| Medicare Rural Hosptial Flexibility - Performance Improvement and Measurement System - Program Measures List, Prepared March 2019 |
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| Area |
PIMS data format |
Tracking# |
Description |
| Quality |
na - section title |
1.01_ |
Core Patient Safety Quality Improvement - To Be Answered by all State Flex Programs |
| Quality |
CAH selection |
1.01a |
Number (#) of CAHs (unduplicated) participating in Core MBQIP Domain 1 Patient Safety activities for OP-27 during the budget period |
| Quality |
CAH selection |
1.01b |
Number (#) of CAHs (unduplicated) participating in Core MBQIP Domain 1 Patient Safety activities for IMM-2 during the budget period |
| Quality |
conditional CAH selection |
1.01c |
Number (#) of CAHs (unduplicated) participating in Core MBQIP Domain 1 Patient Safety activities that showed improvement on OP-27 activities during the budget period |
| Quality |
conditional CAH selection |
1.01d |
Number (#) of CAHs (unduplicated) participating in Core MBQIP Domain 1 Patient Safety activities that showed improvement on IMM-2 activities during the budget period |
| Quality |
$ value 0-999,999 |
1.01f |
Amount ($) of Flex Funds utilized toward Activity 1.01 during the budget period |
| Quality |
na - section title |
1.02_ |
Core Patient Engagement Quality Improvement - To Be Answered by all State Flex Programs |
| Quality |
CAH selection |
1.02a |
Number (#) of CAHs (unduplicated) participating in Core MBQIP Domain 2 Patient Engagement Improvement activities during the budget period |
| Quality |
conditional CAH selection |
1.02b |
Number (#) of CAHs (unduplicated) participating in Core MBQIP Domain 2 Patient Engagement activities that improved during the budget period |
| Quality |
$ value 0-999,999 |
1.02f |
Amount ($) of Flex Funds utilized toward Activity 1.02 during the budget period |
| Quality |
na - section title |
1.03_ |
Core Care Transitions Quality Improvement - To Be Answered by all State Flex Programs |
| Quality |
CAH selection |
1.03a |
Number (#) of CAHs (unduplicated) participating in Core MBQIP Domain 3 Core Care Transition activities during the budget period |
| Quality |
conditional CAH selection |
1.03b |
Number (#) of CAHs (unduplicated) participating in Core MBQIP Domain 3 Core Care Transition activities that improved during the budget period |
| Quality |
$ value 0-999,999 |
1.03f |
Amount ($) of Flex Funds utilized toward Activity 1.03 during the budget period |
| Quality |
na - section title |
1.04_ |
Core Outpatient Quality Improvement - To Be Answered by all State Flex Programs |
| Quality |
CAH selection |
1.04a |
Number (#) of CAHs (unduplicated) participating in Core MBQIP Domain 4 Core Outpatient activities during the budget period |
| Quality |
conditional CAH selection |
1.04b |
Number (#) of CAHs (unduplicated) participating in Core MBQIP Domain 4 Core Outpatient activities that improved during the budget period |
| Quality |
$ value 0-999,999 |
1.04f |
Amount ($) of Flex Funds utilized toward Activity 1.04 during the budget period |
| Quality |
na - section title |
1.05_ |
Additional Patient Safety Quality Improvement - To Be Completed if Selected by State Flex Programs |
| Quality |
CAH selection |
1.05a |
Number (#) of CAHs (unduplicated) participating in Additional MBQIP Domain 1 Patient Safety activities during the budget period |
| Quality |
conditional CAH selection |
1.05b |
Number (#) of CAHs (unduplicated) participating in Additional MBQIP Domain 1 Patient Safety activities that improved during the budget period |
| Quality |
$ value 0-999,999 |
1.05f |
Amount ($) of Flex Funds utilized toward Activity 1.05 during the budget period |
| Quality |
na - section title |
1.06_ |
Additional Care Transitions - Discharge Planning Quality Improvement - To Be Completed if Selected by State Flex Programs |
| Quality |
CAH selection |
1.06a |
Number (#) of CAHs (unduplicated) participating in Additional MBQIP Domain 3 Care Transitions Discharge Planning activities during the budget period |
| Quality |
conditional CAH selection |
1.06b |
Number (#) of CAHs (unduplicated) participating in Additional MBQIP Domain 3 Care Transitions Discharge Planning activities that improved during the budget period |
| Quality |
$ value 0-999,999 |
1.06f |
Amount ($) of Flex Funds utilized toward Activity 1.06 during the budget period |
| Quality |
na - section title |
1.07_ |
Additional Care Transitions - Medication Reconciliation Quality Improvement - To Be Completed if Selected by State Flex Programs |
| Quality |
CAH selection |
1.07a |
Number (#) of CAHs (unduplicated) participating in Additional MBQIP Domain 3 Care Transitions Medication Reconciliation activities during the budget period |
| Quality |
conditional CAH selection |
1.07b |
Number (#) of CAHs (unduplicated) participating in Additional MBQIP Domain 3 Care Transitions Medication Reconciliation activities that improved during the budget period |
| Quality |
$ value 0-999,999 |
1.07f |
Amount ($) of Flex Funds utilized toward Activity 1.07 during the budget period |
| Quality |
na - section title |
1.08_ |
Additional Outpatient and ED Quality Improvement - To Be Completed if Selected by State Flex Programs |
| Quality |
CAH selection |
1.08a |
Number (#) of CAHs (unduplicated) participating in Additional MBQIP Domain 4 Outpatient Improvement activities during the budget period |
| Quality |
conditional CAH selection |
1.08b |
Number (#) of CAHs (unduplicated) participating in Additional MBQIP Domain 4 Outpatient Improvement activities that improved during the budget period |
| Quality |
$ value 0-999,999 |
1.08f |
Amount ($) of Flex Funds utilized toward Activity 1.08 during the budget period |
| Quality |
na - section title |
1.09_ |
Data Reporting Improvement - To Be Completed if Selected by State Flex Programs |
| Quality |
$ value 0-999,999 |
1.09f |
Amount ($) of Flex Funds utilized toward Activity 1.09 during the budget period |
| Financial |
na - section title |
2.01_ |
Statewide Financial and Operational Assessment - To Be Answered by all State Flex Programs |
| Financial |
$ value 0-999,999 |
2.01f |
Amount ($) of Flex Funds utilized toward Activity 2.01 during the budget period |
| Financial |
na - section title |
2.02_ |
Financial and Operational In-Depth Assessments - To Be Completed if Selected by State Flex Programs |
| Financial |
CAH selection |
2.02a |
Number (#) of CAHs participating in in-depth assessments during the budget period |
| Financial |
CAH selection |
2.02b |
Number (#) of CAHs with financial indicators identified for improvement during the budget period |
| Financial |
conditional CAH selection |
2.02c |
Number (#) of CAHs with financial indicators identified for improvement that improved during the budget period |
| Financial |
$ value 0-999,999 |
2.02f |
Amount ($) of Flex Funds utilized toward Activity 2.02 during the budget period |
| Financial |
na - section title |
2.03_ |
Revenue Cycle Management - To Be Completed if Selected by State Flex Programs |
| Financial |
CAH selection |
2.03a |
Number (#) of CAHS participating in Revenue Cycle Management activities during the budget period |
| Financial |
conditional CAH selection |
2.03b |
Number (#) of CAHs participating in Revenue Cycle Management activities that improved during the budget period |
| Financial |
$ value 0-999,999 |
2.03f |
Amount ($) of Flex Funds utilized toward Activity 2.03 during the budget period |
| Financial |
na - section title |
2.04_ |
Operational Improvements -To Be Completed if Selected by State Flex Programs |
| Financial |
CAH selection |
2.04a |
Number (#) of CAHS participating in Operational Improvement activities during the budget period |
| Financial |
conditional CAH selection |
2.04b |
Number (#) of CAHs participating in Operational Improvement activities that improved during the budget period |
| Financial |
# 0-99 |
2.04c |
Number (#) of financial and/or operational improvement Networks during the budget period |
| Financial |
CAH selection |
2.04d |
Number (#) of CAHs participating in these networks during the budget period |
| Financial |
$ value 0-999,999 |
2.04f |
Amount ($) of Flex Funds utilized toward Activity 2.04 during the budget period |
| PH/EMS |
na - section title |
3.01_ |
Statewide CAH Population Health Management Needs Assessment - To Be Completed If Selected by State Flex Programs |
| PH/EMS |
$ value 0-999,999 |
3.01f |
Amount ($) of Flex Funds utilized toward Activity 3.01 during the budget period |
| PH/EMS |
na - section title |
3.02_ |
Hospital Community Health Needs Assessments and Improvement - To Be Completed If Selected by State Flex Programs |
| PH/EMS |
CAH selection |
3.02a |
Number (#) of CAHs participating in Hospital Community Health Needs Assessment and Improvement activities during the budget period |
| PH/EMS |
conditional CAH selection |
3.02b |
Number (#) of CAHs participating in Hospital Community Health Needs Assessment and Improvement activities that demonstrated improvement during the budget period |
| PH/EMS |
$ value 0-999,999 |
3.02f |
Amount ($) of Flex Funds utilized toward Activity 3.02 during the budget period |
| PH/EMS |
na - section title |
3.03_ |
Community-level Rural EMS System Assessment - To Be Completed If Selected by State Flex Programs |
| PH/EMS |
CAH selection |
3.03a |
Number (#) of CAHs participating in a Community-level Rural EMS System Assessment during the budget period |
| PH/EMS |
$ value 0-999,999 |
3.03f |
Amount ($) of Flex Funds utilized toward Activity 3.03 during the budget period |
| PH/EMS |
na - section title |
3.04_ |
Population Health Improvement - To Be Completed If Selected by State Flex Programs |
| PH/EMS |
CAH selection |
3.04a |
Number (#) of CAHs participating in Population Health Improvement activities during the budget period |
| PH/EMS |
conditional CAH selection |
3.04b |
Number (#) of CAHs participating in Population Health Improvement activities that improved during the budget period |
| PH/EMS |
$ value 0-999,999 |
3.04f |
Amount ($) of Flex Funds utilized toward Activity 3.04 during this budget period |
| PH/EMS |
na - section title |
3.05_ |
EMS Time Critical Diagnoses Capacity Improvement - To Be Completed If Selected by State Flex Programs |
| PH/EMS |
CAH selection |
3.05a |
Number (#) of CAHs participating in Improve Time Critical Diagnoses EMS System Capacity activities during the budget period |
| PH/EMS |
conditional CAH selection |
3.05b |
Number (#) of CAHs participating in Improve Time Critical Diagnoses EMS System Capacity activities that improved during the budget period |
| PH/EMS |
# 0-99 |
3.05c |
Number (#) of EMS entities participating in Improve Time Critical Diagnoses EMS System Capacity activities during the budget period |
| PH/EMS |
# 0-99 |
3.05d |
Number (#) of EMS entities participating in Improve Time Critical Diagnoses EMS System Capacity activities that improved during the budget period |
| PH/EMS |
$ value 0-999,999 |
3.05f |
Amount ($) of Flex Funds utilized toward Activity 3.05 during the budget period |
| PH/EMS |
na - section title |
3.06_ |
EMS Capacity and Operational Performance Improvement -To Be Completed If Selected by State Flex Programs |
| PH/EMS |
CAH selection |
3.06a |
Number (#) of CAHs participating in Improve EMS Capacity and Operational Performance activities during the budget period |
| PH/EMS |
conditional CAH selection |
3.06b |
Number (#) of CAHs participating in Improve EMS Capacity and Operational Performance activities that improved for the budget period |
| PH/EMS |
# 0-99 |
3.06c |
Number (#) of EMS entities participating in improve EMS Capacity and Operational activities during the budget period |
| PH/EMS |
# 0-99 |
3.06d |
Number (#) of EMS entities participating in improve EMS Capacity and Operational activities that improved for the budget period |
| PH/EMS |
$ value 0-999,999 |
3.06f |
Amount ($) of Flex Funds utilized toward Activity 3.06 during this budget period |
| Conversion |
na - section title |
4.01_ |
Designation of CAHs in the state - To Be Completed If Selected by State Flex Programs |
| Conversion |
# 0-99 |
4.01a |
Number (#) of hospitals requesting and receiving assistance in conversion to CAH status during the budget period |
| Conversion |
CAH selection |
4.01b |
Number (#) of hospitals converted to CAH status during the budget period |
| Conversion |
# 0-99 plus text box |
4.01c |
Number (#) of hospitals receiving assistance in conversion to CAH status that did not convert during the budget period |
| Conversion |
$ value 0-99,999 |
4.01f |
Amount ($) of Flex Funds utilized toward Activity 4.01 during this budget period |
| Models |
na - section title |
5.01_ |
Integration of Innovative Health Care Models - To Be Completed If Selected by State Flex Programs |
| Models |
CAH selection |
5.01a |
Number (#) of CAHs participating in Integration of Innovative Models of Care activities for the budget period |
| Models |
conditional CAH selection |
5.01b |
Number (#) of CAHs participating in Integration of Innovative Models of Care activities that improved during the budget period |
| Models |
$ value 0-99,999 |
5.01f |
Amount ($) of Flex Funds utilized toward Activity 5.01 during the budget period |
| Spending |
na - section title |
SS_ |
Spending Summary - allows automatic validation to ensure accuracy of reported total spending by category before reports are submitted |
| Spending |
$ value 0-999,999 |
SSa |
Amount ($) of Flex Funds: Total award for Current Report Period (budget period) |
| Spending |
$ value 0-999,999 |
SSb |
Amount ($) of Flex Funds: Total approved carryover for Current Report Period (budget period) |
| Spending |
$ value 0-999,999 |
SSc |
Amount ($) of Flex Funds: Total unspent funds for Current Report Period (budget period) |