- CAH Quality & Performance Improvement Project
- State Rural Health Plan
- Kansas Rural Health Works
- Trauma Education & Training – funding available
- EMS Medical Director Training
- Quality Health Indicator (QHi) Project
CAH QI/PI Project
Almost all Critical Access Hospitals in Kansas are participating in what has become a multi-state CAH Quality & Performance Improvement Program. The Program provides CAH tools to improve quality and performance through assessment, consultation, education, and networking/benchmarking.
Each organization completes a formal self-assessment project with the guidance of Darlene Bainbridge of D.D. Bainbridge and Associates. Darlene also provides one-on-one consultation and guidance with facilities to help them develop and carry out an organizational plan to enhance quality and performance. In addition to on-site and phone/email support, a series of educational programs are offered through regional workshops and webinars/conference calls. These programs are supplemented with a series of on-line training modules.
To encourage dialogue and sharing of best practices among project participants, the project supports an on-line benchmarking project, Quality Health Indicators.
PROJECT NEWS: As of May 2011, Critical Access Hospitals in Alaska, Arizona, California, Colorado, Kansas, Kentucky, Louisiana, Minnesota, Missouri, Nebraska, New Mexico, Oklahoma, Oregon, Virginia and Wyoming participate in this project.
State Rural Health Plan
KRHOP facilitated the development of a Kansas Rural Health Plan to help create a new strategic direction for the FLEX program in Kansas. Rochelle Spinarski facilitated the project and met with workgroups to provide “grass roots” input into development of the plan. A statewide advisory group was named to assist KRHOP in finalizing the plan. The plan provides direction as KRHOP leaders prepare annual FLEX applications to the federal Office of Rural Health Policy.
KRHOP worked with Rochelle Spinarski to update the Kansas Rural Health Plan. The report is available for viewing.
Quality Health Indicator (QHi) Project
Developed through the Kansas Hospital Association and the Kansas Office of Rural Health, the Quality Health Indicator Project, QHi, is a multi-state benchmarking project designed by small rural hospitals to compare selected measures with other similar hospitals. Participating facilities enter monthly data from four categories of measurement: Clinical Quality, Employee Contribution, Financial Operational, and Patient Satisfaction. There are over 90 measures in the library of indicators. All participants are asked to collect a subset of eight core measures, but facilities can select as many of the additional measures as they wish. Reporting options include customizable dashboards, which display the last three months' average of the hospital's performance on selected measures as compared to their state and all of QHi. In addition, reports may be run on individual measures where hospitals create a self-defined peer group for comparison.
Initially developed specifically for Critical Access Hospitals, the project has expanded to include rural hospitals with less than 50 beds. Sixty-five Kansas hospitals and 220 hospitals nationwide currently participate in the project.
For more information on QHi, please contact Sally Perkins.
Kansas Rural Health Works
The Kansas Rural Health Options Project collaborates with Dr. John Leatherman, Kansas State University, to offer the Kansas Rural Health Works facilitation and community benefit project. The program is designed to generate useful resources that will strengthen the local health care system. This includes generating and analyzing information that begins to identify community health care issues. If the community believes these issues require further action, an action plan is developed. The entire process usually takes place over six to eight months and includes a community facilitator and a community steering committee. Task forces are organized to address how to publicize the program, collect and distribute the data and information, create a health care directory, and develop a health care survey. Planning sessions will also be held to identify top issues and short- and long-term goals.
Rural community leaders understand that there is a link between healthy people and health communities. However, these community leaders often do not grasp the full economic impact of the health care system on their local economy, nor the healthcare system’s dependence on its local residents. Rural Health Works is a national project, supported by the Office of Rural Health Policy, that seeks to help communities understand the economic impact of the health care system on the local economy and to enhance community understanding of the operation and needs of that health care system.
In Kansas, the Rural Health Works project is a collaborative venture of the Kansas Rural Health Options Project and the College of Agricultural Economics at Kansas State University. In 2003 Kansas Rural Health Works undertook county-level analyses of the impact of the health care system. These reports were updated in January 2009 and can be downloaded at the Kansas Rural Health Works website.
The College of Agricultural Economics (CAE) has completed twelve programs in Kansas (Belleville, Concordia, Goodland, Oakley, Stafford, Osborne, WaKeeney, Lyons, Neodesha, Russell, Columbus, and Hoisington). The CAE is working with the Hoxie community to enhance local residents’ understanding of the health care system. The project consists of a community health survey and the development of a community health care inventory. Data may be used to spearhead a planning process designed to support the health care system and to encourage the community to keep their health care dollars at home. Additional information regarding on the program may be found in the Kansas Rural Health Work's Community Engagement program's executive summary.
Trauma Education and Training
A brief description of the education programs and the funding level is below.
Rural Trauma Team Development Course:
The Kansas Rural Health Options Project is providing funding for hospitals to offer the Rural Trauma Team Development Course. The funding level per course will be $1,500.00. KRHOP will be offering one training session in each of the six trauma regions. If your facility is interested in participating or hosting the Rural Trauma Team Development Course, please complete the Funding Request Form and return it to Jeanette Shipley, Regional Trauma Coordinator, Bureau of Local and Rural Health, Kansas Department of Health & Environment, 1000 SW Jackson, Ste. 340, Topeka, KS 66612, 785-296-0604. The application deadline for the Rural Trauma Team Development Course is April 15, 2011.
Course Description: The Rural Trauma Team Development Course was developed by The Rural Trauma Committee of the American College of Surgeons (ACS) to train small rural hospital or clinic trauma teams in the team approach to the initial assessment and resuscitation of the injured patient and their transfer to definitive care. It is hoped that the course will improve the quality of care in their community by developing a timely, organized, rational response to the care of the trauma patient and a team approach that addresses the common problems in the initial assessment and stabilization of the injured. The basic premise of the course is the assumption that, in most situations, rural hospitals can provide three individuals to form the core of a trauma team consisting of a team leader and two team members. In addition to this core team, the course acknowledges the participation of respiratory, radiology and laboratory technicians, additional nurses, prehospital personnel, etc. who might be involved in supportive roles to the trauma team.
Pre-hospital Trauma Life Support (PHTLS):
The Kansas Rural Health Options Project is providing funding for health care organizations to offer the Pre-hospital Trauma Life Support course. The funding level per course will be approximately $1,000.00. KRHOP will be offering one training session in each of the six trauma regions. If your facility is interested in participating or hosting the Pre-hospital Trauma Life Support class, please complete the Funding Request Form and return it to Jeanette Shipley, Regional Trauma Coordinator, Bureau of Local and Rural Health, Kansas Department of Health & Environment, 1000 SW Jackson, Ste. 340, Topeka, KS 66612, 785-296-0604. The application deadline for the Rural Trauma Team Development Course is April 15, 2011.
Course Description: The Pre-hospital Trauma Life Support course is a unique continuing education program created in recognition of the real need in EMS education for additional training in the handling of trauma patients. This indispensable program is designed to enhance and increase knowledge and skill in delivering critical care in the pre-hospital environment.
Trauma Nurse Core Course:
The Kansas Rural Health Options Project is providing funding for hospitals to offer the Trauma Nurse Core Course. The funding level per course will be approximately $1,500.00. KRHOP will fund one training session in each of the six trauma regions. If your facility is interested in participating or hosting the Trauma Nurse Core Course, please complete the Funding Request Form and return it to Jeanette Shipley, Regional Trauma Coordinator, Bureau of Local and Rural Health, Kansas Department of Health & Environment, 1000 SW Jackson, Ste. 340, Topeka, KS 66612, 785-296-0604. The application deadline for facilities interested in participating or hosting the Trauma Nurse Core Course is April 15, 2011.
Course Description: The Emergency Nurses Association developed and implemented the TNCC for national and international dissemination as a means of identifying a standardized body of trauma nursing knowledge. The TNCC (Provider) is a 16- or 20-hour course designed to provide the learner with cognitive knowledge and psychomotor skills. Nurses with limited emergency nursing clinical experience, who work in a hospital with limited access to trauma patients, or who need greater time at the psychomotor skill stations are encouraged to attend courses scheduled for the 20-hour format.
Advanced Trauma Life Support (ATLS) Course:
The Kansas Rural Health Options Project is providing 20 scholarships up to $1,000 for rural physicians to participate in the Advanced Trauma Life Support course. These scholarships will be provided to qualified applicants on a first-come, first-serve basis. Early applications are encouraged with applications received by April 15, 2011 receiving higher priority. It is expected that the scholarships will be used prior to December 31, 2011. Interested individuals should submit a formal letter of request that includes the physician’s name, credentials, license number, and the ATLS Scholarship Request Form to Dan Leong, Project Director, Emergency Preparedness, Kansas Hospital Association, 215 SE 8th Avenue, Topeka KS 66603. For further information contact Dan Leong at the KHA office, 785-233-7436 or email@example.com.
EMS Medical Director Training
Training for EMS Medical Directors has not been offered in the state of Kansas since 1999. As part of the KRHOP mission to work with EMS and rural health stakeholders to better integrate EMS into the healthcare delivery system, KRHOP is working with partners including the Kansas Medical Society, the Board of EMS and others to develop a new program to provide information and training to EMS medical directors who lack access to formal training on the role and responsibilities of the medical director for a local ambulance service. To further that objective, a free On-Line course is now available to Kansas EMS Medical Directors called "Guide for Preparing Medical Directors".