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, Andrew Coburn, Karen Pearson, Zach Croll, George Shaler
Hospitals and health systems, including those serving rural communities, are increasingly embracing population health strategies as they move toward…
Zach Croll, Lauren Zoll, John Gale, Andrew Coburn
Non-profit hospitals, including Critical Access Hospitals (CAHs), are required to report their community benefit activities (programs and services…
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…
John Gale, 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, 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,…
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…
John Gale, Andrew Coburn
The primary purpose of this brief is to inform the efforts of state Flex Programs to support CAHs in conducting collaborative Community Health Needs…
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…
Karen Pearson, Andrew Coburn
Research has shown that essential information is often missing during transfer of nursing residents to the Emergency Department (ED), and…