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
Overview: In the Fiscal Year 2015 Medicare Rural Hospital Flexibility Grant Guidance, the Federal Office of Rural Health Policy (FORHP) added a new…
John Gale, Karen Pearson
Overview: This paper examines the efforts of state Flex programs to support the development of Emergency Medical Services (EMS) time critical…
John Gale, Zach Croll, Lauren Zoll, Andrew Coburn
Overview: The Medicare Rural Hospital Flexibility (Flex) Program supports the development of local systems of care with Critical Access Hospitals (…
Mariah Quick, Tongtan Chantarat, Ashleigh Norris, Ira Moscovice
This report summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs) on the Hospital Consumer Assessment of…
John Gale, Zach Croll, Lauren Zoll, Andrew Coburn
Overview: The Medicare Rural Hospital Flexibility (Flex) Program supports the development of local systems of care with Critical Access Hospitals (…
Michelle Casey, Ira Moscovice, Peiyin Hung
Overview: The purpose of this study was to identify peer groups of CAHs for analyzing quality performance. The study aimed to address the following…
Megan Lahr
Research has shown that there are higher stroke mortality rates in rural areas, but these seem to be attributable to higher stroke incidence rather…
All hospitals, regardless of size and organizational structure, benefit from comparative data on financial condition and performance. The unique…
Megan Lahr, Alex Evenson, Tongtan Chantarat, Michelle Casey
This report summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs) on Hospital Compare inpatient and outpatient…
John Gale, Anush Hansen, Andrew Coburn
In the most recent competitive grant cycle (FY2015-17), the Flex Program included an optional new program area focused on rural health system…