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.

We focus our work in the following areas:

  • Healthcare Access, Quality, & Financing
  • Public Health Systems & Practice
  • The Maine Public Health Institute
  • Rural Health

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2014

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Implications of rurality and psychiatric status for diabetic care use among adults with diabetes, Jean A. Talbot PhD, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and David Hartley PhD

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Medical Consumers Should Be Sure To Get Their Test Results (Op-Ed), Judith B. Tupper DHEd, CHES, CPPS

Advancing Patient Safety in the Ambulatory Setting: Maine's Pilot of the AHRQ Medical Office Survey on Patient Safety Culture, Judith B. Tupper DHEd, CHES, CPPS and Carolyn E. Gray MPH

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Health insurance coverage of low-income rural children increases and is more continuous following CHIP implementation, Erika C. Ziller PhD

Rural implications of ACA Medicaid expansions, Erika C. Ziller PhD

2013

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Children served by MaineCare, 2012: Survey findings, Nathaniel J. Anderson MS, MPH; Kimberley Fox MPA; Deborah Thayer MBA; and Zachariah T. Croll MPH

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Improving Health Outcomes for Children (IHOC): Summary of Pediatric Quality Measures for Children Enrolled in MaineCare FFY 2009 - FFY 2012, Nathaniel J. Anderson MS, MPH and Tracey Meagher

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Patterns of Care for Rural and Urban Children with Mental Health Problems, Nathaniel J. Anderson MS, MPH; Samantha J. Neuwirth MD; Jennifer D. Lenardson MHS; and David Hartley PhD, MHA

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Driving a Public Health Culture of Quality: How Far Down the Highway Have Local Health Departments Traveled?, Leslie M. Beitsch MD, JD; Nikki Lawhorn Rider ScD; Brenda M. Joly PhD, MPH; Carolyn Leep MS, MPH; and Georgeen Polyak PhD

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Federal Health Care Reform: An Overview, Andrew F. Coburn PhD

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Building Medical Homes for Children: Measuring Outcomes for Policy and Program Development, Kimberley S. Fox MPA

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First STEPS Phase I Initiative: Improving Immunizations for Children and Adolescents, Kimberley S. Fox MPA and Carolyn E. Gray MPH

Improving Health Outcomes for Children: A CHIPRA Quality Demonstration, Kimberley S. Fox MPA and Carolyn E. Gray MPH

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Improving Health Outcomes for Children (IHOC) First STEPS Phase I Initiative: Improving Immunizations for Children and Adolescents, Kimberley S. Fox MPA and Carolyn E. Gray MPH

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First STEPS Phase II Initiative: Improving Developmental, Autism, and Lead Screening for Children, Kimberley S. Fox MPA, Carolyn E. Gray MPH, and Martha Elbaum Williamson MPA

Understanding Population Health Management, John A. Gale MS

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Rural vets: Their barriers, problems, needs, John A. Gale MS and Hilda R. Heady

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Rural Children Experience Different Rates of Mental Health Diagnosis and Treatment, David Hartley PhD, MPH; Jennifer D. Lenardson MHS; Nathaniel J. Anderson MS, MPH; and Samantha J. Neuwirth MD

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Using the QI Maturity Tool to Classify Agencies Along a Continuum, Brenda M. Joly PhD, MPH; Maureen Booth MRP, MA; Prashant Mittal MS, MSc; and Yan Zhang

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IHOC Summary For Members - Helping Your Child’s Doctor Helps Your Child, Joanie Klayman LCSW, Amy Dix, and Kevin S. Flanigan MD

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IHOC Summary For Providers - Improving Health Outcomes for Children in Maine and Vermont, Joanie Klayman LCSW, Amy Dix, and Kevin S. Flanigan MD

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Telemental Health in Today's Rural Health System, David Lambert PhD; John A. Gale MS; Anush Yousefian Hansen MS, MA; Zachariah T. Croll BA; and David Hartley PhD, MHA

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Monitoring QI Maturity of Public Health Organizations and Systems in Minnesota: Promising Early Findings and Suggested Next Steps, Kimberly J. Miner Gearin; M. Elizabeth Gyllstrom; Brenda M. Joly PhD, MPH; Renee S. Frauendienst; William J. Riley PhD; and J. Myhre

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Rural acute myocardial infarction survey (RAMIS), Nikiah Nudell BA, NRP; Tom Bouthillet NREMT-P; Don Rice MD; John A. Gale MS; and Gary Wingrove EMT-P

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The Evidence for Community Paramedicine in Rural Areas, Karen B. Pearson MLIS, MA

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Global Budgets, Payment Reform and Single Payer: Understanding Vemont's Health Reform, Trish Riley

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The Affordable Care Act: What's next for Maine?, Trish Riley

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The Role of Organizational Change in Health System and Payment Reform, Barbara Shaw JD, Andrew F. Coburn PhD, Kimberley S. Fox MPA, and E. Rogers

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Challenges and Opportunities for Improving Mental Health Services in Rural Long-Term Care, Jean A. Talbot PhD and Andrew F. Coburn PhD

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Mental Health Services in Rural Long-Term Care: Challenges and opportunities for improvement, Jean A. Talbot PhD and Andrew F. Coburn PhD

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Rural Considerations in Establishing Network Adequacy Standards for Qualified Health Plans in State and Regional Health Insurance Exchanges, Jean A. Talbot PhD, Andrew F. Coburn PhD, Erika C. Ziller PhD, and Zachariah T. Croll BA

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2013 Survey of Children Served by MaineCare, Jean A. Talbot PhD, Deborah Thayer MBA, Zachariah T. Croll MPH, and Kimberley Fox MPA

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Little Shop of Errors: An Innovative Simulation Patient Safety Workshop for Community Health Care Professionals., Judith B. Tupper DHEd, CHES, CPPS; Karen B. Pearson MLIS, MA; Krista M. Meinersmann PhD, RN; and Jean Dvorak MS, RN

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Examining MaineCare’s Coverage Options Under the Affordable Care Act, Erika C. Ziller PhD and Trish Riley

2012

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Bright Futures As-Is Assessment: How Child-Serving Practices, Health Systems, and the State of Maine Use and Exchange Specific Clinical Data Related to Child Health Quality Measures, Kyra Chamberlain MS, RN; Martha Elbaum-Williamson MPA; Jonathan Ives MPM, CSM; and Jin Liao M.Eng

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Promoting a Culture of Safety: Use of the Hospital Survey on Patient Safety Culture in CAHs (Policy Brief #27), Andrew F. Coburn PhD; Zach T. Croll MPH; and Karen B. Pearson MLIS, MA

SAFER: Standardizing Admissions for Elderly Residents, Andrew F. Coburn PhD; Judith B. Tupper DHEd, CHES, CPPS; Carolyn E. Gray MPH; and Karen B. Pearson MLIS, MA

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Rural Implications of Geographic Rating of Health Insurance Premiums, Andrew F. Coburn PhD, Erika C. Ziller PhD, Zachariah T. Croll BA, and Elizabeth Kilbreth PhD

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Wellness & Recovery Toolkit, A. Connors

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Promoting a Culture of Safety: Use of the Hospital Survey on Patient Safety Culture in CAHs (Briefing Paper #30), Zach T. Croll MPH; Andrew F. Coburn PhD; and Karen B. Pearson MLIS, MA

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Community Benefit Activities of CAHs, Non-Metropolitan Hospitals, and Metropolitan Hospitals, 2010, Zach T. Croll MPH, John A. Gale MS, and Andrew F. Coburn PhD

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Effectiveness of Public Health Quality Improvement Training Approaches: Application, Application, Application., Mary V. Davis DrPH, MSPH; Amy Vincus MPH; Matthew Eggers; Elizabeth Mahanna MPH; William J. Riley PhD; Brenda M. Joly PhD, MPH; Jessica Solomon Fisher MCP; and Michael J. Bowling

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Improving Nursing Home Patient Safety in Maine: A Review of the AHRQ Patient Safety Culture survey Implementation Process, Andrea Fenner-Koepp

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Why Do Some CAHs Close Their Skilled Nursing Facility Services While Others Retain Them? (Policy Brief #31), John A. Gale MS; Zach T. Croll MPH; Andrew F. Coburn PhD; and Walter Gregg MA, MPH

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Why Do Some CAHs Close Their Skilled Nursing Facility Services While Others Retain Them? (Briefing Paper #32), John A. Gale MS; Zach T. Croll MPH; Andrew F. Coburn PhD; and Walter R. Gregg MA, MPH

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Adolescent Alcohol Use: Do risk and protective factors explain rural-urban differences? [Policy Brief], John A. Gale MS; Jennifer D. Lenardson MHS; David Lambert PhD; and David Hartley PhD, MHA

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Adolescent Alcohol Use: Do Risk and Protective Factors Explain Rural-Urban Differences? [Working Paper], John A. Gale MS; Jennifer D. Lenardson MHS; David Lambert PhD; and David Hartley PhD, MHA

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Measuring Quality Improvement in Public Health: The Development and Psychometric Testing of a QI Maturity Tool, Brenda M. Joly PhD, MPH; Maureen Booth MRP, MA; Prashant Mittal MS, MSc; and George Shaler MPH

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Quality Improvement Learning Collaboratives in Public Health: Findings from a Multisite Case Study, Brenda M. Joly PhD, MPH; Maureen Booth MRP, MA; George Shaler MPH; and Ann Conway PhD

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Assessing Quality Improvement in Local Health Departments: Results from the Multi-State Learning Collaborative., Brenda M. Joly PhD, MPH; Maureen Booth MRP, MA; George Shaler MPH; and Prashant Mittal MS, MSc