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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2008

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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

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Bridging Health Research and Policy: Effective Dissemination Strategies, Timothy McBride PhD; Andrew F. Coburn PhD; A. Clinton Mackinney MD,MS; Keith J. Mueller PhD; Rebecca T. Slifkin PhD; and Mary Wakefield PhD, RN

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Rural-urban Differences in Work Patterns Among Adults with Depressive Symptoms, Lisa Morris PhD; Stephenie L. Loux MS; Erika C. Ziller PhD; and David Hartley PhD, MHA

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The Impact of Medicare Prescription Drug Part D Coverage on Dual Eligibles and Drugs for the Elderly Enrollees and on the Organizations that Serve Them, Susan Payne PhD, MPH; Kimberley Fox MPA; and Deborah Thayer MBA

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Strategies for Improving Enrollment and Maximizing Cost Savings in Maine’s Private Health Insurance Premium Program (PHIP), Katie Rosingana and Kimberley Fox

Episode-based Physician Profiling: A Guide to the Perplexing, Lewis G. Sandy MD, Mark C. Rattray MD, and J. William Thomas PhD

The Difference Between Physical Activity and Nutrition Attitudes and Behaviors Among Maine High School Students, Alfred M. Sheehy and Jigna Dharod

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Children Served by MaineCare, 2007: Survey Findings, Deborah Thayer MBA and Nathaniel J. Anderson MS, MPH

Plain Language Thesaurus for Health Communications, J R.C. Tupper

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Strategies for Improving Patient Safety in Small Rural Hospitals, Judith B. Tupper DHEd, CHES, CPPS; Andrew F. Coburn PhD; Stephanie Loux MS; Ira S. Moscovice PhD; Jill Klingner PhD; and Mary Wakefield PhD, RN

Reduced Availability of Sugar-sweetened Beverages and Diet Soda has a Limited Impact on Beverage Consumption Patterns in Maine High School Youth, Janet E. Whatley Blum ScD; Anne-Marie Davee MS, RD; Christina M. Beaudoin PhD; Paul L. Jenkins PhD; Lori A. Kaley MS, MSB; and Debra A. Wigand MEd, CHES

Rural Adults Face "parity" Problems and Other Barriers to Appropriate Medical Care, Erika C. Ziller PhD; Nathaniel J. Anderson MS, MPH; and Andrew F. Coburn PhD

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Uninsured Rural Families, Erika C. Ziller PhD; Andrew F. Coburn PhD; Nathaniel J. Anderson MS, MPH; and Stephanie L. Loux MS

2007

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Lessons Learned from the Multistate Learning Collaborative, Russell A. Brewer DrPH; Brenda M. Joly PhD, MPH; Marlene Mason BSN, MBA; Debra Tews MA; and Lee Thielen MPA

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Choosing Rural Definitions: Implications for Health Policy, Andrew F. Coburn PhD; A. Clinton MacKinney MD, MS; Timothy D. McBride PhD; Keith J. Mueller PhD; Rebecca T. Slifkin PhD; and Mary K. Wakefield PhD, RN

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Exploring the Community Impact of CAHs (Briefing Paper #14), John A. Gale MS; Andrew F. Coburn PhD; Victoria Freeman DrPH; Walter Gregg MA, MPH; and Rebecca Slifkin PhD

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The Community Impact of CAHs (Policy Brief #2), John A. Gale MS; Andrew F. Coburn PhD; Victoria Freeman DrPH; Walter Gregg MA, MPH; and Rebecca Slifkin PhD

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Distribution of Substance Abuse Treatment Facilities Across the Rural-Urban Continuum [Working Paper], John A. Gale MS and Jennifer D. Lenardson MHS

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Reform Options for Maine’s Individual Health Insurance Market, Bela Gorman, Don Gorman, Elizabeth Kilbreth, Taryn Bowe, Gino Nalli, and Richard Diamond

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Substance Abuse Among Rural Youth: A little meth and a lot of booze, David Hartley PhD, MHA

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Use of Critical Access Hospital Emergency Rooms by Patients with Mental Health Symptoms, David Hartley PhD, MHA; Erika C. Ziller PhD; Stephenie L. Loux MS; John A. Gale MS; David Lambert PhD; and Anush Yousefian Hansen MS, MA

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Evaluating a Health Education Project in Maine, Teresa A. Hubley and MaryAnn Amrich

Linking Accreditation and Public Health Outcomes: a Logic Model Approach, Brenda M. Joly PhD, MPH; Georgeen Polyak PhD; Mary V. Davis DrPH, MSPH; Joan Brewster MPA; Beverly Tremain PhD; Cathy Raevsky BA; and Leslie M. Beitsch MD, JD

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Impact Evaluation of Maine’s Prescription Drug Monitoring Program Executive Summary, David Lambert PhD

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Maine's Rural Health Challenges, Jennifer D. Lenardson MHS and David Hartley PhD, MHA

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Developing a Performance-based Incentive Program for Hospitals: A Case Study from Maine, Gino A. Nalli, Dennis Patrick Scanlon, and Douglas Libby

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Volunteer Management Competencies: Training and Development, Anne Schink

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Volunteer Management Competencies: Indicators for Novice to Expert, Anne Schink and Lawrence Ullian

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Volunteer Management Competencies: Overview, Anne Schink and Lawrence Ullian

A Rural Perspective on Health Care for the Whole Person, Beth Hundall Stamm PhD, David Lambert PhD, Neil F. Piland DrPH, and Nancy Speck PhD

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What We Know and Do Not Know About Tiered Provider Networks, J. William Thomas PhD, Gino A. Nalli, and Andrew F. Coburn PhD

Evaluation as a Critical Factor of Success in Local Public Health Accreditation Programs, Beverly Tremain PhD; Mary V. Davis DrPH, MSPH; Brenda M. Joly PhD, MPH; Mark Edgar PhD; Mary L. Kushion MSA; and Rita Schmidt MPH

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Establishing the Acquired Brain Injury Trust Fund in Maine: Background Information, Experiences in Other States, and The Needs of Maine Individuals and Their Families, Judith B. Tupper DHEd, CHES, CPPS

Implementation of Low-fat, Low-sugar, and Portion-controlled Nutrition Guidelines in Competitive Food Venues of Maine Public High Schools., Janet E. Whatley Blum ScD; Anne-Marie Davee MS, RD; Rachel L. Devore BS; Christina M. Beaudoin PhD; Paul L. Jenkins PhD; Lori A. Kaley MS, MSB; and Debra A. Wigand MEd, CHES

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Rural Families More Likely to be Uninsured and Have Different Sources of Coverage, Erika C. Ziller PhD; Andrew F. Coburn PhD; Nathaniel J. Anderson MS, MPH; and Stephanie L. Loux MS

2006

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Community Partnerships for Older Adults: Meeting the Housing Challenge, Elise Bolda PhD

Governance and Management Structures for Community Partnerships: Experiences from the Robert Wood Johnson Foundation's Community Partnerships for Older Adults Program, Elise Bolda PhD, Paul Saucier MA, George L. Maddox PhD, Terrie Wetle PhD, and Jane I. Lowe

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Discussion Paper Remote Physiological Monitoring (RPM), Taryn Bowe

Prioritizing Patient Safety Interventions in Small and Rural Hospitals., Michelle M. Casey; Mary Wakefield PhD, RN; Andrew F. Coburn PhD; Ira S. Moscovice PhD; and Stephenie Loux MS

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Financing Mechanisms for State Health Insurance Coverage Initiatives: A Review of Existing State Programs, Kimberley Fox

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The Pharmacy Coverage Safety Net: Variations in State Responses to Supplement Medicare Part D, Kimberley Fox and Linda Schofield

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Creating Progam Logic Models: A Toolkit for State Flex Programs, John A. Gale MS, Andrew F. Coburn PhD, and Stephanie Loux MS

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Mental Health Care in Rural Communities: The Once and Future Role of Primary Care, John A. Gale MS and David Lambert PhD

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Use of National Public Health Performance Standards to Assess Maine's Diabetes System., Brenda M. Joly PhD, MPH; Karen O'Rourke MPH; Hugh H. Tilson DrPH; and James F. Leonard MSW

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Applications of Methodologies of the Veterans Health Study in the VA Healthcare System: Conclusions and Summary, Lewis E. Kazis ScD; Donald R. Miller ScD; Katherine M. Skinner PhD; Austin Lee PhD; Xinhua S. Ren PhD; Jack A. Clark PhD; William H. Rogers PhD; Avron Sprio PhD; Alfredo Selim MD; Mark Linzer MD; Susan M.C. Payne PhD, MPH; Dorcas Mansell MD, MPH; and B. Graeme Fincke

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Comparing the Dirigo Choice Program Experience with Other State Initiatives Targeted to Small Businesses and Individuals, Elizabeth Kilbreth PhD

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Quality and Performance Improvement Grant Activities Under the Flex Program (Briefing Paper #12), Jennifer D. Lenardson MHS and John A. Gale MS

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Emergency Medical Services (EMS) Activities Funded by the Medicare Rural Hospital Flexibility Program, P.D. Patterson; John A. Gale MS; Stephanie L. Loux MS; Anush Yousefian Hansen MS,MA; and Rebecca T. Slifkin PhD

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Rural and Frontier Mental and Behavioral Health Care: Barriers, Effective Policy Stategies, Best Practices, Donald Sawyer PhD, MBA; John A. Gale MS; and David Lambert PhD

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Economic Profiling of Physicians: Does Omission of Pharmacy Claims Bias Performance Measurement?, J. William Thomas PhD