Rural Health
Resources by Topic: Critical Access Hospitals
Reporting and Performance of Maternity-Related Quality Measures in Critical Access Hospitals
Describes the characteristics of Critical Access Hospitals (CAHs) with and without labor and delivery services. Examines CAH quality reporting and performance on five key measures related to maternity care and birth outcomes. Explores relationships between maternity care quality performance and CAH characteristics such as system affiliation, volume, and location. Identifies quality measures related to maternity and birth outcomes that are most feasible and relevant for CAHs and rural hospitals.
Author(s): Madeleine Pick, Megan Lahr, Mikayla Reinke, Hamdi Abas
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
view details
Describes the characteristics of Critical Access Hospitals (CAHs) with and without labor and delivery services. Examines CAH quality reporting and performance on five key measures related to maternity care and birth outcomes. Explores relationships between maternity care quality performance and CAH characteristics such as system affiliation, volume, and location. Identifies quality measures related to maternity and birth outcomes that are most feasible and relevant for CAHs and rural hospitals.
Author(s): Madeleine Pick, Megan Lahr, Mikayla Reinke, Hamdi Abas
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
view details
Delivering Quality: Maternity Care Innovation in Critical Access Hospitals
Presents case studies of six Critical Access Hospitals (CAHs) that are high performers on maternity care quality measures. Summarizes interviews with leaders from each CAH regarding the benefits of their Perinatal Quality Collaboratives, use of safety bundles, training activities, and other successes in providing maternity care.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr, Mikayla Reinke
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
view details
Presents case studies of six Critical Access Hospitals (CAHs) that are high performers on maternity care quality measures. Summarizes interviews with leaders from each CAH regarding the benefits of their Perinatal Quality Collaboratives, use of safety bundles, training activities, and other successes in providing maternity care.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr, Mikayla Reinke
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
view details
Improving the Value Proposition of Critical Access Hospitals – Lessons from Federal and State Initiatives
Report details how federal and state initiatives can support Critical Access Hospitals (CAHs) transition to value-based payment models. Provides examples of initiatives that offer models for use by State Flex Programs (SFPs) for supporting CAHs' transformation to value-based care.
Author(s): John Gale, Rebecca Stearns, Bridget Harr
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
view details
Report details how federal and state initiatives can support Critical Access Hospitals (CAHs) transition to value-based payment models. Provides examples of initiatives that offer models for use by State Flex Programs (SFPs) for supporting CAHs' transformation to value-based care.
Author(s): John Gale, Rebecca Stearns, Bridget Harr
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
view details
MBQIP Report Resources
Provides a list of resources for State Flex Programs (SFPs) and Critical Access Hospitals (CAHs) to support them in utilizing quarterly Medicare Beneficiary Quality Improvement Project (MBQIP) reports in quality improvement activities.
Date: 01/2026
Sponsoring organization: Flex Monitoring Team
view details
Provides a list of resources for State Flex Programs (SFPs) and Critical Access Hospitals (CAHs) to support them in utilizing quarterly Medicare Beneficiary Quality Improvement Project (MBQIP) reports in quality improvement activities.
Date: 01/2026
Sponsoring organization: Flex Monitoring Team
view details
Prepublication Requirements: Requirement Revisions Related to NFPA Codes and CMS CoPs
Outlines new and revised Joint Commission requirements for Critical Access Hospitals (CAHs) effective March 1, 2026. Changes clarify elements of performance (EPs) based on National Fire Protection Association (NFPA) requirements and further align Joint Commission standards with Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs).
Date: 01/2026
Sponsoring organization: Joint Commission
view details
Outlines new and revised Joint Commission requirements for Critical Access Hospitals (CAHs) effective March 1, 2026. Changes clarify elements of performance (EPs) based on National Fire Protection Association (NFPA) requirements and further align Joint Commission standards with Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs).
Date: 01/2026
Sponsoring organization: Joint Commission
view details
Bridging the Gap: A Mixed-Methods Evaluation of a New Rural Maternity Care Center Amid Nationwide Closures
Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
view details
Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
view details
Oregon Critical Access Hospital Quality Reporting Programs, FY25 Flex (Sept. 1, 2025-Aug. 31, 2026)
Serves as a guide to help Oregon Critical Access Hospital (CAH) quality improvement officers develop and support quality improvement activities and make informed decisions when reporting their quality improvement efforts.
Date: 01/2026
Sponsoring organization: Oregon Office of Rural Health
view details
Serves as a guide to help Oregon Critical Access Hospital (CAH) quality improvement officers develop and support quality improvement activities and make informed decisions when reporting their quality improvement efforts.
Date: 01/2026
Sponsoring organization: Oregon Office of Rural Health
view details
Selected Rural Healthcare Facilities in New Jersey
Shows the state's Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites and short term/PPS (Prospective Payment System) hospitals located in rural areas.
Additional links: New Jersey Rural Health Facility Table
Date: 01/2026
Sponsoring organization: Rural Health Information Hub
view details
Shows the state's Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites and short term/PPS (Prospective Payment System) hospitals located in rural areas.
Additional links: New Jersey Rural Health Facility Table
Date: 01/2026
Sponsoring organization: Rural Health Information Hub
view details
Selected Rural Healthcare Facilities in Rhode Island
Shows the state's Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites and short term/PPS (Prospective Payment System) hospitals located in rural areas.
Additional links: Rhode Island Rural Health Facility Table
Date: 01/2026
Sponsoring organization: Rural Health Information Hub
view details
Shows the state's Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites and short term/PPS (Prospective Payment System) hospitals located in rural areas.
Additional links: Rhode Island Rural Health Facility Table
Date: 01/2026
Sponsoring organization: Rural Health Information Hub
view details
Selected Rural Healthcare Facilities in Delaware
Shows the state's Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites and short term/PPS (Prospective Payment System) hospitals located in rural areas.
Additional links: Delaware Rural Health Facility Table
Date: 01/2026
Sponsoring organization: Rural Health Information Hub
view details
Shows the state's Critical Access Hospitals (CAHs), Rural Emergency Hospitals (REHs), and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites and short term/PPS (Prospective Payment System) hospitals located in rural areas.
Additional links: Delaware Rural Health Facility Table
Date: 01/2026
Sponsoring organization: Rural Health Information Hub
view details