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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Andrew Coburn, John Gale, Melanie Race, Mark Richards, Anush Hansen
A central goal of the Flex Program, as defined in the original and reauthorizing legislation, is to help Critical Access Hospitals (CAHs) develop and…
Michelle Casey
This policy brief profiles 2008 participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and…
Melanie Race, John Gale, Andrew Coburn
This publication examines evidence of differences in the community benefits provided by CAHs compared to larger hospitals and discuss the issues for…
John Gale, Melanie Race, Andrew Coburn
This publication examines evidence of differences in the community benefits provided by CAHs compared to larger hospitals and discuss the issues for…
Melanie Race, John Gale, Andrew Coburn
Non-profit hospitals, including Critical Access Hospitals (CAHs), are required to report their community benefit activities (programs and services…
Jeffrey McCullough, Michelle Casey
This report assesses the availability of health information technology applications that are preconditions for meaningful use in CAHs, compared to…
Robert Town
Pay-for-performance (P4P) has the potential to improve clinical quality and the patient’s experience receiving care, but it may also have a broader…
Robert Town
Pay-for-performance (P4P) has the potential to improve clinical quality and the patient’s experience receiving care, but it may also have a broader…
George Pink, Mark Holmes, Rebecca Slifkin
The Flex Monitoring Team previously selected 20 financial ratios that were found to be important measures of CAH financial performance that could be…
All hospitals, regardless of size and organizational structure, benefit from comparative data on financial condition and performance. The unique…