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Michigan Critical Access Hospital Quality Network

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

February

AHA – Rural Health Care Outcomes Accelerator Program
- PowerPoint
- Video

January

I-REACH Rural Veteran Health Care
PowerPoint
Video

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

 

Leader Rounding Sheet

Leader Rounding Script

October

October MI-211 Webinar

PowerPoint Presentation

Video

 

September

HMS_MCRH Antimicrobial Stewardship Webinar

Video

HMS Antimicrobial Use Guidance and Toolkit

PowerPoint Presentation

 

August

MiHIN Overview and Updates

Video

Presentation

 

July

Michigan Value Collaborative overview and updates

Video

- No PowerPoint Presentation provided

 

Transforming Rural Healthcare through Remote Patient Monitoring (RPM)

Video

Presentation

 

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

Video Recording

 

March

Bridging the Gap between EMS and Hospitals (regulations and relationships)

 

Patient Movement Subcommittee

 

MiCAH QN EMS Presentation

Video Recording

 

February

Strategies to Enhance HCAHPS Response Rates

 

Strategies to Enhance HCAHPS Response Rates

Video Recording

 

January

Working Quality Improvement into Contracts

 

CHW Contract Quality Metric Process

 

Metrics for Contract Evaluations

 

Working Quality Improvement Into Contracts

Video Recording

November

Agenda

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)

FY 2025 IPPS Press Release

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 

Aspirus Health Slides 

 

August

Agenda

Accreditation Resources

DNV Survey Prep

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

Presentation

 

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

MBQIP SDOH Presentation

 

Strategy Group #1 – Reducing Harm Caused in the Delivery of Care

MyVoice Back to Basics Education Front Line Teams – MyMichigan Health

 

May

Agenda

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 

Agenda

Welcome PowerPoint

Strategy Group #2 - Data Management and Analysis

Q3 2023 MICAH QN Core Measures Data, and Q4 2023 MBQIP EDTC Data

MICAH QN HCAHPs Report Out

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!

MI CAH CNHA Overview

Corewell Health – Leveraging the Joint Commission Health Equity Standards to Improve Care

 

Partner Updates

iMPROVE Health Update – Governors Award of Excellence

 

Questions? Contact

Amanda Saint Martin

Hospital Programs Manager

517.353.3990

amanda.saintmartin@affiliate.msu.edu