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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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…
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…
Michelle Casey, Shailendra Prasad, Alex Evenson
An estimated 5-10% of hospitalized patients experience a healthcare-associated infection (HAI) every year, resulting in significant…
Jill Klingner, Ira Moscovice, Michelle Casey, Alex Evenson
Prior research based on field tests indicated that emergency department patient transfer communication measures are feasible and worthwhile to…
Jill Klingner, Shailendra Prasad
This report examines evidence-based medication safety Quality Improvement (QI) programs and strategies that could be implemented in Critical Access…
Karen Pearson, Andrew Coburn
Research has shown that essential information is often missing during transfer of nursing residents to the Emergency Department (ED), and…
Zach Croll, Andrew Coburn, Karen Pearson
The Institute of Medicine has emphasized the importance of establishing a culture of safety to improve patient care, specifically: developing clear,…
Zach Croll, Andrew Coburn, Karen Pearson
The Institute of Medicine has emphasized the importance of establishing a culture of safety to improve patient care, specifically: developing clear,…
Karen Pearson, Andrew Coburn
Inpatient falls are a serious patient safety problem in Critical Access Hospitals (CAHs).  Injuries from falls are also costly -- it is…
Andrew Coburn, Zach Croll
This brief, one in a series identifying and assessing evidence-based patient safety and quality improvement interventions appropriate for use by…