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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2015

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Out-of-Pocket Spending among Rural Medicare Beneficiaries, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD

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Rural Adults Delay, Forego, and Strategize to Afford Their Pre-ACA Health Care, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD

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Rural Disabled Medicare Beneficiaries Spend More out-of-Pocket Than Their Urban Counterparts, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD

2014

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New England Food Vision: Healthy Food for All, Sustainable Farming and Fishing, Thriving Communities, Molly Anderson, Amanda Beal, Joanne Burke, Brian Donahue, Linda Berlin, Tom Kelly, Mark Lapping, Russell Libby, and Hannah Ramer

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Transforming Public Health Practice Through Accreditation (a user guide for the special accreditation issue)., Leslie M. Beitsch MD, JD; Liza C. Corso MPA; Mary V. Davis DrPH, MSPH; Brenda M. Joly PhD, MPH; Jessica Kronstadt MPP; and William J. Riley PhD

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Creating Quality Improvement Culture in Public Health Agencies, Mary V. Davis DrPH, MSPH; Elizabeth Mahanna MPH; Brenda M. Joly PhD, MPH; Michael Zelek MPH; William J. Riley PhD; Pooja Verma MPH; and Jessica Solomon Fisher MCP

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Early Lessons Learned in Implementing MaineCare Health Homes, Kimberley S. Fox MPA, Carolyn E. Gray MPH, and Katherine Rosingana

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MaineCare Health Homes Enrollment in the First Year of Implementation, Kimberley S. Fox MPA, Carolyn E. Gray MPH, and Katherine Rosingana

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MaineCare Stage A Health Homes Year 1 Report: Implementation Findings and Baseline Analysis, Kimberley S. Fox MPA, Carolyn E. Gray MPH, Katherine Rosingana, and Deborah A. Thayer MBA

Factors Affecting Costs in Medicaid Populations with Behavioral Health Disorders, Elsie Freeman MD, MPH; Catherine McGuire BS; John W. Thomas PhD; and Deborah A. Thayer MBA

Turning around the struggling rural hospital: Shared responsibility and hard work, John A. Gale MS

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Collaborative Community Health Needs Assessments: Approaches and Benefits for Critical Access Hospitals (FMT Policy Brief #36), John A. Gale MS, Andrew F. Coburn PhD, and Helen E. Newton BA

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Meaningful Use of Electronic Health Record by Rural Health Clinics [Policy Brief], John A. Gale MS; David Hartley PhD, MHA; and Zachariah T. Croll MPH

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Meaningful Use of Electronic Health Record by Rural Health Clinics [Working Paper], John A. Gale MS; David Hartley PhD, MHA; and Zachariah T. Croll MPH

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Integrated Care for Older Adults in Rural Communities, Eileen Griffin JD and Andrew F. Coburn PhD

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Integrated Care Management in Rural Communities, Eileen Griffin JD and Andrew F. Coburn PhD

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Introduction to Case Reports: One Goal - Many Journeys, Brenda M. Joly PhD, MPH and Mary V. Davis DrPH, MSPH

As the Nation Goes, so Goes Maine?, Elizabeth Kilbreth PhD

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Profile of Rural Residential Care Facilities: A chartbook, Jennifer D. Lenardson MHS, Eileen Griffin JD, Zachariah T. Croll MPH, Erika C. Ziller PhD, and Andrew F. Coburn PhD

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High Deductible Health Insurance Plans in Rural Areas, Jennifer D. Lenardson MHS, Erika C. Ziller PhD, and Andrew F. Coburn PhD

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Rural residents more likely to be enrolled in high-deductible health plans, Jennifer D. Lenardson MHS, Erika C. Ziller PhD, and Andrew F. Coburn PhD

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Maine Center for Disease Control and Prevention: Accreditation Readiness Review., Kate P. Marone CPH, MA; Brenda M. Joly PhD, MPH; Nancy Birkhimer MPH; Valerie J. Ricker MSN, MS; and Brynn Riley MS

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Maine Voices: Accepting Federal Funds, Containing Costs Makes Sense for MaineCare, Trish Riley

Accessing and Using Health Data to Support Health System Transformation: The Early Experience of MeHAF Payment Reform Grantees, Barbara Shaw JD, Andrew F. Coburn PhD, Kimberley S. Fox MPA, and Andrea Gerstenberger ScD

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Summary of Pediatric Quality Measures For Children Enrolled in MaineCare FFY 2009-FFY 2013, Mary Lindsey Smith PhD, MSW

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Fact Sheet #1: How Family-Centered is MaineCare?, Jean A. Talbot PhD; Mary Lindsey Smith PhD, MSW; and Kimberley S. Fox MPA

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Fact Sheet #2: How Do MaineCare Providers Perform on Childhood Screening and Prevention?, Jean A. Talbot PhD; Mary Lindsey Smith PhD, MSW; and Kimberley S. Fox MPA

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Fact Sheet #3: How Do Parents Rate Dental Services for Children in MaineCare?, Jean A. Talbot PhD; Mary Lindsey Smith PhD, MSW; and Kimberley S. Fox MPA

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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