QUALITY INITIATIVESQUALITY INITIATIVESARIZONA FLEX PROGRAMARIZONA FLEX PROGRAM

Alison Hughes, MPA, Flex Program, Az RHOHRSA Grantee Partnership MeetingWashington, D.C. September, 2009

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Hopi Country, July, 2009Photo by Alison

Quality InitiativesQuality Initiatives

Performance Improvement Summit for Critical Access Hospital CEOs and CFOs.

Rural Trauma Team Development.Mock Site Reviews.Targeted trainings and Webinars.Multi-State Quality Improvement Project.EMS First Responder manager training

and budget training.

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Arizona Critical Access Hospital CEOs, CFO’s and other staff members gather for 2009 Performance Improvement Summit.

Phoenix, June, 2009

4Phoenix Police on Break July 2009Photo by Alison

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ARIZONA CAH-RELATED FIRST RESPONDERSRECEIVE BUDGET TRAINING, 2008Photo by Alison

Multi-State Quality Improvement Multi-State Quality Improvement InitiativeInitiative

INTRODUCING THE MULTI-STATE PROJECT TO ARIZONA CRITICAL ACCESS HOSPITALS

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Multi-State Quality Improvement Multi-State Quality Improvement ProjectProject

Introducing the Multi-State Project to the CEOs

• Teleconferences with consultant• Teleconferences with Kansas Hospital

Association online Quality Health Indicators project and interested critical access hospitals.

• Contract negotiations. The need for MOAs with participating hospitals.

• Flex Staff site visits to critical access hospitals with Darlene Bainbridge for consultations.

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Multi-State (Continued)Multi-State (Continued)

Webinar Involvement In-person Quality Managers meeting.Ongoing tele-consultations on identified needs.

◦Swing bed policies◦Observation bed policies◦Personnel management challenges

Useful tools for Quality Managers◦Quality calendar concept

End-of-year assessment underway.

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Introducing the Multi-State Project toHospital personnel in Willcox, Arizona.Photo by Alison.

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Quality Managers attend in-person training program July, 2008, Phoenix, AZ. Darlene Bainbridge, trainer.Photo by Alison.

Lessons LearnedLessons Learned

Chief Executive Officer buy-in and personal engagement impacts success.

Flex staff engagement impacts success.The importance of Memoranda of

Agreement with the participating hospitals, prior to participation.

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Navajo Land, ArizonaJuly, 2009

Photo by Alison

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