1. MBQIP REGIONAL UPDATE - SPOTLIGHT LAFAYETTE REGIONAL HEALTH CENTER

2. SPEAKER: DEBBIE GREEN, RN, MBA, CPHRM Administrative Director - Quality/Risk/Compliance/Plant Operations/Security. Have been with LRHC a total of 25 years and worked in this field for 26 years.

3. HOSPITAL LOCATION Lexington, MO – Adjacent to Civil War battle grounds

5. SERVICES PROVIDED Med/Surg/ICU, Outpatient Specialty Clinics, Surgical Services, Rehab Services, Radiology – ACR accredited CT, MRI, Mammo, Lab – CAP accredited, Respiratory Therapy, 3 Rural Health Clinics, ED – Level III Stroke Center

6. OUR MBQIP JOURNEY LRHC has participated in MBQIP since the start of the program Core Measures HCAHPS: Patient Satisfaction ED Transfer Communication (EDTC) Influenza Vaccination – Healthcare Personnel and Patients

10. KEY TO SUCCESS LRHC has publicly reported data many years – HCA requirement Leadership and staff engaged in accountability and excellence

11. BENEFITS OF MBQIP TO HOSPITALS Emphasizes the importance of CAHs to Rural Healthcare across United States and quality of care delivered at CAHs

12. OPPORTUNITIES Consistency, perception of patient

13. LESSONS LEARNED Be a TEAM across the organization Establish a culture of EXCELLENCE and PRIDE in organization