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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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
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…
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, 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, Jill Klingner
The Flex Monitoring Team conducted a national telephone survey of 500 Critical Access Hospital (CAH) administrators between January and April 2004 to…