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, Nathan First
Residents of rural communities face longstanding access barriers to mental health (MH) services due to chronic shortages of specialty MH providers,…
John Gale, Zach Croll, Nathan First
Substance use is a significant public health issue in rural communities. Despite this fact, substance use treatment services are limited in rural…
Zach Croll, John Gale
Non-profit and publicly-owned hospitals, including Critical Access Hospitals (CAHs), have obligations to address the health needs of their…
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…
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 (…
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 (…
Karen Pearson, John Gale, Andrew Coburn
This brief provides an overview of the EMS assessment projects and tools implemented by five State Flex Programs (Arizona, California, Minnesota,…
John Gale, Zach Croll, Andrew Coburn
There is increasing focus on the safety net role of tax-exempt hospitals, including Critical Access Hospitals (CAHs), and specifically on their…