Flex Monitoring Team - Implementation Status By State
This information is current as of August, 2004. Click on row titles to view definitions.
- FLEX Conversion Process Statistics (Excel) (August 2006)
FLEX/CAH Program Coordinators:
If your state's information is not current, please contact Indira Richardson.
Flex Monitoring Grid
Data Definitions: August 2004
Definitions #1 through #3 below should be MUTUALLY EXCLUSIVE; therefore, if a hospital is accounted for in one category, it should not be counted in any other category. Within each of these 3 categories (a, b, c, d), hospitals can fall in more than one group (for example, they can be both state designated and have DPUs).
1. Certified CAHs:
The number of hospitals that have been certified as CAHs by CMS.
a. Total certified CAHs
b. Number of State-Designated/Necessary Provider CAHs:
The number of hospitals in (1a) that qualified for the CAH Program through state-designated authority as opposed to the standard federal statutory mileage and location requirements. Examples of these types of designations are those that have been designated by a state as "Necessary Providers."
c. Number with Distinct Part Units:
The number of hospitals in (1a) that have one or more DPUs. If possible, separate this into i) psychiatric and ii) rehabilitation.
d. Number that converted on or after January 1, 2004 with 16-25 Acute Care Beds:
The number of hospitals in (1a) that converted on or after 1/1/04, and that had more than 15 beds pre-conversion (actute + swing), and that are maintaining 16-25 acute care beds after conversion.
2. CAH Certifications Pending:
The number of hospitals currently awaiting CAH designation and/or certification that have filed the necessary paperwork and are waiting for the state and/or regional office to finish the process.
a. Total Number of CAH Certifications Pending
b. Number that qualify under State-Designated/Necessary Provider:
The number of hospitals in (2a) that qualify for the CAH Program through state-designated authority as opposed to the standard federal statutory mileage and location requirements.
c. Number with Distinct Part Units:
The number of hospitals in (2a) that have one or more DPUs that they will maintain after conversion. If possible, separate this into i) psychiatric, ii) rehabilitation.
d. Number with 16-25 Acute Care Beds:
The number of hospitals in (2a) that will maintain 16-25 acute care beds after conversion.
3. Hospitals Actively Engaged in Conversion:
The number of hospitals that are actively engaged with the state and/or others in the decision to convert. "Actively engaged" includes hospitals that have conducted at least one of the following activities: requested CAH application forms and are actively exploring CAH designation; conducted a CAH financial feasibility study or have submitted a request for funding to conduct a CAH financial feasibility study; contacted the Flex coordinator and/or the hospital association for more information to help with the conversion decision; provided educational materials about CAH status to their Board and/or Medical Staff. This number DOES NOT include certified CAHs listed in (1), or pending CAH certifications listed in (2).
a. Total Number actively engaged in considering conversion
b. Number that would need State-Designated/Necessary Provider:
The number of hospitals in (3a) that would qualify for the CAH Program through state-designated authority as opposed to the standard federal statutory mileage and location requirements.
c. Number with Distinct Part Units:
The number of hospitals in (3a) that have one or more DPUs. If possible, separate this into i) psychiatric, ii) rehabilitation.