1. Evaluation of the Rural Community Hospital Demonstration Introduction to Annual Progress Reports OMB control #: 0938-125 Evaluation Team IMPAQ International Mission Analytics Group

2. Agenda Overview of Evaluation Online Progress Report Logistics Key Quantitative Data Collected System Demo

3. Goals of the Evaluation Assess the progress of demonstration hospitals throughout the RCHD – Operating environment – Operations – Finances – Community benefits of the demonstration Develop a Report to Congress, due six months after the end of the demonstration

4. Data Sources Healthcare Cost Report Information System (HCRIS) Settled Cost Reports Hospital applications Interviews with hospital staff Annual progress reports

5. Annual Progress Report Timing #Hospital FYB Due Date 12013February 28, 2015 22014 3-6 months after the end of the reporting period June 30, 2015 for hospitals with fiscal years starting January 1 3 months after the end of the reporting period for all other hospitals 32015 3 months after the end of the reporting period Hospitals that don’t participate in the demonstration during this year won’t submit a progress report Information will be saved from one progress report to the next

6. Report link: https://www.snapsurveys.com/wh/s.asp?k=141384585679https://www.snapsurveys.com/wh/s.asp?k=141384585679 Every hospital has one user name and password Sent in a 10/28 email

7. Key Functionalities Go back to the previous page Continue to the next page Deletes everything on the page Saves and logs you out Shows you how much you have completed

8. Online Progress Report Logistics Information is automatically saved as you complete the report You can skip ahead and come back later You can use a Word version of the survey as a draft If you want to submit additional information, email supplemental documents to Ellie Coombs: ecoombs@mission-ag.comecoombs@mission-ag.com

9. Online Progress Report Content Section 1: Hospital Environment Section 2: Hospital Operations Section 3: Healthcare Market Section 4: Hospital Finances Section 5: Use of Demonstration Funds Section 6: Demonstration Payments

10. Section 2: Hospital Operations Number of Contract and Employed FTEs

11. Section 2: Hospital Operations Breakdown of Revenue by Payer

12. Section 2: Hospital Operations Utilization: Beds, Inpatient Days and Inpatient Discharges

13. Section 4: Hospital Finances Hospital Margins

14. Section 5: Use of Demonstration Funds Projects Supported and Number of Individuals Affected

15. Demo of the System

16. Tips for Completion Input clear and accurate information. The online progress report is a key source of information for: – CMS – Congress Start now! Develop a plan for collecting and inputting the data Questions? – Contact Ellie Coombs at Mission (ecoombs@mission-ag.com) with questions or comments about the online formecoombs@mission-ag.com – Contact Woolton Lee at CMS (Woolton.Lee@cms.hhs.gov) with questions about the demonstration and evaluationWoolton.Lee@cms.hhs.go