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 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
Purpose The purpose of this project was to analyze the efforts of State Flex Program initiatives to support the development of time-critical…
Completed Project
Research shows that chronic conditions such as diabetes, hypertension, and heart disease are more prevalent among rural residents than their urban…
Completed Project
This project identified, assessed, and synthesized the evidence-base for the development and implementation of performance measures to monitor and…
Completed Project
Community paramedicine is capturing attention from state Flex and EMS programs; several states (e.g., Nebraska, Colorado, Maine, and Minnesota) are…
Completed Project
Flex Program Guidance calls for the development of local/regional systems of care and the integration of EMS into those systems of care. As an…
Completed Project
This project profiled strategies, tools, and processes used by State Flex Programs to assess rural Emergency Medical Services (EMS) needs and…
Completed Project
This project analyzed the implications of using Hospital Compare and Medicare Beneficiary Quality Improvement Project (MBQIP) data for calculating…
Completed Project