MBQIP Monthly

MBQIP Monthly is a monthly e-newsletter that provides critical access hospitals(CAHs) with the support necessary for quality reporting and improvement. Additionally, it highlights current information about the Medicare Beneficiary Quality Improvement Project (MBQIP). State Flex Programs are encouraged to distribute MBQIP Monthly to their CAHs as an additional resource to supplement state-level MBQIP support.

MBQIP Monthly is produced in support of the Federal Office of Rural Health Policy by Rural Quality Improvement Technical Assistance, a program by Stratis Health. The current version of MBQIP Monthly is available for download below.

Year Month CAHs Can! Rural Success Data Tips Tools and Resources
December 2022 National Rural Virtual Quality Improvement Mentor Profile Series: Tammy Suchy CAHs Measure Up – Antibiotic Stewardship Program Education Implementation Update Abstraction and Reporting Resources Helping CAHs Succeed in Quality Reporting & Improvement
November 2022 National Rural Virtual Quality Improvement Mentor Profile Series: Katrina Strowbridge CAHs Measure Up – Antibiotic Stewardship Program Reporting Implementation Update Influenza Vaccination Coverage Among Healthcare Personnel Helping CAHs Succeed in Quality Reporting & Improvement
October 2022 Use Healthcare Quality Week To Show That Quality Matters Every Day Influenza Vaccination Coverage Among Healthcare Personnel CMS Quality Program Emails Helping CAHs Succeed in Quality Reporting & Improvement
September 2022 CAHs Can! National Rural Virtual Quality Improvement Mentor Profile Series: Jenifer Monzo Antibiotic Stewardship Program Core Elements Met by CAHs Outpatient Measure Abstraction Quiz Answers Helping CAHs Succeed in Quality Reporting & Improvement
August 2022 National Rural Virtual Quality Improvement Mentor Profile Series: Stacey Karvoski Top 10 States with Outstanding Quality Performance Outpatient Measure Abstraction Quiz Helping CAHs Succeed in Quality Reporting & Improvement
July 2022 National Rural Virtual Quality Improvement Mentor Profile Series: Marilyn Denno HCAHPS Response Rates EDTC Abstraction Quiz Answers Helping CAHs Succeed in Quality Reporting & Improvement
June 2022 National Rural Virtual Quality Improvement Mentor Profile Series: Cara Cruz Prioritize Your QI Projects EDTC Abstraction Quiz Helping CAHs Succeed in Quality Reporting & Improvement
May 2022 National Rural Virtual Quality Improvement Mentor Profile Series: Katherine Bryant Ensuring Data Accuracy Abstraction Tidbits Helping CAHs Succeed in Quality Reporting & Improvement
April 2022 National Rural Virtual Quality Improvement Mentor Profile Series: Caryn Bommersbach OP-18 Performance Snapshot Annual Measures OP-22 and HCP Helping CAHs Succeed in Quality Reporting & Improvement
March 2022 National Rural Virtual Quality Improvement Mentor Profile Series: Gloria Barth Missing Data on MBQIP Reports CMS Measure Resources Helping CAHs Succeed in Quality Reporting & Improvement
February 2022 Antibiotic Stewardship Profile Series: Astria Sunnyside Hospital Random Sampling Reporting Tidbits Helping CAHs Succeed in Quality Reporting & Improvement
January 2022 New Cohort of National Virtual Quality Improvement Mentors Ready to Help with QI Challenges EDTC Performance NHSN Annual Facility Survey Helping CAHs Succeed in Quality Reporting & Improvement
December 2021 Quality Time: Sharing PIE (performance improvement experience) Conversations How EDTC Measures Are Calculated Chart Abstracted MBQIP Measures Helping CAHs Succeed in Quality Reporting & Improvement
November 2021 Antibiotic Stewardship Profile Series: Forks Community Hospital Antibiotic Stewardship Reporting Implementation Update MBQIP Reports – Is Your HCP Data Showing? Helping CAHs Succeed in Quality Reporting & Improvement
October 2021 Use Healthcare Quality Week To Show Why Quality Matters Now More Than Ever Top 10 States with Outstanding Quality Performance In the Population or Not? Helping CAHs succeed in Quality Reporting & Improvement
September 2021 Resilience: Factors To Help Your Organization Bounce Back Antibiotic Stewardship Action Implementation Update Quality Reporting Notifications from CMS Helping CAHs succeed in Quality Reporting & Improvement
August 2021 Quality Time: Sharing PIE (performance improvement experience) Conversations Free Samples? Population and Sampling Data Are Here! Abstraction Tidbits Helping CAHs Succeed in Quality Reporting & Improvement
July 2021 Quality Time: Sharing PIE (performance improvement experience) Mentors Answer Your Burning Questions Overall Hospital Star Ratings Reporting Reminders and Hospital-Acquired Infection (HAI) Data Helping CAHs Succeed in Quality Reporting & Improvement
June 2021 Quality Time: Sharing PIE (performance improvement experience) Conversations When You Shouldn’t Use EHR Data For Quality Improvement Abstracting for Accuracy Helping CAHs Succeed in Quality Reporting & Improvement
May 2021 Quality Improvement Mentor Program: One-year Retrospective Reviewing Your Performance in EDTC Data Elements MBQIP Measures Submitted Yearly Helping CAHs Succeed in Quality Reporting & Improvement
April 2021 Quality Time: Sharing PIE (performance improvement experience) Mentors Answer Your Burning Questions CAHs Measure Up – MBQIP Hospital Data Reports Submitting OP-22 Helping CAHs Succeed in Quality Reporting & Improvement
March 2021 Quality Time: Sharing PIE (performance improvement experience) Conversations Guest Spotlight: CDC Infection Control Training Data Submission Helping CAHs Succeed in Quality Reporting & Improvement
February 2021 Quality Time: Sharing PIE (performance improvement experience) Conversations Annual Facility Survey Provides Antibiotic Stewardship Snapshot Data Submission Helping CAHs Succeed in Quality Reporting & Improvement
January 2021 Quality Time: Sharing PIE (performance improvement experience) Mentors Answer Your Burning Questions Monitoring HCAHPS Performance Data Submission Update Helping CAHs Succeed in Quality Reporting & Improvement
December 2020 Quality Time: Sharing PIE (performance improvement experience) Conversations Finding and Using Benchmarking Data Hospital Quality Reporting Site Updates Helping CAHs Succeed in Quality Reporting & Improvement
November 2020 Rural Success: Avera Holy Family Hospital, IA Random Sampling Using CART Helping CAHs Succeed in Quality Reporting & Improvement
October 2020 Rural Success: Pembina County Memorial Hospital, ND New EDTC Measure Data QualityNet Updates Helping CAHs Succeed in Quality Reporting & Improvement
September 2020 Rural Success: Paris Community Hospital, IL Top 10 States with Outstanding Quality Performance QualityNet Updates Helping CAHs Succeed in Quality Reporting & Improvement
August 2020 Second Episode Now Available: Quality Time: Sharing PIE (performance improvement experience) Conversations New Trend Line Feature in CAHMPAS Quality Data Abstracting for Accuracy Helping CAHs Succeed in Quality Reporting & Improvement
July 2020 Rural Success: Improving Your Antibiotic Stewardship Program Antibiotic Stewardship Program Core Elements Met by CAHs FAQ: QualityNet Updates Helping CAHs Succeed in Quality Reporting & Improvement
June 2020 Rural Success: Kit Carson County Health Service District, Burlington, CO Make Prioritizing Quality Improvement Easier FAQ: Current MBQIP Reporting Guidelines Helping CAHs Succeed in Quality Reporting & Improvement
May 2020 Quality Time: Sharing PIE (performance improvement experience) Conversations Reviewing Your Performance in EDTC Data Elements FAQ: Setting Up a HARP Account Helping CAHs Succeed in Quality Reporting & Improvement
April 2020 Focus on COVID-19 Quality Reporting Updates Due to the COVID-19 Pandemic  COVID-19 and MBQIP Resources
March 2020 Rural Success: Ellenville Regional Hospital CAHs Measure Up –  Improving HCAHPS Scores FAQ: EDTC Abstraction Quiz Answers Helping CAHs Succeed in Quality Reporting & Improvement
February 2020 Antibiotic Stewardship Profile Series: Pointe Coupee General Hospital  MBQIP Hospital Data Reports FAQ: Take the EDTC Abstraction Quiz!  Helping CAHs Succeed in Quality Reporting & Improvement
January 2020 Virtual Quality Improvement Mentor Program Data Quality and Accuracy FAQ: Comments and Observations on the EDTC Training Sessions Helping CAHs Succeed in Quality Reporting & Improvement
December 2019 Antibiotic Stewardship Profile Series: Clarke County Hospital, IA Measuring the Influenza Season FAQ: Upcoming EDTC Measure Specifications Manual Training Helping CAHs Succeed in Quality Reporting & Improvement 
November 2019 Antibiotic Stewardship Profile Series: Greene County General Hospital, IN Benchmarking with CAHMPAS FAQ: Is Your HCP Data Showing? Helping CAHs Succeed in Quality Reporting & Improvement 
October 2019 Rural Success: Power County Hospital District, ID Benchmarking to Improve Antibiotic Stewardship FAQ: What’s Showing on Your MBQIP Report? Helping CAHs Succeed in Quality Reporting & Improvement 
September 2019 Rural Success: Riverview Regional Medical Center, TN CAHs Measure Up – Core Elements of Antibiotic Stewardship Tips and Frequently Asked Questions: MBQIP Chart-abstracted Measures – What’s Been Removed and What’s Staying Helping CAHs Succeed in Quality Reporting & Improvement 
August 2019 Rural Success: Upper Connecticut Valley Hospital, NH CAHs Measure Up – 2019 MBQIP Awards FAQ: EDTC Updates Helping CAHs Succeed in Quality Reporting & Improvement 
July 2019 Rural Success: Dahl Memorial Healthcare Association, MT CAHs Measure Up – MBQIP Hospital Data Reports – Understanding N/A, D/E, and 0 FAQ: EDTC Data Submission Helping CAHs Succeed in Quality Reporting & Improvement 
June 2019 Rural Success: High-performing CAHs Take Action for Antibiotic Stewardship CAHs Measure Up – Annual Facility Survey Provides Antibiotic Stewardship Snapshot FAQ: New Year Means New Manuals Helping CAHs Succeed in Quality Reporting & Improvement  
May 2019 Rural Success: Abrom Kaplan Memorial Hospital, LA Finding and Using Benchmarking Data FAQ: Open Office Hours Calls Helping CAHs Succeed in Quality Reporting & Improvement  
April 2019 Rural Success: Avera Marshall Regional Medical Center, MN Internally Monitoring OP-22 FAQ: OP-22 and HCP/IMM-3 (Formerly OP-27) Helping CAHs Succeed in Quality Reporting & Improvement         
March 2019 Rural Success: Titusville Area Hospital, PA Tools and Resources: Helping CAHs Succeed in Quality Reporting & Improvement Data: CAHs Measure Up – HCAHPS Performance in 2017 Tips: Robyn Quips – Tips and Frequently Asked Questions: OP-27: Is it Really Gone?           
February 2019 CAHs Can!: Fairview Regional Medical Center, OK Random Sampling FAQ: Emergency Department Transfer Communication Helping CAHs Succeed in Quality Reporting & Improvement 
January 2019 CAHs Can!: Year-end Review: What Makes Great CAHs Antibiotic Stewardship Tracking FAQ: Year-end and New Year Abstraction Reminders Helping CAHs Succeed in Quality Reporting & Improvement 
November 2018 Rural Success: St. Elizabeth Healthcare, KY Enhanced Hospital Data Reports FAQ: Current MBQIP Core Measures Helping CAHs Succeed in Quality Reporting & Improvement 
October 2018 Rural Success: Jefferson Healthcare Medical Center, WA Measuring Influenza Season Robyn Quips – Tips and Frequently Asked Questions: Abstracting for Accuracy Findings, Determining Measure Populations, Part Two Helping CAHs Succeed in Quality Reporting & Improvement
September 2018 Rural Success: Abbeville Area Medical Center, SC 2018 Annual Facility Survey FAQ: Abstracting for Accuracy Findings, EDTC Population Helping CAHs Succeed in Quality Reporting & Improvement
August 2018 Rural Success: Fairview Hospital, MA 2018 MBQIP Awards FAQ: Quarter 2 2018 Outpatient Measure Abstraction and Submission  Helping CAHs Succeed in Quality Reporting & Improvement
July 2018 Rural Success: Antibiotic Stewardship in Action Preliminary Abstracting for Accuracy Results FAQ: CART Tool Updates Helping CAHs Succeed in Quality Reporting & Improvement
June 2018 Rural Success: First Care Health Center, ND National OP-5 Performance Tips and Frequently Asked Questions Helping CAHs Succeed in Quality Reporting & Improvement
May 2018 Rural Success: Hampshire Memorial Hospital, WV Variation and Improvement Tips and Frequently Asked Questions Helping CAHs Succeed in Quality Reporting & Improvement
April 2018 Rural Success: Aultman Orrville Hospital, OH ED-1 and ED-2 Measures Now in MBQIP Hospital Data Reports Tips and Frequently Asked Questions Helping CAHs Succeed in Quality Reporting & Improvement
March 2018 Rural Success: Carroll County Memorial Hospital, MO Emergency Department Transfer Communication (EDTC) Measures Tips and Frequently Asked Questions Helping CAHs Succeed in Quality Reporting & Improvement
February 2018 Rural Success: Polk Medical Center, GA HCAHPS Performance in 2016 Tips and Frequently Asked Questions Helping CAHs Succeed in Quality Reporting & Improvement
January 2018 Rural Success: Margaret Mary Health, IN Data Quality & Accuracy Tips and Frequently Asked Questions Helping CAHs Succeed in Quality Reporting & Improvement
December 2017 Year-end Review: What Makes Great Critical Access Hospitals (CAH) Antibiotic Stewardship Reporting and Improvement Removed Outpatient Measures, Year-end Review Helping CAHs Succeed in Quality Reporting & Improvement
November 2017 Rural Success: Barrett Hospital & Healthcare, MT New Emergency Department (ED) Measures Equal New Improvement Opportunities Outpatient Population and Sampling Fix; Inpatient ED Measures Reporting Helping CAHs Succeed in Quality Reporting & Improvement
October 2017 Rural Success: Elizabethtown Community Hospital, NY Measuring Influenza Season Inpatient Emergency Department Measures Helping CAHs Succeed in Quality Reporting & Improvement
September 2017 Rural Success: St. Luke's Hospital, NC Charting MBQIP Reporting Rates Emergency Department (ED) Admits Helping CAHs Succeed in Quality Reporting & Improvement
August 2017 Rural Success: Spanish Peaks Hospital, CO 2017 MBQIP Awards Abstraction Tidbits Helping CAHs Succeed in Quality Reporting & Improvement
July 2017 Rural Success: Upland Hills Health, WI Data Reports - Understanding N/A, D/E and 0 Data Reports - Understanding N/A, D/E and 0 Helping CAHs Succeed in Quality Reporting & Improvement
June 2017 Rural Success: St. Francis Memorial Hospital, NE Reviewing EDTC Data Elements to Improve Performance EDTC Clarifications Helping CAHs Succeed in Quality Reporting & Improvement
May 2017 Rural Success: CrossRidge Community Hospital, AR HCAHPS Best Practices You Can Use FAQ: In the Population or Excluded: How do I Know? Helping CAHs Succeed in Quality Reporting & Improvement
April 2017 Rural Success: Allegan General Hospital, MI Submitting Outpatient Population and Sampling Data Population and Sampling Questions & Answers Helping CAHs Succeed in Quality Reporting & Improvement
March 2017 Rural Success: Avera DeSmet Memorial Hospital, South Dakota Finding and Using Benchmarking Data Communications from the Centers for Medicare and Medicaid (CMS) Helping CAHs Succeed in Quality Reporting & Improvement
February 2017 Rural Success: TriStar Ashland City Medical Center, TN Using the Internal Quality Monitoring Tool with CART Reports How to Run Reports in CART Helping CAHs Succeed in Quality Reporting & Improvement
January 2017 Rural Success: Rural Success: Heber Valley Hospital, UT MBQIP Hospital Data Reports New Year Reminders Helping CAHs Succeed in Quality Reporting & Improvement
December 2016 Rural Success: CAHs Can. Absolutely, CAHs Can. New MBQIP Measures New CMS Specifications Manuals and Highlights from This Year’s Tips Helping CAHs Succeed in Quality Reporting & Improvement
November 2016 Rural Success: Floyd Valley Healthcare, LeMars, IA Variation and Improvement CART Tips Helping CAHs Succeed in Quality Reporting & Improvement
October 2016 Rural Success: North Canyon Medical Center, Gooding, ID Measuring the Influenza Season Population and Sampling: What, Why, When, Where, How? Helping CAHs Succeed in Quality Reporting & Improvement
September 2016 Rural Success: Ojai Valley Community Hospital, Ojai, CA HCAHPS Response Rates Potpourri of Abstraction Reminders Helping CAHs Succeed in Quality Reporting & Improvement
August 2016 Rural Success: Kimble Hospital, Junction, TX - The powerful influence of hospital nursing leaders How EDTC Measures Are Calculated Entering Population and Sampling Counts and QualityNet Helpdesk Hint Helping CAHs Succeed in Quality Reporting & Improvement
July 2016 Rural Success: Mariners Hospital, Tavernier, FL State CAH Hospital Comparison Reports Take the Abstraction Quiz! Helping CAHs Succeed in Quality Reporting & Improvement
June 2016 Rural Success: Petersburg Medical Center, Petersburg, AK All About HCAHPS Outpatient AMI and Chest Pain Measures Helping CAHs Succeed in Quality Reporting & Improvement
May 2016 Rural Success: West Valley Hospital, Dallas, OR Comparison Data Understand a Measure's Population Helping CAHs Succeed in Quality Reporting & Improvement
April 2016 Rural Success: Neosho Memorial Regional Medical Center Progress on EDTC Measures Tips:  FAQ: New CART Versions, IMM-2 Risk of Case Rejection Helping CAHs Succeed in Quality Reporting & Improvement
March 2016 CAHs Can! Rural Success: Mount Desert Island Hospital, Bar Harbor, ME Internally Monitoring OP-22  Measure Sets, Paper Tools, Current EDTC Spec Manual, Due Date Change Tools and Resources
February 2016 Rural Success: Wabash General Hospital, Mount Carmel, IL ED Transfer Communication Measure reporting on the rise Get your data accepted by QualityNet warehouse Helping CAHs Succeed in Quality Reporting & Improvement
January 2016 Rural Success: Bigfork Valley Hospital (MN) and HCAHPS HCAHPS Reporting Snapshot EDTC Measure Updated for Nurse to Nurse Communication Tools and Resources

Updates

Major announcements and news related to program, state, or policy changes

Texas Wins the 2021 MBQIP Spirit Award!
July 30th, 2021

Rural Resilience for Healthier Communities

On July 30th, 2021, Texas Agriculture Commissioner Sid Miller announced that the Texas Department of Agriculture’s (TDA) State Office of Rural Health has won national recognition for its effort to expand and improve delivery of first class health care in rural Texas during the 2021 Flex Program Virtual Reverse Site Visit conference. The Texas Flex Program, a program managed by the State Office of Rural Health to support and improve Critical Access Hospitals in rural areas, was awarded the 2021 Medicare Beneficiary Quality Improvement (MBQIP) Spirit Award by the Federal Office of Rural Health Policy.

“This award is not just recognition for the job we’re doing here in the TDA State Office of Rural Health,” said Miller, “but for the tremendous job done by all the healthcare professionals at rural hospitals across the Lone Star State. The recent COVID-19 pandemic packed a wallop for rural hospitals, but this award shows that we’ve come out stronger and better, because that’s what Texans do. We don’t just survive, we thrive. I could not be more proud.”

Texas Agriculture Commissioner Sid Miller

The goal of the MBQIP Spirit Award is to recognize state programs that strive to be innovative, improve and advance the objectives of the federal project in their state. According to Natalia Vargas, Federal MBQIP Officer for Texas, the Spirit Award “underscores the incredible efforts, hard work, innovative thinking to problem solve, and the drive to truly make healthcare better for rural populations.”

Flex Coordinator Robert Shaw

Flex coordinator Robert Shaw from the State Office of Rural Health stated, "Texas is a big'ol state, and I am proud to say that we all work together— from our quality partners at the CAHs, Texas Hospital Association, and Texas A&M Rural and Community Health Institute, along with our Federal partners, to move our state forward in our quality journey. Everyone has a role to play in improving quality!"

The Medicare Beneficiary Quality Improvement Project (MBQIP) is a quality improvement activity under the Medicare Rural Hospital Flexibility (Flex) program of the Health Resources and Services Administration’s (HRSA) Federal Office of Rural Health Policy (FORHP). The goal of MBQIP is to improve the quality of care provided in critical access hospitals (CAHs), by increasing quality data reporting by CAHs and then driving quality improvement activities based on the data.

Dedicated to serving the health needs of rural Texas, the TDA State Office of Rural Health (SORH) works with local health care providers and other partners to support access to quality health care for rural Texans. SORH works to support rural health providers by providing technical assistance with finance, operations, and quality through a variety of grant programs, workshops, and one-on-one assistance. Additional resources include educational awards that are available to individual clinicians and health care institutions, information and referral, funding resources, and assistance with medical license applications.

Texas MBQIP Trending Scorecards
October 7th, 2020

The new Texas MBQIP Trending Scorecard reports containing EDTC measures are now available. Please check your email for these reports as they will be sent out following the national data reports. These reports are based on the feedback collected during the MBQIP Pilot Study conducted this summer.

Conditions of Participation Related to COVID Reporting
August 31, 2020

Dear Flex Program Colleagues,

The Centers for Medicare and Medicaid Services (CMS) posted an interim final rule (IFR) related to COVID-19 surveillance with new reporting and testing requirements for nursing homes and other providers, including hospitals and critical access hospitals (CAHs). The new rules make reporting a requirement of participation in the Medicare and Medicaid programs for both hospitals and CAHs. The IFR states: “Should a hospital or CAH fail to consistently report test results throughout the duration of the PHE for COVID-19, it will be non-compliant with the hospital and the CAH CoPs” (Conditions of Participation) “set forth at §§ 482.42(e) and 485.640(d), respectively, and subject to termination as defined at 42 CFR 489.53(a)(3).“

Hospitals and CAHs

Hospitals and CAHs will be required to report data daily, including but not limited to elements such as the number of confirmed or suspected COVID-19 positive patients, intensive care unit beds occupied, and availability of essential supplies and equipment such as ventilators and personal protective equipment (PPE). In March, Vice President Pence sent a letter to all hospitals requesting that they provide the results of COVID-19 tests performed in their in-house laboratories to help better understand and track disease patterns. CMS’ new rules require such reporting of test results in order to ensure a more complete picture in the nationwide surveillance of COVID-19, as well as a more efficient allocation of PPE and other vital supplies.

More Information

Please see the links below to a brief fact sheet about the IFR and the full IFR, that pertain not only to hospitals and CAHs, but also to labs, nursing homes, and physician and pharmacist orders for COVID-19 testing.

CMS Fact Sheet:
https://www.cms.gov/newsroom/press-releases/trump-administration-strengthens-covid-19-surveillance-new-reporting-and-testing-requirements

Interim Final Rule:
https://www.cms.gov/files/document/covid-ifc-3-8-25-20.pdf

Please do not hesitate to reach out with questions.

Nicole Clement | Program Specialist

National Rural Health Resource Center

Texas Department of Agriculture
MBQIP Data Reporting Reminders
August 6, 2020

Important Notice:

Per recent announcements from the Federal Office of Rural Health Policy and the Centers for Medicare & Medicaid, due to the COVID-19 pandemic, quality reporting is optional for data collected during Quarter 1 and Quarter 2 of 2020. Hospitals that can report for these quarters are strongly encouraged to do so. Please review the information below carefully. For more information, please see the Quality Reporting Updates Due to COVID-19 Pandemic article in the April 2020 MBQIP Monthly.

August 15, 2020
CMS Inpatient Measures
  • Patients seen Q1 2020 (January, February, March)
  • CMS Hospital Inpatient Reporting Specifications Manual version 5.7
  • Submitted to the QualityNet warehouse via CART or by vendor
  • CART version 4.25
October 31, 2020
Emergency Department Transfer Communication (EDTC)
  • Patients seen Q3 2020 (July, August, September)
  • Note –there is no reporting exception for Q3 2020 submission
  • Make sure to use the revised EDTC Manual for 2020 encounters
  • Submission process directed by state Flex Program
November 1, 2020
CMS Population and Sampling (optional)
  • Patients seen Q2 2020 (April, May, June)
  • Inpatient and outpatient
  • Entered via the Secure Portal on QualityNet or HARP account
November 1, 2020
CMS Outpatient Measures
  • Patients seen Q2 2020 (April, May, June)
  • CMS Hospital Outpatient Reporting Specifications Manual version 13.0a
  • Submitted to the QualityNet warehouse via CART or by vendor
  • CART version 1.18.1

COVID-19 Update
March 31, 2020

Hello Rural Health Partners,

First off, we would like to thank you for your hard work in quality reporting and improvement efforts. Thank you for everything that you do to submit MBQIP data. As we are aware, you may be facing hardships to submit MBQIP data due to the COVID-19 pandemic. If you are unable to submit MBQIP data due to COVID-19, we understand and with guidance from the Federal Office of Rural Health Policy, you will not be penalized for not reporting. However, the State of Texas has come a long way in reporting MBQIP measures, and if you are still able, we encourage you to continue reporting, as measures will be used to inform both ours and the federal efforts about making improvements in care for rural populations.

While hospitals direct their resources toward caring for ill patients and ensuring the health and safety of their staff, we recognize that any quality measure reporting during this national emergency may not be reflective of actual performance. Alongside our Federal partners, we will continue to monitor the developing COVID-19 situation and re-assess reporting requirements as needed.

Please don’t hesitate to reach out to us if you have any questions or need anything. Stay safe and healthy!

Robert Shaw | Flex Coordinator

State Office of Rural Health

Texas Department of Agriculture

CAH-QI Webinars

Past CAH-QI webinars, hosted by THA, SORH and ARCHI
Date Topic
Aug 31st, 2022 CAH-QI: That's a Wrap
Feb 8th, 2022 Quarterly Quality Improvement Webinar: Building Hospital-Wide Quality Improvement Consistency
Nov 9th, 2021 Quarterly Quality Improvement Webinar Influenza & NHSN
Aug 10th, 2021 Sharing Our Wins!
Jun 17th, 2021 Quality Net
Nov 10th, 2020 Influenza & Antibiotic Stewardship
May 12th, 2020 Antibiotic Stewardship Reporting
Feb 11th, 2020 EDTC Quality Domain