The Population Health and Health Policy (PHHP) program at the Cutler Institute conducts policy-driven research, evaluation, policy analysis and technical assistance focusing on the public health system and the delivery of healthcare services. Our research is conducted in the areas of healthcare access, quality and financing; public health systems and practice; and rural health.

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2017

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After Closure: Options for Pursuing a High Performance Rural Health System, Andrew F. Coburn PhD

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Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Settings, John A. Gale MS

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Rural Opioid Prevention and Treatment Strategies: The Experience in Four States, John A. Gale MS; Anush Hansen MS,MA; and Martha Elbaum Williamson MPA

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Rural Opioid Prevention and Treatment Strategies: The Experience in Four States [Policy Brief], John A. Gale MS; Anush Hansen MS,MA; and Martha Elbaum Williamson MPA

State initiatives funded by the Medicare rural hospital flexibility grant program, John A. Gale MS; Jennifer D. Lenardson MHS; Melanie M. Race MS; and Walter R. Gregg MA, MPH

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Catastrophic Consequences: The Link Between Rural Opioid Use and HIV/AIDS, Jennifer Lenardson MHS and Mary Lindsey Smith PhD, MSW

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Community Paramedicine Pilot Programs: Lessons from Maine, Karen B. Pearson MLIS, MA and George Shaler MPH

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Role of Public versus Private Health Insurance in Ensuring Health Care Access & Affordability for Low-Income Rural Children, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Amanda Burgess MPPM

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Mental Health Status and Access to Health Care Services for Adults in Maine, Erika C. Ziller PhD and Barbara Leonard MPH

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Knowledge of Health Insurance Concepts and the Affordable Care Act among Rural Residents, Erika Ziller PhD, Jennifer Lenardson MHS, and Amanda Burgess MPPM

2016

Innovations in rural health system development: Maine's behavioral health services, Amanda Burgess MPPM and Andrew F. Coburn PhD

Innovations in rural health system development: Recruiting and retaining Maine's health care workforce, Amanda Burgess MPPM and Andrew F. Coburn PhD

Innovations in rural health system development: Service delivery advances in care coordination, emergency care, and telehealth, Amanda Burgess MPPM and Andrew F. Coburn PhD

Are rural older adults benefiting from increased state spending on Medicaid home and community-based services? (PB-65)., Andrew F. Coburn PhD, Eileen Griffin JD, Deborah A. Thayer MBA, and Zachariah T. Croll BA

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Are Rural Older Adults Benefitting from Increased State Spending on Medicaid Home and Community-Based Services?, Andrew F. Coburn PhD, Eileen Griffin JD, Deborah Thayer MBA, and Zachariah T. Croll BA

Developing program performance measures for rural emergency medical services, John A. Gale MS; Andrew F. Coburn PhD; Karen B. Pearson MLIS, MA; and Zachariah T. Croll BA

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Maine Rural Health Profiles: A Statewide View of Rural Health, Sara Kahn-Troster MPH, Amanda Burgess MPPM, Andrew F. Coburn PhD, Ryan Wallace MRP, Zachariah T. Croll BA, and Rachel Gallo MPH

Innovations in rural health system development: Governance, Sara Kahn-Troster MPH and Andrew F. Coburn PhD

Innovations in rural health system development: Moving rural health systems to value-based payment, Sara Khan-Troster MPH and Andrew F. Coburn PhD

Understanding the Business Case for Telemental Health in Rural Communities., David Lambert PhD; John A. Gale MS; David Hartley PhD, MHA; Zachariah Croll BA; and Anush Yousefian Hansen MS, MA

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Rural Opioid Abuse: Prevalence and User Characteristics, Jennifer D. Lenardson MHS, John A. Gale MS, and Erika Ziller PhD

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Health Information Exchange: A Strategy for Improving Access for Rural Veterans in the Maine Flex Rural Veterans Health Access, Karen B. Pearson MLIS, MA; Amanda Burgess MPPM; John A. Gale MS; Andrew F. Coburn PhD; and Anush Yousefian Hansen MS, MA

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Mental Health First Aid in Rural Communities: Appropriateness and Outcomes, Jean Talbot PhD, Donald Szlosek MPH, and Erika C. Ziller PhD

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Child health quality improvement in Maine: Practice survey report 2011-2014, Martha Elbaum Williamson MPA; Mary Lindsey Smith PhD, MSW; Pamela Ford-Taylor MS; and Kimberley Fox MPA

Rural active living, Anush Yousefian Hansen MS,MA

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Access to Health Care Services for Adults in Maine, Erika C. Ziller PhD

2015

Promoting quality improvement in Michigan rural health clinics [Presentation], C. Barter and John A. Gale MS

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Maine IHOC Master List of Pediatric Measures with Numerators and Denominators, Amy Belisle MD; Michael Ross MD; Stephen DiGiovanni MD; Lisa Letourneau MD; Stephen Meister MD; Nathaniel J. Anderson MS, MPH; Mary Lindsey Smith PhD, MSW; and Kyra Chamberlain MS, RN

Rural hospital strategies for population health improvement, Andrew F. Coburn PhD and John A. Gale MS

Role and early impact of CO-OPs in the rural health insurance marketplace, Zachariah Croll BA

Exploring Rural Health Clinic quality improvement strategies, John A. Gale MS

Using FMT tools to monitor community/population health performance, John A. Gale MS

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Rural health clinic readiness for patient-centered medical home recognition: Preparing for the evolving healthcare marketplace, John A. Gale MS; Zachariah T. Croll BA; and David Hartley PhD, MHA

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Rural health clinic readiness for patient-centered medical home recognition: Preparing for the evolving healthcare marketplace, John A. Gale MS; Zachariah T. Croll BA; David Hartley PhD, MHA; and Andrew F. Coburn PhD

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Rural Health Clinic Readiness for Patient-Centered Medical Home Recognition: Preparing for the Evolving Healthcare Marketplace., John A. Gale MS; Zachariah T. Croll BA; David Hartley PhD, MHA; and Andrew F. Coburn PhD

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Charity care and bad debt activities of tax-exempt critical access hospitals, John A. Gale MS, Jamar Croom MS, Zachariah T. Croll BA, and Andrew F. Coburn PhD

Charity care and uncompensated care activities of tax-exempt critical access hospitals, John A. Gale MS, Jamar Croom MS, Zachariah T. Croll BA, and Andrew F. Coburn PhD

Following the needs assessment: The challenges of developing a meaningful community health improvement plan, John A. Gale MS and N. DuMont

Exploring the business case for children's telebehavioral health, John A. Gale MS and David Lambert PhD

Catastrophic Consequences: Preliminary Findings on the Use of Opioids in Rural Communities [webinar], John A. Gale MS and Jennifer D. Lenardson MHS

Implementation and monitoring support for the FCHIP demonstration: Task 2, measure development and task 2a, measure evaluation, John A. Gale MS, T. Trapnell, A. Berkowitz, and Andrew F. Coburn PhD

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First STEPS Phase III Initiative: Improving Oral Health and Healthy Weight in Children Final Evaluation Report, Carolyn E. Gray MPH and Kimberley Fox MPA

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Promoting active living in rural communities, Anush Yousefian Hansen MS, MA and David Hartley PhD, MHA

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Built environments and active living in rural and remote areas: A review of the literature, Anush Yousefian Hansen MS, MA; M. Renée Umstattd Meyer; Jennifer D. Lenardson MHS; and David Hartley PhD, MHA

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Adult cancer survivors in Maine, 2011-2012, Sara L. Huston PhD and Prashant Mittal MS, MSc

Understanding the business case for telemental health in rural communities, David Lambert PhD; John A. Gale MS; David Hartley PhD, MHA; and Zachariah T. Croll BA

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Rural and remote food environments and obesity, Jennifer D. Lenardson MHS; Anush Yousefian Hansen MS, MA; and David Hartley PhD, MHA

Maine EMS Community Paramedicine pilot program evaluation, Karen B. Pearson MLIS, MA and George Shaler MPH

Engaging patients in health system transformation: The experience of the Maine Health Access Foundation'S (MeHAF) Advancing Payment Reform Initiative, Barbara Shaw JD, Andrew F. Coburn PhD, and Kimberley Fox MPA

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Health Data and Financing and Delivery System Reform: Is the Glass Half Full or Half Empty?, Barbara Shaw JD, Andrew F. Coburn PhD, Kimberley Fox MPA, and Andrea Gerstenberger ScD