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
National attention on the financial vulnerability of Critical Access Hospitals (CAHs) and rural hospitals and their risk of closure is not a new…
John Gale
Prior FMT rural Emergency Medical Services (EMS) studies have identified critical information gaps facing EMS agencies and systems of care. These…
Robert Barclay, Megan Lahr, Hannah MacDougall, Abigail Wenninger
In rural communities, the need for hospice services is increasing as the number of rural hospice providers decreases and demand for hospice continues…
Helen Parsons, Xiomara Santana, Kate Weis, Jane Yuet Ching Hui, Megan Lahr
This study was based on a survey of 135 Critical Access Hospital (CAH) staff across the country regarding the availability and organization of cancer…
Megan Lahr, Xiomara Santana, Helen Parsons
This brief presents data on care coordination and community partnerships for cancer care in Critical Access Hospitals (CAHs). Data come from a survey…
Robert Barclay, Madeleine Pick, Megan Lahr
Effective communication with health care providers is an essential component of quality, informed care, and limited English proficiency (LEP) can be…
Megan Lahr, Xiomara Santana, Helen Parsons
This brief presents data on cancer screening and treatment by Critical Access Hospitals (CAHs). Data come from a survey of 135 CAHs across the U.S.…
Madeleine Pick, Megan Lahr, Keelia Silvis
In a survey, Critical Access Hospital (CAH) CEOs in eight states identified that their most common innovations during the COVID-19 pandemic were…
John Gale, Andrew Coburn, 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…