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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Megan Lahr, Robert Barclay, Madeleine Pick
This National Report from the 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment ("Assessment") provides a high-level…
Kristin L. Reiter
This Data Summary Report presents state and national median values of the 29 financial indicators included in the Critical Access Hospital…
John Gale, Karen Pearson, Rebecca Stearns
As a key player in local systems of care, Critical Access Hospitals (CAHs) are called upon to respond to a wide range of emergency situations in…
Zach Croll, John Gale
Non-profit and publicly-owned hospitals, including Critical Access Hospitals (CAHs), have obligations to address the health needs of their…
John Gale, Karen Pearson
National attention on the financial vulnerability of Critical Access Hospitals (CAHs) and rural hospitals and their risk of closure is not a new…
Madeleine Pick, Megan Lahr, Abigail Wenninger, Dori Cross, Ben Weideman
Most Critical Access Hospitals (CAHs) utilize at least a basic Electronic Health Record (EHR), but continue to lag in some of the more advanced EHR…
Madeleine Pick, Alyssa Furukawa, Megan Lahr, Dori Cross
While nearly all U.S. hospitals, including Critical Access Hospitals (CAHs), now utilize Electronic Health Records (EHRs), concerns remain that CAHs…
Zach Croll, John Gale
The Flex Monitoring Team (FMT) has released a brief on the operation of Critical Access Hospital (CAH) and local health department (LDH) partnerships…
Ariana Pitcher, Ruoyu Zhang, George Pink, Kristin L. Reiter
Non-operating revenue (NOR) is an important source of hospital revenue; some hospitals are able to use NOR to offset operating losses, improve total…
John Gale, Karen Pearson
Prior FMT rural Emergency Medical Services (EMS) studies have identified critical information gaps facing EMS agencies and systems of care. These…