Medicare Rural Flexibility Grant Program

The Medicare Rural Hospital Flexibility (FLEX) Program is a federal funding program that aims at working with rural hospitals to stabilize and sustain their local health care infrastructure. The goal of the FLEX grant is to improve the quality of care and financial and operational performance, as well as manage population health needs. The Medicare Beneficiary Quality Improvement Program (MBQIP) is the quality portion of the grant that provides an opportunity for individual critical access hospitals to look at their own data, measure their outcomes against each other and partner with other hospitals in the state around quality improvement initiatives to improve outcomes and provide the highest quality care to every patient. Read more about the FLEX program here.

  • Spotlight
  • Quality Resources
  • Population Health Resources
  • Financial and Operational Resources
  • Presentations
Pickren_AmySpotlight Hospital: Harrison County Community Hospital
Amy Pickren, MSN/MBA, R.N.
View Amy's presentation.

Valerie DavisSpotlight Hospital: Mercy Hospital Aurora and Mercy Hospital Cassville
Valerie Davis, BSN, R.N.
View Valerie's presentation.

Tabitha Stanfast, BSN, R.N.Spotlight Hospital: Salem Memorial District Hospital
Tabitha Stanfast, BSN, R.N.
View Tabitha's presentation.

FLEX Sign Up Information

List of Missouri FLEX Critical Access Hospitals


MBQIP Quality Reporting

NHSN Resources


ED Transfer Data Collection Tool and Resources


Rural Hospital Performance Improvement Project
As one of the states included in the Delta Region, several Missouri hospitals have access to education and services provided under the Rural Hospital Performance Improvement project run by the National Rural Health Resource Center. MHA has learned that all hospitals are eligible to access the recorded webinars provided by the National Rural Health Resource Center. The topics range from community health needs assessment to revenue cycle management, with several other topics.

Quality Improvement Basics for Rural Health Care Organizations

MHA Resources

Agency and Organizations

FLEX Resources

The complimentary FLEX orientation and overview will provide participants with a basic knowledge of the different aspects of the grant – quality reporting and improvement, financial and operational excellence, and population health management. These short presentations are designed for hospital teams new to the FLEX grant or new to health care. For a more robust training or overview, please contact MHA staff listed on the slides for each respective section of the grant.

MHA Presentations

Regional Meeting Presentations
  • FLEX – MBQIP Regional Meeting (October 2017) - PowerPoint
  • FLEX – MBQIP Regional Meeting (March 2018) - PowerPoint
  • FLEX – MBQIP Regional Meeting (October 2018) - PowerPoint
  • FLEX – MBQIP Regional Meeting (March 2019) - PowerPoint

FLEX Update Presentations
Community Health Needs Assessment Webinar Series

CAH Presentations
Spotlight Hospital: Cass Regional Medical Center
Tonya Myers, BSN, R.N.
Click here to view Tonya's presentation.

Spotlight Hospital: Ste. Genevieve County Memorial Hospital
Hirshell Parker, BSN, R.N.
Krista Buxton, BSN, R.N.
Click here to view the presentation.

Spotlight Hospital: Washington County Memorial Hospital
Jenifer Ferguson, RN, MSN, CPHQ
Click here to view Jenifer's presentation.

Spotlight Hospital: Ellett Memorial Hospital
Laura Smith
Click here to view Laura's presentation.

Spotlight Hospital: Excelsior Springs City Hospital
Eric Thon, R.N., BSN, Infection Prevention & Performance Improvement Coordinator
Click here to view Eric's presentation.

Spotlight Hospital: Perry County Memorial Hospital
Christopher Wibbenmeyer
Click here to view Christopher's presentation.

Spotlight Hospital: Northwest Medical Center
Lori Bishop, R.N.
Click here to view Lori's presentation.

Spotlight Hospital: Cass Regional Medical Center
Holly Watkins
Click here to view Holly's presentation.

Spotlight Hospital: Barton County Memorial Hospital
Jeremy Sturgell, M.D., FACEP, FAAEM
Click here to view Jeremy's presentation.

Spotlight Hospital: Mercy System - Critical Access Hospitals
Kelly Pashia
Click here to view Kelly's presentation.

Spotlight Hospital: Cox Monett Hospital
Trisha Doering
Click here to view Trisha's presentation.

Spotlight Hospital: Lafayette Regional Health Center
Deborah Green
Click here to view Deborah's presentation.

Spotlight Hospital: CoxHealth - NHSN-OP27 Webinar
Cindy Robertson
Click here to view Cindy's presentation.