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.

Filter by:

Kristin L. Reiter
This Data Summary Report presents state and national median values of the 23 financial indicators included in the Critical Access Hospital…
John Gale, Sara Kahn-Troster, Zach Croll, Nathan First
This brief reports on a qualitative evaluation of State Flex Program interventions conducted under Program Area 2: Financial and Operational…
Savannah Stallings, H. Ann Howard, George Pink, Kristin L. Reiter
Since 2015, approved users have been able to explore financial performance data for critical access hospitals (CAHs) using the Critical Access…
Sharita R. Thomas, Kristin L. Reiter, George Pink
CAHs are essential to the maintenance of the rural health care core and safety-net of providers for geographically isolated areas. As the operational…
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 provide…
Savannah Stallings, George Pink, Kristin L. Reiter
Since the Affordable Care Act’s (ACA) enactment of Medicaid expansion in 2014, 36 states have decided to expand Medicaid – 21% of the population is…
Kristin L. Reiter
All hospitals, regardless of size and organizational structure, benefit from comparative data on financial condition and performance. The unique…
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…
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…