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 |
|---|---|---|---|---|---|
| February | 2024 | RQITA MONTHLY Edition: February 2024 | |||
| January | 2024 | RQITA MONTHLY Edition: January 2024 | |||
| December | 2023 | RQITA MONTHLY Edition: December 2023 | |||
| November | 2023 | RQITA MONTHLY Edition: November 2023 | Questions from the Field | Upcoming Deadlines and Reporting Reminders | Rural Health: Addressing Barriers to Care & Measure Deadlines |
| October | 2023 | RQITA MONTHLY Edition: October 2023 | (EDTC) measure for Q3 2023 encounters (July 1, 2023 - September 30, 2023) is due | What happened to measures OP-2 and OP-3? | Team is in the process of updating and producing MBQIP tools, resources, and trainings |
| September | 2023 | CAHs Can! QI Mentor Stories – Improving Swing Bed Quality | CAHs Measure Up: Collaborative Impact | Tips: Robyn Quips – New Centers for Medicare and Medicaid Services (CMS) Required Reporting | Tools and Resources – MBQIP and Rural Health Improvement Resources |
| August | 2023 | CAHs Can! QI Mentor Stories – Reducing Avoidable Hospital Readmissions | CAHs Measure Up: Influenza Vaccination Coverage | Tips: Robyn Quips – CMS Reporting Structures | Tools and Resources – MBQIP and Rural Health Improvement Resources |
| July | 2023 | CAHs Can! QI Mentor Stories – QI Mentor Stories Implementing Successful Fall Prevention Strategies | CAHs Measure Up: Centers for Disease Control and Prevention (CDC) Core Elements of Hospital Antibiotic Stewardship Programs | Tips: Robyn Quips – Data Submission Reminders | Tools and Resources – Helping CAHs Succeed in Quality Reporting & Improvement |
| June | 2023 | CAHs Can! QI Mentor Stories – Building A Quality Warehouse | CAHs Measure Up: Health Care Disparities in Rural Areas – A Data Driven Approach | Tips: Robyn Quips – CMS Data Element Change | Tools and Resources – Helping CAHs succeed in quality reporting & improvement |
| May | 2023 | CAHs Can! QI Mentor Stories - Improving Durable Medical Equipment Process | CAHs Measure Up: OP-18 National Performance | Robyn Quips - tips and frequently asked questions - Abstraction tidbits | MBQIP and Rural Health Resources |
| April | 2023 | CAHs Can! Engaging Hospital Boards in Quality | Data: CAHs Measure Up – New Birthing-Friendly Hospital Designation | Tips: Robyn Quips – Annual Measures OP 22 and HCP | Tools and Resources – Helping CAHs Succeed in Quality Reporting & Improvement |
| March | 2023 | CAHs Can! How Critical Access Hospitals Improved Patient Experience During the Pandemic | Data: CAHs Measure Up – HCAHPS Performance in 2021 | Tips: Robyn Quips – CART Tool | Tools and Resources – Helping CAHs Succeed in Quality Reporting & Improvement |
| February | 2023 | CAHs Can! National Rural Virtual Quality Improvement Mentor Profile Series: Linda Webb | Data: CAHs Measure Up – EDTC Measure Reporting Trends | Tips: Robyn Quips – MBQIP Measure Updates | Tools and Resources – Helping Critical Access Hospitals Succeed in Quality Reporting & Improvement |
| January | 2023 | CAHs Can! National Rural Virtual Quality Improvement Mentor Profile Series: Tammy Sudtelgte | Data: CAHs Measure Up – MBQIP Annual Reports: What Are They, and What Do They Tell Us? | Tips: Robyn Quips – Year-end and New Year Abstraction Reminders | Tools and Resources – Helping Critical Access Hospitals Succeed in Quality Reporting & Improvement |
| 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 |