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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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,…
John Gale, Sara Kahn-Troster, Zach Croll, Nathan First
Substance use is a significant public health issue in rural communities. Despite this fact, substance use treatment services are limited in rural…
Zach Croll, John Gale, Connor Huggins
Non-profit and publicly-owned hospitals, including Critical Access Hospitals (CAHs), have obligations to address the health needs of their…
Savannah Stallings, H. Ann Howard, George Pink, Kristin L. Reiter
Since 2015, approved users have been able to explore financial performance data for critical access hospitals (CAHs) using the Critical Access…
Sharita R. Thomas, Kristin L. Reiter, George Pink
CAHs are essential to the maintenance of the rural health care core and safety-net of providers for geographically isolated areas. As the operational…
Kathleen Knocke, Kristin L. Reiter, George Pink
Under the Medicare Rural Hospital Flexibility Program, states with Critical Access Hospitals (CAHs) are eligible to receive federal funds to provide…
Savannah Stallings, George Pink, Kristin L. Reiter
Since the Affordable Care Act’s (ACA) enactment of Medicaid expansion in 2014, 36 states have decided to expand Medicaid – 21% of the population is…