Publications
The Flex Monitoring Team completes projects each year in a variety of topic areas such as CAH financial and operational improvement, patient safety, quality of care, Emergency Medical Services, and social determinants of health. These publications aim to evaluate the Flex Program and disseminate information to State Flex Programs, CAHs, and the general public. Our publications offer a wide range of information about Flex Program activities, best practices in CAHs, financial, quality, and community measures, and hospital services. Below is a list of publications from the Flex Monitoring Team. Publications are listed chronologically, in descending order. You can search by title and filter by topics and state. For data reports and publications relevant to specific states, please visit our State Profiles.
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This National Report from the 2025 National Critical Access Hospital (CAH) Quality Inventory and Assessment ("Assessment") provides a high-level…
Critical Access Hospitals (CAHs) are essential to maintaining health care access in rural communities but face ongoing financial and operational…
Critical Access Hospitals (CAHs) have experienced significant shifts in revenue sources and patient volume over the past decade, changes that may…
This chartbook presents findings from a national survey of frontier Critical Access Hospitals (CAHs), focusing on operational challenges, service…
Approximately half of rural counties lack a hospital with labor and delivery services, and rural mothers and infants face poorer health outcomes as a…
Rural hospitals, including Critical Access Hospitals (CAHs), face many challenges in providing maternity care. One resource for CAHs is state and…
This brief on the lessons learned from federal and state models and programs to improve the value proposition and patient centeredness for rural…
Strong performance in both quality and finance is increasingly important for Critical Access Hospitals (CAHs). While previous research has identified…
This study examines Critical Access Hospitals’ (CAHs) performance across financial and quality benchmarks to identify characteristics associated with…
Obstetric simulation training is an effective method for clinical health professionals to maintain skills, which is of particular importance for…