Andrew Coburn

Research Professor, Public Health

Office

124A Wishcamper Center

Contact Information

Phone: (207) 780-4435

Education: Brown University, AB, 1972; Harvard University, EdM, 1975; Brandeis University, PhD, 1981

Areas of Expertise: Health insurance, rural health, patient safety and quality, and Medicaid policy

Dr. Coburn has had a long-standing commitment to the application of health services research in policy decision making. For over 25 years, he and his colleagues at the Muskie School's Cutler Institute for Health and Social Policy have worked with the Medicaid programs in Maine and other states on a variety of collaborative research, evaluation, and policy development initiatives. Coburn has conducted research on the impact of nursing home case mix payment, home and community-based waiver programs, and Medicaid physician payment changes.

A national expert on rural health, Coburn is the founding director of the Maine Rural Health Research Center, one of seven national centers funded by the federal Office of Rural Health Policy (HRSA). He is a member of the Rural Policy Research Institute's Expert Health Panel, has served on the Institute of Medicine's Committee on the Future of Rural Health Care, and has testified many times in Washington on rural health issues.

He earned his master of education from the Harvard University, and holds a doctorate in social policy from Brandeis University’s Heller School for Social Policy and Management.

Recent Publications

Tupper, J., Gray, C., Pearson, K., and Coburn, A. (2015) Safety of rural nursing home-to-emergency department transfers: improving communication and patient informationsharing across settings, Journal for Healthcare Quality Vol. 37, No. 1, pp. 55–65.

Talbot, J.A., Coburn, A.F., Ziller, E., & Croll, Z. (2013) Rural considerations in establishing network adequacy standards for qualified health plans in state health insurance exchanges. Journal of Rural Health Vol 29 (3):327-335.

Ziller, E.C., Lenardson, J.D., & Coburn, A.F. (2012). Health care access and use among the rural uninsured. Journal of Health Care for the Poor and Underserved, 23(3), 1327-1345.

Ziller, E.C., Anderson, N.J., & Coburn, A.F. (2010). Access to rural mental health services: Service use and out-of-pocket costs. Journal of Rural Health, 26(3), 214-24.

Deatrick, D., & Coburn, A.F. (2009). Guiding action and measuring results: A health system's use of "America's Health Rankings™. In United Health Foundation America's Health Rankings: A call to action for individuals and communities. (pp. 101-103). New York, NY: United Health Foundation.

Klingner, J., Moscovice, I., Tupper, J., Coburn, A., & Wakefield, M. (2009). Implementing patient safety initiatives in rural hospitals. Journal of Rural Health, 25(4), 352-357.

McBride, T.D., Coburn, A.F., MacKinney, A.C., Mueller, K.J., Slikfin, R.T., & Wakefield, M.K. (2008). Bridging health research and policy: Effective dissemination strategies. Journal of Public Health Management and Practice, 14(2), 150-154.

Mueller, K., McBride, T., Coburn, A.F., Slifkin, R.T., Wakefield, M., & MacKinney, A.C. (2008). Bridging health research and policy: Effective dissemination strategies. In Hussein, A. (Ed.), Rural Health: Innovative Practices.  India: ICFAI University Press.

Tupper, J., Coburn, A., Loux, S., Moscovice, I., Klingner, J., & Wakefield, M. (2008, Jul). Strategies for improving patient safety in small rural hospitals. In Henriksen, K., Battles, J.B., Keyes, M.A., & Grady, M.L. (Editors), Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 2. Culture and Redesign. (pp. 303-313). Rockville, MD: Agency for Healthcare Research and Quality.

Loux, S., Coleman, R., Ralston, M., & Coburn, A. (2008, Jul). Consolidated imaging: Implementing a regional health information exchange system for radiology in Southern Maine. In Henriksen, K., Battles, J.B., Keyes, M.A., & Grady, M.L. (Editors), Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 4. Technology and Medication Safety. (pp. 43-54). Rockville, MD: Agency for Healthcare Research & Quality.

Ziller, E., Coburn, A, Anderson, N. and Loux, S. (2008). Uninsured Rural Families, Journal of Rural Health, 24(1), 1-11.

Thomas, J. W., Nalli, G. and Coburn, A. (2007). What We Know and Don’t Know About Tiered Provider Networks, Journal of Health Care Finance 33(4), 56-67.

Ziller, E. C., Coburn, A. F., & Yousefian, A. E. (2006, Nov/Dec.). Out-of-pocket health spending and the rural underinsured.  Health Affairs, 25(6), 1688-1699.

Casey, M., Wakefield, M., Coburn, A. F., Moscovice, I., & Loux, S. (2006, December). Prioritizing patient safety interventions in small rural hospitals.  Joint Commission Journal on Quality and Patient Safety , 32(12), 693-702.

Coburn, A. F., Loux, S. L., & Bolda, E. J. (2006). Rural hospitals and long-term care: The challenges of diversification and integration strategies. In R. T. Goins, & J. A. Krout (Eds.), Service delivery to rural older adults: Research, policy, and practice. (pp. 103-122). New York, NY: Springer Publishing Co.

Publications

Date Titlesort descending Type
2004 Assuring Rural Hospital Patient Safety: What Should Be the Priorities? Journal Article
2013 Challenges and Opportunities for Improving Mental Health Services in Rural Long-Term Care Report
2008 Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine Book Chapter
2008 Developing Indicators to Document the Community Impact of Critical Access Hospitals Research and Policy Brief
2011 Evidenced-based Falls Prevention in Critical Access Hospitals Research and Policy Brief
2007 Exploring the Community Impact of Critical Access Hospitals Report
2015 Health Data and Financing and Delivery System Reform: Is the Glass Half Full or Half Empty? [Policy Paper] Research and Policy Brief
2003 Health Insurance Coverage in Rural America Report
2009 Health Insurance Profile Indicates Need to Expand Coverage in Rural Areas Research and Policy Brief
2009 Implementing Patient Safety Initiatives in Rural Hospitals Journal Article
2006 Out-of-Pocket Health Spending and the Rural Underinsured Journal Article
2001 Patterns of Health Insurance Coverage among Rural and Urban Children Report
2016 Pilot Testing a Rural Health Clinic Quality Measurement Reporting System Research and Policy Brief
2006 Prioritizing Patient Safety Interventions in Small and Rural Hospitals Journal Article
2009 Profile of Rural Health Insurance Coverage: A Chartbook Book/Monograph
2012 Promoting a Culture of Safety: Use of the Hospital Survey On Patient Safety Culture in Critical Access Hospitals [Briefing Paper] Report
2012 Promoting a Culture of Safety: Use of the Hospital Survey On Patient Safety Culture in Critical Access Hospitals [Policy Brief] Research and Policy Brief
2011 Provision of Long Term Care Services by Critical Access Hospitals Research and Policy Brief
2006 Review of State Flex Program Plans 2004-2005 Report
2008 Rural Adults Face Parity Problems and Other Barriers to Appropriate Mental Health Care Research and Policy Brief
2015 Rural Implications of Medicaid Expansion under the ACA Research and Policy Brief
2008 Strategies for Improving Patient Safety in Small Rural Hospitals Book Chapter
2008 The Community Benefit and Impact of Critical Access Hospitals: The Results of the 2007 CAH Survey [Briefing Paper] Report
2008 The Community Benefit and Impact of Critical Access Hospitals: The Results of the 2007 CAH Survey [Policy Brief] Research and Policy Brief
2007 The Community Impact of Critical Access Hospitals [Policy Brief] Report
2007 What We Know and Do Not Know About Tiered Provider Networks Journal Article

New Publications

What's New?

Ciolfi, M. L., Griffin, E., Pratt, J., Richards, M., Gildard, S., & Byrne, B. (2016). Living with a brain injury in Maine: Individual experiences, perceptions, and need.  Portland, ME: University of Southern Maine, Muskie School of Public Service.

Lenardson, J. D., Gale, J. A., & Ziller, E. C. (2016). Rural opioid abuse: Prevalence and user characteristics. (PB 63-1). Portland, ME: University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center.

Snow, K. I., Gressani, T., Olsen, L., McGuire, C., Bratesman, S., Mauney, K., & Theriault, J. (2016). Adults using long term services and supports: Population and service use trends in Maine, SFY 2014. (Chartbook). Portland, ME: University of Southern Maine, Muskie School of Public Service.

Talbot, J. A., Ziller, E. C., & Szlocek, D. (2016). Mental health first aid in rural communities: Appropriateness and outcomes. Journal of Rural Health. doi: 10.1111/jrh.12173.

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