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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Mark Holmes, George Pink, Rebecca Slifkin
This policy brief analyzes seven financial ratios associated with Critical Access Hospital profitability, liquidity, and capital structure. Each of…
Michelle Casey
This study assessed the implications of CAH inpatient hospitalizations and transfers from CAHs to other hospitals for national quality measurement…
Jennifer Lenardson, John Gale
Quality and performance improvement are fundamental components for provider participation in the Medicare program and this focus is well-represented…
George Pink, Mark Holmes, Rebecca Slifkin, Roger E. Thompson
There is a growing recognition of the need to measure and report hospital financial performance. However, there exists little comparative financial…
In Summer 2006, the third issue of the CAH Financial Indicators Report was distributed to all Critical Access Hospitals (CAHs) with a Medicare Cost…
Michelle Casey, Jill Klingner, Walter Gregg, Ira Moscovice
Both the public and private sectors have focused considerable attention on health information technology (HIT) as a potential means of improving the…
Stephanie Loux, John Gale, Anush Yousefian, Andrew Coburn, Walter Gregg
The Balanced Budget Act of 1997 established the Medicare Rural Hospital Flexibility Program (Flex Program) which consists of two separate but…
Michelle Casey, Ira Moscovice
This report examines the first year participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and…
P. Daniel Patterson, John Gale, Stephanie Loux, Anush Yousefian, Rebecca Slifkin
Since the first full year of Flex Program funding, the number and range of EMS improvement activities proposed by participating facilities has…
In Summer 2005, the second issue of the CAH Financial Indicators Report was distributed to all Critical Access Hospitals (CAHs) with a Medicare Cost…