One of the first steps in the transition to value-based reimbursement models is often related to quality reporting and the ability to demonstrate quality, efficiency, and strong patient experience.  Despite the challenges, many rural communities are stepping up to the opportunities of delivery system reform. Although considered voluntary by CMS, nearly 90% of CAHs nationwide participate in public reporting of at least some quality metrics. 95% of Kansas CAHs have participated in public reporting of quality metrics.  

Available Help Desk:

Quality Health Indicators (QHi), Stuart Moore,, (785) 233-7436


Quality Corner Calls:

Quality Corner Calls are offered by the Kansas Department of Health and Environment and the Kansas Hospital Education and Research Foundation and focus on quality improvement activities consistent with the Medicare Rural Hospital Flexibility Grant Program.

The next Quality Corner Call is scheduled for noon on Wednesday, August 14.  The brochure will be available soon with more details.  Click HERE to register.

Click on the links below to listen to the recordings and view the slides of the Quality Corner Calls:

  • August 14, 2019 Topic TBD
  • July 17, 2019 Palliative Care in Critical Access Hospitals RECORDING and SLIDES
  • May 15, 2019 Antibiotic Stewardship and Resistance RECORDING and SLIDES
  • April 17, 2019 Patient Experience: Making a Difference RECORDING and SLIDES
  • February 20, 2019 QHi, Quality Health Indicators RECORDING and SLIDES
  • January 9, 2019 Electronic Clinical Quality Measures (eCQMs) RECORDING and SLIDES
  • November 13, 2018 Best Practices for CAHs SLIDES– the recording is not available
  • October 9, 2018 Ask the Expert RECORDING and SLIDES
  • August 14, 2018 Understanding Telligen MBQIP Reports RECORDING and SLIDES
  • July 11, 2018 Antibiotic Stewardship and Resistance, Part II RECORDING and SLIDES
  • May 16, 2018 Emergency Department Transfer Communication RECORDING and SLIDES
  • April 12, 2018 Antibiotic Stewardship and Resistance RECORDING and SLIDES

Additional Resources:

Critical Access Hospital eCQM Resource List

Quality Improvement Measure Summaries for MBQIP

Implementation of Antibiotic Stewardship Core Elements at Small and Critical Access Hospitals

MBQIP Data Submission Deadlines for FY19-20



Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Overview: Vendor Directory

HCAHPS Warehouse Provider Survey Status Summary Report



NHSN Patient Safety Component Data Entry

National Healthcare Safety Network (NHSN),, (877) 681-2901


Other Resources:

Paul Moore’s Video – Confused about MBQIP?

IHI Quality Improvement EssentialsToolkit

PfP-Strategic-Vision-Roadmap-508 102017

Summary – HCAHPS Best Practices in CAHs 

Quality Improvement Implementation Guide and Toolkit for Critical Access Hospitals

Medicare Beneficiary Quality Improvement Project (MBQIP) Quality Reporting Guide


Quality Ideas by Department: