An Inventory of State Flex Program Population Health Initiatives for Fiscal Years 2019-2023

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MRHRC, population health, rural, Flex Program, evaluation, community needs assessment


This brief responds to interest from State Flex Programs (SFPs) and other Critical Access Hospital (CAH) stakeholders about the range of population health initiatives proposed and implemented across the Flex Program by summarizing the population health initiatives proposed by each of the 45 SFPs. The authors identify the output/process and outcome measures described by the SFPs in their applications and program materials, as well as the organizations serving as their partners in this work. This brief serves as a companion to our initial brief, Evaluating State Flex Program Population Health Activities, which provides a high-level overview of SFP population health activity, highlights promising population health strategies, reviews issues related to monitoring the outcome of SFP population health activities, and explores opportunities to align SFP population health activities with the Health Resources and Services Administration’s Healthy Rural Hometown Initiative

To view the Evaluation brief: https://www.flexmonitoring.org/sites/flexmonitoring.umn.edu/files/media/EvaluatingSFPPopHealthActivities.pdf


This report was completed by the Flex Monitoring Team with funding from the Federal Office of Rural Health Policy (FORHP), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (HHS), under PHS Grant No. U27RH01080. The information, conclusions, and opinions expressed in this document are those of the authors and no endorsement by FORHP, HRSA, or HHS is intended or should be inferred.

Funding Organization

HRSA, Federal Office of Rural Health Policy

Grant Number

PHS Grant No. U27RH01080

EvaluatingSFPPopHealthActivities.pdf (633 kB)
Evaluating State Flex Program Population Health Activities