September 24, 2012

Subscribe to Maine Medicine eNewsletters
Manage Your Subscriptions
Email our Editor...
Maine Medical Association Home Page
. Search back issues
. Plain Text Version
Printer Friendly

Quality Counts Annual Meeting Featured e-Patient Dave deBronkart, Jr.

Quality Counts, the regional health improvement organization co-located with MMA, held its 2012 Annual Members Meeting last week on September 19th at the Senator Inn in Augusta.  Attendees reviewed achievements of the year, elected new officers, and heard from e-Patient Dave deBronkart.  It also was announced that former CMS Administrator Donald Berwick, M.D. will keynote the QC 2013 Annual Conference on April 3rd at the Augusta Civic Center.

Elected to chair the Quality Counts Board of Directors for the next two years was Daniel L'Heureux, town manager of China.  He follows MMA EVP Gordon Smith who has served as chair for the past two years.  He will continue to serve on the Executive Committee for another year.  Terri Bellmore, VP & General Manager of Universal American was elected as Vice Chair.

E-Patient Dave has appeared in Time, U.S. News & World Report, and other national publications and in 2009, HealthLeaders named him and his doctor to their annual list of "20 People Who Make Healthcare Better."  His 2011 TEDx Talk entitled, "Let Patients Help" went viral and is in the top half of the most-watched TED talks of all time.

Dave was diagnosed with stage IV cancer in 2007 and became a blogger, keynote speaker, and health policy adviser as he used his education at MIT and his business background to search out the best options, working at the same time with his physician.  He is today the leading spokesman for patient engagement as he co-chairs on a volunteer basis the Society for Participatory Medicine.

Dave's very compelling talk to the Quality Counts members focused on his experience in going through his treatments and his subsequent work with other patients and patient groups.  He focused some of his attention on the need for patients to have access to their medical record.

Maine Quality Counts is an independent, statewide coalition where the people who get, provide, and pay for health care come together to improve health care quality and affordability throughout the state.  For more information, go to or call 207-622-3374, ext.218.

First Fridays in October Moves to Third Friday, October 19th: Physician Compensation and Contracts

To accommodate conflicting schedules, the October CME program on the topic of Physician Compensation and Employment Contracts has been moved to Friday, October 19th.  Attorneys Michael Duddy, Gordon Smith, and Andrew MacLean will present the latest information on physician compensation in Maine and include a discussion of productivity incentives and other aspects of employment agreements.  The programs costs $65 and will be held from 9:00 a.m. to noon at the offices of the association in Manchester, Maine.  The program is also available via webex. 

Register now at or call 622-3374.

Watch you next issue of Maine Medicine for a list of First Friday programs for 2013.

[return to top]

Physicians Must Begin EHR Reporting by October 3rd to Receive Medicare Incentive

Physicians who want to participate in the 2012 Medicare Electronic Health Record Incentive Program must begin a required 90-day reporting period by October 3rd.  To qualify for the incentive payment, physicians must successfully meet a set of “meaningful use” measures during the reporting period and submit their data through the CMS Registration and Attestation System.  Physicians who begin the program in 2012 are eligible to receive a total incentive of $44,000 over five years.  Physicians who wait until 2013 to participate are still eligible for a slightly reduced incentive of $39,000 over four years. [return to top]

CMS Announces National Provider Call to Review 2011 Medicare Incentive Payments

The Centers for Medicare & Medicaid Services (CMS) will discuss doctors’ incentive payments and feedback reports for the 2011 Physician Quality Reporting System and e-prescribing programs during a national provider call on September 25th.  The 90-minute call is scheduled from 1:30-3 p.m. EDT.  Providers must register on the CMS website to receive call-in information.  During the call, CMS officials will review ongoing opportunities for physicians to successfully participate to in the 2012 incentive programs. [return to top]

School Health Updates: Concussion Policies, Pertussis Vaccination

The Maine School Health Advisory Committee held its monthly meeting last week, attended by members of the MeCDC and several DHHS programs, school nurses, the Maine Medical Association, and others.  Among the items discussed were: 

  • Pertussis Update.  With the growing rate of pertussis in Maine this year and concerns over vaccination rates, the MeCDC is considering steps to increase booster shot rates in the 11-17 year old age group.  One option may be to have school based vaccination clinics offer a pertussis booster. 

  • Concussion Policies.  In its most recent session, the Maine legislature passed L.D. 1873, which requires schools to adopt a policy on the management of head injuries by January 1, 2013.  The Commissioner of Education was charged with working with a stakeholder group to create a model policy.   The Department of Education is still working to finalize a model policy that will address both returning to sports and to learning following a head injury.  A draft was distributed at the meeting.  The model policy would require that a student receive "written medical clearance from a licensed health care provider trained in concussion management" before resuming activities.  The Maine School Management Coalition, representing school boards and superintendents, has also created a model policy, however it is somewhat more limited in scope. 

  • Seasonal Influenza Vaccination Clinics.  Schools are starting to plan for school-based seasonal flu clinics.  The US CDC has provided some additional resources this year with the goal of reaching underserved schools and those with no school nurse.  Some of the funding may also be used to explore how to make the clinics more sustainable (for example, increasing billing to MaineCare and private insurance) and how to adapt the clinics to provide additional vaccinations.   For more information email 

For more information about the MMA's public health and school health activities, contact Jessa Barnard at 

[return to top]

National Drug Take-Back Day Scheduled for Saturday, 9/29

The U.S. Drug Enforcement Administration (DEA) has scheduled another annual Drug Take-Back Initiative for Saturday, September 29, 2012 at a number of locations across Maine, including many town police departments.

The Take-Back Day sites will be open from 10 a.m. to 2 p.m.

You can find more information about the Take-Back Initiative and search for the locations nearest you on the U.S. D.E.A. web site: or call 1-800-882-9539.

Americans that participated in the DEA’s Drug Take-Back Day on April 28th turned in a record-breaking 552,161 pounds of unwanted or expired medications at the 5,659 take-back sites located in all 50 states and U.S. territories.   

[return to top]

Lung Association Seeks Patient Stories

We need the Clean Air Act.  The promise of the Clean Air Act is healthy air to breathe.  Congress has kept this promise for more than 40 years, but now the Clean Air Act is under attack. The data is clear that this would harm children, older adults, those with asthma and other lung diseases, and many others.  But the data is not enough.

The American Lung Association in Maine needs real stories to protect our air and the Clean Air Act. Help us collect patient stories to show our members of Congress that clean air is essential.

Real stories make an impact.  There is nothing like hearing about a real person living with a health condition that is caused or worsened by air pollution to help lawmakers understand why clean air is essential. Real stories create a visual and bring a name and a face to the issue---and this is far more powerful than any set of facts and figures we could provide.

The Lung Association is seeking stories about children with asthma, adults with asthma or another lung disease, adults with cardiovascular disease or others affected by unhealthy air. 

Have a compelling patient story or wiling to pass along the request to your patients and families?  Contact Effie Cravin at or (207) 624-0323.  

[return to top]

Senate Candidate Forum on Disability Issues, September 27th

Former Governor Angus King, State Senator Cynthia Dill, and Secretary of State Charlie Summers are scheduled to attend a candidates' forum on Thursday, September 27, 2012 at 1:30 p.m. at Le Club Calumet, 334 West River Road, Augusta.

Please mark your calendars for this important forum focusing on crucial issues facing the disability community and featuring the candidates vying for Maine's U.S. Senate seat this November.

This Senate race has received national attention - The Washington Post referred to it as "the most important Senate race of the year" - and this forum offers a powerful opportunity for people with disabilities to impact the policy debate.

Please join us for this important event!  

This forum is sponsored by the Disability Rights Center together with the Maine Developmental Disabilities Council, Alpha One, Speaking Up For Us, Advocacy Initiative Network of Maine, Consumer Council System of Maine, Maine Parent Federation, STRIVE, Iris Network, Maine Center on Deafness, Southern Maine Parent Awareness, Autism Society of Maine, GEAR Parent Network, Center for Community Inclusion and Disability Studies, and Maine APSE.

ASL interpreting will be provided.   

For more information, please contact Rick Langley at 800-452-1948

[return to top]

AMA Adjusts 2013 CPT Code Set for Medical Homes and ACOs

On September 17th, the AMA released the 2013 edition of the Current Procedural Terminology (CPT) code set in which the AMA has tried to support the reporting obligations of physicians in new practice settings, such as medical homes and accountable care organizations (ACOs).  The AMA envisions the new code set to be used for claims filed as of January 1, 2013.  The new code set also reflects physician practice changes and technology improvements in cardiology, neurologic testing, and psychiatry.  New care coordination codes should enhance practices' ability to report time spent connecting patients to community services; transitioning them from inpatient to other settings; and preventing readmissions.

You can find the AMA press statement on this release on the web at:

[return to top]

Massachusetts Eye & Ear Fined $1.5 M for Security Breach

This case in our region is a good reminder of the importance of focused compliance efforts with the HIPAA privacy and security rules.  According to a September 17th statement from the hospital, in 2010 the Massachusetts Eye & Ear Infirmary and Massachusetts Eye & Ear Associates, Inc. (MEEI) provided a breach notification report to the OCR because of the theft of a physician's laptop computer that held unencrypted patient data.  MEEI will pay the $1.5 million fine in 3 equal installments in October of 2012, 2013, and 2014.  While no patient harm was identified in the investigation, the "OCR's investigation indicated that these failures continued over an extended period of time, demonstrating a long-term, organizational disregard for the requirements of the security rule," HHS said.  The case shows the dangers of holding protected health information on portable devices.

The MMA offers continuing medical education on the HIPAA privacy and security rules and more and more practices are taking advantage of this opportunity for their annual HIPAA staff training.  Please contact Gail Begin at if you would like to schedule a training for your practice.

[return to top]

Upcoming Events & Conferences

First Annual Let's Go 5210 Childhood Obesity Conference 

September 27 & 28, 2012

Maine Health Conference Center, 110 Free Street, Portland 

For anyone who works 1:1 with patients and families.  Learn how to build capacity in your practice, in your community and for your patients. 

For more information, click here.


11th Annual Downeast Ophthalmology Symposium

September 28-30, 2012

Harborside Hotel & Marina, Bar Harbor, Maine

The Maine Society of Eye Physicians and Surgeons will host the 11th Annual Downeast Ophthalmology Symposium in beautiful Bar Harbor, Maine once again this year.  Offering 15.25 AMA PRA Category 1 Credits to ophthalmologists across the country.  

For more information and registration information, click here


Maine Public Health Association 2012 Annual Conference 

Community Connections: Building Creative Partnerships for the Health of All Mainers

October 17, 2012

Civic Center, Augusta 

Join us at Maine's premier Professional Public Health event, the 28th MPHA Annual Meeting. We will be partnering with many organizations across the State to bring the highest quality of education, innovation and inspiration to those that work in and around the field of public health.

For for information or to register, click here


Maine Cardiovascular Summit 

Best Practice: Cardiovascular Care in the Field, in the Clinical Practice, and in the Community

November 8, 2012

Samoset Resort, Rockport 

National  and local cardiovascular health experts will come together to discuss best practice in cardiovascular care. 

For more information, or to register, click here


Maine CDC Infectious Disease Conference 

November 13, 12012

Augusta Civic Center, Augusta, Maine

Presenting a review of emerging issues in the field of infectious diseases, particularly as they impact the Maine medical community. 

For more information or to register, click here[return to top]

Job Openings

MD/DO Position Available in Dexter, Maine

Sebasticook Family Doctors is accepting applications for a MD/DO at our busy Dexter location.  Ideal candidate will have two or more years experience in a busy community health outpatient setting delivering high quality care.  Exceptional clinical, interpersonal and EMR skills are required.   SFD offers  excellent compensation, benefits and working environment.   Join our growing team!  

Interested applicants should send resume and cover letter to:  Melanie Knowles, Human Resources, Sebasticook Family Doctors, 18 Moosehead Trail, Suite 5, Newport, ME 04953 or at


Family Practice Physicians

Katahdin Valley Health Center is recruiting dedicated Family Practice Physicians that are committed to providing quality health care services to the people in Central/Northern Maine.  Join our practice in one of the newly expanded facilities.  We are seeking physicians for our Millinocket, Patten and Houlton locations.  KVHC is a fully electronic medical record site and offers a competitive salary and benefits package which includes sign on bonus, generous amounts of paid time off, health insurance, life and disability insurance as well as Federal Torts Claims Act (FTCA) malpractice coverage.  No nights, no weekends, either limited or no inpatient care and limited call coverage.  Physicians who join KVHC are eligible to apply for NHSC Loan Repayment.
Physicians that join KVHC will be providing quality care in a dynamic, cutting edge environment, within a patient focused team of 11 Providers and 90 Staff Members.  As one of New England’s highest performing Federally Qualified Health Centers (FQHC), KVHC has a mission to provide community accessible, quality healthcare with compassion and dignity. 
To learn more about KVHC and Practitioner Opportunities, please contact Michelle LeFay at or visit our website at  KVHC is an equal opportunity employer.


Medical Director/Family Practice Physician

Katahdin Valley Health Center, established in 1974, is a high performing FQHC with a continuous track record of growth and stability.   KVHC seeks a Medical Director/Family Practice Physician to join our team and pursue our mission to provide community accessible, quality healthcare with compassion and dignity.   The Medical Director at KVHC will begin by providing patient primary care 3 days per week and performing administrative Medical Director Duties the other 2 days of the week.  This position will progressively move to a Full Time Medical Director Administrative role.  KVHC offers state of the art facilities and technology, electronic medical records, as well as a competitive salary and benefits package which include sign on bonus, generous amounts of paid time off, health insurance, life and disability insurance as well as Federal Torts Claims Act (FTCA) malpractice coverage. No nights, no weekends, either limited or no inpatient care and limited call coverage.  
KVHC has site locations in Houlton, Island Falls, Patten and Millinocket.  The Medical Director will work between the Houlton and Patten site, or the Millinocket and Patten Site.  Interested applicants should contact Michelle LeFay at or visit our website at  KVHC is an equal opportunity employer.


Psychiatric Nurse Practitioner

Sebasticook Family Doctors is a Federally Qualified Health Care Center currently accepting applications for a Full Time Psychiatric Nurse Practioner for our  Dexter location.  Position includes assessment, medical management, therapy and group work.  Ideal candidtate will have 3 or more years experience in a busy community health outpatient setting delivering high quality care.   Excellent compensation, benefits and working environment.

Send resume and cover letter to:  Melanie  Knowles, Human Resources,  Sebasticook Family Doctors,
18 Moosehead Trail, Suite 5, Newport, ME 04953  or by email at

10/8/12 [return to top]

For more information or to contact us directly, please visit l ©2003, Maine Medical Association