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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CAH Financial Indicators Team
All hospitals, regardless of size and organizational structure, benefit from comparative data on financial condition and performance. The unique…
Michelle Casey, Peiyin Hung, Alex Evenson
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a national, standardized survey of patients’ perspectives of…
John Gale, Andrew Coburn, Zach Croll
This policy brief describes the development of the health systems development and population health performance measures that will be included in the…
Rebecca Whitaker, George Pink, Mark Holmes
States with Flex Programs receive annual grants from the Federal Office of Rural Health Policy to provide their Critical Access Hospitals (CAHs) with…
Michelle Casey, Emma Distel, Alex Evenson, Shailendra Prasad, Peiyin Hung
Healthcare-Associated Infections (HAIs) in hospitals have garnered considerable attention in recent years and are the focus of multiple national and…
Michelle Casey, Shailendra Prasad, Emma Distel, Alex Evenson
An estimated 5-10% of hospitalized patients experience a healthcare-associated infection (HAI) every year, resulting in significant morbidity and…
John Gale, Jamar Croom, Zach Croll, Andrew Coburn
A number of policy issues are focusing attention on the safety net role of tax-exempt hospitals, including Critical Access Hospitals (CAHs), and the…
John Gale, Jamar Croom, Zach Croll, Andrew Coburn
This policy brief compares Critical Access Hospitals (CAHs) with non-CAHs in terms of their activity and policies regarding charity care, bad debt,…
Jamar Croom, Zach Croll, John Gale, Andrew Coburn
Non-profit hospitals, including Critical Access Hospitals (CAHs), are required to report their community benefit activities (programs and services…
Peiyin Hung, Michelle Casey, Ira Moscovice
This policy brief has three purposes: 1) to describe current Critical Access Hospital (CAH) participation in the Medicare and Medicaid EHR incentive…