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Grant Number: U54 HS08612
RFA/PA: HS94-006 - AHCPR Rural Centers (Cooperative Agreements)
PI Name: HARTLEY, DAVID
Project Title: THE MAINE AHCPR RURAL CENTER
Abstract:
HARTLEY, DAVID
UNIVERSITY OF SOUTHERN MAINE, PORTLAND ME
THE MAINE AHCPR RURAL CENTER
U54 HS08612-01
10/01/94
Hartley, David HS08612
The problems of developing and maintaining stable health care resources and
systems in underserved rural areas are well known and have become a critical
issue in the debate over health care reform. The Maine/AHCPR Rural Center
(Rural Center), a consortium of health sciences and state health policy
organizations, will assist two rural, underserved regions in Maine develop
strategies for responding to changing local conditions and broader state and
federal health reform initiatives. The project will link community and provider
stimulated initiatives already underway in these rural areas with research and
practice findings regarding successful models of rural health care delivery,
network development, and managed care. The project will focus on the following
key elements of a sustainable rural health care delivery system of the future:
(1) the establishment of a vertically integrated network approach to health
care delivery, based on the collaborative affiliation of providers, the
business community and consumers, (2) the application of managed care
principles to service delivery, including case management, risk-based
contracting, practice guidelines and tools for monitoring and improving the
quality of cars, (3) the development and provision of provider and consumer
educational programs to strengthen their respective roles and relationships in
a managed care environment, (4) the design and implementation of information
systems to provide accessible data for analyzing network performance and
supporting its managed care activities, and (5) the dissemination of reports
and information to advance local, state and national understanding of the
issues and challenges of creating integrated managed care delivery networks in
rural areas. The Rural Center will strengthen the capacity of local leaders and
procure additional resources and expertise to fully design and implement a
vertically integrated network approach for the delivery of managed health care
services to rural populations. Specific support of the Rural Center will
include financial/actuarial assistance in the design and implementation of
payment arrangements; tools and methods for implementing a comprehensive
quality assurance system; and the development of information systems to support
network operations. The Rural Center will also link the demonstration sites to
other AHCPR sites and Centers and will serve as a resource for rural health
policy development.
for the delivery of managed health care services to rural populations.
Specific support of the Rural Center will include financial/actuarial
assistance in the design and implementation of payment arrangements; tools and
methods for implementing a comprehensive quality assurance system; and the
development of information systems to support network operations. The Rural
Center will also link the demonstration sites to other AHCPR sites and Centers
and will serve as a resource for rural health policy development.
Fiscal Year: 1998
Department: UNIVERSITY OF SOUTHERN MAINE
Project Start: 09/30/1994
Project End: 09/30/2001
Accession Number: PB2003-100051 (http://www.ntis.gov)
IRG: ZHS1
Related Publications:
Hartley, D., Jackson, J., Mueller, K.J., Nichols, A., Williams, V. (1999). "AHCPR-funded rural managed care centers: report from the field." J Rural Health , Vol. 15, pp. 87-93
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