Advancing Rural Health Through Quality
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)
2026 CAHQI Regional Bootcamps (offered in-person twice)
Join us for the 5th annual CAHQI Bootcamps, part of the Critical Access Hospital Quality Improvement (CAHQI) program under the Medicare Rural Hospital Flexibility grant. Our goal is data-driven process improvement in critical access hospitals to enhance patient safety by reducing medical errors and harm. This 2.5-day in-person training is designed for quality leaders, department directors, middle managers and clinical staff eager to advance quality improvement. Attendees will explore the latest Medicare Beneficiary Quality Improvement Project measures, identify improvement opportunities in Texas and discuss succession planning, social deteminants of health, strategic planning and cross-functional team management.
agenda forthcoming
April 15-17 at Peterson Regional Healthcare in Kerrville
and
April 22-24 at Hendrick Hospice Care Center in Abilene
Cost: Critical Access Hospital Employee – no cost through MBQIP Flex Program
Rural Hospital Employee – $60 (covers cost of meals and CE certificate for nursing)

In support of improving patient care, this activity has been planned and implemented by Amedco LLCand Texas Hospital Association. Amedco LLC is jointly accredited by the Accreditation Council forContinuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE),and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Amedco Joint Accreditation Provider Number: 4008163
Professions in scope for this activity are listed below.
Nurses
Amedco LLC designates this activity for a maximum of 13.75 ANCC contact hours.
Sponsored by: 
Frontline Excellence: Strengthening Documentation, Safety & Communication (offered in-person twice)
June 4, 2026 at West Texas A&M University Harrington Academic Hall, Amarillo, Texas
Aug. 14 at THA Headquarters in Austin
Join us for a one-day Frontline Staff Documentation Workshop with frontline nursing and clinical staff who are responsible for thorough and accurate documentation within the patient medical record. This session will cover the essential components of effective nursing documentation, how electronic health records (EHRs) have transformed documentation practices and the risks associated with “checking the box” rather than documenting meaningful clinical care. Participants will also explore the legal implications of insufficient, missing, or inaccurate documentation, as well as gain an overview of the legal process should a nurse be deposed or called to testify.
Cost: Critical Access Hospital Employee – no cost through MBQIP Flex Program
Rural Hospital Employee – $20 (covers cost of meals and CE certificate for nursing)
Sponsored by: 
Frontline Excellence: Foundations of Quality, Safety & High Reliability Virtual Learning Series for Frontline Healthcare Staff (3-part series)
June 16, 23 and 30 (Noon – 1:00 PM Central)
Join us for a virtual learning series targeted to all frontline staff. Keeping patients and care providers safe through reduction in medical errors and patient harm events requires knowledge and action at all levels of the health care team. This series of three 1-hour virtual learning sessions will provide frontline staff with education and training on relevant topics such as quality improvement basics, impact of health care mistakes on patients and staff, trauma informed care and patient and family engagement. This virtual educational series is appropriate for department directors, middle managers, frontline nursing staff and ancillary department team members across the organization.
Cost: Critical Access Hospital Employee – no cost through MBQIP Flex Program
Rural Hospital Employee – $10 (covers cost of CE certificate for nursing)
The Policy Playbook: Developing, Vetting, and Implementing Effective Policies (Virtual 3-part series)
June 11, 19 and 25 (Noon – 1:00 PM Central)
Join us for this three-part virtual series focused on health care policies and procedures. Administrators, departmental leaders and mid-level managers play a crucial role in ensuring safe and consistent patient care through the development and implementation of effective policies and operational plans. Frontline staff also have a responsibility to understand and adhere to these policies. This educational series will provide in-depth training on the creation, implementation, vetting and adherence to best practices for hospital policies and procedures, including guidance on utilizing peer-reviewed sources. This series is designed for administrators, nursing leaders, department directors, mid-level managers and frontline staff interested in actively participating in the policy development and review process.
Cost: Critical Access Hospital Employee – no cost through MBQIP Flex Program
Rural Hospital Employee – $10 (covers cost of CE certificate for nursing)
Leading Nursing Excellence: Strengthening CNO Leadership in Rural Healthcare
Aug. 6-7 at THA Headquarters in Austin
Many nurses step into the chief nursing officer (CNO) role with limited formal leadership preparation—especially in critical access and rural hospitals. This intensive two-day workshop equips current and emerging nurse executives to lead with confidence, clarity and impact. Participants will learn to build high-performing teams, navigate workforce challenges, steward resources, engage in strategic planning, translate strategy into action and manage conflict constructively. Designed for current CNOs and nurse executives in rural and critical access settings, as well as emerging leaders identified through succession planning, this program provides practical, immediately applicable tools to strengthen nursing leadership and organizational performance.
Cost: Critical Access Hospital Employee – no cost through MBQIP Flex Program
Rural Hospital Employee – $50 (covers cost of meals and CE certificate for nursing)
Click HERE to view the MBQIP 2026 kickoff webinar. (opens in YouTube)
Further Reading:
THA’s Comments on CMS Proposed Rule on Conditions of Participation (CoP) for Rural Emergency Hospitals and Critical Access Hospital CoP Updates
Click HERE for previous educational offering recordings and resources
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.