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.

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
The purpose of this project was to measure the community benefit and impact performance of CAHs nationally and by state using data from the American…
Completed Project
The purposes of this project were: 1) to generate State Flex Program monitoring data that states would be submitting under the new program guidance;…
Completed Project
Purpose The purpose of this project was to analyze the efforts of CAHs to develop systems of care that support the provision of these core health…
Completed Project
This project aimed to identify the extent to which CAH-based Rural Health Clinics (RHCs) are providing mental health services, how they are…
Completed Project
As the hub of local health care systems, CAHs can play an important role in addressing the problems of opioid use in their communities. For this…
Completed Project
While the financial challenges of Critical Access Hospitals and the spate of rural hospital closures have recently garnered national attention,…
Completed Project
​​​​​As the COVID-19 pandemic has persisted, Critical Access Hospitals (CAHs) have found innovative ways to support their workforce. In this project…
Completed Project
​​​​​In this project the Flex Monitoring Team will work with the Federal Office of Rural Health Policy to evaluate quality improvement activities…
Completed Project
For several years, the Flex Monitoring Team has discussed plans with the Federal Office for Rural Health Policy (FORHP) on how to move toward a more…
Completed Project
This project described the community benefit activities of CAHs and their roles as safety net providers using their IRS Form 990, Schedule H…
Completed Project
Since 2010, there have been 83 rural hospital closures in the United States. Approximately 35% of these rural hospital closures were Critical Access…
Completed Project
This project explored the data challenges and data use opportunities faced by state Flex Programs as they attempt to monitor the impact of Flex…
Completed Project
Purpose This project had two components: the continuation of our evaluation of innovative projects by State Flex Programs, and the continuation of…
Completed Project