Rural Hospitals (Flex Program)
“The Flex Program” refers to the Medicare Rural Hospital Flexibility Program, which was created by Congress in 1997. It allows small hospitals to be certified as Critical Access Hospitals (CAHs) and offers grants to States to help implement initiatives to strengthen the rural health care infrastructure. The grant program is administered by the Health Resources Service Administration’s Federal Office of Rural Health Policy. HRSA is a division of the U.S. Department of Health and Human Services.

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2014

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Turning around the struggling rural hospital: Shared responsibility and hard work, John Gale

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Collaborative Community Health Needs Assessments: Approaches and Benefits for Critical Access Hospitals, John A. Gale, Andrew F. Coburn, and Helen Newton

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Community Paramedicine in rural areas: State and local findings and the role of the state Flex program, Karen B. Pearson, John A. Gale, and George Shaler

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The evidence for Community Paramedicine in rural areas: State and local findings and the role of the state Flex program, Karen Pearson, John Gale, and George Shaler

2013

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Emergency Transfers of the Elderly to Critical Access Hospitals: Opportunities for Improving Patient Safety and Quality, Andrew F. Coburn and Karen Pearson

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Rural acute myocardial infarction survey, Nikiah Nudell, Don Rice, John A. Gale, Tom Wingrove, and Bouthillet

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Emergency transfers of the elderly from nursing facilities to critical access hospitals: Opportunities for improving patient safety and quality, Karen B. Pearson and Andrew F. Coburn

2012

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Why Do Some Critical Access Hospitals Close Their Skilled Nursing Facilities While Others, Andrew F. Coburn, Zach Croll, John A. Gale, and Walter Gregg

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Promoting a Culture of Safety: Use of the Hospital Survey On Patient Safety Culture in Critical Access Hospitals, Andrew F. Coburn, Zach Croll, and Karen Pearson

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Promoting a culture of safety: Use of the hospital survey on patient safety culture in critical access hospitals, Zachariah T. Croll, Andrew F. Coburn, and Karen B. Pearson

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Why Do Some Critical Access Hospitals Close Their Skilled Nursing Facilities While Others Retain Them?, Zach Croll, John A. Gale, Walter Gregg, and Andrew F. Coburn

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Community benefit activities of critical access hospitals, non-metropolitan hospitals and metropolitan hospitals, Zach Croll, John Gale, and Andrew Coburn

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Community benefit activities of critical access hospitals, non-metropolitan hospitals and metropolitan hospitals: National and state data, Zach Croll, John Gale, and Andrew Coburn

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Why do some critical access hospitals close their skilled nursing facilities while others retain them?, John A. Gale, Zachariah T. Croll, Andrew F. Coburn, and R. Gregg

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Evidence-based falls prevention in critical access hospitals, Karen B. Pearson and Andrew F. Coburn

2011

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Improving Hospital Patient Safety Through Teamwork: The Use of TeamSTEPPS In Critical Access Hospitals, Andrew F. Coburn and Zach Croll

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Developing regional STEMI systems of care: A review of the evidence and the role of the Flex program, John A. Gale

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Provision of long term care services by critical access hospitals: Are things changing?, Melanie Race, John Gale, and Andrew Coburn

2010

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The Role of State Flex Programs in Supporting Quality Improvement in Critical Access Hospitals, Andrew F. Coburn, John A. Gale, Mark Richards, and Anush Yousefian Hansen

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Models For Quality Improvement In Critical Access Hospitals: The Role Of State Flex Programs, Andrew F. Coburn, John A. Gale, Mark Richards, Anush Yousefian Hansen, and Melanie Race

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Characteristics of inpatient psychiatric units in small rural hospitals, David Hartley, Stephanie Loux, David Lambert, Anush Gale, and Yousefian

2009

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Policy Issues Affecting Maine’s Hospitals, John A. Gale and Jennifer Lenardson

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A community benefit reporting toolkit for critical access hospitals, John A. Gale and Melanie Race

2006

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Creating Progam Logic Models: A Toolkit for State Flex Programs, John A. Gale, Andrew F. Coburn, and Stephanie Loux