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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2017

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

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Rural Long-Term Services and Supports: A Primer, Andrew F. Coburn PhD; Jennifer P. Lundblad PhD, MBA; Erin M. Mobley MPH; and RUPRI Health Panel

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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 [Working Paper], 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 Yousefian Hansen MS,MA; and Martha Elbaum Williamson MPA

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

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Time-Varying Effects of Parental Alcoholism on Depression., Sunita Thapa, Arielle S Selya, and Yvonne Jonk PhD

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The 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

2016

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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, Zachariah T. Croll MPH, and Erika C. Ziller PhD

Role and Early Impact of CO-OPs in the Rural Health Insurance Marketplace, Zach T. Croll BA

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Community Impact and Benefit Activities of CAHs, Other Rural, and Urban Hospitals, 2014, Zach T. Croll MPH, Lauren Zoll MPH, John A. Gale MPH, and Andrew F. Coburn PhD

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Comparing the Community Benefit Spending of CAHs, Other Rural, and Urban Hospitals (FMT Policy Brief #45), John A. Gale MS, Zach T. Croll, Andrew F. Coburn PhD, and Jamar Croom MS

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Pilot testing a Rural Health Clinic quality measurement reporting system, John A. Gale MS; Anush Yousefian Hansen MS,MA; David Hartley PhD, MHA; 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

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Understanding the Business Case for Telemental Health in Rural Communities., David Lambert PhD; John A. Gale MS; David Hartley PhD, MHA; Zachariah T. 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 C. 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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Adverse Childhood Experiences in Rural and Urban Contexts, Jean A. Talbot PhD, Donald Szlosek MPH, and Erika C. Ziller PhD

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Mental Health First Aid in Rural Communities: Appropriateness and Outcomes, Jean A. 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 S. Fox MPA

Rural Active Living, Anush Yousefian Hansen MS,MA

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

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Health Insurance CO-OPs: Product Availability and Premiums in Rural Counties, Erika C. Ziller PhD, Zachariah T. Croll BA, and Andrew F. Coburn PhD

2015

Promoting Quality Improvement in Michigan Rural Health Clinics, 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

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Rural Hospital Strategies for Population Health Improvement, Andrew F. Coburn PhD and John A. Gale MS

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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CAH-Relevant Measures for Health System Development & Population Health (Policy Brief #42), John A. Gale MS, Andrew F. Coburn PhD, and Zach T. Croll MPH

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Adoption and Use of Electronic Health Records by Rural Health Clinics: Results of a National Survey [Policy Brief], John A. Gale MS; Zachariah T. Croll MPH; and David Hartley PhD, MHA

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Adoption and Use of Electronic Health Records by Rural Health Clinics: Results of a National Survey [Working Paper], John A. Gale MS; Zachariah T. Croll MPH; 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 [Working Paper], John A. Gale MS; Zachariah T. Croll MPH; 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 [Policy Brief], John A. Gale MS; Zachariah T. Croll MPH; David Hartley PhD, MHA; and Andrew F. Coburn PhD

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Charity Care and Uncompensated Care Activities of Tax-Exempt Critical Access Hospitals (FMT Briefing Paper #35), John A. Gale MS, Jamar Croom MS, Zach T. Croll MPH, 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

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Exploring the Business Case for Children's Telebehavioral Health, John A. Gale MS and David Lambert PhD

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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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Charity Care and Uncompensated Care Activities of Tax-Exempt Critical Access Hospitals (FMT Policy Brief #38), John Gale MS, Jamar Croom MS, Zach T. Croll MPH, 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 S. Fox MPA

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

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Rural and Remote Food Environments and Obesity, Jennifer D. Lenardson MHS; Anush Yousefian Hansen MS, MA; and David Hartley PhD

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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 S. 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 S. Fox MPA, and Andrea Gerstenberger ScD

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Implications of Rural Residence and Single Mother Status for Maternal Smoking Behaviors, Jean A. Talbot PhD, Donald Szlosek MPH, and Erika C. Ziller PhD

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Safety of Rural Nursing Home-to-emergency Department Transfers: Improving Communication and Patient Information Sharing Across Settings, Judith B. Tupper DHEd, CHES, CPPS; Carolyn E. Gray MPH; Karen B. Pearson MLIS, MA; and Andrew F. Coburn PhD

Mental Health First Aid in Rural Communities [Presentation], Erika C. Ziller PhD

Delay, Forego, Strategize: Affordability of Medical Care Among Rural Adults [Presentation], Erika C. Ziller PhD and Jennifer D. Lenardson MHS

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Rural Implications of Medicaid Expansion under the Affordable Care Act, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD