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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John Gale, Karen Pearson
This is the final summary report on the Evaluation of the Flex Program's EMS Supplement Funding Grantees. This three-year funding was awarded to…
John Gale
This brief on population health outcome measurement strategies for State Flex Programs (SFPs) targets an important need – the ability to monitor and…
John Gale, Karen Pearson, Kenneth Rosati
This brief on EMS measurement strategies for State Flex Programs (SFPs) targets an important need – the ability to monitor and document the impact of…
Ira Moscovice, Helen Parsons, Nathan Bean, Xiomara Santana, Kate Weis, Jane Yuet Ching Hui, Megan Lahr
This study was based on a survey of 135 Critical Access Hospital (CAH) staff across the country regarding the availability and organization of cancer…
Laura McFadyen, George Pink, Kristie W. Thompson, Kristin L. Reiter
The purpose of this study is to assess the impact of Public Health Emergency funding (PHE funding) on Critical Access Hospitals (CAHs) by 1)…
Laura McFadyen, George Pink, Kristie W. Thompson, Kristin L. Reiter
Using data from the Centers for Medicare & Medicaid Services (CMS) Hospital Cost Reporting Information System (HCRIS), the Flex Monitoring Team (…
Zach Croll, John Gale
Non-profit and publicly-owned hospitals, including Critical Access Hospitals (CAHs), have obligations to address the health needs of their…
Kristin L. Reiter
This Data Summary Report presents state and national median values of the 23 financial indicators included in the Critical Access Hospital…
Abigail Wenninger, Madeleine Pick, Megan Lahr
Rural hospitals, especially Critical Access Hospitals (CAHs), have long relied on transferring patients to other facilities for acute and specialized…
Madeleine Pick, Megan Lahr
Existing shortages of health care staff in many rural areas have been exacerbated by the COVID-19 pandemic, with many hospitals including Critical…