Flex Publications
2024
Policy Brief: Overview of the 340B Drug Pricing Program
This policy brief reviews the 340B drug pricing program that has been in existence since 1992.
Projects:
Flex, State Office of Rural Health
Author(s): Gibbens, B., Dryburgh, B.
Date: November 2024
Type: Policy Brief
The More Things Change, the More They Stay the Same
Brad Gibbens, acting director of the Center for Rural Health (CRH), reflects on nearly 40 years of rural health in North Dakota.
Projects:
Flex, National Resource Center on Native American Aging, North Dakota Brain Injury Network, North Dakota Qualified Service Provider (QSP) Hub, Rural Health Information Hub, Rural Health Research Gateway, State Office of Rural Health
Author(s): Pierce, J.
Publication: Focus on Rural Health
Date: September 2024
Type: Article
Driving Change: Navigating ACO Support from the State Flex Program Perspective
Presented on July 17, 2024 to the 2024 Flex Program Reverse Site Visit in Washington, D.C.
Project:
Flex
Author(s): Barter, C., Threadgold, N.
Date: July 2024
Type: Presentation
North Dakota Rural Health Clinics, 2024
A North Dakota map that shows the locations of all Rural Health Clinics by city and county.
Projects:
Flex, North Dakota CAH Quality Network, Rural Health Clinic Network, State Office of Rural Health
Author(s): Center for Rural Health
Date: February 2024
Type: Map
2023
Finding the Equity in Healthcare
Federal funding supports five projects focusing on rural health.
Projects:
Flex, National Resource Center on Native American Aging, Project ECHO, State Office of Rural Health
Author(s): Pierce, J.
Publication: Focus on Rural Health
Date: December 2023
Type: Article
Communication Toolkit
The Communication Toolkit is a resource for staff at healthcare organizations and facilities, to assist with marketing, branding, social media, and other communication needs.
Project:
Flex
Author(s): Center for Rural Health
Date: November 2023
Type: Resource
Rural Health Value - North Dakota
Presented on June 22, 2023 to the Center for Rural Health virtual staff meeting.
Project:
Flex
Author(s): Gibbens, B., Threadgold, N.
Date: June 2023
Type: Presentation
U.S. Health System Is Changing: What Is Health Value, Value-Based Care/Payment and Why the Change?
Presented on May 9, 2023 to the North Dakota Healthcare Financial Management Association Conference, Ramada Hotel, Bismarck, North Dakota.
Projects:
Flex, State Office of Rural Health
Author(s): Gibbens, B.
Date: May 2023
Type: Presentation
Rural Health Value North Dakota Value Based Care and Payment Project Environmental Scan
The Environmental Scan for the Rural Health Value North Dakota Value Based Care and Payment Project includes information on the state's population, population health, risk factors, health professionals, hospitals, along with data on trends being seen in the state.
Project:
Flex
Author(s): Rural Health Value
Date: March 2023
Type: Report
2022
Rural Health Clinic Network Receives HRSA Network Planning Grant
The North Dakota Rural Health Clinic Network continues building with assistance of a new grant through the Health Resources and Services Administration (HRSA).
Projects:
Flex, North Dakota CAH Quality Network, Rural Health Clinic Network, State Office of Rural Health
Author(s): Pierce, J.
Publication: Focus on Rural Health
Date: September 2022
Type: Article
Rural North Dakota Emergency Medical Services Resiliency
Presented on May 2, 2022 to a national TASC webinar hosted by the National Rural Health Resource Center.
Project:
Flex
Author(s): Threadgold, N.
Date: May 2022
Type: Presentation
North Dakota Critical Access Hospitals & Referral Centers
A map of North Dakota critical access hospitals (CAHs) and referral centers by county.
Projects:
Flex, North Dakota CAH Quality Network
Author(s): Center for Rural Health
Date: May 2022
Type: Map
North Dakota Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers, 2022
A map showing North Dakota locations of all rural health clinics and hospitals by city and county.
Projects:
Flex, North Dakota CAH Quality Network, Rural Health Clinic Network, State Office of Rural Health
Author(s): Center for Rural Health
Date: April 2022
Type: Map
2021
CRH Assists with Community Development and Engagement
The State Office of Rural Health and the Medicare Rural Hospital Flexibility Program provide a significant amount of resources to assist rural healthcare organizations and facilities.
Projects:
Flex, North Dakota CAH Quality Network, Rural Health Clinic Network, State Office of Rural Health
Author(s): Pierce, J.
Publication: Focus on Rural Health
Date: December 2021
Type: Article
2019
North Dakota Hospital Assessment: 2017 Flex Chartbook
This chartbook presents the findings of the 2017 survey of hospitals in North Dakota.
Projects:
Flex, North Dakota CAH Quality Network
Author(s): Besse, R., Peterson, M., Dickson, L.
Date: May 2019
Type: Report
2014
North Dakota Hospital Assessment: 2014 Chartbook
This Chartbook presents the findings of the 2014 survey of hospitals in North Dakota. This resource does not provide analysis or discussion of the results, but instead, offers a graphic discourse on the current hospital environment in the state. Output includes aggregate data stratified by geographic region (Northwest, Northeast, Southeast, Southwest) and hospital type (CAH or tertiary).
This Chartbook presents the findings of the 2014 survey of hospitals in North Dakota. This resource does not provide analysis or discussion of the results, but instead, offers a graphic discourse on the current hospital environment in the state. Output includes aggregate data stratified by geographic region (Northwest, Northeast, Southeast, Southwest) and hospital type (CAH or tertiary).
Projects:
Flex, North Dakota CAH Quality Network
Author(s): Schroeder, S., Hart, G., Gibbens, B., Dickson, L., Peterson, M. & Ahmed, A.
Date: December 2014
Type: Report
2013
What is a Community Health Center?
Non-profit community-driven clinics provide high-quality primary and preventive care to all individuals, with or without insurance and regardless of their ability to pay.
Non-profit community-driven clinics provide high-quality primary and preventive care to all individuals, with or without insurance and regardless of their ability to pay.
Projects:
Flex, State Office of Rural Health
Author(s): Morin, K., Barclay, M.
Publication: North Dakota Medicine, 38(3), 20-21
Date: October 2013
Type: Article
2012
Conducting Community Health Needs Assessments: An Eight-Step Process
An assessment process centered around convening a broad-based Community Group that reviews data and information to identify health needs of the community, provides qualitative input, and makes recommendations to the health facility.
An assessment process centered around convening a broad-based Community Group that reviews data and information to identify health needs of the community, provides qualitative input, and makes recommendations to the health facility.
Project:
Flex
Author(s): North Dakota Medicare Rural Hospital Flexibility (Flex) Program
Date: June 2012
Type: Resource
CAH Financial Conditions and Concerns
Summarizes the current financial status of North Dakota CAHs. Part of a series of fact sheets on Critical Access Hospitals and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
Summarizes the current financial status of North Dakota CAHs. Part of a series of fact sheets on Critical Access Hospitals and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
Project:
Flex
Author(s): Miller, M., & Gibbens, B.
Date: March 2012
Type: Fact Sheet
Critical Access Hospital Organizational Conditions
Includes survey results from North Dakota Critical Access Hospitals (CAHs). Examines how certain environmental conditions shape the organization structure of CAHs, how they operate, and services they offer. Part of a series of fact sheets on CAHs and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
Includes survey results from North Dakota Critical Access Hospitals (CAHs). Examines how certain environmental conditions shape the organization structure of CAHs, how they operate, and services they offer. Part of a series of fact sheets on CAHs and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
Project:
Flex
Author(s): Miller, M., Gibbens, B.
Date: March 2012
Type: Fact Sheet
Hospital Networks
Discusses hospital networks. Part of a series of fact sheets on Critical Access Hospitals and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
Discusses hospital networks. Part of a series of fact sheets on Critical Access Hospitals and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
Project:
Flex
Author(s): Miller, M., & Gibbens, B.
Date: March 2012
Type: Fact Sheet
North Dakota CAH Administrators' Attitudes Toward Issues Facing Rural Hospitals
Discusses CAH administrators' attitudes to a variety of common issues or problems facing rural hospitals. Part of a series of fact sheets on Critical Access Hospitals and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
Discusses CAH administrators' attitudes to a variety of common issues or problems facing rural hospitals. Part of a series of fact sheets on Critical Access Hospitals and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
Project:
Flex
Author(s): Miller, M., & Gibbens, B.
Date: March 2012
Type: Fact Sheet
North Dakota Rural Hospitals and Emergency Medical Services Collaboration
Results of a survey amongst North Dakota's 36 CAHs and their relationship with local EMS providers. Part of a series of fact sheets on Critical Access Hospitals and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
Results of a survey amongst North Dakota's 36 CAHs and their relationship with local EMS providers. Part of a series of fact sheets on Critical Access Hospitals and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
Project:
Flex
Author(s): Miller, M., Gibbens, B.
Date: March 2012
Type: Fact Sheet
2011
EMS Visioning
A vision for the future of EMS in North Dakota.
A vision for the future of EMS in North Dakota.
Project:
Flex
Author(s): Miller, M.
Date: September 2011
Type: Resource
Primary Issues Impacting Rural Health in North Dakota and Contributing Factors
Lists issues that impact rural health in North Dakota, including healthcare access, quality of care, HIT, health insurance, and workforce.
Lists issues that impact rural health in North Dakota, including healthcare access, quality of care, HIT, health insurance, and workforce.
Projects:
Flex, State Office of Rural Health
Author(s): Gibbens, B.
Date: February 2011
Type: Resource
2009
Lessons Learned from Electronic Health Record Implementation at Three North Dakota Critical Access Hospitals
Highlights common successes and challenges experienced during an electronic health record (EHR) implementation project involving three Critical Access Hospitals (CAHs) in North Dakota. Offers recommendations for future Health Information Technology implementation processes.
Highlights common successes and challenges experienced during an electronic health record (EHR) implementation project involving three Critical Access Hospitals (CAHs) in North Dakota. Offers recommendations for future Health Information Technology implementation processes.
Project:
Flex
Author(s): John Snow, Inc.
Date: March 2009
Type: Report
North Dakota Medicare Rural Hospital Flexibility (Flex) Program Annual Report
Year 9: September 2007 - August 2008
Year 9: September 2007 - August 2008
Project:
Flex
Author(s): Miller, M.
Date: February 2009
Type: Report
2008
2008 North Dakota Flex Program and Critical Access Hospital State Rural Health Plan
Assesses and identifies pressing current conditions of rural health services and systems, focusing on critical access hospitals (CAHs). These conditions are workforce, access, finance, health information technology, community and economic development, quality, emergency medical and trauma services, networking, and system reform. Report also recommends strategic approaches to address these topics of concern.
Assesses and identifies pressing current conditions of rural health services and systems, focusing on critical access hospitals (CAHs). These conditions are workforce, access, finance, health information technology, community and economic development, quality, emergency medical and trauma services, networking, and system reform. Report also recommends strategic approaches to address these topics of concern.
Project:
Flex
Author(s): Miller, M., Gibbens, B., Lennon, C., & Wakefield, M.
Date: November 2008
Type: Report
2008 North Dakota Flex Program and Critical Access Hospital State Rural Health Plan Summary
Project:
Flex
Author(s): Miller, M., Gibbens, B., Lennon, C., & Wakefield, M.
Date: November 2008
Type: Report
North Dakota Critical Access Hospital and Flex Program: 2008 Survey Results
Reports findings of a survey administered in February 2008 and compares data to that of 2005. Includes information on current operating status and network activity, anticipated changes over the next two years, and the prioritization of issues.
Reports findings of a survey administered in February 2008 and compares data to that of 2005. Includes information on current operating status and network activity, anticipated changes over the next two years, and the prioritization of issues.
Project:
Flex
Author(s): Miller, M.
Date: July 2008
Type: Report
2007
2006
North Dakota Rural Hospital Quality Improvement Report
Describes outcomes from a 2005 survey of North Dakota's rural hospitals. Reports on safety and quality improvement practices.
Describes outcomes from a 2005 survey of North Dakota's rural hospitals. Reports on safety and quality improvement practices.
Project:
Flex
Author(s): Miller, M., & Medalen, R.
Date: June 2006
Type: Report