Projects

Each year, the Flex Monitoring Team conducts several projects in the areas of quality performance, financial performance, and community engagement. Select a description below to find out more information about the project and any associated publications. Our current projects are listed first, followed by completed projects.

This project will continue the tracking of Critical Access Hospital (CAH) conversions. A CAH management information dataset, housed at the University…
Current Project
The Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS) is a web-based data query tool that allows users to search…
Current Project
In FY19, the Federal Office of Rural Health Policy (FORHP) presented State Flex Programs (SFPs) with an opportunity to receive $250,000 per year in…
Current Project
The purpose of this project is to fulfill the Flex Monitoring Team’s three-pronged evaluation of the operational and financial health, quality…
Current Project
More than 25 million people in the U.S. have limited English proficiency (LEP), and studies have found several improved health care outcomes when a…
Current Project
​​​​​​This project seeks to understand the details and strategies underlying exemplary models for providing quality cancer care in Critical Access…
Current Project
COVID-19 has posed unique challenges to rural communities and rural hospitals, including Critical Access Hospitals (CAHs). The ability of CAHs to…
Current Project
​​​​​​This project will produce recommendations for the future of the Flex Program, given challenges posed by COVID-19. COVID-19 has exposed the…
Current Project
​​​​​This project will identify a rural-relevant minimum data set of core EMS (Emergency Medical Services) agency licensure elements for…
Current Project
​​​​​This project will compare Critical Access Hospitals (CAHs) participating and not participating in Value-Based Care (VBC) initiatives in order to…
Current Project
​​​​​This project seeks to examine the involvement of Critical Access Hospitals (CAHs) in multi-sector community health networks and to identify…
Current Project
Rural hospital mergers with health systems increased steadily between 2009 and 2014, which prior research has found may have implications for…
Completed Project
Beginning in 2004, the Flex Monitoring Team developed a set of twenty financial indicators, derived from data contained in Medicare cost reports,…
Completed Project
The Flex Monitoring Team’s past research indicates Critical Access Hospitals (CAHs) need support in their efforts identifying and addressing…
Completed Project
The 2019 Flex Program guidance strongly encouraged the use of cohorts, a group of Critical Access Hospitals (CAHs) with similar challenges or needs…
Completed Project
The objectives of this project are to improve financial and operational performance of CAHs through evaluation of the impact of State Flex Program…
Completed Project
The COVID-19 pandemic initially struck hardest in densely populated metro areas, but as the virus continues to spread its effects on strained rural…
Completed Project
Under Program Area 3, the Federal Office of Rural Health Policy set forth three areas in which State Flex Programs (SFPs) could aim to build Critical…
Completed Project
Social determinants of health—the social, political, and economic factors that influence or define the circumstances in which people are born, grow…
Completed Project
Federal data collection often overlooks or fails to retain rural-relevant measures, leaving Flex programs with fewer measures with which to assess…
Completed Project