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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George Pink, Mark Holmes, Lindsay A. Strunk, Patrick McGee, Rebecca Slifkin
The purpose of this project was to develop and disseminate comparative financial indicators specifically for Critical Access Hospitals (CAHs) using…
Stephanie Poley, Rebecca Slifkin
This report describes the ways in which Critical Access Hospitals (CAHs) are engaged with their communities, through analysis of data from a national…
David Hartley, Stephanie Loux
We used three years of national survey data (2000, 2002, 2004) to examine the scope of services offered by Critical Access Hospitals (CAHs). We…
Walter Gregg
This study examines the experiences of Critical Access Hospitals (CAHs) in meeting their capital needs. It focuses specifically on their efforts to…
Michelle Casey, Ira Moscovice, Jill Klingner
This report describes the patient safety results from a national phone survey of 474 CAH administrators conducted in early 2004. Survey respondents…
Michelle Casey, Ira Moscovice, Jill Klingner
The Flex Monitoring Team conducted a national telephone survey of 500 Critical Access Hospital (CAH) administrators between January and April 2004 to…
Michelle Casey, Ira Moscovice
Due to limited resources, low patient volume, small staffs, and inadequate information technology, CAHs face many challenges in implementing quality…
Rochelle Schultz Spinarski, Walter Gregg
This Flex Program Monitoring Team Briefing Paper highlights recent trends in the development and implementation of State Flex Programs. Data for the…
Ira Moscovice
Executive Summary As of November, 2003, 834 small rural hospitals have converted to Critical Access Hospital (CAH) status. A primary benefit of…
Michelle Casey, Ira Moscovice
The purpose of this study is to describe the continuing evolution and maturation of CAH QI activities, and to document the best practices of two CAHs…