Publications

Improved Care for Patients with Chronic Conditions in Rural Maine, February 2008

This project focused on enhancing evidence-based practice and the use of best practice protocols for the patients of the Peninsula Primary Care practices of Blue Hill Memorial Hospital diagnosed with one or more chronic medical conditions.

EVALUATION OF TECHNOLOGY IMPROVEMENTS ON PRACTICE CHANGE AND PATIENT CARE (BASELINE PROVIDER SURVEY RESULTS), NOVEMBER 2006

The Chronic Care Technology Project is one of several AHRQ funded technology projects to determine if technology can improve patient care and patient outcomes. This report presents the results of the baseline assessment of provider satisfaction and patient care management for organizations participating in the collaborative.

Aroostook County Chronic Care Technology Project, Year 1 Learning Session Presentation

This slide show from the first learning session of the Chronic Care Technology Project is based on the Institute for Healthcare Improvement (IHI) collaborative process. The object of the project is to: 1) improve regional-based, evidence-driven chronic disease patient care through the use of health information technology, 2) adopt technology solutions that will improve care by improving quality and efficiency of information transfer among primary care physicians, outpatient specialists, pharmacies, home health agencies, nursing homes, hospitals, and other community resources, and 3) adopt work processes to improve patient care coordination and availability of patient data among healthcare organizations.

Chronic Care Assessment and Planning Report - Executive Summary: prepared for the Central Kenai Peninsula Hospital Service Area, April 10, 2005

This summary described chronic care services in the Central Kenai Peninsula, including information on the availability and integration of services that have been demonstrated to positively impact prevention and management of chronic conditions. It also included an assessment of the infrastructure, the resources available, and the process of providing evidence based care to patients with chronic conditions at a number of local primary care practices.

Chronic Care Assessment and Planning Report: prepared for Blue Hill Memorial Hospital, March 2005

This study builds on the initial and follow-up healthcare needs assessments that PHRG (now CHPPR) completed for BHMH in 1994 and 1999. It provides information on trends in indicators of chronic disease care and on gaps in community services, linkages between primary care providers and community services, and quality improvement initiatives in primary care.

Health Alert Network (HAN) Assessment and Planning Project HAN Survey Summary: Prepared for the State of Maine Department of Human Services Bureau of Health, April 14, 2003

The purpose of this document was to provide Bureau of Health (BOH) professionals with a summary of quantitative and qualitative Health Alert Network survey findings. The findings summarized in this document were designed to provide Maine BOH with information for the formulation of a plan to improve the efficiency and effectiveness of a successful Maine Health Alert Network implementation.

National Electronic Disease Surveillance System (NEDSS) Implementation Project Plan: Prepared for State of Maine Department of Human Services Bureau of Health, September 28, 2001

The purpose of the project was to provide Bureau of Health (BOH) and other key stakeholders with the means to improve timeliness, completeness and quality of disease reporting. This in turn would allow for the rapid detection of public health threats, timely public health responses and facilitate accurate and complete public health decision-making processes.

Health and Disease Information Systems

Web based survey instrument for Community-Associated Methicillin Resistant Staphylococcus Aureus (MRSA), November 2004

The objective of this survey was to assess interest and usefulness of CA-MRSA surveillance data at hospitals, to identify obstacles to hospital participation in CA-MRSA surveillance, to identify CA-MRSA-related lab services that would be useful to hospitals, and to strengthen communications and collaborations between the State Laboratory Institute and clinical laboratories in MA.

Environmental Public Health Tracking Network for Maine BOH: Prepared for the Maine Bureau of Health, November 2003

Utilizing the assessment information gathered in year 1 activities (a vision and set of high-level requirements for an Ambient Air Pollution Tracking System (AAPTS)), this document outlined the necessary phases and tasks to fully implement an AAPTS and its functionality.

Research and Evaluation

Co-location Pilot Project: Increasing Access to Mental Health Services in Primary Care Practice Settings: Prepared for Eastern Maine Healthcare Systems, December 2006

The goal of the study was to design, implement and evaluate a model of behavioral health and primary care integration in which psychiatric mental health nurse practitioners are co-located in rural PCP practices where they provide support for the outpatient assessment, education, treatment and medication management of patients with mental health disorders.

Tobacco Treatment for Low-Income Pregnant Women: Final Evaluation Report: Prepared for Eastern Maine Healthcare and Institute for Medical Improvement, July 2006

This report evaluates activities that took place during the two years of this project. In the first year, the methods were developed and the initiative was tested on the three initial practices from the Bangor Area. During the second year, four practices completed the initiative.

Tobacco Treatment for Low-Income Pregnant Women: Final Evaluation Report - Year 1: Prepared for Eastern Maine Healthcare and Institute for Medical Improvement, February 2006

An initiative was developed to improve care for low-income pregnant smokers, with particular focus on the lack of consistency among providers with regard to evidence-based care. This initial report evaluates activities that took place in the first year, the methods were developed and the initiative was tested on the three initial practices.

Tobacco Treatment for Low-Income Pregnant Women: Identifying Patient Barriers to Smoking Cessation and Adherence to Tobacco Treatment Alternatives: Prepared for Eastern Maine Healthcare Systems and the Institute for Medical Improvement, September 2005

The goal of the Patient Barriers Assessment was to identify barriers to be addressed by providers when attempting to deliver smoking cessation counseling and treatment. This study aims to characterize barriers to behavior change, from the patient’s perspective, so that interventions based on Public Health Service best-practice guidelines can account for these barriers.

Rural Maine Health Demonstration Project: Chronic Obstructive Pulmonary Disease Initiative: Prepared for Eastern Maine Healthcare and the Institute for Medical Improvement, November 2004

This Initiative was an attempt to address COPD in rural Maine by demonstrating the effectiveness of system-wide change and implementation of best-practice care methods. The methodology that supports the COPD Initiative was consistent with the Chronic Care Model (CCM) and the Institute for Healthcare Improvement’s (IHI) “Breakthrough Series” change methods.

The Impact of School-Based Tobacco and Substance Abuse Prevention Education in Maine, prepared for the Spurwink Center for Research at the University of New England (UNE), November 1, 2002

The primary objective of the evaluation, funded principally by the Bingham Foundation of Maine, was to determine whether Leadership Decisions Institute (LDI) curriculum, used alone or in combination with the Life Skills Training program, was effective in reducing the onset of alcohol, tobacco and other drug use among middle school students in Maine.

Certificate of Need Project Report, Prepared for the Maine Department of Human Services, March 8, 2001

PHRG was contracted to: 1. Analyze and describe the relationship between certificate of need (CON), health planning, cost control, and healthcare quality, 2. Compare the Acute Care CON program in Maine to CON in other states, 3. Review current program strengths and weaknesses and objectives for the future, 4. Interview stakeholders to understand perceptions of the current CON process and get feedback on proposed changes, and 5. Develop a template of legislative changes for CON in Maine.

Planning and Policy Studies

Evaluation of National Alliance on Mental Illness (NAMI) Maine Chapter's Crisis Intervention Team (CIT)

In 2004, PHRI (now CHPPR) was contracted by National Alliance on Mental Illness (NAMI) Maine to evaluate the impact of a first-of-its-kind pilot project that adapted the Memphis-based CIT model, an evidence based police response to community psychiatric crises, at Androscoggin County Jail. NAMI Maine was awarded another Maine Health Access Foundation (MeHAF) grant to expand the adaptation of CIT to eight additional county jails and five police departments across Maine. This report evaluates the effectiveness of the expansion program, particularly its effectiveness among correctional officers, who have not traditionally been included in CIT training.

A Community Health Assessment for New London County, Connecticut: prepared for Ledge Light Health District, Groton, CT, May 2007

This first-of-its-kind study of the health status of New London County residents was commissioned in July 2006 by the partners in CHAMP, a collaborative of seventeen health and human service organizations in New London County. The report provides detailed health status profiles, identifies the priority health issues affecting county residents and provides recommendations for improving the delivery of health services and prevention programs.

2007 Health Planning Report for Northern, Eastern and Central Maine: prepared for Eastern Maine Healthcare Systems, April 2007

The primary goal of this study was to identify key health care service issues in the communities in Northern, Central and Eastern Maine and to develop a comprehensive health plan to improve services and service delivery for residents. This study builds upon the baseline community health assessment completed for EMHS by PHRG (now CHPPR) in 2001.

State Tobacco Education and Prevention Partnership Local Health Agency Exploratory Research: prepared for Colorado State Tobacco Education and Prevention Partnership Colorado Department of Public Health and Environment Prevention Services Division, December 2006

The purpose of this document is to examine the potential implementation, administration, enforcement and surveillance roles of local health agencies in a state with a state-wide smoking ban and to explore the implications of the state-wide ban on the role of local agencies in developing and implementing evidence-based tobacco control programs and policies at the community level.

Issue Brief on Covering the Uninsured under the Health Care Affordability Act for Vermonters: Prepared for the Vermont Division of Health Care Administration, August 17, 2006

This issue brief focuses specifically on the two insurance programs created in the Health Care Affordability Act (Employer-Sponsored Insurance and Catamount Health Insurance) and their potential impact on the uninsured. It also examines other state programs to gain insight on issues Vermont may face as it implements its own health care reform programs. 

Prescription Drug Access and Affordability among the Vermont Medicare-Eligible Population and Impact of Medicare Part D: Prepared for the Vermont Division of Health Care Administration, July 5, 2006 

Using the findings from both 2000 and 2005 Vermont Household Health Insurance Surveys (VHHIS) and other sources, this Issue Brief examined prescription drug access and affordability among the Medicare-eligible population in Vermont prior to and during the early stages of the implementation of Medicare Modernization and Prescription Drug Improvement Act (Medicare Part D). 

Maine Healthcare System Assessment Report: A Profile on Health Status, Access, Quality and Cost Indicators for the Northeast, Central and Southern Regions of Maine, prepared for the Governor’s Office of Health Policy and Finance, November 1, 2004 

The primary objective of this assessment was to describe differences in access to services, quality of care and health status in order to identify disparities in health outcomes that may be responsive to changes in the delivery of healthcare in Maine. A secondary goal was to develop a preliminary initial set of benchmarks that could be used to compare the health status of Maine to the US.

Health Planning Report for Northern, Eastern and Central Maine, prepared for Eastern Maine Healthcare, November 1, 2001 

The primary goal of the study was to identify key health care service issues in the communities in northern, eastern and central Maine and to develop a comprehensive health plan to improve services and service delivery for residents. A secondary goal was to assess needs for substance abuse services in the study area populations and make recommendations about how to better serve those needs.

Executive Summary Cardiovascular Services Demand Needs Study: prepared for Maine Department of Human Services, September 15, 2000

This executive summary examined provider perspectives on the current adequacy of invasive diagnostic and therapeutic cardiovascular services in Maine and the need for additional services, studied the implications of current standards of care and potential changes in these for the delivery of cardiovascular services, and made recommendations for the future development of invasive diagnostic and therapeutic cardiovascular services.