SDAHO and the South Dakota Office of Rural Health (SD ORH) joined together to provide the first CART Bootcamp​ for the 38 Critical Access Hospitals (CAH) in the State. CMS Abstraction & Reporting Tool (CART) is an application for the collection and analysis of quality improvement data. CART allows hospitals to manage and evaluate quality improvement efforts. CART is used to collect data for the MBQIP (Medicare Beneficiary Quality Improvement Project) which is the quality improvement activity under the Office of Rural Health Medicare Rural Hospital Flexibility (FLEX) grant program. Â