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, Tongtan Chantarat, Ira Moscovice
This report summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs) on Hospital Compare inpatient and outpatient…
Mariah Quick, Megan Lahr, Tongtan Chantarat, Ira Moscovice
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a national, standardized survey designed to support quality…
Kathleen Knocke, Kristin L. Reiter, George Pink
Under the Medicare Rural Hospital Flexibility Program, states with Critical Access Hospitals (CAHs) are eligible to receive federal funds to support…
Zach Croll, John Gale, Jeremy Zuckero
Non-profit and publicly-owned hospitals, including Critical Access Hospitals (CAHs), have obligations to address the health needs of their…
Sharita R. Thomas, George Pink, Kristin L. Reiter
The Financial Distress Index is an algorithm that uses historical data about hospital financial performance, government reimbursement, organizational…
All hospitals, regardless of size and organizational structure, benefit from comparative data on financial condition and performance. The unique…
Megan Lahr, Tongtan Chantarat, Mariah Quick, Ashleigh Norris, Ira Moscovice
This report summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs) on Hospital Compare inpatient and outpatient…
John Gale, Andrew Coburn
Overview: In the Fiscal Year 2015 Medicare Rural Hospital Flexibility Grant Guidance, the Federal Office of Rural Health Policy (FORHP) added a new…
John Gale, Karen Pearson
Overview: This paper examines the efforts of state Flex programs to support the development of Emergency Medical Services (EMS) time critical…
John Gale, Zach Croll, Lauren Zoll, Andrew Coburn
Overview: The Medicare Rural Hospital Flexibility (Flex) Program supports the development of local systems of care with Critical Access Hospitals (…