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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John Gale, Celia Jewell, Sara Kahn-Troster, Nathan First
This brief reports on a qualitative evaluation on the use of cohorts of Critical Access Hospitals (CAHs) to support quality improvements initiatives…
Madeleine Pick, Megan Lahr, Keelia Silvis, Ira Moscovice
In a survey, Critical Access Hospital (CAH) CEOs in eight states identified that their most common innovations during the COVID-19 pandemic were…
Madeleine Pick, Megan Lahr, Keelia Silvis, Ira Moscovice
In a survey of Critical Access Hospital (CAH) CEOs in eight states, 90% of respondents replied that they partnered with local public health agencies…
John Gale, Sara Kahn-Troster, Zach Croll, Nathan First
This brief reports on a qualitative evaluation of State Flex Program interventions conducted under Program Area 2: Financial and Operational…
Madeleine Pick, Megan Lahr, Ira Moscovice
Optimal health is determined by many factors that go beyond access to quality health care. As a result, hospitals in the U.S. have started to address…
Megan Lahr, Madeleine Pick, Tongtan Chantarat, Nathan Bean, Ira Moscovice
This report summarizes reporting rates and performance among U.S. Critical Access Hospitals (CAHs) on Medicare Beneficiary Quality Improvement…
Karen Pearson, John Gale, Sara Kahn-Troster
Flex Monitoring Team (FMT) members from the University of Southern Maine are conducting a multi-year evaluation of the Emergency Medical Services (…
John Gale, Zach Croll, Yvonne Jonk, Sara Kahn-Troster, Karen Pearson
This policy brief summarizes key findings from a survey of State Flex Programs conducted by the Flex Monitoring Team. The survey collected…
John Gale, Sara Kahn-Troster, Karen Pearson, Nathan First
The opioid epidemic continues to have a devastating impact in rural areas disproportionately affected by a lack of infrastructure to provide…
John Gale, Zach Croll, Nathan First, Sara Kahn-Troster
Residents of rural communities face longstanding access barriers to mental health (MH) services due to chronic shortages of specialty MH providers,…