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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Robert Barclay, Zoe Pringle, Megan Lahr, Reese Hendrikson, George Pink, Kristie W. Thompson, Lauren Wallace, Kristin L. Reiter
Strong performance in both quality and finance is increasingly important for Critical Access Hospitals (CAHs). While previous research has identified…
Lauren Wallace, George Pink, Kristie W. Thompson, Megan Lahr, Robert Barclay, Kristin L. Reiter
This study examines Critical Access Hospitals’ (CAHs) performance across financial and quality benchmarks to identify characteristics associated with…
Madeleine Pick, Megan Lahr
Obstetric simulation training is an effective method for clinical health professionals to maintain skills, which is of particular importance for…
Bridget Harr, Rebecca Stearns, John Gale
Almost 5,600 Rural Health Clinics (RHCs) serve the primary care needs of rural residents in 44 states. Based on the recognition of the important role…
Megan Lahr, Alyssa Furukawa, Madeleine Pick, Robert Barclay
This report summarizes reporting rates and performance among U.S. Critical Access Hospitals (CAHs) on Medicare Beneficiary Quality Improvement…
Kristie W. Thompson, George Pink, Kristin L. Reiter
We recently reviewed and updated the 12 CAHMPAS benchmarks to reflect current operating conditions. Nine benchmarks were revised, 3 were unchanged, 1…
Kristin L. Reiter
This Data Summary Report presents state and national median values of the 29 financial indicators included in the Critical Access Hospital…
John Gale, Rebecca Stearns, Zach Croll
Hospital-based ambulance services are one of multiple models for providing ambulance services in rural communities. This model has not been…
Megan Lahr, Robert Barclay, Madeleine Pick
This National Report from the 2024 National Critical Access Hospital (CAH) Quality Inventory and Assessment ("Assessment") provides a high-level…
Megan Lahr, Robert Barclay, Madeleine Pick
This National Report from the 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment ("Assessment") provides a high-level…