Cutler Institute for Health and Social Policy

Population Health and Health Policy

Patient Centered Medical Home Evaluation

1/1/2010 - 1/31/2011
Carolyn Gray
Research Staff: 
Judith Tupper

This project will evaluate the Maine Patient-Centered Medical Home (PCMH) Pilot, a three-year multi-payer statewide demonstration project being conducted in 26 primary care practices in Maine. The premise of the Pilot is that the resources provided to practices through the Pilot (including enhanced payments, training, consultation, and learning collaboratives) will lead to practice transformation and 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 goal of the implementation evaluation is to describe the processes used to implement the Maine PCMH and the factors that affect practices ability to implement the Pilot and ultimately to achieve its purposes. Findings will provide practical guidance to the practices, the Pilot conveners, including MaineCare, the Maine Quality Forum, and other quality improvement organizations for use in their technical assistance and collaborative efforts.

Start Date: 
Fri, 2010-01-01
End Date: 
Mon, 2011-01-31
Legacy Muskie ID: 

Cutler Institute awarded $600,000 to help youth raised in foster system

Marty Zanghi

USM's Cutler Institute for Health and Social Policy has been awarded a $600,000 grant to help young people raised in Maine's foster system to prepare for college and the workforce.

The money comes from the Annie E. Casey Foundation as part of a $5.4 million national effort aimed at youth who are homeless or in either the foster care or juvenile justice systems.

"Many of these young people have suffered abuse or trauma and were raised in poverty and neglect," said Marty Zanghi, the Cutler Center's youth development director.

The money -- including an expected $400,000 more in matching funds -- will pay for contracted work with agencies in the target areas, starting with the greater Portland area and Penobscot, Kennebec and Somerset counties.

Nationally and in Maine, only about 3 percent of people who grow up in the foster care system achieve a college degree, he said.

"It's dramatically lower than the rate for the general population," Zanghi said. "It's a horrible outcome."

It doesn't have to be that way, though.

"There are young people that overcome these circumstances," he said. "I know people who have master's degrees and Ph.Ds."

The Casey Foundation's national effort is being called the "Learn and Earn to Achieve Potential" (LEAP) initiative.

The initiative is working on partnerships in Maine and nine other areas: Alaska, Arizona, California, Massachusetts, Michigan, Minnesota, Nebraska and New York. In each case, people will adapt two evidence-based models to meet the needs of these youth, including support to address the trauma they may have experienced in their lives.

In Maine, the work will include a pair of successful programs, Jobs for Maine Graduates (JMG) and Jobs for the Future. Results will be carefully tracked, Zanghi said.

After the first year, the program is expected to grow.

"Eventually, the additional help will be available to all children, 14 and over, in the foster care system in the state of Maine," Zanghi said.

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