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Flex Publications

2022

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

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: CAH Quality Network, Flex, Rural Health Clinic Network, State Office of Rural Health
Author(s): Pierce, J.
Publication: Focus on Rural Health
Date: December 2021
Type: Article

2020

Alternative Rural Hospital Models - 45 Years and Counting
Presented on Sep 18, 2020 at the Future of Rural Health Care Task Force Meeting, Webinar
Projects: Flex, State Office of Rural Health
Author(s): Gibbens, B.
Date: September 2020
Type: Presentation
North Dakota Critical Access Hospitals & Referral Centers
A map of North Dakota critical access hospitals (CAHs) and referral centers by county.
Projects: CAH Quality Network, Flex
Author(s): Center for Rural Health
Date: September 2020
Type: Map
Rural Health: In the Arena, In Rural Communities
Presented on Sep 17, 2020 at the United States Department of Agriculture Rural Development Statewide Meeting, Webinar
Projects: Flex, State Office of Rural Health
Author(s): Gibbens, B.
Date: September 2020
Type: Presentation
A Community Health Needs Assessment (CHNA) eToolkit: Collaborative Framework to Build Capacity for Community Engagement for SORHs
Presented on Jul 15, 2020 at the State Offices of Rural Health Region E Meeting, via Zoom
Projects: Flex, State Office of Rural Health
Author(s): Nissen, K., Reiten, J., Breigenzer, A.
Date: July 2020
Type: Presentation
A Community Health Needs Assessment (CHNA): Collaborative Framework to Build Capacity for Community Engagement
Presented on Jun 2, 2020 at the University of North Dakota College of Nursing & Professional Disciplines, PhD Class, Grand Forks, North Dakota
Projects: Flex, State Office of Rural Health
Author(s): Nissen, K.
Date: June 2020
Type: Presentation
North Dakota Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers, 2020
A map showing North Dakota locations of all rural health clinics and hospitals by city and county.
Projects: CAH Quality Network, Flex, Rural Health Clinic Network, State Office of Rural Health
Author(s): Center for Rural Health
Date: March 2020
Type: Map

2019

North Dakota Hospital Assessment: 2017 Flex Chartbook
This chartbook presents the findings of the 2017 survey of hospitals in North Dakota.
Projects: CAH Quality Network, Flex
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).
Projects: CAH Quality Network, Flex
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
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.
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.
Project: Flex
Author(s): Miller, M.
Date: July 2008
Type: Report

2007

Flex 2006-2007 Annual Report
Project: Flex
Author(s): Miller, M.
Date: October 2007
Type: Report

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.
Project: Flex
Author(s): Miller, M., & Medalen, R.
Date: June 2006
Type: Report