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North Carolina Hospital Association

Serving North Carolina Hospitals & Health Systems

Rural Health Quality & Performance Improvement Portfolio

Rural Hospital Core Measure Improvement Collaborative

The goal of the Rural Hospital Improvement Collaborative is to assist small, rural hospitals and CAHs in collecting relevant core measure data, then organizing the data to guide process changes that result in improved quality of care.

• 30 small, rural hospitals working together to improve core measure performance, targeting 95% process reliability.

• Based on CMS indicators for pneumonia and heart failure care, in partnership with NC Office of Rural Health and CCME.
• Small, rural hospitals will enroll in the Hospital Outpatient Quality Data Reporting Program.

Lean Culture Transformation Collaborative

The NC Center for Rural Health, with assistance from The Duke Endowment and the NC Office of Rural Health, established two rural hospital lean collaboratives to spread lean culture transformation across healthcare organizations in the Carolinas. Eleven rural hospitals are engaged in training hospital managers, executives and front-line staff in the application of lean management tools, process improvement and value stream analysis.

Improving Board Governance of Quality and Patient Safety

The NC Office of Rural Health and the NC Center for Rural Health have introduced an effective board governance curriculum, Improving Board Governance of Quality and Patient Safety, based on the AHA Center for Healthcare Governance’s board improvement series. The curriculum is organized as a complete six-hour board retreat, with comprehensive training materials, presentations and a resource manual for each board member. The retreat is designed to help rural hospital trustees understand, evaluate and improve their governance of quality by creating a board action plan. The Board Quality Curriculum may be offered as a one-day board retreat or a two-day workshop.

340B Drug Pricing Program

The 340B Drug Pricing Program is an outpatient drug purchasing program that achieves significant discounts for eligible hospitals. Non-profit or public hospitals with a DSH percentage greater than 11.75%, non-profit and public CAHs, and non-profit and public sole community hospitals with a DSH percentage greater than 8% are eligible for 340B. Currently, 59 NC hospitals are enrolled in 340B, including 6 CAHs.

AHRQ Survey on Patient Safety Culture

The NC Center for Hospital Quality and Patient Safety has partnered with The Patient Safety Group to provide an electronic tool to administer the AHRQ Hospital Culture Survey. The Patient Safety Group offers the easiest, most affordable option to administer the AHRQ Survey. Enrollment with Patient Safety Group is subsidized for CAHs and small, rural hospitals with less than 30 average daily inpatient census.

Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS)

A national, standardized survey instrument and data collection methodology for measuring patients’ perceptions of their hospital experience and their perspectives of care. The customer survey allows objective and meaningful comparisons of hospitals and benchmarking of patient satisfaction data. Assistance to adopt the survey tool is made possible to small, rural hospitals and CAHs through the NC Flex Grant.

Technical Assistance for Rural Hospital HIT Adoption

The NC Center for Rural Health, in partnership with The Duke Endowment and CSC, conducted HIT and Meaningful Use Strategic Plans for 19 small, rural NC hospitals, resulting in detailed, hospital-specific roadmaps for future HIT investments. In relation to the HIT project, resources are available to support rural hospitals in addressing HIT strategic planning and accomplishing HIT deployment. 

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