CVD is the leading cause of death in Maine. Project will focus on developing a gender-based approach to two Healthy People 2010 objectives concerning high blood pressure and action taken to control high blood pressure by increasing the proportion of adults who engage in moderate physical activity and consume health fruits and vegetables. Project will embed gender-based approaches to managing chronic conditions into primary care and family medicine systems of care via existing care model collaboratives. Develop a strategic plan to share outcomes and resources for spread to other chronic conditions within Maine's health care systems. Project will incorporate mental health screenings and analyze data by gender.
Management: Information Management
The Maine Nutrition Network (MNN) Food Stamp Nutrition Education (FSNE)Plan FY 08 consists of multiple projects that impact three main goals. These goals include sustaining a collaborative of state and local partners to accomplish innovative nutrition education program; support environments in which Maine children choose active lifestyles and make informed food choices that support optimal health; and provide opportunities for Maine adults to make appropriate food choices and have increased accessibility to food and physical activity choices that support optimal health. The Office of Integrated Access and Support and the Maine DCD collaborate with Muskie to effectively reach these goals through training and technical assistance to schools and communities that reach Maine people who are eligible to participate in the Food Stamp Program.
The Maine Nutrition Network (MNN) Food Stamp Nutrition Education (FSNE) Plan for FY 07 consists of multiple projects that impact three main goals. The overall goals of this project include sustaining a collaborative partnership of state and local organizations to accomplish innovative nutrition education programs; supporting environments in which Maine children choose active lifestyles and make informend food choices that support optimal health; and providing opportunities for Maine adults to make acppropriate food choices and have increased accessibility to food and physical activity choices that support optimal health. The Office of Integrated Access and Support and the Maine CDC collaborate with Muskie to effectively reach these goals through training and technical assitance to schools and communities that reach Maine people who are eligible to participate in the Food Stamp Program.
Muskie/IPSI will partner with Maine DHHS Office of Substance Abuse to provide epidemiological services for Maine?s Strategic Prevention Framework State Incentive Grant. Activities include providing staff support to a statewide epidemiological workgroup, conducting a state-level needs and resources assessment, and initiating GIS (Geographical Information System) mapping to identify existing data sources and their appropriate use. This will bring systematic, analytical thinking to the causes and consequences of substance abuse in order to effectively and efficiently utilize substance abuse prevention resources
The overall objective of this project is to measure the degree to which fear of medical malpractice litigation motivates physicians to practice positive defensive medicine, which includes ordering tests, procedures, and/or medications that offer little or no clinical benefit to patients. Using medical and pharmaceutical claims data from a large national heath insurance company, we will use regression analyses to relate physicians' malpractice premiums and county-level medical malpractice filing rates to the costs of diagnosing and treating a wide range of clinical conditions. Our analyses will allow us to: (a) identify diagnoses/conditions in which defensive medicine occurs, (b) measure dollar costs associated with defensive medicine in each of these conditions, and (c) identify specific health care resources (types of tests, procedures, and medications) being used defensively in each of these conditions. In addition to two types of malpractice tort signals -- medical malpractice premium data obtained from state insurance departments and commercial services that offer these data, and county-level malpractice suit filing rates obtained from state court administrative agencies --the project data base will include claims from a commercial population of 10.5 million people residing in 48 states that have been grouped into episodes of care using Symmetry Health Data System's Episode Treatment Group methodology.
This project continued the production of the annual publication of the book, <i>Rural Health Research in Progress</i>, an annotated listing of projects in the federally funded Rural Health Research Centers (RHRCs). In addition, this project had a searchable rural health research in progress database which included projects of the RHRCs as well as other rural centers and organizations nationally and in Canada. This project officially ended on August 31, 2006 and was tranferred over to a new collaborative project with the University of North Dakota, entitled Rural Research to Diverse Audiences.
The project provides support to the University of North Dakota, Center for Rural Health in their grant from the Federal Office of Rural Health Policy, HRSA, entitled Rural Research to Diverse Audiences. Through the consulting services provided by the project director, Karen Pearson, input on methods for obtaining information from the Rural Health Research and Policy Analysis Centers about their research projects and publications will be provided. Additionally, consultations will be made with Rural Assistance Center (RAC) staff on the design and structure of a searchable database of the research projects of the ORHP-funded Rural Health Research Centers, utilizing data collected by the Maine Rural Health Research Center.
The Behavioral Risk Factor Surveillance System (BRFSS) is an on-going telephone health survey that provides information about many health related issues. Data from this survey can be used to track health risks, identify emerging problems, prevent disease, and improve treatment. The purpose of this project was to assist the Maine Center for Disease Control (CDC) with management, documentation, and statistical analyses of the Maine BRFSS data in support of the State?s public health initiatives. Muskie School staff maintain multiple-year standardized datasets, add the most recent year of data, and update documentation in addition to performing other analyses, including multivariate and trend analyses to help the Maine CDC better understand prevalence, risk factors and disease management for health behaviors and conditions that impose a heavy burden on the citizens of Maine and its health care system.
System Management: This project assists the Maine Department of Human Services with the management of the federal data system that supports the federally required MDS for nursing homes, with specific attention to nursing home monitoring applications. The Centers for Medicaid and Medicare Services (CMS) Core system is the platform for the Quality Evaluation and Improvement System (QIES). Federally this system provides information to the Medicare and Medicaid survey and certification process. Muskie assists state staff with maintaining the Core system as required by CMS and applied by the state to monitor nursing homes. This involves understanding the system infrastructure and modifications that occur twice a year and operational technical assistance for applications related to nursing home monitoring. ----------------------------------
Minimum Data Set Revisions: Muskie School staff is monitoring developments in MDS Version 3.0 testing as they become available from CMS. The MDS 3.0, out in draft, significantly changes the MDS form and, as such, will impact all systems that use this information. Muskie Staff assists the State and Survey staff in implementing this revision through training of staff, facility and software vendors and support and modification to internal information system changes as they relate to the survey and certification process. Muskie staff is participating with CMS and the state in this transition by understanding the impact on current systems, identifying any issues or changes that need to be addressed and assuring continued use of systems related to Survey & Certification. ----------------------------------------
Data accuracy system training: CMS contracted with a Data Assessment and Verification (DAVE2) contractor to perform MDS data accuracy verification protocols. One critical activity is training and technical assistance related to the reports generated by the DAVE2 activity. Muskie helps the State provide general assistance to providers and coordinates activities with DAVE2 staff. As part of the DAVE2 contract, revision to the MDS manual and feedback reports require training of facility staff. Muskie assists the State in training and providing technical assistance to providers.
Project goal is to assist the Maine Office of Substance Abuse and the Maine Prescription Monitoring Program (PMP) in management, policy development, strategic planning, and public health and quality improvement initiatives through conducting epidemiological analyses of PMP data.