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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Madeleine Pick, Megan Lahr, Abigail Wenninger
For small hospitals, including Critical Access Hospitals (CAHs), being part of a system can provide many advantages including access to supplies at a…
Robert Barclay, Nathan Bean, Madeleine Pick, Megan Lahr
Effective communication with health care providers is an essential component of quality, informed care, and limited English proficiency (LEP) can be…
Madeleine Pick, Megan Lahr, Shehrose Charania
Language interpretation in rural health care settings is an important service for access to equitable, safe, quality care, particularly as many rural…
Megan Lahr, Alyssa Furukawa, Madeleine Pick
This report summarizes reporting rates and performance among U.S. Critical Access Hospitals (CAHs) on Medicare Beneficiary Quality Improvement…
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,…