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, 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…
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…
Zach Croll, Andrew Coburn, Karen Pearson
The Institute of Medicine has emphasized the importance of establishing a culture of safety to improve patient care, specifically: developing clear,…
Karen Pearson, Andrew Coburn
Inpatient falls are a serious patient safety problem in Critical Access Hospitals (CAHs).  Injuries from falls are also costly -- it is estimated…
John Gale
This policy brief summarizes the evidence for regional systems of care for patients presenting with ST-segment elevation myocardial infarction (STEMI…
John Gale
This briefing paper discusses the evidence base for the development of regional systems of care for patients presenting with ST-segment elevation…
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…
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…
Melanie Race, John Gale, Andrew Coburn
This publication examines evidence of differences in the community benefits provided by CAHs compared to larger hospitals and discuss the issues for…
John Gale, Melanie Race, Andrew Coburn
This publication examines evidence of differences in the community benefits provided by CAHs compared to larger hospitals and discuss the issues for…