Population Health and Health Policy

Patient Safety Academy 2014

Event Date and Time: 
Friday, September 5, 2014, 9:00 AM to 4:00 PM
Location: 
USM- Portland Campus, Abromson Center
Contact Name: 
Judy Tupper
Contact Phone: 
207-228-8407
Contact Email: 
jtupper@usm.maine.edu

Patient Safety Academy LogoThe Patient Safety Academy, now in it's 5th year, brings together individuals engaged in healthcare quality and patient safety activities.  An interdisciplinary day-long event, the Academy provides thought-provoking sessions, skill building workshops,and the sharing of best practices in patient safety. Nationally recognized leaders will present the opening and closing plenary sessions, with workshops led by local experts on topics including pharmacy and medication management, patient engagement, health information technology, prevention of health associated infections, and much more!  Colleagues will be able to network and share best practices through interactive sessions and best practice displays. The Academy will also honor Maine's leaders in patient safety through the Rising Tide awards.  More information, including links to registration, display submissions and award nomination forms, will be available soon.

Rural Implementation and Impact of Rural Medicaid Expansions

Event Date and Time: 
Tuesday, March 18, 2014, 12:00 PM to 1:00 PM
Location: 
Webinar
Contact Name: 
Erika Ziller
Contact Phone: 
207-780-4615
Contact Email: 
eziller@usm.maine.edu

The impact of the ACA Medicaid expansion on health care coverage and access in rural areas is largely unknown and will depend on the different state policy contexts in which the expansions are implemented and on existing system capacity. Understanding how many rural residents are likely to become newly eligible for Medicaid under the ACA, as well as their characteristics and health status, will provide important information to aid policymakers in structuring outreach and enrollment strategies and ensuring that the healthcare infrastructure and delivery systems in rural areas can address the needs of these individuals. 
 
On March 18th, Dr. Erika Ziller, Deputy Director of the Maine Rural Health Research Center at the University of Southern Maine, will present via a webinar, nationally representative information identifying rural-urban differences among low-income non-elderly adults (18 to 65) in the following areas:

  • Medicaid eligibility, pre-ACA
  • Medicaid participation, pre-ACA
  • New Medicaid eligibility in 2014

Dr. Ziller will also analyze the characteristics associated with any rural-urban differences in the above areas. Characteristics to be considered include age, gender, employment, education, income, Census region, health status, current relationship to primary care provider, primary care supply, and FQHC availability.

Register for the free webinar at: https://cc.readytalk.com/cc/s/registrations/new?cid=hoyjw9mp1en8

This webinar is based on Dr. Ziller's research under a State Health Access Reform Evaluation (SHARE) grant to inform federal and state implementation of the ACA Medicaid expansion by estimating the size and characteristics of the rural population likely to be newly eligible.

Ziller co-authors chapter on children's health policy

Children's Health Policy: Promising Starts, Disappointing Outcomes, co-authored by Beth Kilbreth, PhD (Muskie School faculty, retired) and Erika Ziller, PhD (Deputy Director, Maine Rural Health Research Center), explores the many federal and state programs addressing the health concerns of children. This chapter is part of a collection of writings on the factors that shape the US healthcare system and policy, published in the 5th edition of Health Politics and Policy, a widely used text in university courses on health policy.
Health Policy and Politics 5th edition book cover

Transforming Public Health Practice Through Accreditation (A User Guide for the Special Accreditation Issue)

Abstract: 

This editorial highlights the progress of public health accreditation efforts as discussed by the articles in this special issue. This issue represents an important step toward establishing a stronger evidence base for the national accreditation program, and the articles within this issue address many of the research agenda topics, including technical assistance, connections with public health categorical programs, readiness, and the impact of accreditation on public health departments of many sizes, types, and structures.

Publication Type: 
Journal Article
Publish Date: 
January 1, 2014
URL: 
http://journals.lww.com/jphmp/Fulltext/2014/01000/Transforming_Public_Health_Practice_Through.2.aspx

Introduction to Case Reports: One Goal - Many Journeys

Abstract: 

This article describes case reports that highlight the journey of accreditation through the lens of 11 health departments at various stages in the process. These case reports call attention to the link between accreditation and quality improvement.

Suggested Citation: Joly, B., & Davis, M. V. (2014). Introduction to case reports: One goal-many journeys. Journal of Public Health Management and Practice, 20(1), 64-65. doi: 10.1097/PHH.0b013e3182a958da

Publication Type: 
Journal Article
Publish Date: 
January 1, 2014
URL: 
http://journals.lww.com/jphmp/Fulltext/2014/01000/Introduction_to_Case_Reports___One_Goal_Many.17.aspx

Telemental Health in Today's Rural Health System

Abstract: 

Telemental health has long been promoted in rural areas to address chronic access barriers to mental health care. While support and enthusiasm for telemental health in rural areas remains quite high, we lack a clear picture of the reality of telemental health in rural areas, compared to its promise. This Research & Policy Brief reports on the first part of our study—the online survey of 53 telemental health programs—and describes the organizational setting, services provided, and the staff mix of these programs. We draw from our telephone interviews with 23 of these programs to help describe the organizational context of telemental health programs. 

Key Findings:

  • The scope and volume of services provided are often modest suggesting that the business case for these programs may be weaker than the clinical case.
  • The programs in our study were able to secure funding and other supports to implement services, but their ability to maintain and expand services to address unmet need is less certain.
  • Telemental health primarily addresses issues related to the distribution of providers and travel distances to care. However, there are underlying practice management issues, common to all mental health practices in rural areas, which pose challenges to the scope and sustainability of telemental health, including reimbursement, provider recruitment and retention, practice economies of scale, high rates of uninsurance, and high patient “no show” rates.
  • It is becoming increasingly apparent that telehealth technology, by itself, cannot overcome service delivery challenges without underlying reform to the mental health service system.

Suggested Citation:

Lambert, D., Gale, J., Hansen, A. Y., Croll, Z., & Hartley, D. (2013). Telemental health in today's rural health system. Portland, ME: University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center.

 

Publication Type: 
Research and Policy Brief
Publish Date: 
December 18, 2013
URL: 
http://muskie.usm.maine.edu/Publications/MRHRC/Telemental-Health-Rural.pdf

Pages

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