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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Angelina Budko, George Pink, Susie Gurzenda, Ann Howard, Kristin L. Reiter
This brief describes CAH participation in ACOs and the financial performance and organizational characteristics of participating and non-…
Megan Lahr, Xiomara Santana, Helen Parsons, Nathan Bean, Ira Moscovice
This brief presents data on cancer screening and treatment by Critical Access Hospitals (CAHs). Data come from a survey of 135 CAHs across the U.S.…
Zach Croll, John Gale
Non-profit and publicly-owned hospitals, including Critical Access Hospitals (CAHs), have obligations to address the health needs of their…
Madeleine Pick, Megan Lahr, Shehrose Charania, Ira Moscovice
Hospital staff, including those working in Critical Access Hospitals (CAHs), have faced immense challenges since the onset of the COVID-19 pandemic.…
Kristin L. Reiter
This Data Summary Report presents state and national median values of the 23 financial indicators included in the Critical Access Hospital…
John Gale, Karen Pearson, Sara Kahn-Troster
The Flex Monitoring Team is conducting a multi-year evaluation of the Flex Program's Emergency Medical Services (EMS) Supplemental funding grant,…
John Gale, Celia Jewell, Sara Kahn-Troster, Zach Croll
The Medicare Rural Hospital Flexibility (Flex) Program funds initiatives to improve the health of rural communities under Program Area 3: Population…
Celia Jewell, Sara Kahn-Troster, Zach Croll, John Gale
This brief responds to interest from State Flex Programs (SFPs) and other Critical Access Hospital (CAH) stakeholders about the range of population…
John Gale, Sara Kahn-Troster, Zach Croll
This brief provides a detailed look at outcome measurement issues for State Flex Program (SFP) interventions conducted under Program Area 2:…
Ira Moscovice, Madeleine Pick, Megan Lahr
This report presents data on the initial response to COVID-19 in system-affiliated and independent Critical Access Hospitals (CAHs). Data in this…