Digital Commons Network^™

Innovations In Rural Health System Development: Service Delivery Advances In Care Coordination, Emergency Care, And Telehealth, Amanda Burgess Mppm, Andrew F. Coburn Phd

Health System Reform

This series of briefs were produced by the Maine Health Access Foundation (MeHAF) in conjunction with the Maine Rural Health Research Center to describe robust and innovative models and strategies from Maine and other parts of the country related to the areas of health finance and payment, governance, workforce, and service delivery that have the potential to be replicated or adapted here in Maine.

Other briefs in this series:

• Moving Rural Health Systems to Value-Based Payment
• Recruiting and Retaining Maine's Health Care Workforce
• Governance
• Maine's Behavioral Health Services

Learn more at www.mehaf.org

Innovations In Rural Health System Development: Maine's Behavioral Health Services, Amanda Burgess Mppm, Andrew F. Coburn Phd

Health System Reform

This series of briefs were produced by the Maine Health Access Foundation (MeHAF) in conjunction with the Maine Rural Health Research Center to describe robust and innovative models and strategies from Maine and other parts of the country related to the areas of health finance and payment, governance, workforce, and service delivery that have the potential to be replicated or adapted here in Maine.

Other briefs in this series:

• Moving Rural Health Systems to Value-Based Payment
• Recruiting and Retaining Maine's Health Care Workforce
• Governance
• Service Delivery Advances in Care Coordination, Emergency Care, and Telehealth
• Federally Qualified Health Center Initiatives

Learn …

Innovations In Rural Health System Development: Moving Rural Health Systems To Value-Based Payment, Sara Kahn-Troster Mph, Andrew F. Coburn Phd

Health System Reform

This series of briefs were produced by the Maine Health Access Foundation (MeHAF) in conjunction with the Maine Rural Health Research Center to describe robust and innovative models and strategies from Maine and other parts of the country related to the areas of health finance and payment, governance, workforce, and service delivery that have the potential to be replicated or adapted here in Maine.

Other briefs in this:

• Recruiting and Retaining Maine's Health Care Workforce
• Governance
• Maine's Behavioral Health Services
• Service Delivery Advances in Care Coordination, Emergency Care, and Telehealth
• Federally Qualified Health Center Initiatives

Learn more at www.mehaf.org

Innovations In Rural Health System Development: Recruiting And Retaining Maine's Health Care Workforce, Amanda Burgess Mppm, Andrew F. Coburn Phd

Health System Reform

This series of briefs were produced by the Maine Health Access Foundation (MeHAF) in conjunction with the Maine Rural Health Research Center to describe robust and innovative models and strategies from Maine and other parts of the country related to the areas of health finance and payment, governance, workforce, and service delivery that have the potential to be replicated or adapted here in Maine.

Other briefs in this series:

• Moving Rural Health Systems to Value-Based Payment
• Governance
• Maine's Behavioral Health Services
• Service Delivery Advances in Care Coordination Emergency Care, and Telehealth
• Federally Qualified Health Center Initiatives

Learn more at www.mehaf.org

Innovations In Rural Health System Development: Governance, Sara Kahn-Troster Mph, Andrew F. Coburn Phd

Health System Reform

This series of briefs were produced by the Maine Health Access Foundation (MeHAF) in conjunction with the Maine Rural Health Research Center to describe robust and innovative models and strategies from Maine and other parts of the country related to the areas of health finance and payment, governance, workforce, and service delivery that have the potential to be replicated or adapted here in Maine.

Other briefs in this series:

• Moving Rural Health Systems to Value-Based Payment
• Recruiting and Retaining Maine's Health Care Workforce
• Maine's Behavioral Health Services
• Service Delivery Advances in Care Coordination Emergency Care, and Telehealth
• Federally Qualified Health …

Access To Health Care Services For Adults In Maine [Report], Erika C. Ziller Phd

Access / Insurance

On October 17, 2016, the Maine Health Access Foundation (MeHAF) released a new research brief developed with the University of Southern Maine that found significant inequality in the ability of people in Maine to access quality health care. The authors, Barbara Leonard from MeHAF and Erika Ziller from the USM Muskie School, found that income, age and education are all closely associated with Maine people’s ability to receive appropriate and timely health care. Specifically, they found that among Maine adults 18 and older, those with family incomes less than $25,000 a year, young adults, racial and ethnic minorities, and people …

Addressing Microaggressions: Transgressing The Line Between Professional And Social Activism, Karla Scott, Victoria Defrancisco, Maureen Ebben

Faculty Scholarship

The focus of this workshop is the often overlooked day-to-day wearing down of people in oppressed groups as recipients of microaggressions. While most who are sympathetic to this problem know what a microaggression is, faculty, staff and students tend to fear addressing such aggressions. They simply may not know how to do so effectively. In this hands-on workshop participants will grapple with specific scenarios and be invited to try out different communicative responses and other tools to work toward creating a more inclusive climate for all. The workshop comes from an intersectional feminist perspective, shinning a light on oppressive behaviors …

Fostering Citizen Stewardship For Maine’S Freshwater Lakes, Firooza Pavri

Faculty Publications

Our current project, which includes a partnership between the University of Southern Maine, the University of Maine, the VLMP and the Maine Department of Environmental Protection, seeks to assess the vulnerability of Maine lakes to water quality decline. As part of this study, the University of Southern Maine and the VLMP engaged in a survey of lake associations and VLMP monitors across a study sample of twenty four lakes to examine their role in data collection, monitoring, and conservation management vis-à-vis lake stewardship. These data enable us to build a profile of our citizen stewards. Moreover, we are able to …

Health Insurance Co-Ops: Product Availability And Premiums In Rural Counties, Erika C. Ziller Phd, Zachariah T. Croll Ba, Andrew F. Coburn Phd

Access / Insurance

Created by the Affordable Care Act (ACA), Consumer Operated and Oriented Plans (CO-OPs) are private, non-profit health insurers that were designed to increase insurance plan choice and lower premiums in the Health Insurance Marketplaces. Early analyses of the ACA suggested that CO-OPs may be particularly beneficial for rural communities, where fewer individual and small group health insurance options have traditionally been available.

This Research and Policy Brief, authored by research staff at the Maine Rural Health Research Center, explores the early availability and role of CO-OPs in rural and urban counties. We describe the regional distribution and market prevalence of …

A Preliminary Investigation Of Maine Virtual Charter School Costs Relative To The Essential Programs And Services Funding Model, Amy F. Johnson Phd, Fleur Hopper, James E. Sloan

School Funding - Essential Programs and Services (EPS)

In 2015, the Maine State Legislature’s Joint Standing Committee on Education and Cultural Affairs commissioned the Maine Education Policy Research Institute (MEPRI) to study the state’s Essential Program and Services (EPS) K-­‐12 education funding model in relationship to the funding for Maine’s two virtual charter schools. The study was initiated with a review of available literature and reports on virtual school funding in other states. Because the structure of Maine’s virtual schools differs from typical models in other states, most notably because core academic subject teachers are required to teach from one central physical location, further cost analysis was conducted …

Jud Ms 07 Casco Bay Tummlers Finding Aid, Natalie Hill

Search the Manuscript Collection (Finding Aids)

Provenance: The Casco Bay Tummlers Archives represent materials related to the organization Casco Bay Tummlers from 1989-2008. The Archives was donated by Julie Goell of Peaks Island, ME in 2009.

Ownership and Literary Rights: The Casco Bay Tummlers Archives is the physical property of the University of Southern Maine Libraries. Literary rights, including copyright, belong to the creator or her/his legal heirs and assigns. For further information, consult the Head of Special Collections susie.bock@maine.edu.

Restrictions on access: Some materials are restricted until the year 2076.

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, Erika C. Ziller Phd

Long Term Services and Supports

In a shift away from institutional long term services and supports (LTSS), the federal government and states have pursued an array of strategies for expanding access to home and community-based services (HCBS) over the past few decades. Yet, little is known about variations in the availability or use of Medicaid HCBS within states, across rural and urban areas. This study used the national Medicaid Analytical Extract claims data file (2008) to examine differences in HCBS use and expenditures among rural and urban older adult Medicaid beneficiaries receiving LTSS. The study found that rural Medicaid LTSS users were less likely to …

Lg Ms 041 Jean Vermette Papers, Anthony Marvullo

Search the Manuscript Collection (Finding Aids)

Provenance: The Jean Vermette Papers were donated by Jean Vermette in 2009. Ownership & Literary Rights: The Jean Vermette Papers are the physical property of the University of Southern Maine Libraries. Literary rights, including copyright, belong to the creator or her legal heirs and assigns. For further information, consult the Head of Special Collections. Cite as: Jean Vermette Papers, Lesbian, Gay, Bisexual, Transgender, Queer+ Collection, Jean Byers Sampson Center for Diversity in Maine, University of Southern Maine Libraries. Restriction on Access: Some materials are restricted until the year 2061 to protect privacy rights.

For further information, consult the Head of …

Piloting Pe/Pg Systems In Maine School Districts: Lessons Learned, Ian M. Mette Phd, Janet C. Fairman Phd

School Improvement

As part of an on-going effort to monitor the implementation of Performance Evaluation and Professional Growth (PE/PG) systems in Maine school districts, the Maine Education Policy Research Institute (MEPRI) conducted interviews in a sample of four districts to explore lessons learned from initial implementation of the PE/PG systems. This information complements efforts of the Maine Department of Education (MDOE) to collect detailed descriptions of the PE/PG plans from districts through a statewide survey.

Gen Ms 32 Georgia Shaw Prescott Papers, Megan Turner

Search the General Manuscript Collection Finding Aids

Description of the Papers: The Georgia Shaw Prescott Papers are contained within 3 series. The first series consists of numerous songs and poems all written by her, as well as personal notes and edits of her work. The second series contains sheet music, song lyrics, and essays. The third and final series is comprised of artwork by Ruth Scott (a local artist who collaborated with Georgia Shaw Prescott), newspaper clippings, business letters, and personal letters, in addition to a collection of miscellaneous papers whose purpose is not quite clear. The only known works within this collection that were ever published …

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, Anush Yousefian Hansen Ms, Ma

Access / Insurance

This paper reports on the design and implementation of a first-in-the nation project to expand rural veterans’ access to healthcare by establishing a bi-directional connection between Maine’s statewide health information exchange (HIE) and Veterans Administration facilities and centers. The paper reviews key factors that have contributed to implementation challenges and successes and lessons relevant to efforts to create interoperable health IT systems across multiple, complex organizational settings.

University Of Southern Maine Commencement Program 2016, University Of Southern Maine

Commencement Programs

University of Southern Maine Commencement 2016

Recommendations And Resources For Evaluating Community School Programs, Janet C. Fairman Ph.D., Amy F. Johnson Phd

School Improvement

The legislative definition of “community schools” is intentionally broad and anticipates the possibility that community schools might vary significantly in their locally-developed goals and intervention programs. The needs of students and their families may vary by community, as does the array of existing resources available in the surrounding area. This leads to a broad set of possible strategies that may imply different expected outcomes and evaluation processes.

The grant program requires pilot schools to meet certain application criteria. Applications require schools to submit an audit or needs assessment, a community resources assessment, an outline of plans and goals based on …

Adverse Childhood Experiences In Rural And Urban Contexts, Jean A. Talbot Phd, Donald Szlosek Mph, Erika C. Ziller Phd

Mental Health / Substance Use Disorders

Recent research shows that rural children are more likely than urban children to experience certain kinds of adversity. Researchers at the Maine Rural Health Research Center looked at how adverse childhood experiences (ACEs) have affected rural and urban adults. Using data from the Behavioral Risk Factor Surveillance System Assessment, this study found that, while the prevalence of ACEs was comparable in rural and urban adults, over half of rural adults surveyed reported having ACE exposure.Among those with any ACE history, about one quarter experienced four or more ACEs. Policy implications and strategies are highlighted in this brief.

Key Findings:

• Past …

Adults Using Long-Term Services And Supports: Population And Service Use Trends In Maine, Sfy 2014, Kimberly I. Snow Mhsa, Ba, Tina Gressani, Louise Olsen, Catherine Mcguire Bs, Stuart Bratesman Mpp, Karen Mauney, Jason Theriault

Disability & Aging

Prepared by research staff at the University of Southern Maine's Muskie School of Public Service for the Maine Office of Aging and Disability Services (the Office), this chartbook provides information on Maine adults who use long term services and supports. This is the first chartbook to reflect all the populations served by the Office: older adults; adults with physical disabilities; adults with intellectual disabilities/autism spectrum disorder or other related conditions; and adults with acquired brain injury. Long term services and supports are a vital lifeline for the thousands of Maine adults who need them, and they account for a significant …

Time To Ask: An Alcohol Education Pilot For Healthcare Professionals. Clinical Needs Assessment, Mary Lindsey Smith Phd, Martha Elbaum Williamson Mpa, Jennifer Pratt Ba, Rachel M. Gallo Mph, Katie Rosingana Ba, Jacey Keller Mph, Mark Richards Bs

Substance Use Research & Evaluation

No abstract provided.

2016 Juvenile Recidivism Report, Robyn Dumont Mppm

Maine Statistical Analysis Center

This report summarizes the data for three groups of youth involved with the Department of Juvenile Services between 2008 and 2012. The three groups are as follows:

Diverted youth: Diversion occurs when a referred youth is formally diverted by a Juvenile Community Corrections Officer (JCCO) from the juvenile justice system. Diversion may take the form of an informal adjustment, including sole sanction, or no further action. Youth who are successfully diverted do not continue on through the juvenile justice system. They may, however, be placed back into the justice system if they do not fulfill the terms of diversion.

Supervised …

Successful Strategies And Challenges For Extended Learning Time Programs: Case Studies Of Six Maine Schools, Ian M. Mette Phd, Catharine Biddle Phd

School Improvement

The purpose of this brief is to review the existing literature pertaining to extended learning time (ELT) programs offered outside the regularly scheduled school day during the school year. The literature points to benefits from both in- and out-of-school programs. The analysis presented here is a synthesis of the literature and incorporates important points made in another Maine Education Policy Research Institute (MEPRI) report earlier this year (Doykos, 2015). This work was conducted by faculty from the University of Maine for MEPRI as requested by the Maine State Legislature. The literature review, as presented in this brief, accompanies other ongoing …

Proficiency-Based High School Diploma Systems In Maine: Local Implementation Of State Standards-Based Policy Phase Iv Policy Report, Erika K. Stump, Bernadette Doykos Phd, Catherine Fallona Phd

Proficiency-Based Education

In this current year, Phase IV, researchers collected new data from qualitative interviews and document analysis in six case study school districts in Maine, representing a range of demographics, geographic regions and implementation stages. Three of these districts had been involved in at least one year of Phase I-III of this study, allowing for exploration of ongoing implementation practices and comparing perceived challenges and benefits from initial implementation to later stages. Findings suggested that Maine's proficiency-based high school diploma mandate had mobilized PK-12 collaborative professional work, but there was an evident need for even greater professional time for full systemic …

Alewife Brook, Cape Elizabeth, River Herring Monitoring Summary 2015, Matt Craig

Publications

Alewife Brook in Cape Elizabeth, Maine is a small coastal stream, approximately 1.2 miles long, that runs from Great Pond to Casco Bay. Alewife Brook’s primary source is Great Pond, a 171 acre water body with a mean depth of four feet and a maximum depth of five feet (Maine DEP). Historic documents and anecdotes from local residents indicate that in past decades, the system has supported enough alewives (Alosa pseudoharengus) that local lobstermen harvested the anadromous fish during their annual migrations to Great Pond to spawn, for use as bait.

Rural Opioid Abuse: Prevalence And User Characteristics, Jennifer D. Lenardson Mhs, John A. Gale Ms, Erika C. Ziller Phd

Mental Health / Substance Use Disorders

This study examined the prevalence of non-medical use of pain relievers and heroin in the past year in rural and urban areas and the socio-demographic and economic characteristics associated with their use. Additionally, we examined opioid use by age at first use as well as dependence and abuse; treatment history and perceived need for treatment; use of alcohol and other drugs; perceived risk of using drugs and availability of drugs; problems resulting from the use of drugs; driving under the influence; and illegal activities and arrest records.

Child Health Quality Improvement In Maine: Practice Survey Report 2011-2014, Martha Elbaum Williamson Mpa, Mary Lindsey Smith Phd, Msw, Pamela Ford-Taylor Ms, Kimberley S. Fox Mpa

Population Health & Health Policy

No abstract provided.

Pilot Testing A Rural Health Clinic Quality Measurement Reporting System, John A. Gale Ms, Anush Yousefian Hansen Ms,Ma, David Hartley Phd, Mha, Andrew F. Coburn Phd

Rural Health Clinics

More than 4,000 Rural Health Clinics (RHCs) serve the primary care needs of rural communities, and are therefore an important source of primary care and other essential health services for rural residents. Unfortunately, the Rural Health Clinic Program is plagued by a lack of data on the financial, operational, and quality performance of participating clinics. In light of the significant expansion of quality performance reporting and growing use of performance-based payment approaches, it is critically important that RHCs be able to compete in this changing healthcare market. To this end, we piloted the reporting and use of a small set …

Living With A Brain Injury In Maine: Individual Experiences, Perceptions, And Needs, Mary Lou Ciolfi, Eileen Griffin Jd, Jennifer Pratt, Mark Richards Bs, Sherry Gildard, Beatrice Byrne

Disability & Aging

Maine has been recognized for its recent progress in improving the lives of person with brain injury within the state. This report is the third brain injury report over the past ten years as Maine continues in its efforts to understand the service needs of persons with brain injury, broaden awareness of the impact of a brain injury, improve treatment options, and ultimately prevent brain injuries, especially in vulnerable populations. The information gained through a survey and through focus group discussions provides further context for upcoming brain injury policy decisions and resource allocation. While the causes and consequences of brain …

Prefrontal Neurons Encode Actions And Outcomes In Conjunction With Spatial Location In Rats Performing A Dynamic Delayed Non-Match To Position Task, Kristen D. Onos, Miranda J. Francoeur, Benjamin A. Wormwood, Rikki L.A. Miller Phd, Brett M. Gibson, Robert G. Mair

Faculty Publications

To respond adaptively to change organisms must utilize information about recent events and environmental context to select actions that are likely to produce favorable outcomes. We developed a dynamic delayed nonmatching to position task to study the influence of spatial context on event-related activity of medial prefrontal cortex neurons during reinforcement-guided decision-making. We found neurons with responses related to preparation, movement, lever press responses, reinforcement, and memory delays. Combined event-related and video tracking analyses revealed variability in spatial tuning of neurons with similar event-related activity. While all correlated neurons exhibited spatial tuning broadly consistent with relevant task events, for instance …