Medicare Beneficiary Quality Improvement Project (MBQIP) – Texas Flex Program
Critical Access Hospitals (CAHs) are essential to the health and economic stability of rural Texas communities, yet they face increasing regulatory, financial, and operational pressures. In today’s healthcare environment, sustained viability is directly linked to measurable quality performance, regulatory compliance, and the ability to demonstrate value.
The Medicare Beneficiary Quality Improvement Project (MBQIP), supported through the Texas Flex Program, provides a structured framework to help CAHs strengthen quality outcomes, reduce risk, and align performance with state and federal expectations. Through this initiative, the Texas Hospital Association Foundation (THAF) delivers targeted education, technical assistance, and strategic guidance to support hospital leadership, quality teams, and governing boards.
In partnership with the Texas A&M Health Science Center Rural and Community Health Institute and funded by the Texas Department of Agriculture’s State Office of Rural Health, MBQIP equips hospitals with the tools and insights needed to improve performance on key quality measures, enhance patient safety, and support long-term organizational sustainability.
By advancing data-driven decision-making and strengthening quality infrastructure, MBQIP enables rural hospitals to not only meet regulatory requirements, but to position themselves for continued success in an increasingly value-based healthcare environment.
Educational Offerings
The Texas Hospital Association Foundation (THAF) delivers a wide range of both in-person and virtual educational offerings through the MBQIP program to strengthen quality improvement across rural healthcare. Through grant support, these programs are provided at no cost to Critical Access Hospital employees. Recognizing the unique barriers rural hospitals face in accessing high-quality education, THAF extends these opportunities to other rural facilities at a very minimal cost—ensuring broader access to critical training, practical tools, and evidence-based strategies that support improved outcomes and long-term sustainability.
(All registration links may be found HERE on the THA Full Events Calendar
Recordings of Previous Educational Offerings
Click HERE to view the MBQIP 2026 kickoff webinar. (opens in YouTube)
The Policy Playbook: Developing, Vetting, and Implementing Effective Policies (Virtual 3-part series)
Recordings open in YouTube (Access the full playlist HERE)
June 11, 2026: Foundations: Understanding Policies, Procedures & Protocols
June 18, 2026: Writing, Reviewing and Governing Policies
June 25, 2026: Vetting Shared Policies & External Templates Safely
Frontline Excellence: Foundations of Quality, Safety & High Reliability Virtual Learning Series for Frontline Healthcare Staff
Recordings open in YouTube (Access the full playlist HERE)
June 30, 2026: Every Role Matters
July 7, 2026: Building a Culture of Safety
July 14, 2026: Creating Exceptional Experiences
CNO Workshop Webinar Series (Coming Soon)
August 18, 2026: Executive Transition and Self-Leadership
August 25, 2026: Texas Nurse Staffing Laws and Nursing Peer Review
September 1, 2026: Basics of Hospital Finance and Emergency Preparedness
September 9, 2026: Board, CEO and Physician Relationships and Strategic Planning
Further Reading:
THA’s Comments on CMS Proposed Rule on Conditions of Participation (CoP) for Rural Emergency Hospitals and Critical Access Hospital CoP Updates
Interested in other opportunities and resources from the THAF QPS Programs? Click HERE for more information.
Additional CAHQI Resources:
- RQITA Resource Center Learn more about the Rural Quality Improvement Technical Assistance program and find various resources for Patient Safety measures and Quality Improvement specifically for rural healthcare organizations. This external link is provided by our partner Telligen located HERE
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number H54RH26521, Medicare Rural Hospital Flexibility Grant Program, $901,523 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.