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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All hospitals, regardless of size and organizational structure, benefit from comparative data on financial condition and performance. The unique…
All hospitals, regardless of size and organizational structure, benefit from comparative data on financial condition and performance. The unique…
Karen Pearson, John Gale, George Shaler
Community paramedicine is a quickly evolving field in both rural and urban areas as Emergency Medical Services (EMS) providers look to reduce the use…
Karen Pearson, John Gale, George Shaler
This study examined the evidence base for community paramedicine in rural communities, the role of community paramedics in rural healthcare delivery…
Michelle Casey, Peiyin Hung, Maeve McClellan, Ira Moscovice
This policy brief profiles the eighth-year participation and quality measure results for CAHs in the Centers for Medicare and Medicaid Services (CMS…
Michelle Casey, Peiyin Hung, Ira Moscovice
This full-length report examines the eighth-year participation and quality measure results for CAHs in the Centers for Medicare and Medicaid Services…
Jill Klingner, Shailendra Prasad
This report examines evidence-based medication safety Quality Improvement (QI) programs and strategies that could be implemented in Critical Access…
Ira Moscovice, Michelle Casey
This letter to the editors of JAMA responds to "Mortality Rates for Medicare Beneficiaries Admitted to Critical Access and Non-Critical Access …
Karen Pearson, Andrew Coburn
Research has shown that essential information is often missing during transfer of nursing residents to the Emergency Department (ED), and…
John Gale, Zach Croll, Andrew Coburn, Walter Gregg
This policy brief addresses the factors related to closure of skilled nursing units by some Critical Access Hospitals (CAHs) and the continued…