About MICAH QN
The MICAH QN is a formal, 501 c3, with member representation from all 35 CAHs in Michigan. The MI Flex Program facilitates all quality improvement programming in the CAHs through the MI CAH Quality Network.
MICAH QN Mission Statement
As a premier system of quality, the Michigan Critical Access Hospital Quality Network (MICAH QN) will be a model in developing processes that demonstrate the high-quality service provided by CAHs. MICAH QN will identify opportunities for change that lead to continued improvement in the health status of the population we serve.
MICAH QN Vision Statement
MICAH QN will be known as the statewide and national leader in the measurement of healthcare quality for Critical Access Hospitals (CAHs).
Purpose:
- Improve the health of our communities by working together to expand our professional and financial resources.
- Develop a process to measure quality standards.
- Establish a common database for benchmarking by collecting data and identifying best practices that each CAH can use in their individual process improvement plan.
- Demonstrate the value of CAHs to our communities.
- Demonstrate commitment and unification as a collaborative body to regulatory agencies and political concerns regarding health care quality in Michigan CAHs
MICAH QN Resources
- MICAH QN ByLaws
- MBQIP All Measure Document
MICAH QN Quarterly Meetings
2025 Schedule
February 21: Virtual | 8:30-11:30am
May 16: Virtual | 8:30-11:30am
August 15: Virtual | 8:30-11:30am
November 6: In-Person | 8:00-11:00am
February
AHA – Rural Health Care Outcomes Accelerator Program
- PowerPoint
- Video
January
I-REACH Rural Veteran Health Care
- PowerPoint
- Video
Fall Prevention Resources
- AHRQ Fall Prevention Toolkit
- Peer Group 5 Storyboards surrounding Fall Prevention - BCBS P4P Program
- Universal Fall Precaution Policy Example
Fall Definition Resources
- NQF 0101 Falls Screening, Risk Assessment and Plan of Care to Prevent Future Falls
- GLPP Hospital Improvement Innovation Network Encyclopedia of Measures and FAQ - MHA Community Site
Debriefing Resources
- Example debriefing document (Kalkaska)
Resiliency Resources
- Joint Commission - Resilience and Resilience Engineering in Health Care
General Resources
- Additional Measures used by MICAH QN
- Creating a Random Sample in Excel (Guide put together by SG #2)
- CMS Star Ratings - Presentation by Stratis Health. Slide Deck.
- How to Create a Random Sample in Excel
- How To…Create a Random Data Sample in Excel
- February MBQIP Monthly - Random Sampling on Page 3
Scorecard Showcases:
- SCH ED-Blank MI CAH Scorecard Showcase
- Sparrow Clinton Hospital Examples (EVS, Radiology, Med Surg)
Resources Related to BCBS PG5 Programming
- Note: Please see this resource as well (Conditions of Participation (CoP) for Admissions Discharge and Transfer (ADT) Notifications Master Document)
General Resources
- Communication Tools
- RELATE (information for staff training, and card).
- Engaging Members through the MICAH QN Book Club. Previous books include, In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope, Who Move my Cheese, and, Leadership Secrets of Santa Clause.
- Reducing COPD Readmissions by Engaging Patients and Families in their Care and Promoting Effective Communication and Coordination of Care (presentation)
Leader Rounding Resources
Discharge Process
- Extent to Which you Felt Ready to Be Discharged
- Instructions Given on How to Care for Yourself at Home
- Speed of Discharge Process After Told You Could Go Home
- Discharge Planning Checklist
Care Transitions Solution Starters
- Medication Understanding Solution Starter
- Resource - Care Transitions: Staff Took my Preferences into Account
October
October MI-211 Webinar
- Video
September
HMS_MCRH Antimicrobial Stewardship Webinar
- Video
- HMS Antimicrobial Use Guidance and Toolkit
August
MiHIN Overview and Updates
- Video
July
Michigan Value Collaborative overview and updates
- Video
- No PowerPoint Presentation provided
Transforming Rural Healthcare through Remote Patient Monitoring (RPM)
- Video
June
Blue Cross Blue Shield Peer Group 5 P4P Overview
Peer Group 5 Hospital Pay for Performance (P4P) Program Overview - Video
- No PowerPoint Presentation provided
April
Understanding Stroke and STEMI Administrative Rules and Updates
MDHHS - Updates for the Stroke and STEMI Systems
March
Bridging the Gap between EMS and Hospitals (regulations and relationships)
February
Strategies to Enhance HCAHPS Response Rates
Strategies to Enhance HCAHPS Response Rates
January
Working Quality Improvement into Contracts
CHW Contract Quality Metric Process
Metrics for Contract Evaluations
February
Strategy Group #3 - Information Sprints – What MICAH QN Leaders Need to Know NOW!
Strategy Group #2 - Data Management and Analysis
- MICAH QN All Measures Spreadsheet
Strategy Group #1 - Making Care Safer by Reducing the Harm Caused in the Delivery of Care – focus on where the group is heading for 2025
BCBS PG5 Update (coming soon!)
iMPROve Health Update (coming soon!)
November
Welcome PowerPoint (coming soon!)
Strategy Group #3 – CAH Priorities!
- Update – Focus on Aging (PowerPoint) (coming soon!)
- AHA Podcast on The Work of Action Communities in Age-Friendly Health Systems
- FY 2025 Final IPPS Rule (Age-Friendly Information starts on Slide 12)
- Geriatric Emergency Department – McKenzie Health System
Strategy Group #2 – Data Management and Analysis
- MBQIP – The “Why”, the Current State of Top 10 Performance, and MBQIP Deadline Reminders (coming soon!)
- MICAH QN Core Measure Report Out
- Corewell Health CAH Scorecard Showcase
- Decreasing 30 Day Readmissions – My Michigan Health
Strategy Group #1 – Making Care Safer by Reducing the Harm Caused in the Delivery of Care
- Sepsis in Small Rural Hospitals – Best Practices
- Michigan Hospital Medicine Safety Consortium Slides
August
Accreditation Resources
- DNV GL Healthcare - Survey Document Request List
- Ancillary Unit Department Sweep Checklist
- Non-Clinical Department Sweep Checklist
- Patient Care Department Sweep Checklist
Strategy Group #3 – CAH Priorities – What you need to know now!
- Community Health Worker 101
Strategy Group #2 Data Management and Analysis
- MI CAH Peer Showcase – Scheurer Health - Scheurer’s Contaminated UA Study
- MICAH QN Data Report Out
- 4Q 2023 MICAH Group Quarterly Reports & 2Q 2024 EDTC X
- Critical Access Hospital CMS PowerPoint
Strategy Group #1 – Reducing Harm Caused in the Delivery of Care
- MyVoice Back to Basics Education Front Line Teams – MyMichigan Health
May
Strategy Group #3 – CAH Priorities – What you Need to Know Now!
- Discussion Groups: Hospital Commitment to Health Equity & SDOH Screening
Strategy Group #2 Data Management and Analysis
- Q4 2023 MBQIP Data (including Q1 2024 MBQIP EDTC Data, and HCAHPs)
- MBQIP All Measure Document
- National CAH Quality Assessment – MI Highlights
- MI CAH Scorecard Showcase
- Munson Healthcare
- Audit Workbook Template
- Reworking the Quality Meeting to Ensure Robust Discussion (Mackinac Straits Health System)
Strategy Group #1 – Reducing Harm Caused in the Delivery of Care
- Breakout Discussions on Increasing Safety Event Reporting focused on the topics; “The Why”, Collection Tools, and Closing the Loop with Team Members.
Partner Updates
- iMPROVE Health Update – Governors Award of Excellence
February
Strategy Group #2 - Data Management and Analysis
- Q3 2023 MICAH QN Core Measures Data, and Q4 2023 MBQIP EDTC Data
- MICAH QN Gap Analysis – Areas of Opportunity with Data & Performance
- MI CAH Scorecard Showcase – Scheurer Health
Strategy Group #3 – CAH Priorities – What you Need to Know Now!
- Corewell Health – Leveraging the Joint Commission Health Equity Standards to Improve Care
Partner Updates
Questions? Contact
Amanda Saint Martin
Hospital Programs Manager
517.353.3990
amanda.saintmartin@affiliate.msu.edu