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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2013

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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

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Promoting Early Detection of Psychosis: The Role of Community Outreach, Brenda M. Joly PhD, MPH; Kimberly Pukstas-Bernard PhD; Martha Elbaum Williamson MPA; and Prashant Mittal MSc, MS

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Evidence-Based Falls Prevention in CAHs (Policy Brief #24), Karen B. Pearson MLIS, MA and Andrew F. Coburn PhD

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Landscape of Maine Patient Safety Activities: A Report to the Dirigo Health Agency’s Maine Quality Forum, Judith B. Tupper DHEd, CHES, CPPS and Carolyn E. Gray MPH

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Achieving Consensus on Measure-Driven Child Health Quality: Maine’s Improving Health Outcomes for Children Initiative, Martha Elbaum Williamson MPA; Nargiza Fuzailova MD, MPH; and Kimberley S. Fox MPA

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Health Status, Service Use and Cost among MaineCare Children in Foster Care, Erika C. Ziller PhD; Tina Gressani; Catherine McGuire BS; Kimberley S. Fox MPA; and Kyra Chamberlain MS, RN

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Health Care Access and Use Among the Rural Uninsured [Article], Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD

2011

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Improving Hospital Patient Safety Through Teamwork: The Use of TeamSTEPPS in CAHs (Policy Brief #21), Andrew F. Coburn PhD and Zach T. Croll BA

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CO-OP Health Plans: Can They Help Fix Rural America's Health Insurance Markets?, Andrew F. Coburn PhD, Jean A. Talbot PhD, Erika C. Ziller PhD, and Zach T. Croll BA

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Improving Health Outcomes for Foster Care Children in Maine DRAFT Conceptual Model, Culter Institute of Health and Social Policy

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Dietary Intake, Food Security, and Acculturation Among Somali Refugees in the United States: Results of a Pilot Study, Jigna M. Dharod, Jamar Croom MS, Chris G. Sady, and Dale Morrell

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Baseline Data for Maine Pediatric and Family Practices from ARRA-funded HIT Ambulatory Practice Survey Data, Kimberley S. Fox MPA

Assessing the Proximity of Healthy Food Options and Food Deserts in a Rural Area in Maine: Local Food Systems and the Applied Geography of Food, Teresa A. Hubley

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Crafting a Foundation for Evaluating a Worksite Wellness Program, Teresa A. Hubley and Kay Dutram

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The High Performance Rural Health Care System of the Future, Keith J. Mueller PhD; Andrew F. Coburn PhD; Jennifer P. Lundblad PhD, MBA; and A. Clinton MacKinney MD, MS

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The Maine Patient Centered Medical Home (PCMH) Pilot: Implementation Evaluation, Susan M.C. Payne PhD, MPH and Carolyn E. Gray MPH

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Provision of Long Term Care Services by CAHs: Are Things Changing? (Policy Brief #19), Melanie Race MS, John A. Gale MS, and Andrew F. Coburn PhD

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Final Report: The Practice and Impact of Shared Decision-Making, Shared Decision-Making Study Group for the Dirigo Health Agency’s Maine Quality Forum

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Maine Pediatric and Family Practice Survey Chartbook: Improving Health Outcomes for Children, Martha Elbaum Williamson MPA, Kimberley S. Fox MPA, Al Leighton BA, and Stuart Bratesman MPP

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Understanding the rural food environment: Perspectives of low-income parents, Anush Yousefian Hansen MS, MA; Al Leighton BA; Kimberley Fox MPA; and David Hartley PhD, MHA

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Health Care Access and Use Among the Rural Uninsured [Policy Brief], Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD

2010

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Incorporating Statistical Uncertainty in the Use of Physician Cost Profiles, John L. Adams PhD; Elizabeth A. McGlynn PhD; J. William Thomas PhD; and Ateev Mehrotra MD, MPH

Physician Cost Profiling — Reliability and Risk of Misclassification, John L. Adams PhD; Ateev Mehrotra MD, MPH; J. William Thomas PhD; and Elizabeth A. McGlynn PhD

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Impact of Employment Transitions on Health Insurance Coverage of Rural Residents, Nathaniel J. Anderson MS, MPH; Erika C. Ziller PhD; Melanie M. Race MS; and Andrew F. Coburn PhD

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Many Urban and Rural Workers Lose Health Insurance During Job Transitions, Nathaniel J. Anderson MS, MPH; Erika C. Ziller PhD; Melanie M. Race MS; and Andrew F. Coburn PhD

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The Role of State Flex Programs in Supporting Quality Improvement in CAHs (Policy Brief #16), Andrew F. Coburn PhD; John A. Gale MS; Mark Richards BA; and Anush Yousefian Hansen MS,MA

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Models for Quality Improvement in CAHs: The Role of State Flex Programs (Briefing Paper #25), Andrew F. Coburn PhD; John A. Gale MS; Mark Richards BA; Anush Yousefian Hansen MS, MA; and Melanie Race MS