Small Healthcare Provider Quality Grant Program Webinar:

"Closing out your SHCPQI Grant"

Housekeeping• Please note that all phone lines are muted.• If you need to connect your audio, you can

access the Connect My Audio feature, by clicking the telephone icon at the top menu.

• If you would like to ask a question, either use the Q&A chat box or the Raise Handfeatures.

• This webinar will be recorded and made available to all attendees.

• We will have time for questions at the end of the presentation.

Our SpeakersAmanda Phillips Martinez,Technical Assistant ConsultantGeorgia Health Policy Center

Katy Lloyd, Program CoordinatorFederal Office of Rural Health Policy

Sarah Brinkman,Program ManagerStratis Health

Suzi CampanellaShena Popat,NORC at the University of Chicago

Overview

• Year 3 - Making the Most of Your Final Project Year

• Closeout Deliverables Review

• Year 3 PIMS Reporting Review

• Grant Closeout Process

• Resources

Closeout Deliverables Deliverable Deadline Description Guidance Documents Submission

Sustainability Plan May 1, 2019 • Required deliverable completed by all program awardees.

• Identifies and describes plan for continuation of identified grant project activities and/or services after grant funding ends.

Sustainability Plan Template

EHB: Submitted in EHB under “Other” EHB submission tasks titled “Final Sustainability Plan”

Draft Closeout Report

June 1, 2019 • Provides opportunity to review the report with your PO and TA Provider prior to the final closeout report submission

• Reporting period reflective of all 3 years of the grant program, minus the month of July, 2019

• Similar format and questions to the NCC progress reports

• Uses the same template as the final closeout report, minus a few customer service survey questions that will be included in the final closeout report.

Draft Closeout Report Template

Email: Submitted in an email to your assigned Project Officer and Technical Assistance provider

Project Outcome Highlights

July 1, 2019 • Reflects key project accomplishments and outcomes

• Focuses on demonstrated improvements to patient health outcomes resulting from the grant project as well as other meaningful key project highlights

• Template builds off of project slides developed and presented for grant projects during the July 2018 annual grantee partnership meeting in D.C.

Project OutcomesHighlight Template

Email: Submitted in an email to your assigned Project Officer and Technical Assistance provider

Year 3 PIMS Aug. 31, 2019 • Year 3 annual performance reporting reflective of project data from the most recent grant year (8/1/2018-7/31/2019).

• Includes addition of 2 sustainability measures. The Economic Impact Analysis (EIA) measurerequests responses that reflect the entire 3-year grant period (8/1/2016-7/31/2019). This is the only year 3 measure that requests this reporting period.

• Includes corrections to the Hospital Utilization measure denominator inclusion criteria.

Year 3 PIMSMeasures Document

EHB: Submitted in the EHB PIMS system

Final Assessment Report* (optional)

Oct. 30, 2019 • Comprehensive evaluative report intended to provide a high-level assessment of project outcomes resulting from project implementation across the 3 year project period. *Not intended to be a robust

evaluation. Grantees are discouraged from allocating large amounts of funding resources for this deliverable.

• Qualitative and quantitative (program specific)

• Should map back to the Assessment Plan submitted in the first year of your grant.

Final Self-AssessmentTemplate

EHB: Submitted in EHB as an attachment to your Final Closeout Report submission.

Final Closeout Report*

Oct. 30, 2019 • Reporting period reflective of all 3 years of the grant program

• Builds off of the draft closeout report

• Includes customer service survey questions that were not included in the draft closeout report.

Final Closeout Report Template

EHB: Submitted in EHB under “Other” EHB submission tasks titled “Final Closeout Report”

Financial Report* Oct. 30, 2019 • Annual Federal Financial Report (FFR)

• Reflects the budget period 8/1/18-7/31/19

Follow instructions included in your project’s NoA

EHB: Submitted in EHB under “Financial Report” EHB submission tasks titled “Financial Report” for reporting period 08/01/2018-07/31/2019

*If you receive a No Cost Extension (NCE), final deadlines will change for these deliverables.

REQUIRED: Project Outcome HighlightsDue: July 1, 2019

Submission: • Submitted in an email to your assigned Project Officer and Technical Assistance

provider

About:• Reflects key project accomplishments and outcomes

• Focuses on demonstrated improvements to patient health outcomes resulting from the grant project as well as other meaningful key project highlights

• Template builds off of project slides developed and presented for grant projects during the July 2018 annual grantee partnership meeting in D.C.

REQUIRED: Year 3 PIMSDue: Aug. 31, 2019

Submission: • Submitted in the EHB PIMS system

About:

• Year 3 annual performance reporting reflective of project data from the most recent grant year (8/1/2018-7/31/2019).

• Data reported should continue to be reflective of your grant project’s goals and objectives and targeted intervention patient population

• Includes…

• Addition of 2 new sustainability measures

• Corrections to the Hospital Utilization measure

• Corrections to some measure value responses

• Update to telehealth measure instructions

OPTIONAL: Final Assessment Report*Due: Oct. 30, 2019

Submission: • Submitted in EHB as an attachment with your Final Closeout Report submission.

About:

• Comprehensive evaluative report intended to provide a high-level assessment of project outcomes resulting from project implementation across the 3 year project period.

• Should map back to the Assessment Plan submitted in the first year of your grant.

• Qualitative and quantitative (program specific).

*If you receive a No Cost Extension (NCE), final deadlines will change for this deliverable.

REQUIRED: Final Closeout Report*Due: Oct. 30, 2019

Submission: • Submitted in EHB under “Other” EHB submission tasks titled “Final Closeout

Report”

About:

• Describes the results of grant-supported activity

• Reporting period reflective of all 3 years of the grant program

• Builds off of the draft closeout report

• Includes customer service survey questions that were not included in the draft

closeout report.

*If you receive a No Cost Extension (NCE), final deadlines will change for this deliverable.

REQUIRED: Financial Report*Due: Oct. 30, 2019

Submission:

• Submitted in EHB under “Financial Report” EHB submission tasks titled “Financial Report” for reporting period 08/01/2018-07/31/2019

About:

• Annual Federal Financial Report (FFR)

• Reflects the budget period 8/1/18-7/31/19

*If you receive a No Cost Extension (NCE), final deadlines will change for this deliverable.

Year 3 PIMS – Quick PIMS Refresher

Year 3 PIMS Quick PIMS Refresher

What Exactly is “PIMS?”

• Reporting requirement due annually at the end of each budget period

• Is built into the HRSA Electronic Handbook (EHB)

• Enables a “fillable form” of program measures to complete

• Opens in EHB 30 days prior to the reporting deadline

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Why PIMS?

• Provides uniformly defined program performance data for FORHP grant programs to quantify funding impacts

• Measures program outcomes

• Informs program needs

• Institutes regular assessment across grant cycle

Year 3 PIMS Quick PIMS Refresher

• Year 3 PIMS completed and submitted in the EHB system

• OPENS August 1st and CLOSES August 31st

• Report year 3 data (not cumulative across years expect for the EIA sustainability measure)

• August 1, 2017 – July 31, 2018 (12 months)

• Only report on activities that are directly funded by your HRSA Rural Quality Program Grant

• New sustainability questions pertain to sustainability of project and activities post grant.

• Refer to the PIMS measure guide for instruction and definitions in completing and submitting your PIMS in EHB.

Year 3 PIMS Quick PIMS Refresher

Best Practices

• Utilization of form comment boxes

• Sharing of project data collected not captured in PIMS if desired (attachments/form comment boxes)

• Reporting what makes sense for projects and communicating important data details (attachments/form comment boxes)

• Referencing measure definitions, instructions and hyperlinks

• Looking at PIMS as a piece of a bigger picture – value in using PIMS reporting to communicate data and outcomes for efforts that span beyond grant work

• Linking PIMS data to program sustainability – using reporting outcomes as a way to market program and demonstrate results.

• Ask for assistance from your Project Officer and TA provider if you have questions

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Year 3 PIMSAddition of 2 Sustainability Measures

*both of these measures should reflect cumulative responses across all three grant project period years

#1: The ratio impact for Economic Impact vs. HRSA Program Funding using HRSA’s Economic Impact Analysis Tool

#2: If any of the activities will sustain after the grant project period is over

Year 3 PIMSHospital Utilization Measure Corrections

Emergency Department (ED) and/or Hospital Utilization Calculation

• Numerator = Total number of patient ED and/or Hospital admissions

• Denominator = Total number of unique individuals from your project’s intervention patient population who received direct services during this budget period.

30-Day Hospital and/or Emergency Department (ED) Re-Admission Calculation

• Numerator = Total number of patient 30-Day ED and/or Hospital re-admissions

• Denominator = Total number of patient ED admissions and/or Hospital

Year 3 PIMSCorrections to Measure Response Values

“Not Applicable” Values

• Correction to the values to accept both “n/a” and “N/A” values for “not applicable” has been requested

“Project Partner Sites Contributing to Direct Service Encounter Data” • “Y” or “N” no longer an acceptable value

• Response for “projects participating as part of a Network and/or Consortium only”

Year 3 PIMSTelehealth Form Update

Measure will now include the patient travel excel spreadsheet in the instructions

Year 3 PIMSEconomic Impact Analysis Tool

Applies to the one of the sustainability measures added in Year 3:“The ratio impact for Economic Impact vs. HRSA Program Funding using HRSA’s Economic Impact Analysis Tool”*Should be completed to reflect information for all three years of your grant project.

About the EIA Tool:The Economic Impact Analysis (EIA) tool shows how your community health project's spending on staff, supplies, equipment, and other expenses benefits your community. Essentially, the tool functions to translate project-specific impacts into community-wide effects. The EIA Tool can be used by any community health organization wanting to understand how its activities affect the community.

Accessing the EIA Tool: The tool can be accessed on the Rural Health Information Hub (RHIhub) website. To use the EIA Tool, you will have to create an account with RHIhub or log into an existing account. https://www.ruralhealthinfo.org/econtool

Year 3 PIMSEconomic Impact Analysis Tool

How the EIA Tool Works:The EIA Tool tracks grant project dollars as they flow through the local community, adding up jobs created, spending supporting local business and taxes, new or expanded healthcare services and their impact on the well-being of the population.

In simplest terms, the economic impact of a program is captured in the program multiplier, or the number of dollars of economic activity created by one dollar of spending in a community. To accomplish this, the tool uses a set of measurement codes called “Industry Codes.”

Ultimately, the tool aims to demonstrate the return on public investment, by measuring impacts that include:

• Direct Impacts - Measured by grant-related purchases made in the community and the number of jobs generated by grantee activities (e.g., wages, salaries and benefits paid directly to grant-supported employees)

• Indirect Impacts - Spending that occurs when the firms that sell goods and services to the grantee spend locally, making purchases and hiring workers to meet demand caused by the grantee’s spending

• Induced Impacts - Occur when employees of the grantee and of firms that sell goods and services to the grantees in turn spend their earnings on local goods and services

Year 3 PIMSEconomic Impact Analysis Tool

EIA Tool Resource Guides• Example Scenario: https://www.ruralhealthinfo.org/econtool/example

• Program Spending Tracking Worksheet: https://www.ruralhealthinfo.org/assets/835-2702/spending-worksheet.pdf

• EIA Tool User Guide: https://www.ruralhealthinfo.org/assets/835-2732/econ-tool-user-guide.pdf

EIA Tool Resource Videos• Introducing the EIA Tool: https://www.youtube.com/watch?v=pvb0kYm-Gpo&feature=youtu.be

• Tips for Collecting Project Spending Information: https://www.youtube.com/watch?v=DAoG0BpAT8g&feature=youtu.be

• Creating Your Economic Impact Report https://www.youtube.com/watch?v=75zqlWhfLLg&feature=youtu.be

Grant Closeout Process

Grant Closeout ProcessNo Cost Extension

What if I Expect to Have Leftover Funds?Because a carryover cannot be completed at the end of the grant, the option to either return funds or to request an extension of the project period in order to use funds may be requested.

How Do I Request An Extension? To request an extension of the project period, this must be completed as a prior authorization request for a “Prior Approval-Extension Without Funds”submitted in the EHB system, also referred to as a No Cost Extension (NCE).

• Requests for a No Cost Extension (NCE) must be submitted to the HRSA no later than 60 days BEFORE the expiration of the FINAL budget period and project period.

• Requests may also be submitted earlier than 60 days before the last day of the project period, and is encouraged.

• Submission must include:1. Request Narrative describing 1) the total amount of unobligated grant funds, 2) the remaining incomplete project activities for which the funds were

originally awarded, 3) the reason these activities were not completed prior to the expiration of the project period, and 4) the activities requested to be completed if the no-cost extension is approved;

2. SF424A Budget Form

3. Budget Justification Narrative: Describing justification for the use of the unobligated funds/un-used grant funds for each of the requested remaining activities identified for completion during the proposed NCE.

Grant Closeout ProcessOverview

What It Is: HRSA requires submission of information on progress, equipment (purchase & disposition), supplies and a final Federal Financial Report (totally liquidated) at the conclusion of grant funding.

Within 90 Days Of Expiration of Grant Document:

• Reconcile financial expenditures

• Liquidate all obligations incurred

• Submit Final Financial Report to HRSA

• Submit Quarterly Federal Financial Report to Payment Management System

• Submit Final performance/progress reports, as required by HRSA’s program award terms and conditions

Grant Closeout ProcessFinancial Reconciliation & Closeout Notification

About Financial Reconciliation

• Final Federal Financial Report (FFR) must not include unliquidated obligations

• Final FFR must account for all funds awarded within the grant document

• Final FFR must reconcile with disbursement reporting to PMS

• Account for any real and personal property acquired with federal funds

• Return any funds due as a result of refunds, corrections, or audits

Notice of Closeout Action

• Once all closeout documents are processed and approved, a revised Notice of Award

(NoA) specifying document is closed will be issued

• Unobligated balance of funds will be de-obligated on closeout NoA

• NoA will specify record retention instructions

Grant Closeout ProcessResources

• Award Management Tutorial (Grant Closeout)

• https://www.hrsa.gov/grants/manage/award-management/after/after-page-2.html

• Post Award Forms and Form Instructions (i.e. Property report form, SF424A form, FFR form, etc.)

• https://www.grants.gov/web/grants/forms/post-award-reporting-forms.html#sortby=1

• After the Award Requirements

• https://www.hrsa.gov/sites/default/files/grants/manage/awardmanagement/after/printafterawa

rd.pdf

FORHP & Other HRSA Funding Opportunities

FY2020 Funding Opportunities

*Deadlines and grants.gov posting details will become available next year.

• HRSA-20-026 - Rural Health Network Development Planning

• HRSA-20-027 - Black Lung Clinics Grant Program

• HRSA-20-029 - Radiation Exposure Screening and Education Program

All Upcoming HRSA Funding Opportunities

• HRSA Grants Web Page: https://www.hrsa.gov/grants/index.html

Quality Program HRSA Contact Information

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Programmatic Questions Project Officers (POs) Katherine Lloyd KLloyd@hrsa.gov301-443-2933

Jillian CauseyJCausey@hrsa.gov301-443-1493

Budget or Financial Questions Grant Management Specialists (GMS)Benoit Mirindibmirindi@hrsa.gov301-443-6606

Busola Oladeleaoladele@hrsa.gov301-443-2441

Keep in Touch!

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HRSA and FORHP welcomes ALL grantees (present and former) to engage with our office. Don’t lose touch just because your grant project has ended!

• Federal Office of Rural Health Policy (https://www.hrsa.gov/rural-health/index.html)

• HRSA News and Events (https://www.hrsa.gov/about/news/index.html)

Additional Ways to Stay Connected

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• Want to continue to move the needle on influencing policy changes to improve rural health?• Get in touch with the National Rural Health Association (http://www.ruralhealthweb.org/)

• Looking for help with telehealth information, resources and technical assistance? • Connect with the Telehealth Resource Centers (http://www.telehealthresourcecenter.org/)

• Stay tuned-In with key rural news, funding opportunity announcements and other key rural updates• Send an email with the message subject ‘subscribe’ to mdaniels@hrsa.gov to sign-up for the FORHP Announcements Newsletter

• Looking for more rural health information and resources? • Visit the One-Stop-Shop for Rural website the Rural Health Information Hub (https://www.ruralhealthinfo.org/)

• Don’t want to lose touch with rural health information and resources in your state?• Connect with the National Organization of State Offices of Rural Health (NOSORH) (www.nosorh.org)

• Do you want to stay informed with current rural health policy and research?• Rural Health Research Gateway (http://www.ruralhealthresearch.org) • Rural Policy Research Institute (RUPRI) (http://www.rupri.org/)• National Advisory Committee on Rural Health and Human Services (https://www.hrsa.gov/advisory-committees/rural-health/index.html)

Questions?

Small Health Care Provider Quality Improvement Program WebinarJune 12, 2019

Quality Program: Findings from the First Two Years

FORHP contracted with the NORC/UMN team to conduct a cohort analysis of four 330A Outreach Authority programs:

• Outreach Program• Delta Program• Quality Program• Network Development Program

The team is evaluating processes, outputs, and outcomes using:• NCCs, final reports, evaluation plans, and other documents• PIMS data• Input from FORHP, Technical Assistance Providers, and an Expert Workgroup

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Cohort Analysis of Rural Health Programs

Year 1: 1. Access to Care2. Population Demographics3. Insurance Status/Coverage4. Staffing5. Sustainability 6. Consortium/Network (Optional)7. Health Information Technology8. Clinical Measures9. Quality Improvement

Year 2: 1. Access to Care2. Population Demographics3. Sustainability4. Consortium/Network (Optional)5. Quality Improvement Implementation

Strategies6. Utilization (Optional)7. Telehealth (Selected Awardees)8. Clinical Measures

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Quality PIMS Domains

• Year 1 Direct Services*:• Total: 258,844• Average: 8,089• Median: 371

• Year 2 Unique Patients Served• Total: 179,270 • Average: 5,602• Median: 360

• In Year 2, across all awardees, 76% of the target population was served

*It is unclear if this count is based on patients served by the program or by the organization.

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Access to Care: People Served

Service Type Percentage of Awardees

Disease management education 97%Medication management education 84%Nutrition education and/or counseling 84%Physical Fitness/Exercise Education and/or Counseling 69%

Mental/Behavioral Health Social Services and/or Counseling 59%

Access to Care: Type of Direct Service Encounters (n=32)

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• Addressed Social Determinants of Health (47%)• Contacted pharmacy about high medication costs• Connected patients with social services (e.g., emergency food pantries, SNAP)• Provided patients with cell phones• Assisted with Medicaid enrollment/renewal• Communicated with insurance to cover needed patient resources (e.g., motorized wheelchair)

Access to Care: Year 2 NCC Highlights (n=32)

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• Expanded Reach (44%)• Increased number of referrals/enrolled patients • Increased number of participating clinics/locations• Extended clinic hours• Expanded definition of eligible population

• Implemented Strategies to Increase Patient Outreach and Engagement (41%)• Recruited patients through motivational coaching• Recruited patients at community events (e.g., health fairs)• Embedded an electronic referral option in the EHR to encourage PCPs

to refer patients to self management classes • Used social media to promote the program, allowing patients to self-

enroll• Publicized patient incentives for sustained attendance (e.g., gift cards)• Used patient recall system to send voice, text, and portal messages

Access to Care: Year 2 NCC Highlights (Continued)

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40

Quality Improvement Methodology: Year 2 (n=32)

81%

63%

19%9% 3% 3% 3%

0%10%20%30%40%50%60%70%80%90%

100%

• Successful data collection approaches (81%)• Used population management systems and electronic data tracking systems• Implemented QC processes (e.g., monthly audits of lab data/patient logs)• Collected and reported on PIMS data on a regular basis to improve data

collection and tracking processes (e.g., quarterly)

• Use of clinical practice guidelines (81%)• Incorporated QI into workflow (56%)

• Implemented daily huddles and used huddle templates• Implemented care plan tools • Assessed high-risk patients at the time of admission for a readmission risk• Ensured all inpatients had an identified PCP listed on their EMR before discharge• Reviewed data with providers on a regular basis to share progress

– Monthly calls/QI meetings– Display patient dashboards in a staff hallway to keep medical providers informed of

progress

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Quality Improvement Accomplishments: Year 2 NCC Highlights (n=32)

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ACO Participation: Years 1 and 2 (n=32)

Yes44%

No56%

Yes No

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ACO Participation (n=32)

34%

3% 3% 9%

34%

6% 6% 9%0%

10%20%30%40%50%60%70%80%90%

100%

MedicareSharedSavingsProgram

AdvancedPayment

ACO Model

PioneerACO Model

NextGeneration

ACO

Other

Year 1 Year 2

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Medical Home Participation (n=32)

59%

88%

0%10%20%30%40%50%60%70%80%90%

100%

Year 1 Year 2

• 83%: Improved quality of health services• 69%: Access to a new or expanded health service• 69%: Health improvement among program participants• 66%: Integration of process improvement into daily workflow• 63%: Enhanced staff capacity, new skills, or education received• 59%: Health improvement of an individual• 56%: Health improvement among your community• 53%: Continuation of program activities after grant funding• 47%: Operational efficiencies or reduced costs

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How Quality Awardees Define Success (n=32)

• 88%: Enhanced skills, education, or training of workforce • 72%: Developed new partnerships or relationships• 66%: Enhanced data collection and analysis• 34%: Formalized networks or coalition• 9%: Other: implementing best practices, enhancing staff

buy-in, creating a multidisciplinary team

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How Quality Awardees Increase Capacity (n=32)

• Provider and clinic staff engagement, satisfaction (47%)• Engaged staff in QI process• Received positive feedback from providers during data sharing/review• Exercised open communication between clinic staff and project staff• Expressed gratitude for care coordination services

• Leadership buy-in (22%)• Expressed interest in aligning program with other QI/population health initiatives across

organization• Agreed to apply for more grant funds to expand services• Received positive feedback from leadership during data sharing/review

Workforce Accomplishments: Year 2 NCC Highlights (n=32)

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• Positive patient health outcomes (66%)• Weight loss• Smoking cessation • Lower A1C levels

• No longer considered “pre-diabetic”• Improved disease management or control (56%)

• Improved proper medication use• Improved proper blood sugar monitoring• Decreased portion size/use of food log• Increased level of exercise

• Increased patient interest, engagement, or satisfaction (56%)

• Reduction in overuse of health services (44%)• Prevented ED visits, hospitalizations, or readmissions

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Improved Patient Outcomes: Year 2 NCC Highlights (n=32)

Percentage of patients aged 18 years and older with a documented BMI during the current encounter or during the previous six months AND when the BMI is outside of normal

parameters, a follow-up plan is documented during the encounter or during the previous six months of the encounter. (Normal Parameters: Age 65 years and older BMI > or = 23 and < 30;

Age 18 – 64 years BMI > or = 18.5 and < 25)

• Numerator: Patients with a documented BMI during the encounter or during the previous six months, AND when the BMI is outside of normal parameters, follow-up is documented during the encounter or during the previous six months of the encounter with the BMI outside of normal parameters

• Denominator: All patients aged 18 years and older

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Clinical Measure 3: Body Mass Index (BMI) Screening and Follow-Up (NQF 0421)

Year 1 Year 2Responses 28 30Average 54% 57%Median 48% 92%Denominator Range 13 – 82,818 2 – 76,411

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Clinical Measure 3: BMI Screening Results

NQF 0059 (CMS122v5): Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period

• Numerator: Patients whose most recent HbA1c level (performed during the measurement period) is >9.0%

• Denominator: Patients 18-75 years of age with diabetes with a visit during the measurement period.

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Clinical Measure 2: Comprehensive Diabetes Care (NQF 0059)

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Clinical Measure 2: HbA1c Results (Percent Uncontrolled)

0%10%20%30%40%50%60%70%80%90%

100%

1 3 5 7 9 11 13 15 17 19 21 23 25 27 29

Thank You!

For more information, please contact:

Alana Knudson, PhDKnudson-Alana@norc.org

Shena Popat, MHAPopat-Shena@norc.orgSuzi Campanella, MPH

Campanella-Suzanne@norc.org

Race/ Ethnicity Hispanic/ Latino Non-Hispanic/Latino Unreported Total

Asian 0.01% 0.48% 0.00% 0.48%

Native Hawaiian or Other PacificIslander

0.02% 0.08% 0.00% 0.09%

Black/ African American 0.02% 12.86% 0.00% 12.88%

American Indian/Alaska Native 0.04% 2.87% 0.00% 2.91%

White 1.64% 75.19% 0.00% 76.83%

More than one race 0.13% 2.07% 0.00% 2.20%

Unreported 0.31% 1.54% 2.74% 4.59%

Total 2.17% 95.09% 2.74% 100.00%

Appendix 1Population Demographics: Race/Ethnicity Percentage of Total

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Population Demographics: Age Group Percentage of Total

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8.3%

13.0%

6.0%

7.0%

57.9%

58.1%

22.2%

19.5%

5.6%

2.4%

0% 20% 40% 60% 80% 100%

Year 1

Year 2

Children (0-12) Adolescents (13-17) Adults (18-64)Elderly (65 and over) Unknown

Rural Quality Improvement Technical Assistance Center (RQITA)• Telling Your Story - Worksheet• Telling Your Story - Slide Deck Template• SHCPQI Measurement Checklist

http://ruralhealthlink.org/Resources/FORHPProgramSpecificResources.aspx

• Quality Improvement Basics Moduleshttp://www.stratishealth.org/expertise/quality/QIBasics.html

• Questions? rqita@stratishealth.org

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Closing Out your Work with your TA Provider

Coming up….• June – July: Review of Draft Closeout report, edits• July: Exit Interviews with your TA Provider and

Project Officer• July: Brief On-line Evaluation Survey of your

experience with technical assistance• Fall: Cohort Sourcebook

Making Connections

Activities, Outputs, Outcomes

Data

Synthesis

Q&A

• Use Chat function• Raise your Hand

Thank you!

www.Ruralhealthlink.org

• Webinar recording and materials will be posted soon. • Stick around for a quick evaluation