in cooperation with FORHP, is pleased to announce that the updated 2020 Flex Program Fundamentals: An Introduction to the Medicare Rural Hospital Flexibility Program manual was recently mailed to your Flex Program office. 
 
The Flex Program Fundamentals is a manual for those intimately involved with the Flex Program. We hope this is a useful resource for current Flex Program staff, and as an orientation manual for new staff. An online version of the updated manual can also be found here.
Please send your MBQIP questions to [email protected]. TASC will ensure your question reaches the appropriate person.
Webinars, Recordings & Events
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Rural Health Leadership Radio  was launched to support rural health leaders in sharing stories and information about best practices and lessons learned. Check out their latest podcasts now! 

The most recent interviews are on community-based pulmonary rehabilitation, Chronic Obstructive Pulmonary Disease (COPD) prevalence and policy, COPD advocacy and criticism, and technology and transportation in rural health.



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