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Improving Health Outcomes for Children (IHOC): Summary of pediatric quality measures for children enrolled in MaineCare FFY 2009 - FFY 2012

Abstract: 

This report, authored by USM Muskie School research staff, presents the results of the 16 CHIPRA Core Measures that were collected using MaineCare claims or Vital Statistics data and reported in the State of Maine’s FFY 2012 CHIP Annual Report to the Centers for Medicare and Medicaid Services (CMS). Also included in this report are an additional three measures from the Improving Health Outcomes for Children (IHOC) project’s Master List of Pediatric Measures. In addition to presenting results in graphs and narrative, this report also provides measure definitions and background information about each measure topic.

The goal of this document is to present the claims- and vital statistics-based CHIPRA and IHOC measure results in a user-friendly format for IHOC project stakeholders. Measures are grouped by topic. For each topic, a Background section provides a brief description and rationale for collection. (The background discussion for CHIPRA Core Measures is drawn from the Background Report for the Initial, Recommended Core Set of Children’s Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs. Available at: http://www.ahrq.gov/chipra/corebackgrnd.htm) Next, we provide a general description of how each measure is defined, followed by the results.

Suggested citation: Anderson N, Meagher T. Improving Health Outcomes for Children (IHOC): Summary of Pediatric Quality Measures for Children Enrolled in MaineCare FFY 2009 - FFY 2012.   Portland, ME: University of Southern Maine, Muskie School of Public Service; April 2013.

Publish Date: 
04-30-2013
Author: 
Project: 
URL: 
http://www.maine.gov/dhhs/oms/pdfs_doc/ihoc/Summary_of_Pediatric_Quality_Measures_2012.pdf

Improving Health Outcomes for Children (IHOC) First STEPS Phase I Initiative: Improving Immunizations for Children and Adolescents

Abstract: 

This report, co-authored by Kimberley Fox and Carolyn Gray, provides a final evaluation of the initial phase of First STEPS (Strengthening Together Early Preventive Services), a learning collaborative led by Maine Quality Counts to support 24 pediatric and family practices in improving their childhood immunization rates. The evaluation found that all participating practices had higher immunization rates after participating in First STEPS. On average, overall child immunization rates increased by 5.1% at 12 months and 7.1% at 15 months, and average immunization rates across practices increased significantly from 74.2% to 81.3%. Practices also reported significant improvement in the use of recommended office practices, including staff training, recall/reminder procedures, and the use of data/registries.

This work was conducted under a Cooperative Agreement between the Maine Department of Health and Human Services and the Muskie School of Public Service at the University of Southern Maine and is funded under grant CFDA 93.767 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS) authorized by Section 401(d) of the Child Health Insurance Program Reauthorization Act (CHIPRA). These contents do not necessarily represent the policy of the U.S. Department of Health and Human Services, and you should not assume endorsement by the Federal Government.

Suggested citation: Fox K, Gray C. Improving Health Outcomes for Children (IHOC) First STEPS Phase I Initiative: Improving Immunizations for Children and Adolescents. (Final Evaluation Report).  Portland, ME: University fof Southern Maine, Muskie School of Public Service; March 2013.

Publish Date: 
03-29-2013
Project: 
URL: 
http://www.maine.gov/dhhs/oms/pdfs_doc/ihoc/first-steps-phase1-eval-report.pdf

Federal Health Care Reform: An Overview [Policy Brief]

Abstract: 

This policy brief discusses three of the main components of the Patient Protection and Affordable Care Act (ACA), also known as "Obamacare".  These components are helath insurance coverage, delivery system improvement, and cost containment.  The policy brief highlights some of the provision of the law that have already been implemented and those where importnat implementation decisions will have to be made.  The brief is authored by Dr. Andrew Coburn, PhD, Professor of Public Health and Director of the Population Health and Health Policy program at the USM Muskie School, and was presented at the Maine Policy Leaders Academy Health Care Forum breakfast session, Feb. 26, 2013 at the Senator Inn in Augusta,sponsored by the Maine Health Access Foundation.

For more information, please direct questions and comments to andyc@usm.maine.edu

Publish Date: 
02-26-2013
Author: 
URL: 
http://muskie.usm.maine.edu/Publications/PHHP/Federal-Health-Care-Reform-Overview2013.pdf

Smoking Cessation 2010-2013

Duration: 
11/1/2010 - 6/30/2013
Director: 
Principal Investigator: 
Collaborators: 
MaineHealth
Abstract: 

For several years, the Center for Tobacco Independence (CTI) has contracted to have phone surveys conducted with a sample of people who call the Center's Help Line. Data from these surveys provide a great deal of information such as the rate of success in quitting tobacco and the methods that are most successful. Beginning in 2009, the Muskie School's Survey Research Center (SRC) became CTI's survey contractor, conducting 730 telephone interviews with a random sample of people who called the Help Line. Following up on the success of that study, SRC will conduct the phone interviews in 2012.

Behavioral Risk Factor Surveillance System (BRFSS) Data Management & Analysis 2012-2013

Duration: 
10/1/2012 - 9/30/2013
Collaborators: 
Maine CDC
Abstract: 

Behavioral Risk Factor Surveillance System is one of Maine’s standard health behavior surveillance systems, data from which informs policy development, program planning, and other public health interventions for chronic disease prevention. This project will assist the Maine BRFSS coordinator and the Maine CDC to achieve BRFSS objectives. Muskie School staff will update the BRFSS interactive web query as well as maintain multiple-year standardized datasets, add the most recent year of data, and update documentation. Muskie staff will also perform other analyses as necessary, including multivariate and trend analyses to help the Maine CDC better understand prevalence, risk factors and disease management for health behaviors and conditions (such as diabetes, asthma, and cardiovascular disease) that impose a heavy burden on the residents of Maine and its health care system.

Maine Rural Health Research Center 2012

Duration: 
9/1/2012 - 8/31/2013
Director: 
Principal Investigator: 
Abstract: 

Established in 1992, the mission of the Maine Rural Health Research Center is to inform health care policy making and the delivery of rural health services through high quality, policy-relevant research, policy analysis and technical assistance on rural health issues of regional and national significance. The Center's core funding is provided by the federal Office of Rural Health Policy.

Project URL: 
http://muskie.usm.maine.edu/ihp/ruralhealth/

State Health Access Reform Evaluation (SHARE)

Duration: 
1/1/2008 - 1/31/2010
Abstract: 

This study will examine the impact of program cost sharing features on the access to care for low income persons and populations who face particular barriers to care due to pre-existing health conditions. The Muskie School is seeking the cooperation of the states of Vermont, Maine, and New Hampshire in making this study feasible. Such cooperation would require assisting the research team in accessing claims and administrative databases for persons enrolled in the state access initiatives.

Policy Leaders Academy: Legislative Forum on Healthcare

Duration: 
1/1/2006 - 1/2/2007
Director: 
Principal Investigator: 
Abstract: 

With funding from the Maine Health Access Foundation, Muskie School faculty and staff worked with the Maine Development Foundation and the Margaret Chase Smith Policy Center at the University of Maine to develop and deliver a day-long educational forum for the Maine legislature on health care on January 26, 2007. In addition to a keynote address by Dr. Karen Davis from the Commonwealth Fund, breakout sessions with accompanying Issue Briefs were held on a variety of topics including Medicaid, rural health, workforce, health information technology, state health reform, Maine?s Dirigo health reform initiative, behavioral health, public health, and Maine?s aging population. All Issue Briefs and presentations from the Forum are available for viewing and download from the Muskie School?s website at http://muskie.usm maine.edu

Advancing Public Health Practice

Duration: 
1/1/2007 - 1/30/2008
Collaborators: 
Maine Center for Diseaxe Control
Abstract: 

The goals of this cooperative agreement are to build and enhance the capacity of Maine State government, the University of Southern Maine, and Maine's public health systems to improve the health of Maine's population. Project goals objectives address 1) expanding and coordinating public health research and evaluation, 2) developing and piloting model program systems, 3)building human resource capacity for program performance, and 4) designing and delivering new education and training programs to support the developemnt of public health leadership and a more effective professional public health workforce.

Team Nutrition Training Grant

Duration: 
1/30/2008 - 1/30/2009
Collaborators: 
Maine Department of Education
Abstract: 

Maine DOE as applicant is partnering with Muskie to perform activities in three focus areas: 1)Provide training for Child Nutrition (CN)food service professionals and Childcare Providers to enable them to prepare and serve nutritious and appealing meals based on the 2005 Dietary Guidelines for Americans with a focus on increased fruits and vegetables, whole grains, and low-fat dairy products. 2)Provice multi-faceted, integrated nutrition education for children by offering training, technical assistance, curriculum materials, and resources to support classroom nutrition education and increased opportunites for physical activity be enrolling up to 120 elementary and middle school teachers in MNN's Maine-ly Nutrition Project. 3)Provide youth leaders with multi-faceted, nutrition education activities to effect positive changes in food consumption patterns and physical activity behaviors eith their peers.

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