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.

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
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…
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
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
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
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
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
While the financial challenges of Critical Access Hospitals and the spate of rural hospital closures have recently garnered national attention,…
Completed 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…
Completed Project
​​​​​​This project seeks to understand the details and strategies underlying exemplary models for providing quality cancer care in Critical Access…
Completed Project
This project will build upon previous FMT work to collect data from State Flex Programs (SFPs) after the completion of the Flex QI Project and…
Completed Project
Program Area 3: Population Health Improvement and Program Area 4: Rural Emergency Medical Services (EMS) Improvement are ongoing, optional areas of…
Completed Project