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, Jill Klingner, Shailendra Prasad, Walter Gregg, Ira Moscovice
This report focuses on evidence-based pneumonia Quality Improvement (QI) programs and strategies that are applicable to Critical Access Hospitals (…
Andrew Coburn, Zach Croll
This brief, one in a series identifying and assessing evidence-based patient safety and quality improvement interventions appropriate for use by…
Mark Holmes, George Pink
This brief presents a model to predict the financial distress of CAHs, which will be further refined based on input from researchers, practitioners,…
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Michelle Casey, Michele Burlew, Ira Moscovice
This report examines 2009 participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid…
Melanie Race, John Gale, Andrew Coburn
This policy brief uses data from the 2004 and 2008 American Hospital Association’s Annual Survey of Hospitals to assess whether and how the provision…
Mark Holmes, Saleema A. Karim, George Pink
The purpose of this study was to identify any change in the provision of obstetrical services by CAHs and to determine whether any changes could be…
CAH Financial Indicators Team
All hospitals, regardless of size and organizational structure, benefit from comparative data on financial condition and performance. The unique…
Jill Klingner, Ira Moscovice
This report summarizes the results of a field test of ED quality measures. The project goals are: 1) to adapt the emergency room quality measurement…
Andrew Coburn, John Gale, Melanie Race, Mark Richards, Anush Hansen
This study examined QI activities supported by the Flex Program in nine states, assessed the role of the State Flex Programs in developing and…