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, Zach Croll, Andrew Coburn
There is increasing focus on the safety net role of tax-exempt hospitals, including Critical Access Hospitals (CAHs), and specifically on their…
Walter L. Hawkins, Kristin L. Reiter, George Pink
Since 2004, the Flex Monitoring Team has produced the Critical Access Hospital Financial Indicators Report (CAHFIR) that provides CAH administrators…
John Gale, Andrew Coburn, Karen Pearson, Zach Croll, George Shaler
Building on national efforts to develop Emergency Medical Services (EMS) performance measures, the Flex Monitoring Team sought to identify measures…
John Gale, Andrew Coburn, Karen Pearson, Zach Croll, George Shaler
Hospitals and health systems, including those serving rural communities, are increasingly embracing population health strategies as they move…
Zach Croll, Lauren Zoll, John Gale, Andrew Coburn
Non-profit hospitals, including Critical Access Hospitals (CAHs), are required to report their community benefit activities (programs and services…
Michelle Casey, Tami Swenson, Alex Evenson
This report summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs) on Hospital Compare inpatient and outpatient…
Michelle Casey, Shailendra Prasad
Preventable hospital readmissions are considered to be a marker of poor-quality care and may reflect problems with care coordination. Additionally,…
All hospitals, regardless of size and organizational structure, benefit from comparative data on financial condition and performance. The unique…
Michelle Casey, Peiyin Hung, Alex Evenson
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a national, standardized survey of patients’ perspectives of…
John Gale, Andrew Coburn, Zach Croll
This policy brief describes the development of the health systems development and population health performance measures that will be…