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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Zach Croll, John Gale
Non-profit and publicly-owned hospitals, including Critical Access Hospitals (CAHs), have obligations to address the health needs of their…
Kristin L. Reiter
This Data Summary Report presents state and national median values of the 23 financial indicators included in the Critical Access Hospital…
Celia Jewell, Sara Kahn-Troster, John Gale
This brief reports on promising State Flex Program (SFP) strategies to support Critical Access Hospitals (CAHs) during the COVID-19 pandemic. SFPs…
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 (…