Stay ConnectedThe National Rural Health Resource Center is a nonprofit organization dedicated to sustaining and improving health care in rural communities.
As the nation’s leading technical assistance and knowledge center in rural health, The Center focuses on five core areas:
-Transition to Value and Population Health
-Collaboration and Partnership
-Performance Improvement
-Health Information Technology
-Workforce
Review the eight strategies identified at the 2016 Financial Leadership Summit for rural hospitals transitioning to value-based purchasing and population health and hear the experiences from the field from a subject matter expert who is advising critical access hospitals (CAHs) on these strategies.
Learn the approach and identified outcomes from a state Flex Program that is addressing the recommended strategies with their CAHs and hear a research update on the observations from the field of the application of the identified strategies and metrics that can be used by state Flex Programs to demonstrate impact.
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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, $957,510 (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.
The introduction of MACRA marked a major change in physician reimbursement methodology. Prior to this legislation service, volume drove physician revenue. Value has replaced volume as the key driver of revenue. Dr. Davis explores the impact value-based reimbursement, MIPS and Alternative Payment Models (APMs) have on physicians. The participation choices and the effect of employment in a fee-for-service (FFS) environment, rural health clinic (RHCs) and federally qualified rural health clinics (FQHCs) are discussed.
View the slides: https://www.ruralcenter.org/events/alternative-payment-models-business-and-physician-perspectives-part-2
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As critical access hospitals (CAHs) and small rural hospitals evaluate whether to participate in an alternative payment model (APM) as an option under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) for their medical providers, it is important for hospital leadership to evaluate the APM model from a business plan perspective. The APM model requires hospital and clinician integration which will impact reimbursement and how care is coordinated and managed in the both the hospital and practice setting. Pat Schou, Executive Director for the Illinois Rural Community Care Organization (IRCCO), a statewide rural accountable care organization (ACO), discusses the financial strategies IRCCO has undertaken to prepare hospitals and their medical providers for clinical integration. She shares how they measure the return on investment for the ACO as well as for the hospital and medical provider. Ms. Schou explains the advantages and disadvantages of an organization considering becoming a part of an APM.
View the slides: https://www.ruralcenter.org/events/alternative-payment-models-business-perspective
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Neshoba County General Hospital-Nursing Home, a small, rural hospital in Philadelphia, Mississippi, shares their success story as a participant in the Magnolia-Evergreen ACO. In its first year, 2016, the ACO has performed with a projected savings of $10.9M, resulting in a reduction in cost of 8.4% or $900 per Medicare Beneficiary. The ACO has decreased ED visits by 13.2%, Inpatient Cost by 17.7%, and SNF cost by 22.6%, while at the same time improved ACO combined Net Revenue of $30 million. The Neshoba hospital's quality outcomes and patient satisfaction also improved. McCall cited board education and physician education and support as being key ACO success factors, as well as gaining access to comprehensive Medicare patient information. Dr. Cannon remarked that even with additional physician responsibilities for value payments, the presence of a care coordination team provided the physicians with valuable assistance in managing the overall care of the patients. According to Dr. Cannon, the ACO experience has resulted in "improved medical care and a better patient experience." McCall concluded, "rural collaboration works, even when it's with hospitals in a different state."
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This webinar discusses a recent Lean project conducted at a critical access hospital in Arizona and how similar quality improvement initiatives can be undertaken using SHIP funding. Presenters review the process of implementing the project as well as measurable outcomes seen by the hospital as a result. In addition, this webinar outlines key trends of SHIP funding in fiscal year 2016 and reviews helpful SHIP resources.
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Communities are increasingly challenged with rising health care costs, chronic disease management and addressing provider shortages. As a result, it is critical to find innovative ways to improve the health of communities. Community Health Workers (CHWs) are a cost effective bridge between patients with the greatest needs and the primary care physicians and other health care providers. Because CHWs know their community and are more likely to be trusted, they are able to address the health disparities and special needs. This webinar will explore the strengths of the CHWs and ways they can be added to a team to more effectively address the needs of the community.
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Union General Hospital, located in Farmerville, Louisiana, is a non-profit, 20-bed Critical Access Hospital. The hospital identified teen pregnancy and STDs as being a primary concern impacting the health, well-being and future of their community. Union General Hospital created the program, "It's a Girl Thing", and are now seeing outstanding health outcomes and expanding the program. They have received a national award for the program.
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Learn the key features of the Population Health Portal, including a readiness assessment, resources and data scenarios to support an organization's journey into population health.
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This webinar was recorded February 14, 2017. It was supported by the Federal Office of Rural Health Policy (FORHP) and coordinated by the Technical Assistance and Services Center (TASC), a program of the National Rural Health Resource Center.
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, $957,510 (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.
In this webinar, Lisa Gall, Clinical Program Manager at Stratis Health, details Alternative Payment Models and explains how Medical Home models can improve care coordination, quality and decrease costs. You will learn how small and rural hospitals can engage and educate clinicians, health care organizations and the community in order to achieve common cost and quality goals. Discover ways to return joy to providers, as they become active participants in the process. Resources relevant to small and rural hospitals will be provided to begin the transformation to value-based care.
· Speaker: Lisa Gall, DNP, FNP, LHIT-HP, Clinical Program Manager, Stratis HealthThis webinar provides an overview of MACRA's Quality Payment Program (QPP), eligibility requirements, and impacts on payment, quality and cost. Small and rural hospitals play a key role in improving patient and community health, avoiding readmissions, and keeping patients healthy. Participants will learn how a Value Based Care system can leverage patient and provider engagement This webinar provides a basis for working with staff and providers affected by the QPP within and outside your organization.
· Speaker: Lisa Gall, DNP, FNP, LHIT-HP, Clinical Program Manager, Stratis Health
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