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Flex Grant

Overview

Flex Grant
Medicare Rural Hospital Flexibility (FLEX/CAH) Program

April 22, 2010

Although focused on small, rural hospitals, the Flex program operates on the National, State, community, and facility levels to cover a broad range of fundamental health service issues and “modernization” goals. State use Flex resouces for performance management activities, training programs, needs assessments, and network building. Efforts have included the use of a balanced scorecard approach, forming relationships with state Quality Improvement Organizations (QIOs), developing quality improvement-related networks, and participating in national quality improvement and reporting efforts.

The Flex program requires States to develop rural health plans, and funds their efforts to implement community-level outreach and technical assistance to advance the following goals:

  • Improve quality of care and performance management
  • Improve and integrate EMS
  • Develop and implement rural health networks
  • Support existing CAHs and eligible hospitals
  • Designate CAHs in the State

Only states with Critical Access Hospitals (CAH) or potential CAHs are eligible for the Flex program.

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Case Study

Critical Access Hospital Case Study
Mayers Memorial Hospital, Fall River Mills, CA

January 15, 2013

Is the Medicare Rural Hospital Flexibility (Flex) Program and small rural hospitals’ conversion to Critical Access Hospital (CAH) status improving the quality of care and the performance of small rural hospitals, enhancing local emergency medical services, and fostering network development? A case study highlighting Jerold Phelps Community Hospital in Garberville, California, was conducted as part of California’s Medicare Rural Hospital Flexibility (Flex) Program and its program evaluation activities to examine and report on these questions.
 

  • Mayers Memorial Hospital Case Study
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Case Study

Critical Access Hospital Case Study
Jerold Phelps Community Hospital, Garberville, CA

November 16, 2011

Is the Medicare Rural Hospital Flexibility (Flex) Program and small rural hospitals’ conversion to Critical Access Hospital (CAH) status improving the quality of care and the performance of small rural hospitals, enhancing local emergency medical services, and fostering network development? A case study highlighting Jerold Phelps Community Hospital in Garberville, California, was conducted as part of California’s Medicare Rural Hospital Flexibility (Flex) Program and its program evaluation activities to examine and report on these questions.
 

  • Jerold Phelps Community Hospital Case Study
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Case Study

Critical Access Hospital Case Study
Plumas District Hospital, Quincy, CA

February 16, 2011

Is the Medicare Rural Hospital Flexibility (Flex) Program and small rural hospitals’ conversion to Critical Access Hospital (CAH) status improving the quality of care and the performance of small rural hospitals, enhancing local emergency medical services, and fostering network development? A case study highlighting Plumas District Hospital, Quincy, California, was conducted as part of California’s Medicare Rural Hospital Flexibility (Flex) Program and its program evaluation activities to examine and report on these questions.

  • Plumas District Hospital Case Study
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Post

Critical Access Hospital Case Study
John C. Fremont Healthcare District, Mariposa, CA

April 23, 2010

Is the Medicare Rural Hospital Flexibility (Flex) Program and small rural hospitals’ conversion to Critical Access Hospital (CAH) status improving the quality of care and the performance of small rural hospitals, enhancing local emergency medical services, and fostering network development? A case study highlighting John C. Fremont Healthcare District, Mariposa, California, was conducted as part of California’s Medicare Rural Hospital Flexibility (Flex) Program and its program evaluation activities to examine and report on these questions.

  • Critical Access Hospital Case Study 2009
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