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

The impact of prospective reimbursement on nursing home costs, access to care and quality of care, Andrew Coburn, T.P. McDonald, R.H. Fortinsky, and C.A. McQuire

State initiatives funded by the Medicare rural hospital flexibility grant program, John Gale, Jennifer D. Lenardson, M. Race, and W.R. Gregg

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

2016

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

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

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

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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

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

Child health quality improvement in Maine: Practice survey report 2011-2014, Martha Elbaum Williamson, Mary Lindsey Smith, P. Ford-Taylor, and Kimberley Fox

Developing program performance measures for rural emergency medical services, John Gale MS; Andrew Coburn PhD; Karen Pearson MLIS, MS; and Zach Croll MS

Pilot testing a Rural Health Clinic quality measurement reporting system, John Gale MS, Anush Yousefian Hansen MS, David Hartley PhD, and Andrew F. Coburn PhD

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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 Coburn

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

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

Adverse childhood experiences in rural and urban contexts, Jean Talbot, D. Szlocek, and Erika Ziller

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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

Rural active living, Anush Yousefian Hansen

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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 Gale

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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; and Kyra Chamberlain

Rural hospital strategies for population health improvement, Andrew Coburn and John Gale

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

Adoption and use of electronic health records by rural health clinics: Results of a national survey, [presentation], Zach Croll and P. Mittal

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

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

Adoption and use of electronic health records by rural health clinics: Results of a national survey, John A. Gale MS, Zach Croll BA, and David Hartley 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, Zach Croll, David Hartley, and Andrew F. Coburn

Adoption and Use of Electronic Health Records by Rural Health Clinics: Results of a National Survey, John Gale MS, Zach Croll BA, and David Hartley PhD

Charity care and bad debt activities of tax-exempt critical access hospitals, John Gale, Jamar Croom, Zachariah Croll, and Andrew Coburn

Charity care and uncompensated care activities of tax-exempt critical access hospitals, John Gale, Jamar Croom, Zachariah Croll, and Andrew Coburn

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

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

Catestrophic consequences: Preliminary findings on the use of opioids in rural communities, John Gale and Jennifer D. Lenardson

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

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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

First STEPS Phase III initiative: Improving oral health and healthy weight in children, Carolyn Gray and Kimberley Fox

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

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Built environments and active living in rural and remote areas: A review of the literature, Anush Yousefian Hansen, M. Renee Umstattd Meyer, Jennifer D. Lenardson, and David Hartley

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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

Adult cancer survivors in Maine, 2011-2012, S. L. Huston

Understanding the business case for telemental health in rural communities, David Lambert PhD, John Gale, D. Hartley, and Zachariah Croll

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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 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