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Journey To Excellence January 14, 2008. The Primary Care Office. State Office of Rural Health Under-served designation activity Community Health Center Support Local Health Department Support. State Office of Rural Health. SORH SHIP Flex. SORH.

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Journey To Excellence January 14, 2008

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journey to excellence january 14 2008
Journey To Excellence

January 14, 2008

the primary care office
The Primary Care Office
  • State Office of Rural Health
  • Under-served designation activity
  • Community Health Center Support
  • Local Health Department Support
  • Purpose: maintaining a rural health care focal point within the state
    • Establish and maintain a clearinghouse for collecting and disseminating information
    • Coordinate rural health care activities
    • Provide technical assistance
    • Encourage the recruitment and retention of health professional in rural areas
  • Federal grant program to assist small rural hospitals by providing grants to:
      • Pay for costs related to implementation of PPS
      • Comply with provisions of HIPAA
      • Reduce medical errors and support quality improvement
the flex program

The Flex Program

Medicare Rural Hospital Flexibility Program

  • Support rural communities in preserving access to primary and emergency health care services.
  • 45 States receive annual federal grant funding to administer the program
    • CT, DE, MD, NJ, & RI not eligible
  • States maintain ongoing planning and program development activities
  • Each state has developed a state rural health plan approved by HRSA
    • Indiana has updated its state rural health plan
      • This is a working document
key components of the indiana state rural health plan
Key Components of the Indiana State Rural Health Plan
  • Quality Improvement
  • Partnership Development & Enhancement
  • Emergency Medical Services and Trauma
  • Workforce Issues
  • Telehealth, Telemedicine, and Health Information Technology
key components of the flex program
Key Components of the Flex Program
  • Emergency Medical Services
  • Quality Improvement
  • Network Development and Enhancement
  • Rural Health Planning and Evaluation
emergency medical services
Emergency Medical Services
  • Training initiatives

-Clinical training -Billing

-Management -Data entry


  • Encouraging local collaboration
  • Enhancing data collection and reporting
  • Workforce projects
  • Needs assessments
ems trauma assessment
EMS/Trauma Assessment
  • ACS (American College of Surgeons) Assessment
    • A comprehensive review of Indiana's trauma system
    • The purpose of the review is to provide an analysis of the current system status and make recommendations for system improvements and enhancements
    • The multidisciplinary team of trauma system experts consists of a trauma surgeon, an emergency physician, a trauma program coordinator, a state EMS director, and the team leader
    • Final report expected in February 2009
quality improvement
Quality Improvement
  • Improve QI through technical assistance and financial support
  • Development of networks and affiliations
  • Connecting hospitals and providers with resources for QI
quality improvement1
Quality Improvement
  • CAH and EMS initiatives
    • Training & education
    • Medical error reporting
    • Data feedback
    • Staffing
    • Use of protocols
    • Error prevention systems
    • Link with state hospital association, Medicare Quality Improvement Organization, Network hospital
  • Patient referral and transfer agreements
  • Use of communications systems for sharing patient data and telemetry
  • QI and QA activities
  • Specialty services
  • Transportation
  • Credentialing
planning and evaluation
Planning and Evaluation
  • State Rural Health Plan
  • Program Evaluation at State Level
  • Strategic Plan
contact information
Contact information

Tammy Chadd

Director State Office of Rural Health and Primary Care Networks

(317) 233-7830