Upcoming Flex Events
Past Flex Events
- Oregon EMS Mass Casualty Incident Plan and EMS Communications Plan Meetings
The EMS and Trauma Systems Program and Oregon Office of Rural Health jointly convened four meetings across the state to discuss the Oregon EMS Mass Casualty Incident Plan and EMS Communications Plan. The meetings included a facilitated discussion of the elements in the plan. For a copy of the draft plan, please see the Documents below. For more information, please contact Robert Duehmig, firstname.lastname@example.org, (503) 494-4450.
EMS MCI Plan Draft
March 6, 2008 Meeting Agenda
March 6, 2008 Meeting Slides
- CAH Revised Relocation Guidance and Jan. 1, 2008, Rule Changes (sponsored by the Washington State Office of Community and Rural Health)
- List of Current CAH Hospitals in Oregon
- Materials for Participation—detailed information
- Provision of Observation Services in Critical Access Hospitals
- The revised Rural Health Bookmark (April 2009), which provides information about educational resources that are available to the rural health community, is available in downloadable and print formats.
- The Rural Health Fact Sheet Series (Summer 2009), which provides information about rural facility types and coverage and payment policies, is available in CD-ROM format. The following publications are included in the fact sheet series:
- Critical Access Hospital;
- Federally Qualified Health Center;
- Medicare Dependent Hospital;
- Medicare Disproportionate Share Hospital;
- Rural Health Clinic;
- Rural Referral Center;
- Sole Community Hospital;
- Swing Bed; and
- Telehealth Services.
To access the downloadable version of the Rural Health Bookmark, visit CMS' website. To place your order for the print version of the Rural Health Bookmark or the Rural Health Fact Sheet Series CD-ROM, visit CMS' website, scroll down to “Related Links Inside CMS” and select “MLN Product Ordering Page.”
Are you considering replacing your facility?
Below are some links to resources to help you with this process.
Transforming Hospitals: Designing for Safety and Quality
HUD 242 (FHA Section 242)—Helping Hospitals Get Capital Financing
Flex Webinar CAH Replacement/Relocation Archive (March 17 + 20 2009)
- Rural Health Resource Center
- Stroudwater and Associates
2008 Rural Hospital Study
Reconnecting with Community: A Critical Access Hospital Relocation Case Study
Flex Monitoring Team Reports
The Rural Health Research Centers at the Universities of Minnesota, North Carolina, and Southern Maine, under contract with the federal Office of Rural Health Policy are cooperatively conducting a performance monitoring project for the Medicare Rural Hospital Flexibility Program (Flex Program).
The monitoring project assesses the impact of the Flex Program on rural hospitals and communities and the role of states in achieving overall program objectives, including improving access to and the quality of health care services; improving the financial performance of Critical Access Hospitals; and engaging rural communities in health care system development.
- More here: http://www.flexmonitoring.org/
- Flex Monitoring Team Briefing Paper No. 17: Differences in Measurement of Operating Margin
- Flex Monitoring Team Briefing Paper No.18: Critical Access Hospital Quality Improvement Activities and Reporting on Quality Measures: Results of the 2007 National CAH Survey
Oregon Rural Healthcare Quality Network
A group of interested rural hospitals, state agencies, and other constituents have been working since 2005 to develop the Oregon Rural Healthcare Quality Network (ORHQN).
This network was formed with the goal of improving the quality and safety of rural health care in Oregon. The network will help rural providers overcome common challenges including geographic isolation, lack of opportunity to participate in a larger system, economic challenges, limited educational opportunities, smaller patient census, and limited information technology. The group was awarded federal funding to engage in the process of planning for the network over the next year.
Community Health Improvement Partnership
The Community Health Improvement Partnership (CHIP) develops ways to improve local health care and is about people becoming involved in health policy decisions both as individuals and as concerned community members.
Frequently Asked Questions
- What is a Critical Access Hospital (CAH)?
- What are the criteria in Oregon for becoming a CAH?
- What is a "rural health network"?
- What is the role of the State in CAHs?
- Will the federal government have more control over the hospital after the conversion?
- Why would a hospital consider conversion to a CAH?
- What are the steps in becoming a CAH?
- What are the key issues that a hospital needs to be aware of in making the transition?
- How will the conversion affect the quality of the hospital?
- How will the conversion affect the community? The patients?
- How will the services offered by the hospital be affected?
- How will physicians be affected by the conversion?
- Who do I contact to obtain more information?