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Maine Resources

Innovations in Rural Health System Development: Federally Qualified Health Center Initiatives
Details a report on Maine's Federally Qualified Health Centers (FQHCs). Discusses strategies for workforce recruitment and retention, serving a high-need patient population, addressing critical community needs, and providing services that address the social determinants of health. Provides various examples of programs from across the state.
Author(s): Sara Kahn-Troster, Amanda Burgess, Andrew Coburn
Date: 09/2017
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Muskie School of Public Service Institute for Health Policy
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Tackling the Opioid Crisis in a Rural Community
Discusses a partnership between a rural hospital physician and the director of a community counseling center to establish a medication-assisted treatment (MAT) for opioid addiction in rural Maine. Presents the program's support structure, as well as the advantages of having an integrated treatment approach.
Date: 09/2017
Type: Document
Sponsoring organization: American Hospital Association
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Selected Rural Healthcare Facilities in Maine
Shows the state’s Critical Access Hospitals and Rural Health Clinics, as well as rural Federally Qualified Health Centers and Skilled Nursing Facilities.
Date: 12/2016
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Innovations in Rural Health System Development: Recruiting and Retaining Maine’s Health Care Workforce
Illustrates examples of rural-focused medical education programs to support an adequate supply of physicians in rural Maine. Also, discusses behavioral and oral health workforce development, and promising programs utilizing other types of healthcare workers such as community paramedics and community health workers (CHWs) to increase the availability and accessibility of healthcare in rural Maine and in other rural regions of the U.S.
Author(s): Amanda Burgess, Andrew Coburn
Date: 11/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Innovations in Rural Health System Development: Governance
A discussion about the need for collaboration between healthcare facilities and their communities, including ideas for new approaches to governance to help make these transitions happen. Provides examples of hospital/health system collaborations and population health programs.
Author(s): Sara Kahn-Troster, Andrew Coburn
Date: 11/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Innovations in Rural Health System Development: Maine’s Behavioral Health Services
Illustrates examples of the provision of treatment for mental health and/or substance use disorders in rural Maine that address the challenges in access to behavioral health treatment. Also, discusses the use of care coordination, telehealth, and partnerships with law enforcement as promising strategies for successful treatment in rural areas.
Author(s): Amanda Burgess, Andrew Coburn
Date: 11/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Innovations in Rural Health System Development: Moving Rural Health Systems to Value-Based Payment
Offers examples of rural health system transformation models and strategies from Maine and other regions of the U.S. to assist rural communities in moving forward with value-based payment systems.
Author(s): Sara Kahn-Troster, Andrew Coburn
Date: 11/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Innovations in Rural Health System Development: Service Delivery Advances in Care Coordination, Emergency Care, and Telehealth
Offers examples of emergency services, telehealth technology, and care coordination initiatives with a focus on Maine, and how they impact rural service delivery and safeguard rural access to critical health services.
Author(s): Amanda Burgess, Andrew Coburn
Date: 11/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Maine Rural Health Profiles: A Statewide View of Rural Health
Summarizes the health status of the state of Maine and each of Maine’s 16 counties. Reports on the health systems, workforce and facilities for health services, the healthcare economy, and healthcare access. Includes maps and discussion illustrating the scale of rurality for each county, and how the data portray the challenges and opportunities of rural health.
Author(s): Sara Kahn-Troster, Amanda Burgess, Andrew Coburn, et al.
Date: 09/2016
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Population Health Strategies of Critical Access Hospitals
Provides examples of population health strategies developed by Critical Access Hospitals (CAHs) from 8 different rural communities that have significantly contributed to the improvement of population health and the health of their community.
Author(s): John Gale, Andrew Coburn, Karen Pearson, Zachariah Croll, George Shaler
Date: 08/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Health Information Exchange: A Strategy for Improving Access for Rural Veterans in the Maine Flex Rural Veterans Health Access Program
Describes the design and implementation of a project to expand access to healthcare for rural veterans through a bi-directional link between a statewide health information exchange in Maine and Veterans Administration facilities. Discusses the challenges and successes encountered in developing a health information system that is interoperable between a variety of complex agencies.
Author(s): Karen B. Pearson, Amanda Burgess, John Gale, Anush Y. Hansen, Andrew Coburn
Date: 05/2016
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Healthcare Costs in Maine: An Analysis of Price Disparities and What We Should Do About Them
Compares healthcare costs among providers across Maine, uncovering cost disparities between rural and urban healthcare providers. Highlights price transparency to better inform consumers as a possible solution to address the cost disparities.
Date: 04/2016
Type: Document
Sponsoring organization: Maine Heritage Policy Center
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Adults Using Long Term Services and Supports: Population and Service Use Trends in Maine, State Fiscal Year 2014
A chartbook discussing demographic trends regarding disability, poverty, housing, work status, and other useful characteristics about adults and elders living in Maine who have used nursing facilities, residential care, home and community based services during the fiscal year 2014.
Author(s): Kimberly I. Snow, et al.
Date: 2016
Type: Document
Sponsoring organization: Muskie School of Public Service Institute for Health Policy
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Hospital Overview 2016
Report about the general state of hospitals in Maine, with an emphasis on the importance of hospitals in rural communities. Includes data and statistics about types of facilities, hospitals as employers, and the effects of Medicare cuts.
Date: 2016
Type: Document
Sponsoring organization: Maine Hospital Association
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Impact of Rurality on Maternal and Infant Health Indicators and Outcomes in Maine
Analyzes 2000-2010 data from the Pregnancy Risk Assessment Monitoring System to determine the impact of rurality on maternal and child health in Maine.
Author(s): David Harris, AbouEl-Makarim Aboueissa, Nancy Baugh, Cheryl Sarton
Location: Rural and Remote Health, 15, 3278
Date: 07/2015
Type: Document
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Community-Wide Cardiovascular Disease Prevention Programs and Health Outcomes in a Rural County, 1970–2010
Describes an observational study, spanning from 1970-2010, looking at health outcomes associated with an integrated, comprehensive cardiovascular risk reduction program in rural Franklin County, Maine. Includes statistics on population demographics and physician access for Franklin county in comparison with the rest of the state. Also includes results of the program over time, including mortality data.
Author(s): N. Burgess Record, Daniel K. Onion, Roderick E. Prior, et al.
Location: Journal of the American Medical Association, 313(2), 147-155
Date: 01/2015
Type: Document
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Evaluation of Urban-Rural Differences in Pharmacy Practice Needs in Maine with the MaPPNA
Results of a survey conducted in Maine regarding needs in pharmacy practice, with a particular focus on urban versus rural areas. Topics covered include opioid abuse, access to healthcare, polypharmacy, and workforce.
Author(s): Sarah L. Martin, Robert P. Baker, Brian J. Piper
Location: Pharmacy Practice, 13(4), 1-8
Date: 2015
Type: Document
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Official Poverty Statistics Mask the Economic Vulnerability of Seniors: A Comparison of Maine to the Nation
Compares senior and child poverty rates in rural and urban Maine and the U.S. for the past 50 years. Poverty rates were calculated using 2 different measures: the Official Poverty Measure (OPM) which does not take into account in-kind benefits, refundable tax credits and spending on medical care; and the Supplemental Poverty Measure (SPM) which does take into account these same factors.
Author(s): Andrew Schaefer, Marybeth Mattingly
Date: 2015
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Community Health Center Growth & Sustainability: State Profiles From the Northeastern and Mid-Atlantic United States
Provides health and economic data, and Medicaid policy information regarding community health centers (CHCs) in rural and urban areas, from 13 Northeastern and Mid-Atlantic states (Connecticut, Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia and West Virginia) and the District of Columbia.
Author(s): Dan Lowenstein, Nancy Lager, Tom Manning
Date: 12/2014
Type: Document
Sponsoring organization: RCHN Community Health Foundation
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Successful Health Insurance Outreach, Education, and Enrollment Strategies for Rural Hospitals
Shares best practices for hospitals to use in health insurance outreach and enrollment efforts based on interviews with administrators, staff, and community representatives at eleven small rural hospitals. Also discusses certified application counselors, who help individuals enroll in health insurance, and the importance of using collaborative community partnerships to conduct insurance enrollment outreach and education.
Author(s): Walter Gregg, Alex Evenson, Adeniyi Togun
Date: 11/2014
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Data for Action: A Comparative Analysis of Health Data for the New England Region
Examines the healthcare and health related data that describe a range of demographic, healthcare delivery, access, utilization, and health outcome parameters for rural communities across a six-state region and compare these to the non-rural areas of the region.
Date: 10/2014
Type: Document
Sponsoring organization: New England Rural Health RoundTable
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2014 Health Occupations Report
Data and analysis of Maine's health workforce. Includes demographics, current size, and projected need in both health and human services professions.
Date: 04/2014
Type: Document
Sponsoring organizations: Center for Workforce Research and Information, Maine Department of Labor
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Maine Critical Access Hospitals by County 2014
Shows the location of Critical Access Hospitals in the state of Maine.
Date: 2014
Type: Map/Mapping System
Sponsoring organization: Maine Office of Rural Health and Primary Care
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Maine Critical Access Hospitals by DHHS Districts 2014
Shows the location of Critical Access Hospitals in each DHHS District of Maine.
Date: 2014
Type: Map/Mapping System
Sponsoring organization: Maine Office of Rural Health and Primary Care
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Care Management for Medicaid Enrollees Through Community Health Teams
Presents data from a 2011–2012 review of state Medicaid medical home programs in eight states. Identifies community health team programs including FQHCs and RHCs that provide an array of services, including care coordination to self-management coaching. Includes small or rural practices.
Author(s): Mary Takach, Jason Buxbaum
Date: 05/2013
Type: Document
Sponsoring organization: Commonwealth Fund
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Report of the Survey of Dental Safety Net Providers in Maine
Describes the oral health safety net in Maine, which includes federally qualified health centers, community dental clinics, school-based oral health programs, and independent practice dental hygienists. Discusses workforce issues, services provided, sources of revenue, and patient demographics.
Author(s): Margaret Langelier, Tracey Continelli
Date: 12/2012
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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The Oral Health Workforce in Maine
Summarizes data from four workforce surveys on the oral health workforce in Maine. The study included surveys of licensed oral health professionals, including dentists, registered dental hygienists (RDHs), RDHs working under public health supervision, independent practice dental hygienists, and expanded function dental assistants. Reports that more than half (52.4%) of the RDHs who responded to the survey worked in metropolitan areas of the state. Twenty-nine percent worked in either rural areas (15.8%) or small towns (13.2%).
Author(s): Margaret Langelier, Jean Moore, Tracey Continelli
Date: 12/2012
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Rural Health Workforce Development Program: Giving Medical Students the Opportunity to Experience Practicing in Rural Maine
Highlights the Maine Track, a nine-month Longitudinal Integrated Curriculum that allows medical students to train in rural communities, supporting rural physician recruitment.
Date: 02/2012
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Hospital Compare Quality Measures: 2010 National and Maine Results for Critical Access Hospitals
Examines state-level CAH participation in Hospital Compare and quality measure results for 2010 as well as trends from 2008-2010 for each state with CAHs.
Author(s): Michelle Casey, Peiyin Hung, Bridget Barton, Ira Moscovice
Date: 02/2012
Type: Document
Sponsoring organization: Flex Monitoring Team
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Oral Health in Maine: A Background Report
Contains an environmental scan describing data about oral health in Maine including dental health professional shortage areas, rural populations, use of emergency departments for dental services, dental insurance status of Maine's population, safety net providers, and data on the oral health workforce.
Author(s): Margaret Langelier, Jean Moore, Simona Surdu, David Armstrong
Date: 01/2012
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Analysis of Emergency Department Use in Maine
Analyzes emergency department (ED) utilization; identifies factors that can explain the reasons for high or low ED; and analyzes hospital discharge data to identify potentially preventable ED visits, most frequently seen diagnoses, and the correlation between the physician-to-population ration and ED use rates. Includes findings specific to both urban and rural areas of Maine.
Author(s): Beth Kilbreth, Barbara Shaw, Danielle Westcott, Carolyn Gray
Date: 01/2010
Type: Document
Sponsoring organization: Muskie School of Public Service Institute for Health Policy
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ScoreHealth: Decades-old Program Brings Preventative Services to Rural Maine and Elsewhere
Highlights Healthy Community Coalition, and ScoreHealth, community-based organizations developed for rural residents in Franklin County, Maine.
Location: Rural Monitor, 2008(Winter)
Date: 02/2008
Type: Document
Sponsoring organization: Rural Health Information Hub
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Maine's Rural Health Challenges
Describes the issues affecting access to health care in rural Maine which includes: the use of enhanced Medicare and Medicaid payments to support the rural health infrastructure, the adequacy of the provider workforce, the contribution of health care to the rural economy, and the high prevalence and unmet need for care for persons with substance use and mental health issues.
Author(s): Jennifer D. Lenardson, David Hartley
Date: 01/2007
Type: Document
Sponsoring organization: Muskie School of Public Service Institute for Health Policy
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Maine: Federally Designated Primary Care Health Professional Shortage Areas
Shows the Federally Designated Primary Care Health Professional Shortage Areas in Maine.
Type: Map/Mapping System
Sponsoring organization: Maine Office of Rural Health and Primary Care
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Maine: Federally Designated Dental Health Professional Shortage Areas
Shows the Federally Designated Dental Health Professional Shortage Areas in Maine.
Type: Map/Mapping System
Sponsoring organization: Maine Office of Rural Health and Primary Care
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Maine: Federally Designated Mental Health Professional Shortage Area
Shows the Federally Designated Mental Health Professional Shortage Areas in Maine.
Type: Map/Mapping System
Sponsoring organization: Maine Office of Rural Health and Primary Care
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Maine: Federally Designated Medically Underserved Areas and Populations
Shows the Federally Designated Medically Underserved Areas and Populations in Maine.
Type: Map/Mapping System
Sponsoring organization: Maine Office of Rural Health and Primary Care
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Maine Health Centers Research & Data
Provides maps of FQHC locations and communities experiencing shortages of primary care physicians. Also includes information on the populations served by health centers, services provided, staff, patient visits, costs of care, and use of electronic health information.
Type: Website
Sponsoring organization: National Association of Community Health Centers
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ERS State Fact Sheet: Maine
Lists statistics on population, educational attainment, employment, income, farm characteristics, and farm financial indicators for the state.
Type: Website
Sponsoring organization: USDA Economic Research Service
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Maine KIDS COUNT Data Center (KCDC)
Provides data on child well-being for the state.
Type: Website
Sponsoring organization: Annie E. Casey Foundation
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Maine QuickFacts
Basic demographic and economic statistics for the state, with links to county-level data.
Type: Website
Sponsoring organization: U.S. Census Bureau
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Maine State Health Facts
The latest state-level data on demographics, health, and health policy, including health coverage, access, financing, and state legislation. Individual state profiles and 50-state comparisons.
Type: Database
Sponsoring organization: Kaiser Family Foundation
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Additional resources are available. See a full list of Maine Resources.


Last Updated: 12/5/2017