Management: Organizational Design, Development and Management

Understanding Changes to Physician Practice Arrangements in Maine and New Hampshire

Abstract: 

This report examines trends in the organization and ownership of physician practices in Maine and New Hampshire. The Maine Office of MaineCare Services and the New Hampshire Office of Medicaid Business and Policy observed a trend in the conversion of physicians from private practice to other practice arrangements including Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), hospital-owned practices, and hospital outpatient departments. Faced with increased costs for care provided within these facilities, both Medicaid programs sought to understand more about these changes, including their magnitude, the forces driving them, and their short and longer-term implications.

Suggested Citation:

Lenardson J, McGuire C, Alfreds S, et al.  Understanding Changes to Physician Practice Arrangements in Maine and New Hampshire. Portland, ME: University of Southern Maine, Muskie School of Public Service, Institute for Health Policy; January 2008.

Publication Type: 
Report
Publish Date: 
January 31, 2008
URL: 
http://muskie.usm.maine.edu/Publications/ihp/PhysicanPracticeChanges.pdf

PAN Program Evaluation

Duration: 
1/1/2006 - 1/30/2007
Collaborators: 
Maine CDC
Abstract: 

This project will consist of evaluation and data analysis activities to support the Maine Physical Activity and Nutrition Program for the Maine Center for Disease Control and Prevention. Serve as lead for planning, implementation, and evaluation of the program intervention to address obesity prevention. Coordination and implementation fo specific program evaluation activities with program staff, contractor for HMP evaluation, and key state partners.

Start Date: 
Sun, 2006-01-01
End Date: 
Tue, 2007-01-30
Legacy Muskie ID: 
3869

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.

Start Date: 
Mon, 2007-01-01
End Date: 
Wed, 2008-01-30
Legacy Muskie ID: 
4728

Advancing System Improvements to Support Targets for Health People 2010

Duration: 
1/1/2007 - 1/30/2008
Director: 
Nadine Edris
Collaborators: 
Maine Primary Care Association; Maine-Dartmouth Family Practice Residence; Women's Health Initiative; Maine CDC Cardiovascular Program; Physical Activity and Nutrition Program; Office of Elder Services Living Well Program; Office of Minority Health-Tribal Invitation; Maine Women's Health Campaign, OAMHS/DHHS;
Abstract: 

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.

Start Date: 
Mon, 2007-01-01
End Date: 
Wed, 2008-01-30
Legacy Muskie ID: 
4713

Maine Food Stamp Nutrition Education Plan 2008

Duration: 
1/1/2007 - 1/30/2008
Abstract: 

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.

Start Date: 
Mon, 2007-01-01
End Date: 
Wed, 2008-01-30
Legacy Muskie ID: 
4791

Improving Access and Quality Using Volunteer Patient Navigators

Duration: 
1/1/2005 - 1/30/2007
Abstract: 

The premise of this project is that volunteer patient navigators are able to provide supportive services that empower patients to collect information to make decisions about their own care and quality of life. To the degree that patients do not question or assert control over their own
care ? and lives ? that is the degree to which they limit their own access to the best possible choices and services. These choices include the right to quality, comprehensive care based on research that supports the context as well as clinical parts of the patient?s life. Hence the outcomes we will propose address the patient?s psychosocial, decision-making, and involvement in the decision process. In this project our chief goals are to (1) increase the ability of patients with cancer to access and benefit from both clinical services and community-based supportive and information services and (2) demonstrate that trained volunteers functioning as patient navigators are able to assist patients with cancer in assuming more responsibility for ?taking care of themselves? as demonstrated by positive changes in self-efficacy, decision-making, quality of life measures, and degree of involvement in the decision process. These outcomes have been linked to improvements in clinical status. In addition, we will be looking at the volunteer processes of recruiting, screening, selecting, training, placing, monitoring, and retaining - that lead to the volunteer?s ?conversion? to assuming the role of a patient navigator.

Start Date: 
Sat, 2005-01-01
End Date: 
Tue, 2007-01-30
Legacy Muskie ID: 
2934

National Child Welfare Resource Center for Organizational Improvement

Duration: 
1/30/2011 - 10/31/2013
Principal Investigator: 
Kris Sahonchik
Research Staff: 
Sara Needleman MS
Abstract: 

<p>The National Child Welfare Resource Center for Organizational Improvement's (NRCOI) mission is to support organizations committed to the welfare of children, youth and families and help them achieve better systemic outcomes.</p>

<p>We are funded by the Children's Bureau, U.S. Department of Health and Human Services to provide free, on-site training and technical assistance (T/TA) to State and Tribal child welfare agencies.</p>

<p>Through training, technical assistance, research and evaluation we help agencies improve management and operations, expand organizational capacity and promote service integration. We focus T/TA in six primary areas, including: Strategic Planning, Quality Improvement, Collaboration, Workforce, Training Systems, and the federal Child and Family Services Review process.</p>

Project URL: 
http://www.nrcoi.org
Start Date: 
Sun, 2011-01-30
End Date: 
Thu, 2013-10-31
Legacy Muskie ID: 
8149

PANP Evaluation - OHHM

Duration: 
1/1/2007 - 1/30/2008
Abstract: 

This project will consist of the evaluation and data analysis activities of the Oxford Hills Health Moms project, an obesity prevention intervention of the Maine Physical Activity and Nutrition Program for Disease Control and Prevention.

Start Date: 
Mon, 2007-01-01
End Date: 
Wed, 2008-01-30
Legacy Muskie ID: 
4511

Integrated Core Injury Prevention & Control Program, Year 1

Duration: 
1/1/2005 - 1/31/2006
Director: 
Barbara Poirier
Collaborators: 
Maine DHHS
Abstract: 

In 2005, the Department of Health and Human Services, (DHHS) and Muskie School jointly developed a proposal for the DHHS to enter into a five-year agreement wit the Centers for Disease Control and Prevention (CDC). The purpose of the grant is to develop a coordinated, strategic approach to reduce the incidence, and morbidity of injury through surveillance and prevention efforts. More specifically, this agreement will enable the Maine Injury Prevention Program (MIPP) to: Build a solid infrastructure for injury prevention; collect and analyze injury data; design, implement, and evaluate interventions through collaboration with partners; provide technical support and training; and reduce the burden of injury in Maine through public policy. The purpose of the one-year agreement is to fund program management to carry out the following activities: strategic, data-driven program planning and development, facilitated stakeholder involvement, technical report development using new surveillance data, grants management, technical assistance to organizations implementing injury prevention and control programs, stakeholders and staff on conducting evaluation; selecting best-practice interventions, program development (using logic models), using new injury surveillance data, reviewing progress towards project goals and objectives, and preparing and submitting reports to CDC.

Start Date: 
Sat, 2005-01-01
End Date: 
Tue, 2006-01-31
Legacy Muskie ID: 
3053

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