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

Resources (151)

2025

2024 National CAH Quality Inventory & Assessment National Report, 05/2025, view details
CAH Financial Indicators Report: Summary of Indicator Medians by State, 05/2025, view details
CAHMPAS Technical Bulletin: Revised Benchmarks and Data Exclusion Rules, 06/2025, view details
Characteristics and Trends of Critical Access Hospitals That Own or Operate Ambulance Services, 05/2025, view details
Location of Critical Access Hospitals, 04/2025, view details
MBQIP Quality Measures National Annual Report - 2023, 06/2025, view details

2024

2023 National CAH Quality Inventory & Assessment National Report, 04/2024, view details
CAH Perspectives on Collection and Use of Demographic and Social Drivers of Health Data, 10/2024, view details
Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2022, 03/2024, view details
Critical Access Hospital-Local Health Department Partnerships to Address Rural Community Needs, 01/2024, view details
EHR Capabilities and Interoperability in Critical Access Hospitals, 01/2024, view details
Health Care Coalitions: A Resource to Support Critical Access Hospital Emergency Preparedness Planning, 04/2024, view details
Workforce Toolkit to Support Critical Access Hospitals and Rural Providers, 09/2024, view details

2023

Building Sustainable Capacity for Quality and Organizational Excellence: Critical Access Hospital Quality Infrastructure Summit, 03/2023, view details
Care Coordination and Community Partnerships for Cancer Care in Critical Access Hospitals, 01/2023, view details
Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2021, 05/2023, view details
A Comparison of Non-Operating Revenue between Rural and Urban Hospitals, 11/2023, view details
Critical Access Hospital Workforce During COVID-19: Barriers and Facilitators for Recruiting and Retaining Staff, 02/2023, view details
Emergency Medical Services Outcome Measurement Strategies for State Flex Programs, 07/2023, view details
Identifying a Consensus Set of EMS Agency Licensure Elements and Definitions to Support Rural EMS Data Collection, 11/2023, 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
Impacts of Critical Access Hospital Independence and System Ownership during the COVID-19 Pandemic, 01/2023, view details
MBQIP Quality Measures National Annual Report - 2022, 10/2023, view details
Patient Transfers to and from Critical Access Hospitals During the COVID-19 Pandemic, 02/2023, view details
Population Health Outcome Measurement Strategies for State Flex Programs, 07/2023, view details
Provision of Hospice Services by Critical Access Hospitals: Strengths and Challenges, 10/2023, view details
Year Three Evaluation Report: Evaluation of the EMS Supplemental Funding Grants, 09/2023, view details

2022

Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2020, 06/2022, view details
COVID-19 Response in System-Owned and Independent CAHs, 11/2022, view details
Delivery of Cancer Screening and Treatment in Critical Access Hospitals, 10/2022, view details
Evaluating State Flex Program Population Health Activities, 03/2022, view details
Financial Characteristics of Critical Access Hospitals (CAHs) Participating in Accountable Care Organizations (ACO), 11/2022, view details
An Inventory of State Flex Program Population Health Initiatives for Fiscal Years 2019-2023, 03/2022, view details
MBQIP Quality Measures National Annual Report - 2021, 12/2022, view details
Rates of Limited English Proficiency in Counties with Critical Access Hospitals, 12/2022, view details
Supporting Critical Access Hospital Staff during COVID-19, 06/2022, view details
Year Two Evaluation of the Flex EMS Supplemental Funding Projects: Building an Evidence Base Through Outcome Measurement, 04/2022, view details

2021

The Association Between System Affiliation and Financial Performance in Critical Access Hospitals, 10/2021, view details
CAH Partnerships During the COVID-19 Pandemic, 03/2021, view details
Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2019, 06/2021, 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
Evaluation of the Use of CAH Cohorts for Quality Improvement Activities, 03/2021, view details
How Critical Access Hospitals Are Addressing the Social Needs of Rural Populations, 11/2021, view details
Innovations and Workforce Challenges for CAHs during COVID-19, 03/2021, view details
MBQIP Quality Measures National Annual Report - 2019, 02/2021, view details
MBQIP Quality Measures National Annual Report - 2020, 11/2021, 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
Promising Flex Program Initiatives to Support Critical Access Hospitals during the COVID-19 Pandemic, 04/2021, view details
Rural Initiatives Addressing Community Social Needs, 03/2021, view details

2020

Addressing Opioid Use in Rural Communities: Examples from Critical Access Hospitals, 08/2020, view details
Best Practices from 14 CAH Executives Operating in Challenging Environments, 04/2020, view details
CAH Medicaid Payer Mix in Expansion vs. Non-Expansion States, 04/2020, view details
CAHMPAS Financial Data Revisions, 05/2020, view details
Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2018, 05/2020, view details
Engaging Critical Access Hospitals in Addressing Rural Substance Use, 06/2020, view details
Exploring State Data Sources to Monitor Rural Emergency Medical Services Performance Improvement, 03/2020, view details
Hospital Compare Quality Measure Results for CAHs, 2018, 03/2020, view details
Impact of CAH Participation in Flex Financial and Operations Improvement Activities on Hospital Financial Indicators, 04/2020, view details
Implementation of Flex EMS Supplemental Funding Projects: Year One Activities, 10/2020, view details
Patients' Experiences in CAHs: HCAHPS Results, 2018, 01/2020, view details
Provision of Mental Health Services by Critical Access Hospital-Based Rural Health Clinics, 06/2020, view details
Supporting CAHs During the COVID-19 Pandemic: Summary Results of a Survey of State Flex Coordinators, 10/2020, view details

2019

CAH Participation in Flex Financial and Operational Improvement Activities, 2015–2018, 10/2019, view details
Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2017, 07/2019, view details
Hospital Compare Quality Measure Results for CAHs, 2017, 04/2019, view details
Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report, 03/2019, view details
Improving Rural Systems of Care for Time Critical Diagnoses: A Review of State Flex Program Activities, 01/2019, view details
Patients' Experiences in CAHs: HCAHPS Results, 2017, 01/2019, view details

2018

Hospital Compare Quality Measure Results for CAHs, 2016, 03/2018, view details
An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program, 01/2018, view details
Quality Peer Group Indicators for Critical Access Hospitals, 07/2018, view details
Stroke Care Quality Improvement Initiatives in Critical Access Hospitals, 05/2018, view details

2017

Hospital Compare Quality Measure Results for CAHs, 2015, 02/2017, view details
Patients' Experiences in CAHs: HCAHPS Results, 2015, 01/2017, view details
Patients' Experiences in CAHs: HCAHPS Results, 2016, 12/2017, view details
State Flex Program Rural Emergency Medical Services Assessment Strategies, 11/2017, view details

2016

Comparing the Community Benefit Spending of Critical Access, Other Rural, and Urban Hospitals, 11/2016, view details
Hospital Compare Quality Measure Results for CAHs, Q2 2014 - Q1 2015, 06/2016, view details
MBQIP Quality Measure Trends, 2011-2016, 11/2016, view details
Patients' Experiences in CAHs: HCAHPS Results, Q2 2014 - Q1 2015, 02/2016, view details
Population Health Strategies of Critical Access Hospitals, 08/2016, 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

2015

Charity Care and Uncompensated Care Activities of Tax-Exempt Critical Access Hospitals, 06/2015, view details
Critical Access Hospital-Relevant Measures for Health System Development and Population Health, 12/2015, view details
Critical Access Hospitals' Receipt of Medicare and Medicaid Electronic Health Record Incentive Payments, 01/2015, view details
Evidence-Based Programs and Strategies for Reducing Healthcare-Associated Infections in Critical Access Hospitals, 09/2015, view details
Impact of Financial and Operational Interventions Funded by the Flex Program, 11/2015, view details
Reporting of Healthcare-Associated Infections by Critical Access Hospitals, 09/2015, view details

2014

Collaborative Community Health Needs Assessments: Approaches and Benefits for Critical Access Hospitals, 05/2014, 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

2013

Critical Access Hospital Year 8 Hospital Compare Participation and Quality Measure Results, 09/2013, 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
Evidence-Based Medication Safety Quality Improvement Programs and Strategies for Critical Access Hospitals, 05/2013, view details

2012

Critical Access Hospital Year 7 Hospital Compare Participation and Quality Measure Results, 08/2012, view details
Evidence-Based Acute Myocardial Infarction (AMI) Quality Improvement Programs/Strategies for Critical Access Hospitals, 08/2012, view details
Evidence-Based Heart Failure Quality Improvement Programs & Strategies for Critical Access Hospitals, 03/2012, view details
Evidence-Based Surgical Care Quality Improvement Programs and Strategies for Critical Access Hospitals, 08/2012, view details
Hospital Compare Quality Measures: 2010 National and Maine Results for Critical Access Hospitals, 02/2012, view details
Promoting a Culture of Safety: Use of the Hospital Survey on Patient Safety Culture in Critical Access Hospitals, 04/2012, view details
Relevant Quality Measures for Critical Access Hospitals, 01/2012, view details
Why Do Some Critical Access Hospitals Close Their Skilled Nursing Facility Services While Others Retain Them?, 11/2012, view details

2011

Changes in Obstetrical Services Among Critical Access Hospitals, 03/2011, view details
Critical Access Hospital Year 6 Hospital Compare Participation and Quality Measure Results, 04/2011, view details
Developing Regional STEMI Systems of Care: A Review of the Evidence and the Role of the Flex Program, 10/2011, view details
Evidence-Based Falls Prevention in Critical Access Hospitals, 12/2011, view details
Evidence-Based Pneumonia Quality Improvement Programs and Strategies in Critical Access Hospitals, 06/2011, view details
Improving Hospital Patient Safety Through Teamwork: The Use of TeamSTEPPS in Critical Access Hospitals, 06/2011, view details
Provision of Long Term Care Services by Critical Access Hospitals: Are Things Changing?, 03/2011, view details

2010

Community Benefits of Critical Access Hospitals: A Review of the Data, 03/2010, view details
Critical Access Hospital Year 5 Hospital Compare Participation and Quality Measure Results, 03/2010, view details
Critical Access Hospitals and Meaningful Use of Health Information Technology, 02/2010, view details
Models for Quality Improvement in Critical Access Hospitals: The Role of State Flex Programs, 03/2010, view details
State Flex Program EMS/Trauma Activities and Integration of Critical Access Hospitals into Trauma Systems, 03/2010, view details

2009

The Capital Investment Needs of Critical Access Hospitals (CAHs): Results of the 2007 National CAH Survey, 02/2009, view details
Critical Access Hospital Year 4 Hospital Compare Participation and Quality Measure Results, 09/2009, view details
Critical Access Hospitals and Financial Benchmark Performance, 11/2009, view details
The Potential Impact of Pay-for-Performance on the Financial Health of Critical Access Hospitals, 12/2009, view details

2008

The Capital Investment Needs of CAHs: Fire and Life Safety Code Compliance and Organizational Performance, 11/2008, view details
Community Benefit and Impact of Critical Access Hospitals: The Results of the 2007 CAH Survey, 03/2008, 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 Year 3 Hospital Compare Participation and Quality Measure Results, 08/2008, view details
Developing Indicators to Document the Community Impact of Critical Access Hospitals, 05/2008, view details
Differences in Measurement of Operating Margin, 03/2008, view details

2007

Critical Access Hospital Year 2 Hospital Compare Participation and Quality Measure Results, 04/2007, view details
Rural Hospital Emergency Department Quality Measures: Aggregate Data Report, 03/2007, view details
State Initiatives Funded by the Medicare Rural Hospital Flexibility Grant Program, 10/2007, view details

2006

CAH Participation in Hospital Compare and Initial Results, 02/2006, view details
Creating Program Logic Models: A Toolkit for State Flex Programs, 04/2006, view details
Critical Access Hospital Year 1 Hospital Compare Participation and Quality Measure Results, 02/2006, view details
The Current Status of Health Information Technology Use in CAHs, 05/2006, view details
Emergency Medical Services (EMS) Activities Funded by the Medicare Rural Hospital Flexibility Program, 02/2006, view details
Impact of Conversion to Critical Access Hospital Status on Hospital Financial Performance and Condition, 11/2006, view details
Quality and Performance Improvement Grant Activities Under the Flex Program, 08/2006, view details
A Review of State Flex Program Plans, 2004-2005, 03/2006, view details

2005

Availability and Use of Capital by Critical Access Hospitals, 03/2005, view details
Community Involvement of Critical Access Hospitals: Results of the 2004 National CAH Survey, 03/2005, view details
Financial Indicators for Critical Access Hospitals, 05/2005, view details
Scope of Services Offered by Critical Access Hospitals: Results of the 2004 National CAH Survey, 03/2005, view details

2004

2004 CAH Survey National Data, 08/2004, view details
Critical Access Hospital Patient Safety Priorities and Initiatives: Results of the 2004 National CAH Survey, 09/2004, view details
Quality Improvement Activities in Critical Access Hospitals: Results of the 2004 National CAH Survey, 09/2004, view details
A Synthesis of State Flex Program Plans 2003-2004, 05/2004, view details

Undated

CAH Financial Indicators Primer and Calculator Resources, view details
CAHMPAS Data Query Tool, view details
Critical Access Hospital (CAH) State Profiles, view details
Critical Access Hospital Locations List, view details