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

Hirshell Parker Krista Buxton Spotlight Hospital: Ste. Genevieve County Memorial Hospital
Hirshell Parker, BSN, R.N.
Krista Buxton, BSN, R.N.
Click here to view the 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 (March 2017) - PowerPoint
  • FLEX – MBQIP Regional Meeting (October 2016) - PowerPoint
  • FLEX – MBQIP Regional Meeting (October 2017) - PowerPoint
  • FLEX – MBQIP Regional Meeting (March 2018) - PowerPoint

FLEX Update Presentations
Community Health Needs Assessment Webinar Series

CAH Presentations
  • Coding and Documentation Integrity in Critical Access Hospitals - PowerPoint | Recording
  • CAH Reimbursement: Understanding and Avoiding the Pitfalls of Operational Changes (June 2018) - PowerPoint | Recording
  • Hot Reimbursement Topics for Critical Access Hospitals (July 2018) - PowerPoint | Recording

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.

2018 Missouri Rural Health Conference

August 21 - 23
The Lodge at Old Kinderhook
Camdenton, MO 65020

Please join the Missouri Hospital Association, Missouri Rural Health Association, Missouri Primary Care Association, and Office of Primary Care and Rural Health for the second annual Missouri Rural Health Conference. Join us to discuss timely information, innovative best practices and technology. Suggested audiences include administrators, managers and leaders making decisions that affect the health outcomes of rural Missourians. Registration is now open to attendees.