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
- Rural Health
2010
Guiding Stars: The Effect of a Nutrition Navigation Program on Consumer Purchases at the Supermarket, Lisa A. Sutherland; Lori A. Kaley MS, MSB; and Leslie Fischer
The Cost of Defensive Medicine in the United States, J. William Thomas PhD, Erika C. Ziller PhD, and Deborah Thayer MBA
Low Costs of Defensive Medicine, Small Savings from Tort Reform, J. William Thomas PhD, Erika C. Ziller PhD, and Deborah A. Thayer MBA
Improving Hospital Patient Safety Culture Through Teamwork, Judith B. Tupper DHEd, CHES, CPPS
Maine Critical Access Hospital Patient Safety Collaborative, Judith B. Tupper DHEd, CHES, CPPS
Racial, socioeconomic, and rural-urban disparities in obesity-related bariatric surgery, Amy E. Wallace, Yinong Young-Xu, David Hartley PhD, and William B. Weeks
Access to rural mental health services: Service use and out-of-pocket costs, Erika C. Ziller PhD; Nathaniel J. Anderson MS, MPH; and Andrew F. Coburn PhD
2009
State Financing for Health Coverage Initiatives, Courtney Burke and Kimberley S. Fox MPA
Assuring Health Coverage for Rural People Through Health Reform, Andrew F. Coburn PhD; A. Clinton MacKinney MD,MS; Timothy D. McBride PhD; and Keith J. Mueller PhD
Communicating Rural Research to Policy: An Evaluation of the Rural Research to Diverse Audiences Project, Andrew F. Coburn PhD and Patricia Moulton PhD
Expanding Rural Elder Care Options: Models That Work, Peter Fitzgerald MSc, Andrew F. Coburn PhD, and Sharon K. Dwyer MS
Comparison of Primary Care Received by New Hampshire Medicaid Members at Different Practice Settings, 2006, Kimberley S. Fox MPA
Maine Barriers to Integration Study: The view from Maine on the barriers to integrated care and recommendations for moving forward, John A. Gale MS and David Lambert PhD
Policy Issues Affecting Maine’s Hospitals, John A. Gale MS and Jennifer D. Lenardson MHS
A community benefit reporting toolkit for critical access hospitals, John A. Gale MS and Melanie Race MS
Analysis of 2006 Maine Emergency Department Use: A Study Conducted on Behalf of the Emergency Department Use Work Group of the Maine Advisory Council on Health System Development, Carolyn E. Gray MPH, Catherine McGuire BS, Beth Kilbreth, and Tamar Chitashvili
Rural Health Clinics, Health Reform, and the Safety Net: Capacity and Roles May Vary by State, David Hartley PhD, MHA and John A. Gale MS
Rural Active Living Assessment (RALA) Toolkit: Codebook and Assessement Tools, David Hartley PhD, MHA; Anush Yousefian Hansen MS,MA; M. Renee Umstattd Meyer; Jeffrey S. Hallam; Christina Economos PhD; Raymond Hyatt PhD; and Erin Hennessy MPH
Using Maps to Assess Food Access in Rural Maine, Teresa A. Hubley
Early Detection and Intervention for the Prevention of Psychosis: Outreach Evaluation Report: Year 2 Annual Report, Brenda M. Joly PhD, MPH; Martha Elbaum-Williamson MPA; Prashant Mittal MS, MSc; and Jennifer Pratt
Implementing Patient Safety Initiatives in Rural Hospitals, Jill Klingner RN, PhD; Ira Moscovice PhD; Judith B. Tupper DHEd, CHES, CPPS; and Andrew F. Coburn PhD
Mental Health and Substance Abuse in Maine: Building a community-based system, David Lambert PhD and John A. Gale MS
Rural Children Don't Receive the Mental Health Care They Need, David Lambert PhD, Erika C. Ziller PhD, and Jennifer D. Lenardson MHS
Availability, Characteristics, and Role of Detoxification Services in Rural Areas, Jennifer D. Lenardson MHS, Melanie M. Race MS, and John A. Gale MS
Profile of rural health insurance coverage: A chartbook, Jennifer D. Lenardson MHS, Erika C. Ziller PhD, and Andrew F. Coburn PhD
Health Insurance Profile Indicates Need to Expand Coverage in Rural Areas, Jennifer D. Lenardson MHS; Erika C. Ziller PhD; Andrew F. Coburn PhD; and Nathaniel J. Anderson MS, MPH
A Rural Perspective/Commentary Regarding (Description of Policy Options) "Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans", Senate Finance Committee, May 14, 2009, Keith J. Mueller PhD; Andrew F. Coburn PhD; A. Clinton MacKinney MD,MS; Timothy D. McBride PhD; and Rebecca T. Slifkin PhD
The 2009 Report to the Secretary: Rural Health and Human Services Issues, National Advisory Committee on Rural Health and Human Services
Hard Times in the Heartland: Health Care in Rural America, Meena Seshamani MD, PhD; Joan Van Nostrand PhD; Jenna Kennedy BA; and Carrie Cochran MPA
Remote Possibilities: The Struggle for Small, Rural Business Owners to Provide Coverage for Their Employees is Daunting, Erika C. Ziller PhD
Private health insurance in rural areas: Challenges and opportunities, Erika C. Ziller PhD and Andrew F. Coburn PhD
Rural coverage gaps decline following public health insurance expansions, Erika C. Ziller PhD and Andrew F. Coburn PhD
Rural-urban differences in health care access vary across measures, Erika C. Ziller PhD and Jennifer D. Lenardson MHS
2008
Implementing a New USDA Rural Development Program Targeting Small Rural Hospitals and Their Communities, Andrew F. Coburn PhD; A. Clinton MacKinney MD,MS; Timothy D. McBride PhD; Keith J. Mueller PhD; Rebecca T. Slifkin PhD; and Mary Wakefield PhD, RN
Rural Policy Research Institute Health Panel Response to CMS' Report to Congress: Plan to Implement a Medicare Hospital Value-based Purchasing Program, Andrew F. Coburn PhD; A. Clinton MacKinney MD,MS; Timothy D. McBride PhD; Keith J. Mueller PhD; Rebecca T. Slifkin PhD; and Mary Wakefield PhD, RN
The Underinsured in Rural America: The Root of the Problem and Possible Solutions, Andrew F. Coburn PhD and Erika C. Ziller PhD
Healthy IDEAS for Caregivers of People with Dementia in Maine: Evaluation Report, Julie T. Fralich MBA; Stuart Bratesman MPP; Mark Richards BS; and Susan M.C. Payne PhD, MPH
Maine Barriers to Integration Study: Environmental Scan, John A. Gale MS and David Lambert PhD
Developing Indicators to Document the Community Impact of CAHs (Policy Brief #7), John A. Gale MS, Jennifer D. Lenardson MHS, Andrew F. Coburn PhD, and Melanie M. Race MS
Employment of Advanced-practice Psychiatric Nurses to Stem Rural Mental Health Workforce Shortages, Nancy P. Hanrahan PhD, RN and David Hartley PhD, MHA
Myocardial infarction and heart failure hospitalization rates in Maine, USA - variability along the urban-rural continuum, David E. Harris, Aboueissa AbouEl-Makarim, and David Hartley
Lessons from a Project to Create Performance Measures for Public Health, Teresa A. Hubley
Early Detection and Intervention for the Prevention of Psychosis. Outreach Evaluation Report: Year 1 Annual Report, Brenda M. Joly PhD, MPH; Martha Elbaum-Williamson MPA; and Prashant Mittal MS, MSc
Substance Abuse Among Rural Youth: A little meth and a lot of booze, David Lambert PhD; John A. Gale MS; and David Hartley PhD, MHA
Use of Mental Health Services by Rural Children, David Lambert PhD, Erika C. Ziller PhD, and Jennifer D. Lenardson MHS
Distribution of Substance Abuse Treatment Facilities Across the Rural-Urban Continuum [Policy Brief], Jennifer D. Lenardson MHS and John A. Gale MS
Changing Physician Practice Arrangements in Maine: Trends and Implications, Jennifer Lenardson, Catherine McGuire, Shaun Alfreds, and Robert Keith
Understanding Changes to Physician Practice Arrangements in Maine and New Hampshire, Jennifer Lenardson, Catherine McGuire, Shaun Alfreds, and Robert Keith
The Community Benefit and Impact of CAHs: Results of the 2007 CAH Survey (Briefing Paper #19), Stephanie L. Loux MS, Andrew F. Coburn PhD, John A. Gale, and Jennifer D. Lenardson MHS
The Community Benefit and Impact of CAHs: the Results of the 2007 CAH Survey (Policy Brief #6), Stephanie L. Loux MS, Andrew F. Coburn PhD, John A. Gale MS, and Jennifer D. Lenardson MHS
