The Critical Access Hospital (CAH) Quality Infrastructure measure is a structural measure to assess CAH capacity, processes, and infrastructure for quality activities based on the nine core elements of CAH quality infrastructure. The measure is part of the Flex Program's MBQIP core measures, and is submitted annually through the National CAH Quality Inventory and Assessment ("Assessment"). This measure was developed based on findings from the 2023 Critical Access Hospital Quality Infrastructure Summit, which brought together national experts to create a set of core elements of quality infrastructure for CAHs.

Resources related to this measure will be added and updated over time - below you will find the following resources:

• CAH Quality Infrastructure Measure Specifications (updated 8/22/24) - These specifications provide background and technical information about the measure, including mapping between questions for the measure and related core elements and criteria.
• CAH Quality Infrastructure Detailed Data Codebook 2023 (updated 1/8/25) - This codebook lists all multiple-choice options from the CAH Quality Infrastructure Measure submission section of the 2023 National CAH Quality Inventory and Assessment. This spreadsheet provides the question numbers associated with each response option, in addition to the core element(s) and criteria that each response option maps to.