Public Health Systems and Practice

Innovations in Rural Health System Development

Unpublished
Abstract: 

cover photo for Innovations in Rural Health System Development

In an effort to inform and promote local discussions and strategic planning for transforming health and healthcare in rural communities, the Maine Health Access Foundation commissioned the Maine Rural Health Research Center to develop five issue briefs profiling innovative approaches to rural health. The briefs present innovative approaches from Maine and other parts of the United States to the provision of behavioral health services, recruitment and retention of health care workers, service delivery, governance, and health care payment and financing in rural areas. Examples of innovative approaches profiled in the briefs include: the use of new health workers such as community paramedics and community health workers, rural-focused medical education models, alternative models of emergency care, telehealth, care coordination initiatives, Accountable Care Organizations, and Medicaid Accountable Communities.

The aim of these briefs is to assist rural communities and regions to proactively envision and develop strategies for transforming rural health in the state. In preparing these briefs the Maine Rural Health Research Center consulted experts, interviewed key informants, and reviewed the professional and research literature to find robust and innovative models and strategies that could be replicated in rural Maine.

Suggested citations:

Burgess A, Coburn A. Innovations in Rural Health System Development: Maine’s Behavioral Health Services. Portland, ME: University of Southern Maine, Muskie School of Public Service, MaineRural Health Research Center; November 2016.

Burgess A, Coburn A. Innovations in Rural Health System Development: Recruiting and Retaining Maine’s Health Care Workforce. Portland, ME: University of Southern Maine,Muskie School of Public Service, Maine Rural Health Research Center; November 2016.

Burgess A, Coburn A. Innovations in Rural Health System Development: Service Delivery Advances in Care Coordination, Emergency Care, and Telehealth. Portland, ME: University of SouthernMaine. Muskie School of Public Service, Maine Rural Health Research Center; November 2016.

Kahn-Troster S, Coburn A. Innovations in Rural Health System Development: Governance. Portland, ME: University of Southern Maine, Muskie School of Public Service, Maine RuralHealth Research Center; November 2016.

Kahn-Troster S, Coburn A. Innovations in Rural Health System Development: Moving Rural Health Systems to Value-Based Payment. Portland, ME: University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center; November 2016.

Publication Type: 
Report
Publish Date: 
November 10, 2016
URL: 
http://www.mehaf.org/learning-resources/reports-research/

Maine Rural Health Research Center 2012

Duration: 
9/1/2012 - 8/31/2013
Principal Investigator: 
Erika Ziller
Research Staff: 
Andrew Coburn
Anush Yousefian Hansen
Donna Reed
Erika Ziller
Jennifer Lenardson, MHS
John Gale
Karen Pearson
Zachariah Croll
Abstract: 

Established in 1992, the mission of the Maine Rural Health Research Center is to inform health care policy making and the delivery of rural health services through high quality, policy-relevant research, policy analysis and technical assistance on rural health issues of regional and national significance. The Center's core funding is provided by the federal Office of Rural Health Policy.

Project URL: 
http://muskie.usm.maine.edu/ihp/ruralhealth/
Start Date: 
Sat, 2012-09-01
End Date: 
Sat, 2013-08-31
Legacy Muskie ID: 
8071

Early Detection and Intervention for the Prevention of Psychosis. Outreach Evaluation Report: Year 1

Unpublished
Abstract: 

Under contract with the Robert Wood Johnson Foundation, researchers at the Muskie School of Public Service are evaluating the community outreach and training efforts of the Early Detection and Intervention for the Prevention of Psychosis Program (EDIPPP). This Year One report (8/15/2007 - 8/15/2008) provides an overview of the initiative and the five demonstration sites; a description of the evaluation framework and design; the evaluation questions and methods; preliminary evaluation results; and a summary of preliminary findings and next steps.<p></p>
<b>Preliminary Findings:</b>
<li>Outreach and training efforts are reaching the intended audiences;
<li>Trainings are a critical component of the outreach model;
<li>EDIPPP is perceived as a credible program;
<li>Most referrals are appropriate and given by a professional;
<li>Several factors are associated with intentions to refer;
<li>EDIPPP operates in different community and policy contexts. </li>

Publication Type: 
Report
Publish Date: 
September 30, 2008

Team Nutrition Training Grant

Duration: 
1/30/2008 - 1/30/2009
Collaborators: 
Maine Department of Education
Abstract: 

Maine DOE as applicant is partnering with Muskie to perform activities in three focus areas: 1)Provide training for Child Nutrition (CN)food service professionals and Childcare Providers to enable them to prepare and serve nutritious and appealing meals based on the 2005 Dietary Guidelines for Americans with a focus on increased fruits and vegetables, whole grains, and low-fat dairy products. 2)Provice multi-faceted, integrated nutrition education for children by offering training, technical assistance, curriculum materials, and resources to support classroom nutrition education and increased opportunites for physical activity be enrolling up to 120 elementary and middle school teachers in MNN's Maine-ly Nutrition Project. 3)Provide youth leaders with multi-faceted, nutrition education activities to effect positive changes in food consumption patterns and physical activity behaviors eith their peers.

Start Date: 
Wed, 2008-01-30
End Date: 
Fri, 2009-01-30
Legacy Muskie ID: 
4749

Team Nutrition Training

Duration: 
1/30/2004 - 1/30/2006
Collaborators: 
Maine Department of Education
Abstract: 

IPSI?s Maine Nutrition Network, in partnership with Maine Department of Education (DOE) and the Department of Health and Human Services (DHHS), implements training initiatives to Maine school districts to support healthful eating and physical activity habits for children and the creation of school environments aligned with the Dietary Guidelines for Americans 2000. IPSI strategies include training for school food service staff; training, technical assistance and resources for elementary teachers, and a statewide follow-up training for school district teams on creating school environments that support healthful food and physical activity choices with a focus on team building and team maintenance.

Start Date: 
Fri, 2004-01-30
End Date: 
Mon, 2006-01-30
Legacy Muskie ID: 
1407

Substance Abuse Prevention Epidemiology

Duration: 
1/1/2005 - 1/30/2006
Collaborators: 
Strategic Prevention Framework, State Incentive Grant
Abstract: 

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

Start Date: 
Sat, 2005-01-01
End Date: 
Mon, 2006-01-30
Legacy Muskie ID: 
2227

TA HMP Evaluation

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

The Maine Center for Public Health is performing program evaluation for Healthy Maine Partnerships, and will continue to partner with the MSPS to provide specific deliverables for various program components of the HMP initiative. MSPS will identify/develop additional performance indicators, update data, and perform quantitative data analyses. Results will be incorporated into the overall HMP Evaluation reports and products.

Start Date: 
Mon, 2007-01-01
End Date: 
Wed, 2008-01-30
Legacy Muskie ID: 
4512

Team Nutrition Training Grant

Duration: 
1/1/2008 - 1/30/2009
Collaborators: 
Maine Department of Education
Abstract: 

This project will focus in the following areas: Provide training and resources for Child Nutrition (CW) food services professionals and Childcare Providers to enable them to prepare and serve nutritious and appealing meals based on the 2005 Dietary Guidelines for Americans with a focus on increased fruits, whole and whole grains. Empower youth to make healthful food choices through these strategies: 1) multi-faceted, integrated nutrition and education for up to 125 elementary and middle school teachers through MNN's school-based nutrition and physical activity project that provides training, technical assistance, curriculum materials, and resources to support classroom nutrition education and increased opportunities for physical activity; and 2) school-based youth-lead nutrition education through the Healthy Maine Partnership, Maine Youth Action Network (MYAN).

Start Date: 
Tue, 2008-01-01
End Date: 
Fri, 2009-01-30
Legacy Muskie ID: 
5490

Saco Valley Food Connection

Duration: 
1/1/2007 - 1/30/2010
Collaborators: 
USDA via Rippling Waters Farm
Abstract: 

Provide program evaluation to Rippling Waters Farm's USDA funded community food security project. Year One activities are evaluation design planning, year two activities are technical assistance and data quality monitoring for data collection, year three activities are data compilation, analysis and write-up. Evaluation results will be used to test effectiveness of the community food securiyt strategies carried out under this project.

Start Date: 
Mon, 2007-01-01
End Date: 
Sat, 2010-01-30
Legacy Muskie ID: 
4748

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