The Medicare Beneficiary Quality Improvement Project (MBQIP) is a quality improvement activity under the Medicare Rural Hospital Flexibility (Flex) grant program of the Health Resources and Services Administration’s Federal Office of Rural Health Policy (FORHP).

Intended Results:

The goal of MBQIP is to improve the quality of care provided in critical access hospitals (CAHs), by increasing quality data reporting by CAHs and then driving quality improvement activities based on the data.


This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS). Cynosure Health is supporting states with their MBQIP efforts. Our support is customized to meet the needs of the state, such as:

  • Customized dashboards and run charts reflecting MBQIP measure performance over time (statewide and individual hospitals)
  • Interactive educational sessions, in-person workshops and webinars
  • Individual 1:1 hospital technical coaching/advisement

Our MBQIP clients include:

  • Alaska State Hospital & Nursing Home Association
  • Idaho Bureau of Rural Health & Primary Care & Idaho Department of Health & Welfare Division of Public Health
  • Kentucky Hospital Association
  • Montana Hospital Association/Montana Rural Hospital Flex Program
  • Mississippi Hospital Association
  • West Virginia Hospital Association

View Cynosure Health’s MBQIP Sample Reports

Read below for testimonials from some of the states we have supported on their MBQIP improvement journey:

“Working with Cynosure over the past several years has been nothing but positive for our Flex program and our hospitals. They are the quality experts, I know I can go to them with a question and they will respond accurately and timely. They’re never short on good ideas, and they always include me in the decision making process. Our in-person meetings with Cynosure are some of the best we have all year, and ones the hospitals enjoy the most. We cover a lot of content and get a lot of work done, but the process is fun. Having them make the MBQIP reports even more meaningful has also been invaluable for myself and our CAHs. They are an incredibly valued partner for our Flex program in Kentucky and I look forward to working with them for years to come.”

Kayla Combs, MHA, Rural Project Manager/Flex Director for Kentucky’s Office of Rural Health


I have worked with Cynosure Health for the last three years and have been very pleased with their approach and service. The consultants we’ve had with Cynosure Health have been professional, knowledgeable, and personable, especially Barb DeBaun. They really care about the individuals and organizations they work with. They are very open to our requests and work with us to ensure that we have a clear path to achieving our goals. I would strongly recommend Cynosure Health if you are looking for more than a vendor relationship. They are into partnering relationships.”

Dianna Iobst, Executive Director for West Virginia’s CAH Network


“Cynosure Health provides high-quality MBQIP benchmarking reports, one-on-one quality improvement support to CAH Quality Improvement Directors, and webinars to improve quality and impact the Medicare Beneficiary Quality Improvement Project. Barb DeBaun is innovative and engaging. Her work to recognize and encourage CAHs to share “Bright Spots” of innovative quality improvement work being done around the state has really helped foster communication and engagement among Idaho CAHs.”

Stephanie Sayegh, Health Program Manager (Flex and SHIP Coordinator) for Idaho’s Department of Health and Welfare