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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Megan Lahr, Robert Barclay, Madeleine Pick
This National Report from the 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment ("Assessment") provides a high-level…
Madeleine Pick, Megan Lahr, Abigail Wenninger, Dori Cross, Ben Weideman
Most Critical Access Hospitals (CAHs) utilize at least a basic Electronic Health Record (EHR), but continue to lag in some of the more advanced EHR…
Madeleine Pick, Alyssa Furukawa, Megan Lahr, Dori Cross
While nearly all U.S. hospitals, including Critical Access Hospitals (CAHs), now utilize Electronic Health Records (EHRs), concerns remain that CAHs…
Megan Lahr, Alyssa Furukawa, Madeleine Pick, Robert Barclay
This report summarizes reporting rates and performance among U.S. Critical Access Hospitals (CAHs) on Medicare Beneficiary Quality Improvement…
Abigail Wenninger, Madeleine Pick, Megan Lahr
Rural hospitals, especially Critical Access Hospitals (CAHs), have long relied on transferring patients to other facilities for acute and specialized…
Megan Lahr, Alyssa Furukawa, Madeleine Pick
This report summarizes reporting rates and performance among U.S. Critical Access Hospitals (CAHs) on Medicare Beneficiary Quality Improvement…
Megan Lahr, Nathan Bean, Ira Moscovice
This report summarizes reporting rates and performance among U.S. Critical Access Hospitals (CAHs) on Medicare Beneficiary Quality Improvement…
John Gale, Nathan First
This brief reports on a qualitative evaluation on the use of cohorts of Critical Access Hospitals (CAHs) to support quality improvements initiatives…
Megan Lahr, Madeleine Pick, Tongtan Chantarat, Nathan Bean, Ira Moscovice
This report summarizes reporting rates and performance among U.S. Critical Access Hospitals (CAHs) on Medicare Beneficiary Quality Improvement…
Megan Lahr, Tongtan Chantarat, Ira Moscovice
This report summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs) on Hospital Compare inpatient and outpatient…