An Interim Evaluation Report of the Innovative Projects Portfolio of the Flex Program, Sara Kahn-Troster MPH; John A. Gale MS; Anush Hansen MS,MA; and Andrew Coburn PhD Link
Health Equity Challenges in Rural America, Erika Ziller PhD and Andrew Coburn PhD
Low-Income, Uninsured Mainers Face Substantial Challenges Getting Health Care, Erika C. Ziller PhD, Amanda R. Burgess MPPM, and Barbara Leonard MPH Link
Medicaid Income Eligibility Transitions Among Rural Adults, Erika Ziller PhD, Deborah Thayer, and Jennifer D. Lenardson PDF
Residential Settings and Healthcare Use of the Rural “Oldest-Old” Medicare Population, Nathan Paluso MPH; Zachariah Croll; Deborah Thayer MBA; Jean A. Talbot PhD, MPH; and Andrew F. Coburn PhD PDF
Rural Health Clinic Participation in the Merit-Based Incentive System and Other Quality Reporting Initiatives: Challenges and Opportunities, John A. Gale MS, Zach Croll BA, and Andrew Coburn PhD PDF
2017
After Closure: Options for Pursuing a High Performance Rural Health System. Andrew F. Coburn PhD PDF
Catastrophic Consequences: The Link Between Rural Opioid Use and HIV/AIDS [Book chapter] Jennifer Lenardson MHS and Mary Lindsey Smith PhD, MSW
Community Paramedicine Pilot Programs: Lessons from Maine. Karen B. Pearson and George Shaler MPH PDF
Developing Program Performance Measures for Rural Emergency Medical Services, John A. Gale MS; Andrew F. Coburn PhD; Karen B. Pearson MLIS, MA; Zachariah T. Croll MPH; and George Shaler MPH Link
Innovations in Rural Health System Development: Federally Qualified Health Center Initiatives, Sara Kahn-Troster MPH, Amanda Burgess MPPM, and Andrew Coburn PhD Link to full text
Knowledge of Health Insurance Concepts and the Affordable Care Act among Rural Residents. Erika Ziller PhD, Jennifer Lenardson MHS, and Amanda Burgess MPPM PDF
Mental Health Status and Access to Health Care Services for Adults in Maine Erika C. Ziller PhD and Barbara Leonard MPH PDF
Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Settings. John A. Gale MS PDF
Rural Opioid Prevention and Treatment Strategies: The Experience in Four States [Full report]. John A. Gale MS; Anush Hansen MS,MA; and Martha Elbaum Williamson MPA PDF
Rural Opioid Prevention and Treatment Strategies: The Experience in Four States [Policy Brief]. John A. Gale MS; Anush Hansen MS,MA; and Martha Elbaum Williamson MPA PDF
The Role of Public versus Private Health Insurance in Ensuring Health Care Access & Affordability for Low-Income Rural Children. Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Amanda Burgess MPPM PDF
State Flex Program Rural Emergency Medical Services Assessment Strategies, Karen B. Pearson MLIS, MA; John A. Gale MS; Sara Kahn-Troster MPH; and Andrew Coburn PhD Link to full text
2016
Access to Health Care Services for Adults in Maine, Erika C. Ziller PhD PDF
Adverse Childhood Experiences in Rural and Urban Contexts, Jean Talbot PhD, MPH; Donald Szlosek MHS; and Erica C. Ziller PhD PDF
Are Rural Older Adults Benefitting from Increased State Spending on Medicaid Home and Community-Based Services? Andrew F. Coburn PhD, Eileen Griffin JD, Deborah Thayer MBA, and Zachariah T. Croll BA PDF
Health Information Exchange: A Strategy for Improving Access for Rural Veterans in the Maine Flex Rural Veterans Health Access, Karen B. Pearson MLIS, MA; Amanda Burgess MPPM; John A. Gale MS; Andrew F. Coburn PhD; and Anush Yousefian Hansen MS, MA PDF
Innovations in Rural Health System Development: Governance, Sara Kahn-Troster MPH and Andrew F. Coburn PhD PDF
Innovations in Rural Health System Development: Maine’s Behavioral Health Services, Amanda Burgess MPPM and Andrew F. Coburn PhD PDF
Innovations in Rural Health System Development: Moving Rural Health Systems to Value-based Payment, Sara Kahn-Troster MPH and Andrew F. Coburn PhD PDF
Innovations in Rural Health System Development: Recruiting and Retaining Maine’s Health Care Workforce, Amanda Burgess MPPM and Andrew F. Coburn PhD PDF
Innovations in Rural Health System Development: Service Delivery Advances in Care Coordination, Emergency Care, and Telehealth, Amanda Burgess MPPM and Andrew F. Coburn PhD PDF
Maine Rural Health Profiles: A Statewide View of Rural Health, Sara Kahn-Troster MPH, Amanda Burgess MPPM, Andrew F. Coburn PhD, Ryan Wallace MRP, Zachariah T. Croll BA, and Rachel Gallo MPH Link
Mental Health First Aid in Rural Communities: Appropriateness and Outcomes, Jean Talbot PhD, Donald Szlosek MPH, and Erika C. Ziller PhD Link
Pilot testing a Rural Health Clinic quality measurement reporting system. John A. Gale MS; Anush Yousefian Hansen MS,MA; David Hartley PhD, MHA; and Andrew F. Coburn PhD PDF
Rural Opioid Abuse: Prevalence and User Characteristics, Jennifer D. Lenardson MHS, John A. Gale MS, and Erika Ziller PhD PDF
Understanding the Business Case for Telemental Health in Rural Communities., David Lambert PhD; John A. Gale MS; David Hartley PhD, MHA; Zachariah Croll BA; and Anush Yousefian Hansen MS, MA Link
2015
Adoption and Use of Electronic Health Records by Rural Health Clinics: Results of a National Survey, John A. Gale MS; Zachariah T. Croll BA; and David Hartley PhD, MHA PDF
Adoption and use of electronic health records by rural health clinics: Results of a national survey, John A. Gale MS; Zachariah T. Croll BA; and David Hartley PhD, MHA PDF
Built environments and active living in rural and remote areas: A review of the literature, Anush Yousefian Hansen MS, MA; M. Renée Umstattd Meyer; Jennifer D. Lenardson MHS; and David Hartley PhD, MHA Link
Implications of Rural Residence and Single Mother Status for Maternal Smoking Behaviors, Jean A. Talbot PhD, Donald Szlosek MPH, and Erika C. Ziller PhD PDF
Maine EMS Community Paramedicine Pilot Program Evaluation, Karen B. Pearson MLIS, MA and George Shaler MPH PDF
Out-of-Pocket Spending among Rural Medicare Beneficiaries, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD PDF
Promoting Active Living in Rural Communities, Anush Yousefian Hansen MS, MA and David Hartley PhD, MHA PDF
Rural Adults Delay, Forego, and Strategize to Afford Their Pre-ACA Health Care, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD PDF
Rural and Remote Food Environments and Obesity, Jennifer D. Lenardson MHS; Anush Yousefian Hansen MS, MA; and David Hartley PhD, MHA Link
Rural Disabled Medicare Beneficiaries Spend More out-of-Pocket Than Their Urban Counterparts, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD PDF
Rural Health Clinic Readiness for Patient-Centered Medical Home Recognition: Preparing for the evolving healthcare marketplace, John A. Gale MS; Zachariah T. Croll BA; and David Hartley PhD, MHA Working Paper
Rural Health Clinic Readiness for Patient-Centered Medical Home Recognition: Preparing for the evolving healthcare marketplace, John A. Gale MS; Zachariah T. Croll BA; David Hartley PhD, MHA; and Andrew F. Coburn PhD Policy Brief
Rural Implications of Medicaid Expansion under the Affordable Care Act, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD PDF
2014
Advancing the Transition to a High Performance Rural Health System, Charles Alfero MA; Andrew F. Coburn PhD; Jennifer P. Lundblad PhD, MBA; A. Clinton MacKinney MD, MS; Timothy McBride PhD; and Keith J. Mueller PhD PDF
Collaborative Community Health Needs Assessments: Approaches and Benefits for Critical Access Hospitals, John A. Gale MS, Andrew F. Coburn PhD, and Helen E. Newton BA PDF
Integrated Care for Older Adults in Rural Communities, Eileen Griffin JD and Andrew F. Coburn PhD PDF
Integrated Care Management in Rural Communities, Eileen Griffin JD and Andrew F. Coburn PhD PDF
Meaningful Use of Electronic Health Record (EHR) by Rural Health Clinics. [Working Paper]. John A. Gale MS; David Hartley PhD, MHA; and Zachariah T. Croll BA PDF
Meaningful Use of Electronic Health Record (EHR) by Rural Health Clinics. [Policy Brief]. John A. Gale MS; David Hartley PhD, MHA; and Zachariah T. Croll BA PDF
Turning around the struggling rural hospital: Shared responsibility and hard work, John A. Gale MS Link
2013
Advancing the Use of CBT with Justice-Involved Women, Erica King MSW and Marilyn Van Dieten PhD
Challenges and Opportunities for Improving Mental Health Services in Rural Long-Term Care, Jean A. Talbot PhD and Andrew F. Coburn PhD PDF
Children served by MaineCare, 2012: Survey findings, Nathaniel J. Anderson MS, MPH; Kimberley Fox MPA; Deborah Thayer MBA; and Zachariah T. Croll BA PDF
Children’s health policy: Promising starts, disappointing outcomes, Elizabeth Kilbreth PhD and Erica C. Ziller PhD
Emergency Transfers of the Elderly from Nursing Facilities to Critical Access Hospitals: Opportunities for improving patient safety and quality, Karen B. Pearson MLIS, MA and Andrew F. Coburn PhD PDF
Engaging and empowering rural communities to build healthy environments: Field testing the rural active living assessment tools, David Hartley PhD, MHA and Anush Yousefian Hansen MS, MA Link
Mental Health Services in Rural Long-Term Care: Challenges and opportunities for improvement, Jean A. Talbot PhD and Andrew F. Coburn PhD PDF
Rural acute myocardial infarction survey (RAMIS), Nikiah Nudell BA, NRP; Tom Bouthillet NREMT-P; Don Rice MD; John A. Gale MS; and Gary Wingrove EMT-P PDF
Rural Children Experience Different Rates of Mental Health Diagnosis and Treatment, David Hartley PhD, MPH; Jennifer D. Lenardson MHS; Nathaniel J. Anderson MS, MPH; and Samantha J. Neuwirth MD PDF
Rural Considerations in Establishing Network Adequacy Standards for Qualified Health Plans in State and Regional Health Insurance Exchanges, Jean A. Talbot PhD, Andrew F. Coburn PhD, Erika C. Ziller PhD, and Zachariah T. Croll BA Link
Rural vets: Their barriers, problems, needs, John A. Gale MS and Hilda R. Heady PDF
Telemental Health in Today’s Rural Health System, David Lambert PhD; John A. Gale MS; Anush Yousefian Hansen MS, MA; Zach Croll BA; and David Hartley PhD, MHA PDF
2013 Survey of Children Served by MaineCare, Jean A. Talbot PhD, Deborah Thayer MBA, Zachariah T. Croll BA, and Kimberley Fox MPA PDF
2012
Adolescent Alcohol Use: Do risk and protective factors explain rural-urban differences?, John A. Gale MS; Jennifer D. Lenardson MHS; David Lambert PhD; and David Hartley PhD, MHA PDF
Community benefit activities of critical access hospitals, non-metropolitan hospitals and metropolitan hospitals, Zachariah T. Croll BA, John A. Gale MS, and Andrew F. Coburn PhD PDF
Evidence-Based Falls Prevention in Critical Access Hospitals, Karen B. Pearson MLIS, MA and Andrew F. Coburn PhD PDF
Health Care Access and Use Among the Rural Uninsured, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD
Promoting a Culture of Safety: Use of the Hospital Survey On Patient Safety Culture in Critical Access Hospitals, Andrew F. Coburn PhD; Zachariah T. Croll BA; and Karen B. Pearson MLIS, MA PDF
Promoting a Culture of Safety: Use of the Hospital Survey on Patient Safety Culture in Critical Access Hospitals, Zachariah T. Croll BA; Andrew F. Coburn PhD; and Karen B. Pearson MLIS, MA PDF
Pursuing High Performance in Rural Health Care, A. Clinton MacKinney MD, MS; Keith J. Mueller PhD; Andrew F. Coburn PhD; Jennifer P. Lundblad PhD, MBA; Timothy D. McBride PhD; and Sidney D. Watson JD PDF
Rural Implications of Geographic Rating of Health Insurance Premiums, Andrew F. Coburn PhD, Erika C. Ziller PhD, Zachariah T. Croll BA, and Elizabeth Kilbreth PhD PDF
Why Do Some Critical Access Hospitals Close Their Skilled Nursing Facility Services While Others Retain Them?, John A. Gale MS; Zachariah T. Croll BA; Andrew F. Coburn PhD; and Walter R. Gregg MA, MPH PDF
2011
Developing regional STEMI systems of care: A review of the evidence and the role of the Flex program, John A. Gale MS PDF
Health Care Access and Use Among the Rural Uninsured, Erika C. Ziller PhD, Jennifer D. Lenardson MHS, and Andrew F. Coburn PhD PDF
How does the rural food environment affect rural childhood obesity?, David Hartley PhD, MHA; Nathaniel J. Anderson MS, MPH; Kimberley Fox MPA; and Jennifer D. Lenardson MHS PDF
Improving Hospital Patient Safety Through Teamwork: The Use of TeamSTEPPS In Critical Access Hospitals, Andrew F. Coburn PhD and Zachariah T. Croll BA PDF
Providing better care at lower cost: Building Maine’s health data infrastructure to support financing and delivery system reform, Andrew F. Coburn PhD PDF
Provision of long term care services by critical access hospitals: Are things changing?, Melanie Race MS, John A. Gale MS, and Andrew Coburn PhD PDF
Understanding the rural food environment: Perspectives of low-income parents, Anush Yousefian Hansen MS, MA; Al Leighton BA; Kimberley Fox MPA; and David Hartley PhD, MHA Link
2010
Access to Mental Health Services and Family Impact of Rural Children with Mental Health Problems, Jennifer D. Lenardson MHS; Erika C. Ziller PhD; David Lambert PhD; Melanie M. Race MS; and Anush Yousefian Hansen MS, MA PDF
Are rural health clinics part of the rural safety net?, Hartley David PhD, MHA; John Gale MS; Al Leighton BA; and Stuart Bratesman MPP PDF
Access to rural mental health services: Service use and out-of-pocket costs, Erika C. Ziller PhD; Nathaniel J. Anderson MS, MPH; and Andrew F. Coburn PhD Link
Characteristics of Inpatient Psychiatric Units in Small Rural Hospitals, David Hartley PhD, MHA; Stephanie Loux MS; David Lambert PhD; John A. Gale MS; and Anush Yousefian Hansen MS, MA Link
Development of the rural active living assessment tools: Measuring rural environments, Anush Yousefian Hansen MS, MA; Erin MPH Hennessy; M. Renee Umstattd PhD; Christina Economos PhD; Jeffrey S. Hallam PhD; Raymond R. Hyatt PhD; and David Hartley PhD, MHA Link
Encouraging rural health clinics to provide mental health services: What are the options?, John A. Gale MS; Stephanie Loux; Barbara Shaw JD; and David Hartley PhD, MHA PDF
Impact of Employment Transitions on Health Insurance Coverage of Rural Residents, Nathaniel J. Anderson MS, MPH; Erika C. Ziller PhD; Melanie M. Race MS; and Andrew F. Coburn PhD PDF
Mental Health Services in Rural Jails, Melanie Race MS; Anush Yousefian Hansen MS,MA; David Lambert PhD; and David Hartley PhD, MHA PDF
Mental Health Services in Rural Jails, Melanie Race MS; Anush Yousefian Hansen MS,MA; David Lambert PhD; and David Hartley PhD, MHA PDF
Models For Quality Improvement In Critical Access Hospitals: The Role Of State Flex Programs, Andrew F. Coburn PhD; John A. Gale MS; Mark Richards BA; Anush Yousefian Hansen MS, MA; and Melanie Race MS PDF
Racial, socioeconomic, and rural-urban disparities in obesity-related bariatric surgery, Amy E. Wallace; Yinong Young-Xu; David Hartley PhD, MHA; and William B. Weeks Link
Rural America: A look beyond the images, John A. Gale MS PDF
Safety Net Activities of Independent Rural Health Clinics, David Hartley PhD, MHA; John A. Gale MS; Al Leighton BA; and Stuart Bratesman MPP PDF
The Provision of Mental Health Services by Rural Health Clinics, John A. Gale MS; Stephanie Loux MS; Barbara Shaw JD; and David Hartley PhD, MHA PDF
The Provision of Mental Health Services by Rural Health Clinics, John A. Gale MS; Stephanie Loux; Barbara Shaw JD; and David Hartley PhD, MHA PDF
The Role of State Flex Programs in Supporting Quality Improvement in Critical Access Hospitals, Andrew F. Coburn PhD; John A. Gale MS; Mark Richards BA; and Anush Yousefian Hansen MS,MA PDF
2009
A community benefit reporting toolkit for critical access hospitals, John A. Gale MS and Melanie Race MS PDF
Availability, Characteristics, and Role of Detoxification Services in Rural Areas, Jennifer D. Lenardson MHS, Melanie Race MS, and John Gale MS PDF
Few and Far Away: Detoxification services in rural areas, Jennifer D. Lenardson MHS, Melanie Race MS, and John Gale MS PDF
Health Insurance Profile Indicates Need to Expand Coverage in Rural Areas, Jennifer D. Lenardson MHS; Erika C. Ziller PhD; Andrew F. Coburn PhD; and Nathaniel J. Anderson MS, MPH PDF
Maine Barriers to Integration Study: The view from Maine on the barriers to integrated care and recommendations for moving forward, John A. Gale MS and David Lambert PhD PDF
Mental Health and Substance Abuse in Maine: Building a community-based system, David Lambert PhD and John A. Gale MS PDF
Policy Issues Affecting Maine’s Hospitals, John A. Gale MS and Jennifer D. Lenardson MHS PDF
Private health insurance in rural areas: Challenges and opportunities, Erika C. Ziller PhD and Andrew F. Coburn PhD PDF
Profile of rural health insurance coverage: A chartbook, Jennifer D. Lenardson MHS, Erika C. Ziller PhD, and Andrew F. Coburn PhD PDF
Rural children don’t receive the mental health care they need, David Lambert PhD, Erika C. Ziller PhD, and Jennifer D. Lenardson MHS PDF
Rural coverage gaps decline following public health insurance expansions, Erika C. Ziller PhD and Andrew F. Coburn PhD PDF
Rural-urban differences in health care access vary across measures, Erika C. Ziller PhD and Jennifer D. Lenardson MHS PDF
The 2009 Report to the Secretary: Rural Health and Human Services Issues, National Advisory Committee on Rural Health and Human Services PDF
2008
Distribution of Substance Abuse Treatment Facilities Across the Rural-Urban Continuum, Jennifer D. Lenardson MHS and John A. Gale MS PDF
Employment of Advanced-practice Psychiatric Nurses to Stem Rural Mental Health Workforce Shortages, Nancy P. Hanrahan PhD, RN and David Hartley PhD, MHA Link
Rural-urban Differences in Work Patterns Among Adults with Depressive Symptoms, Lisa Morris PhD; Stephenie Loux MS; Erika C. Ziller PhD; and David Hartley PhD, MHA PDF
Substance abuse by youth and young adults in rural America, David Lambert PhD; John A. Gale MS; and David Hartley PhD, MHA Link
Use of mental health services by rural children, David Lambert PhD, Erika C. Ziller PhD, and Jennifer D. Lenardson MHS PDF
Uninsured Rural Families, Erika C. Ziller PhD; Andrew F. Coburn PhD; Nathaniel J. Anderson MS, MPH; and Stephanie L. Loux MS Link
2007
Distribution of Substance Abuse Treatment Facilities Across the Rural-Urban Continuum, John A. Gale MS and Jennifer D. Lenardson MHS PDF
Maine’s Rural Health Challenges, Jennifer D. Lenardson MHS and David Hartley PhD, MHA PDF
Substance abuse among rural youth: A little meth and a lot of booze, David Hartley PhD, MHA PDF
The Community Impact of Critical Access Hospitals, John A. Gale MS; Andrew F. Coburn PhD; Victoria Freeman DrPH; Walter R. Gregg MA, MPH; and Rebecca T. Slifkin PhD PDF
2005
Mental Health Encounters in Critical Access Hospital Emergency Rooms: A National Survey, David Hartley PhD, MHA; John A. Gale MS; Erika C. Ziller PhD; Stephenie L. Loux MS; and Anush E. Yousefian Hansen MS, MA PDF
2002
Patterns of health insurance coverage among rural and urban children, Andrew F. Coburn PhD, Timothy D. McBride PhD, and Erika C. Ziller PhD Link
