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Cutler Institute for Health and Social Policy

Population Health and Health Policy

Maine Rural Health Research Center 20th Anniversary Celebration

Event Date and Time: 
Thu, 11/15/2012 - 2:00pm - 4:00pm
Location: 
Billings Nicoll Forum, Wishcamper Center, 34 Bedford Street, USM Portland Campus

Maine Rural Health Research CenterJoin us as we celebrate 20 years of rural health policy research by the Maine Rural Health Research Center, one of only seven national research and policy analysis centers funded by the Office of Rural Health Policy, U.S. Department of Health and Human Services.

The event is free and open to the public. Please RSVP with Donna Reed.


Established in 1992, the Maine Rural Health Research Center draws on the multidisciplinary faculty, research resources, and capacity of the Cutler Institute for Health and Social Policy within the USM Muskie School of Public Service. The center's mission is to inform health care policymaking and the delivery of rural health services through high quality research, policy analysis, and technical assistance on rural health issues of regional and national significance. Its portfolio of rural health services research addresses critical, policy-relevant issues in health care access and financing, rural hospitals, primary care, and behavioral health.

Contact Name: 
Donna Reed
Contact Phone: 
(207) 780-4846
Contact Email: 
donnar@usm.maine.edu

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.

Seatbelts 2011-2012

Duration: 
10/1/2011 - 9/30/2012
Director: 
Principal Investigator: 
Collaborators: 
Maine Bureau of Highway Safety
Abstract: 

In April 2008, Maine began implementing a new primary enforcement law regarding seatbelt use. We now have the opportunity to measure the impact of the new law from several perspectives. This project will examine seatbelt use throughout the state, with an additional rural use component. We will also measure motorcycle helmet use, as well as night time seatbelt use. In addition, in-person surveys will be conducted at a number of Bureau of Motor Vehicle Offices to obtain information about certain driving behaviors. Past study findings have been and will continue to be used by groups such as Maine CDC and Maine Health Information Center. This study will allow the Survey Research Center to continue a long relationship with the Maine Bureau of Highway Safety, the National Highway Traffic Safety Administration, and the Preusser Research Group. It will also provide a rare opportunity to examine the direct effects of a change in law enforcement policy.

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

Duration: 
10/1/2012 - 9/30/2013
Principal Investigator: 
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.

Rural Implementation and Impact of Medicaid Expansions

Duration: 
7/1/2012 - 6/30/2013
Director: 
Principal Investigator: 
Abstract: 

A project funded by State Health Access Reform Evaluation (SHARE) to inform federal and state implementation of the Medicaid expansions under the ACA by estimating the size and characteristics of rural residents likely to be newly eligible. The study will provide nationally representative information that identifies the extent to which rural residents live in states that have already expanded coverage to low-income adults; how many eligible individuals have participated; the characteristics of the remaining pool of the rural uninsured; and the potential impact of Medicaid expansions on rural primary care and delivery system capacity.

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/

Maine Patient Centered Medical Home (PCMH) Pilot: Implementation Evaluation

Abstract: 

The purpose of this Maine Patient Centered Medical Home (PCMH) Pilot is to improve quality of care, efficiency, and patient/family satisfaction provided by primary care practices. Its premise is that the resources provided to practices through the Pilot (including enhanced payments, training, consultation, and learning collaborative) will help them transform themselves and reach a higher level of functionality as medical homes, which in turn will lead to improvements in quality of care, efficiency, and patient/family satisfaction. The three-year Pilot was convened by MaineCare, the Maine Quality Forum, and Quality Counts. The participating payers are MaineCare (Maine Medicaid), Aetna, Anthem, and Harvard Pilgrim Health Care. Three aspects of the Pilot are being evaluated by the Muskie School of Public Service: 1) patient’s experiences; 2) the implementation process and interim results during Year 1; and 3) changes in the quality and efficiency of primary care. This report focuses on findings from the implementation evaluation. The objectives of the implementation evaluation are to
• Profile the characteristics of the Pilot practices
• Describe the practices’ objectives and strategies for implementing the Pilot
• Describe the implementation process during Year 1
• Provide practical guidance to the practices, the Pilot conveners, and MaineCare
• Develop profiles of the Pilot practices for use in the quality and efficiency evaluation
• Make recommendations for use by evaluators of other PCMH pilots

Publish Date: 
05-04-2011
URL: 
http://muskie.usm.maine.edu/Publications/Maine-PCMH-Implementation-Evaluation.pdf

2012 Maine Child Support Guidelines: Review and Recommendations

Abstract: 

Ward, S., Daley, J., Fraumeni, B., Shaler, G., Griffin, E., Knox, M., Hallett, L., & Mandeville, L. (2012, July). 2012 Maine child support guidelines: Review and recommendations. Portland, ME: University of Southern Maine, Muskie School of Public Service, Cutler Institute for Health and Social Policy.

Prepared for the Maine Department of Health and Human Services, Office for Family Independence, Division of Child Support Enforcement. This report summarizes the quadrennial review of Maine's child support guidelines conducted by the USM Muskie School , which complies with federal law requiring each state's child support guidelines be reviewed at least once every four years. Principle findings of the extensive review by the Muskie School show that many aspects of Maine's child support system work well. Maine's low deviation rate reflects a reasonably high level of consistency in apply the guidelines, and in large part, protect the needs and interests of the children. The report provides background and overview of child support modes and the Maine guidelines, and describes the elements of the review: Literature Review, Policy Analysis, Economic Analysis, Deviation Study, Stakeholder Input, Interviews with other State Child Support Officials, and concludes with several findings and recommendations. For additional information about the report or the study, contact Janice Daley at the Muskie School (jdaley@usm.maine.edu).

Publish Date: 
07-31-2012

Integrating care in rural areas

Abstract: 

Citation: Lambert, D., & Gale, J.A. (2012). Integrating care in rural areas. In Smalley, K.B., Warren, J.C., & Rainer, J.P. (Eds.), Rural Mental Health. (pp. 131-148). New York, NY: Springer Publishing Co.

Publish Date: 
08-01-2012

Substance abuse and use in rural America

Abstract: 

Citation: Lenardson, J., Hartley, D., Gale, J.A., & Pearson, K.B. (2012). Substance use and abuse in rural America. In Smalley, K.B., Warren, J.C., & Rainer, J.P. (Eds.), Rural Mental Health. (pp. 191-212). New York, NY: Springer Publishing Co.

Publish Date: 
08-01-2012
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