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.
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.
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 ByLaws | MBQIP All Measure Document | MI CAH Quality Dashboard
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
November
- Agenda
- Master PowerPoint
- Strategy Group #3 - CAH Priorities - What You Need to Know Now Resources
- Transitions of Care Roundtables
- Discussion #1 - Inpatient to Community Care Partner (SNF, LTC, etc.)
- Discussion #2 - Inpatient/ED Discharge with PCP Follow-Up
- Discussion #3 - Inpatient/ED Discharge to Behavioral Health Resources
- Strategy Group #2 Data Management and Analysis
- MICAH QN Quality Data Review
- Breakout Group Discussions
- Staffing and Staffing Models
- Capacity and Bed Availability
- Throughput and Process Efficiency
- Patient Characteristics and Acuity
- Community and External Factors
- Strategy Group #1 Update
- Peer Presentation: Success Cause Analysis - OSF Escanaba
August
- Agenda
- Master PowerPoint
- Strategy Group #3 - CAH Priorities – What You Need to Know Resources
- Aspire Rural Health System Provider Communication Best Practice Sharing - Doctor/Provider Communication
- Press Ganey Solution Starter – Provider Communication
- Strategy Group #2 - Data Management and Analysis
- 2023 State Report (MBQIP Top 10 Methodology)
- MBQIP Update – Current State of MI CAH Performance
- Utilizing MBQIP to Drive Change – OP-18B Lean Project Success Story
- Strategy Group #1 - Making Care Safer by Reducing the Harm Caused in the Delivery of Care
- ProMedica Charles and Virginia Hickman Hospital - Sepsis Presentation
- Superior Health Quality Alliance Update
February
- Agenda
- Master PowerPoint
- Strategy Group #3
- Strategy Group #2
- Strategy Group #1
- BCBS PG5 Update (coming soon!)
- iMPROve Health Update (coming soon!)
November
- Agenda
- Welcome PowerPoint
- Strategy Group #3 – CAH Priorities!
- 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
August
- Agenda
- Accreditation Resources
- Strategy Group #3 – CAH Priorities – What you need to know now!
- Strategy Group #2 Data Management and Analysis
- MI CAH Peer Showcase – Scheurer’s Contaminated UA Study
- MICAH QN Data Report Out
- Strategy Group #1 – Reducing Harm Caused in the Delivery of Care
May
- Agenda
- Strategy Group #3 – CAH Priorities – What you Need to Know Now!
- Strategy Group #2 Data Management and Analysis
- 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
- Agenda
- Welcome PowerPoint
- Strategy Group #2 - Data Management and Analysis
- Strategy Group #3 – CAH Priorities – What you Need to Know Now!
- Partner Updates
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 0202 Falls with Injury
- 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
Resiliency Resources
General Resources
- MBQIP All Measure Document
- 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
- 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:
- Aspirus Health
- Sparrow Health System
- SCH ED-Blank MI CAH Scorecard Showcase
- Sparrow Clinton Hospital Examples
- Aspirus Health COPD Scorecard
- Corewell Health CAH Scorecard Showcase
Resources Related to BCBS PG5 Programming
- Conditions of Participation (CoP) for Admissions Discharge and Transfer (ADT) Notifications Master Education provided by the Michigan Health Information Network (MiHIN)
- Note: Please see this resource as well (Conditions of Participation (CoP) for Admissions Discharge and Transfer (ADT) Notifications Master Document)
- BCBS PG5 P4P - HIE/ADT Education
General Resources
- Communication Tools - RELATE
- 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
Leader Rounding Resources
- Leader Rounding Sheet
- Leader Rounding Script
- 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
July
- Enhancing Rural Care: Bridging Gaps in Quality Through Proactive Physical Therapy and Fall Prevention
March
- MDHHS – Systems of Care Stroke and STEMI Updates
February
- AHA – Rural Health Care Outcomes Accelerator Program
January
- I-REACH Rural Veteran Health Care
October
- October MI-211 Webinar
September
- HMS MCRH Antimicrobial Stewardship Webinar
August
- MiHIN Overview and Updates
July
- Michigan Value Collaborative Overview and Updates
- Video | No Presentation Provided
- Transforming Rural Healthcare through Remote Patient Monitoring (RPM)
June
- Blue Cross Blue Shield Peer Group 5 P4P Overview
- Peer Group 5 Hospital Pay for Performance (P4P) Program Overview
- Video | No Presentation provided
- Peer Group 5 Hospital Pay for Performance (P4P) Program Overview
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)
- Patient Movement Subcommittee
- MICAH QN EMS Presentation | Video
February
- Strategies to Enhance HCAHPS Response Rates
January
- Working Quality Improvement into Contracts
Michigan Critical Access Hospital Quality Network Executive Committee
- Mariah Hesse, University of MI Health System Sparrow Clinton and Carson, Chief Nursing Officer - President (Officer)
- Jen Anderson, University of MI Health System, Quality | Community Hospital Lead PI Specialist - Vice-President (Officer)
- Christi Salo, Munising Memorial Hospital, Chief Nursing Officer - Treasurer (Officer)
- Barb Wainright, Corewell Health, Quality Improvement Specialist, Lead Quality, Safety & Experience - Secretary (Officer)
- Heather Schragg, Eaton Rapids Medical Center, Director of Quality, Risk Management, Medical Staff Services - Strategy Group #3 Leader
- Kena Nicholson, Schoolcraft Memorial Hospital, Quality Coordinator - Strategy Group #2 Leader
- Tiffany Friar, University of MI Health System Sparrow Eaton and Ionia, Chief Nursing Officer - Strategy Group #1 Leader
- Christine Bissonette, Kalkaska Memorial Hospital, Service Line Director, Acute Care Services - Member
- Todd Peltola, Baraga Community Hospital, Director of Quality and Risk - Member
- Darcy Donnelly, Aspirus Keweenaw, Director of Nursing - Member
- Julia Harbuck-Valley, Scheurer Health, Quality Manager – Member
- Kimberly Shiner, Director of Compliance, Quality & Risk Management, Schoolcraft Memorial Hospital – Member
- Jennifer Duke, Patient Safety Quality Specialist, MyMichigan Health System – Member
Questions? Contact
Amanda Saint Martin
Hospital Programs Manager
517.353.3990
amanda.saintmartin@affiliate.msu.edu