1. QUALITY INITIATIVES ARIZONA FLEX PROGRAM Alison Hughes, MPA, Flex Program, Az RHO HRSA Grantee Partnership Meeting Washington, D.C. September, 2009 1 Hopi Country, July, 2009 Photo by Alison

2. Quality Initiatives Performance Improvement Summit for Critical Access Hospital CEOs and CFOs. Rural Trauma Team Development. Mock Site Reviews. Targeted trainings and Webinars. Multi-State Quality Improvement Project. EMS First Responder manager training and budget training. 2

3. 3 Arizona Critical Access Hospital CEOs, CFO’s and other staff members gather for 2009 Performance Improvement Summit. Phoenix, June, 2009

4. 4 Phoenix Police on Break July 2009 Photo by Alison

5. 5 ARIZONA CAH-RELATED FIRST RESPONDERS RECEIVE BUDGET TRAINING, 2008 Photo by Alison

6. Multi-State Quality Improvement Initiative INTRODUCING THE MULTI-STATE PROJECT TO ARIZONA CRITICAL ACCESS HOSPITALS 6

7. Multi-State Quality Improvement Project Introducing the Multi-State Project to the CEOs Teleconferences with consultant Teleconferences with Kansas Hospital Association online Quality Health Indicators project and interested critical access hospitals. Contract negotiations. The need for MOAs with participating hospitals. Flex Staff site visits to critical access hospitals with Darlene Bainbridge for consultations. 7

8. Multi-State (Continued) Webinar Involvement In-person Quality Managers meeting. Ongoing tele-consultations on identified needs. ◦Swing bed policies ◦Observation bed policies ◦Personnel management challenges Useful tools for Quality Managers ◦Quality calendar concept End-of-year assessment underway. 8

9. 9 Introducing the Multi-State Project to Hospital personnel in Willcox, Arizona. Photo by Alison.

10. 10 Quality Managers attend in-person training program July, 2008, Phoenix, AZ. Darlene Bainbridge, trainer. Photo by Alison.

11. Lessons Learned Chief Executive Officer buy-in and personal engagement impacts success. Flex staff engagement impacts success. The importance of Memoranda of Agreement with the participating hospitals, prior to participation. 11

12. 12 Navajo Land, Arizona July, 2009 Photo by Alison END