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Flex Monitoring Team

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Description
Performance monitoring project for the Medicare Rural Hospital Flexibility Program (Flex Program) conducted by the Rural Health Research Centers at the Universities of Minnesota, North Carolina, and Southern Maine. The monitoring project is assessing the impact of the Flex Program on Critical Access Hospitals and their communities and the role of states in achieving overall program objectives.
Tagged as
Conducting Research, Needs Assessments, and Evaluations · Critical Access Hospitals · Healthcare Quality

Related Content

Resources (149)

  • 2004 CAH Survey National Data, 08/2004, view details
  • 2023 National CAH Quality Inventory & Assessment National Report, 04/2024, view details
  • 2024 National CAH Quality Inventory & Assessment National Report, 05/2025, view details
  • Addressing Opioid Use in Rural Communities: Examples from Critical Access Hospitals, 08/2020, view details
  • The Association Between System Affiliation and Financial Performance in Critical Access Hospitals, 10/2021, view details
  • Availability and Use of Capital by Critical Access Hospitals, 03/2005, view details
  • Best Practices from 14 CAH Executives Operating in Challenging Environments, 04/2020, view details
  • Building Sustainable Capacity for Quality and Organizational Excellence: Critical Access Hospital Quality Infrastructure Summit, 03/2023, view details
  • CAH Financial Indicators Primer and Calculator Resources, view details
  • CAH Financial Indicators Report: Summary of Indicator Medians by State, 05/2025, view details
  • CAH Medicaid Payer Mix in Expansion vs. Non-Expansion States, 04/2020, view details
  • CAH Participation in Flex Financial and Operational Improvement Activities, 2015–2018, 10/2019, view details
  • CAH Participation in Hospital Compare and Initial Results, 02/2006, view details
  • CAH Partnerships During the COVID-19 Pandemic, 03/2021, view details
  • CAH Perspectives on Collection and Use of Demographic and Social Drivers of Health Data, 10/2024, view details
  • CAHMPAS Data Query Tool, view details
  • CAHMPAS Financial Data Revisions, 05/2020, view details
  • The Capital Investment Needs of CAHs: Fire and Life Safety Code Compliance and Organizational Performance, 11/2008, view details
  • The Capital Investment Needs of Critical Access Hospitals (CAHs): Results of the 2007 National CAH Survey, 02/2009, view details
  • Care Coordination and Community Partnerships for Cancer Care in Critical Access Hospitals, 01/2023, view details
  • Changes in Obstetrical Services Among Critical Access Hospitals, 03/2011, view details
  • Characteristics and Trends of Critical Access Hospitals That Own or Operate Ambulance Services, 05/2025, view details
  • Charity Care and Uncompensated Care Activities of Tax-Exempt Critical Access Hospitals, 06/2015, view details
  • Collaborative Community Health Needs Assessments: Approaches and Benefits for Critical Access Hospitals, 05/2014, view details
  • Community Benefit and Impact of Critical Access Hospitals: The Results of the 2007 CAH Survey, 03/2008, view details
  • Community Benefits of Critical Access Hospitals: A Review of the Data, 03/2010, view details
  • Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2017, 07/2019, view details
  • Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2018, 05/2020, view details
  • Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2019, 06/2021, view details
  • Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2020, 06/2022, view details
  • Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2021, 05/2023, view details
  • Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2022, 03/2024, view details
  • Community Involvement of Critical Access Hospitals: Results of the 2004 National CAH Survey, 03/2005, view details
  • Comparing the Community Benefit Spending of Critical Access, Other Rural, and Urban Hospitals, 11/2016, view details
  • A Comparison of Non-Operating Revenue between Rural and Urban Hospitals, 11/2023, view details
  • COVID-19 Response in System-Owned and Independent CAHs, 11/2022, view details
  • Creating Program Logic Models: A Toolkit for State Flex Programs, 04/2006, view details
  • Critical Access Hospital (CAH) State Profiles, view details
  • Critical Access Hospital Locations List, view details
  • Critical Access Hospital Patient Safety Priorities and Initiatives: Results of the 2004 National CAH Survey, 09/2004, view details
  • Critical Access Hospital Quality Improvement Activities and Reporting on Quality Measures: Results of the 2007 National CAH Survey, 03/2008, view details
  • Critical Access Hospital Workforce During COVID-19: Barriers and Facilitators for Recruiting and Retaining Staff, 02/2023, view details
  • Critical Access Hospital Year 1 Hospital Compare Participation and Quality Measure Results, 02/2006, view details
  • Critical Access Hospital Year 2 Hospital Compare Participation and Quality Measure Results, 04/2007, view details
  • Critical Access Hospital Year 3 Hospital Compare Participation and Quality Measure Results, 08/2008, view details
  • Critical Access Hospital Year 4 Hospital Compare Participation and Quality Measure Results, 09/2009, view details
  • Critical Access Hospital Year 5 Hospital Compare Participation and Quality Measure Results, 03/2010, view details
  • Critical Access Hospital Year 6 Hospital Compare Participation and Quality Measure Results, 04/2011, view details
  • Critical Access Hospital Year 7 Hospital Compare Participation and Quality Measure Results, 08/2012, view details
  • Critical Access Hospital Year 8 Hospital Compare Participation and Quality Measure Results, 09/2013, view details
  • Critical Access Hospital-Local Health Department Partnerships to Address Rural Community Needs, 01/2024, view details
  • Critical Access Hospital-Relevant Measures for Health System Development and Population Health, 12/2015, view details
  • Critical Access Hospitals and Financial Benchmark Performance, 11/2009, view details
  • Critical Access Hospitals and Meaningful Use of Health Information Technology, 02/2010, view details
  • Critical Access Hospitals' Initial Response to COVID-19 by System Affiliation, 11/2021, view details
  • Critical Access Hospitals' Initial Response to the COVID-19 Pandemic: Use of Federal Funding and Regulatory Flexibilities, 11/2021, view details
  • Critical Access Hospitals' Receipt of Medicare and Medicaid Electronic Health Record Incentive Payments, 01/2015, view details
  • The Current Status of Health Information Technology Use in CAHs, 05/2006, view details
  • Delivery of Cancer Screening and Treatment in Critical Access Hospitals, 10/2022, view details
  • Developing Indicators to Document the Community Impact of Critical Access Hospitals, 05/2008, view details
  • Developing Regional STEMI Systems of Care: A Review of the Evidence and the Role of the Flex Program, 10/2011, view details
  • Differences in Measurement of Operating Margin, 03/2008, view details
  • EHR Capabilities and Interoperability in Critical Access Hospitals, 01/2024, view details
  • Emergency Medical Services (EMS) Activities Funded by the Medicare Rural Hospital Flexibility Program, 02/2006, view details
  • Emergency Medical Services Outcome Measurement Strategies for State Flex Programs, 07/2023, view details
  • Emergency Transfers of the Elderly from Nursing Facilities to Critical Access Hospitals: Opportunities for Improving Patient Safety and Quality, 01/2013, view details
  • Engaging Critical Access Hospitals in Addressing Rural Substance Use, 06/2020, view details
  • Evaluating State Flex Program Population Health Activities, 03/2022, view details
  • Evaluation of the Use of CAH Cohorts for Quality Improvement Activities, 03/2021, view details
  • The Evidence for Community Paramedicine in Rural Areas: State and Local Findings and the Role of the State Flex Program, 02/2014, view details
  • Evidence-Based Acute Myocardial Infarction (AMI) Quality Improvement Programs/Strategies for Critical Access Hospitals, 08/2012, view details
  • Evidence-Based Falls Prevention in Critical Access Hospitals, 12/2011, view details
  • Evidence-Based Heart Failure Quality Improvement Programs & Strategies for Critical Access Hospitals, 03/2012, view details
  • Evidence-Based Medication Safety Quality Improvement Programs and Strategies for Critical Access Hospitals, 05/2013, view details
  • Evidence-Based Pneumonia Quality Improvement Programs and Strategies in Critical Access Hospitals, 06/2011, view details
  • Evidence-Based Programs and Strategies for Reducing Healthcare-Associated Infections in Critical Access Hospitals, 09/2015, view details
  • Evidence-Based Surgical Care Quality Improvement Programs and Strategies for Critical Access Hospitals, 08/2012, view details
  • Exploring State Data Sources to Monitor Rural Emergency Medical Services Performance Improvement, 03/2020, view details
  • Financial Characteristics of Critical Access Hospitals (CAHs) Participating in Accountable Care Organizations (ACO), 11/2022, view details
  • Financial Indicators for Critical Access Hospitals, 05/2005, view details
  • Health Care Coalitions: A Resource to Support Critical Access Hospital Emergency Preparedness Planning, 04/2024, view details
  • Hospital Compare Quality Measure Results for CAHs, 2015, 02/2017, view details
  • Hospital Compare Quality Measure Results for CAHs, 2016, 03/2018, view details
  • Hospital Compare Quality Measure Results for CAHs, 2017, 04/2019, view details
  • Hospital Compare Quality Measure Results for CAHs, 2018, 03/2020, view details
  • Hospital Compare Quality Measure Results for CAHs, Q2 2014 - Q1 2015, 06/2016, view details
  • Hospital Compare Quality Measures: 2010 National and Maine Results for Critical Access Hospitals, 02/2012, view details
  • How Critical Access Hospitals Are Addressing the Social Needs of Rural Populations, 11/2021, view details
  • Identifying a Consensus Set of EMS Agency Licensure Elements and Definitions to Support Rural EMS Data Collection, 11/2023, view details
  • Impact of CAH Participation in Flex Financial and Operations Improvement Activities on Hospital Financial Indicators, 04/2020, view details
  • Impact of Conversion to Critical Access Hospital Status on Hospital Financial Performance and Condition, 11/2006, view details
  • The Impact of COVID-19 Funding on Profitability of Critical Access Hospitals, 06/2023, view details
  • The Impact of COVID-19 on CAH Financial Indicators, 06/2023, view details
  • Impact of Financial and Operational Interventions Funded by the Flex Program, 11/2015, view details
  • Impacts of Critical Access Hospital Independence and System Ownership during the COVID-19 Pandemic, 01/2023, view details
  • Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report, 03/2019, view details
  • Implementation of Flex EMS Supplemental Funding Projects: Year One Activities, 10/2020, view details
  • Improving Hospital Patient Safety Through Teamwork: The Use of TeamSTEPPS in Critical Access Hospitals, 06/2011, view details
  • Improving Rural Systems of Care for Time Critical Diagnoses: A Review of State Flex Program Activities, 01/2019, view details
  • Innovations and Workforce Challenges for CAHs during COVID-19, 03/2021, view details
  • An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program, 01/2018, view details
  • An Inventory of State Flex Program Population Health Initiatives for Fiscal Years 2019-2023, 03/2022, view details
  • Location of Critical Access Hospitals, 04/2025, view details
  • MBQIP Quality Measure Trends, 2011-2016, 11/2016, view details
  • MBQIP Quality Measures National Annual Report - 2019, 02/2021, view details
  • MBQIP Quality Measures National Annual Report - 2020, 11/2021, view details
  • MBQIP Quality Measures National Annual Report - 2021, 12/2022, view details
  • MBQIP Quality Measures National Annual Report - 2022, 10/2023, view details
  • Models for Quality Improvement in Critical Access Hospitals: The Role of State Flex Programs, 03/2010, view details
  • Monitoring State Flex Program Financial and Operational Improvement Activities, 03/2021, view details
  • Opioid and Substance Use Strategies for Critical Access Hospitals, 02/2021, view details
  • Outcome Measures for State Flex Program Financial and Operational Improvement Interventions, 12/2021, view details
  • Patient Transfers to and from Critical Access Hospitals During the COVID-19 Pandemic, 02/2023, view details
  • Patients' Experiences in CAHs: HCAHPS Results, 2015, 01/2017, view details
  • Patients' Experiences in CAHs: HCAHPS Results, 2016, 12/2017, view details
  • Patients' Experiences in CAHs: HCAHPS Results, 2017, 01/2019, view details
  • Patients' Experiences in CAHs: HCAHPS Results, 2018, 01/2020, view details
  • Patients' Experiences in CAHs: HCAHPS Results, Q2 2014 - Q1 2015, 02/2016, view details
  • Population Health Outcome Measurement Strategies for State Flex Programs, 07/2023, view details
  • Population Health Strategies of Critical Access Hospitals, 08/2016, view details
  • The Potential Impact of Pay-for-Performance on the Financial Health of Critical Access Hospitals, 12/2009, view details
  • Promising Flex Program Initiatives to Support Critical Access Hospitals during the COVID-19 Pandemic, 04/2021, view details
  • Promoting a Culture of Safety: Use of the Hospital Survey on Patient Safety Culture in Critical Access Hospitals, 04/2012, view details
  • Provision of Hospice Services by Critical Access Hospitals: Strengths and Challenges, 10/2023, view details
  • Provision of Long Term Care Services by Critical Access Hospitals: Are Things Changing?, 03/2011, view details
  • Provision of Mental Health Services by Critical Access Hospital-Based Rural Health Clinics, 06/2020, view details
  • Quality and Performance Improvement Grant Activities Under the Flex Program, 08/2006, view details
  • Quality Improvement Activities in Critical Access Hospitals: Results of the 2004 National CAH Survey, 09/2004, view details
  • Quality Peer Group Indicators for Critical Access Hospitals, 07/2018, view details
  • Rates of Limited English Proficiency in Counties with Critical Access Hospitals, 12/2022, view details
  • Reassessing Financial Peer Groups for Critical Access Hospitals, 11/2016, view details
  • Reducing Potentially-Preventable Readmissions in Critical Access Hospitals, 03/2016, view details
  • Relevant Quality Measures for Critical Access Hospitals, 01/2012, view details
  • Reporting of Healthcare-Associated Infections by Critical Access Hospitals, 09/2015, view details
  • A Review of State Flex Program Plans, 2004-2005, 03/2006, view details
  • Rural Hospital Emergency Department Quality Measures: Aggregate Data Report, 03/2007, view details
  • Rural Initiatives Addressing Community Social Needs, 03/2021, view details
  • Scope of Services Offered by Critical Access Hospitals: Results of the 2004 National CAH Survey, 03/2005, view details
  • State Flex Program EMS/Trauma Activities and Integration of Critical Access Hospitals into Trauma Systems, 03/2010, view details
  • State Flex Program Rural Emergency Medical Services Assessment Strategies, 11/2017, view details
  • State Initiatives Funded by the Medicare Rural Hospital Flexibility Grant Program, 10/2007, view details
  • Stroke Care Quality Improvement Initiatives in Critical Access Hospitals, 05/2018, view details
  • Supporting CAHs During the COVID-19 Pandemic: Summary Results of a Survey of State Flex Coordinators, 10/2020, view details
  • Supporting Critical Access Hospital Staff during COVID-19, 06/2022, view details
  • A Synthesis of State Flex Program Plans 2003-2004, 05/2004, view details
  • Why Do Some Critical Access Hospitals Close Their Skilled Nursing Facility Services While Others Retain Them?, 11/2012, view details
  • Workforce Toolkit to Support Critical Access Hospitals and Rural Providers, 09/2024, view details
  • Year Three Evaluation Report: Evaluation of the EMS Supplemental Funding Grants, 09/2023, view details
  • Year Two Evaluation of the Flex EMS Supplemental Funding Projects: Building an Evidence Base Through Outcome Measurement, 04/2022, view details