Federal data collection often overlooks or fails to retain rural-relevant measures, leaving Flex programs with fewer measures with which to assess Critical Access Hospital (CAH) performance. As CMS removes Medicare Beneficiary Quality Improvement Plan (MBQIP) measures from its Hospital Compare data, the Flex Monitoring Team will evaluate new measures for their relevance in assessing quality in Critical Access Hospitals. With an eye toward ongoing strategic planning for MBQIP by the Federal Office of Rural Health Policy (FORHP), this project will investigate and present new quality measures for inclusion in the MBQIP set.