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
Building on national efforts to develop Emergency Medical Services (EMS) performance measures, the Flex Monitoring Team sought to identify measures…
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…
John Gale, Zach Croll, Andrew Coburn, Walter Gregg
Variations in reimbursement policies and swing bed use suggest that the incentives influencing the decisions of CAHs regarding their Skilled Nursing…
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…