January 21, 2013

 
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MMA Board Considers Future Services, Direction of Association

The MMA Board of Directors held its annual President's Retreat this past weekend at the Chateau Frontenac in Quebec City.  Board members conducted a regular business meeting, engaged in strategic discussions about the future of the association, and heard an update on the Canadian health care system from Canadian Medical Association representative Daniel Tardif, M.D.  The weekend also provided an opportunity for board members to get to know each other, their families, and MMA staff better.

The following items are highlights of the business meeting on the afternoon of Friday, January 18th:

  • Review and approval of proposed amendments to the 2013 MMA budget;
  • Review and approval of an amended Resolution from the Public Health Committee entitled, Limits on the Possession of Dangerous Weapons (following several spirited Board discussions about the role of the physician community, and MMA specifically, a majority of the Board voted in favor of the amended Resolution);
  • Review of the 13 bills on the MMA's legislative agenda for the 126th Maine Legislature;
  • Discussion of the move of the Quality Counts staff from the Stred Building to the Hanley Building and potential new tenant for the former QC space in the Stred Building;
  • Discussion of participation with Maine Health Management Coalition and Quality Counts on the "Choosing Wisely Campaign;" and
  • Consideration of establishment of an Audit Committee.
The following two presentations constituted the Board's agenda for Saturday morning, January 19th:
  • Ohio State Medical Association Executive Director Brent Mulgrew presented OSMA Membership & Affiliations:  2013 Pricing and Sales Strategy in which he discussed the OSMA's response to the changing physician marketplace;
  • Daniel Tardif, M.D., M.B.A., a primary care physician who is a hospital Chief Medical Officer and health care consultant in Quebec, presented an overview of the Canadian health care system and some of its current challenges.

On Sunday morning, January 20th, the Board participated in the following discussions:

  • A conversation facilitated by MMA President Dieter Kreckel, M.D. about physician professionalism, professional satisfaction, and leadership roles in society and how the MMA could enhance these;
  • An initial conversation to review and evaluate the various MMA programs and services according to an evaluation matrix containing 4 factors:  1)  relatedness to mission, 2)  percentage of use by members, 3)  financial results or potential, and 4)  staff time.

OSMA Executive Director Brent Mulgrew facilitated the review and discussion of the following MMA programs and services:

  • Advocacy:  state and federal legislative and regulatory advocacy, including MeHAF grants, Legislative Committee, and Public Health Committee;
  • American Medical Association affiliation and activities;
  • Maine Physicians Action Fund (MMA state legislative PAC);
  • Doctor of the Day Program/Physicians' Day at the Legislature;
  • Continuing Medical Education:  First Fridays seminars, Annual Session programming, Annual Practice Education Seminar;
  • Peer Review Program;
  • Office-based Quality Improvement Program;
  • Conference Room Rental Service;
  • Medical Professionals Health Program, including Advisory Committee;
  • Legal services to members:  employment or insurance participation contract reviews, medical staff bylaws work, medical-legal/practice management advice to members or their staffs (legal hotline), on site education such as HIPAA updates;
  • Accreditation of sponsored CME entities;
  • Membership and member relations:  Committee on Membership & Member Benefits, all recruitment and retention activities, and dues collection; 
  • Association management services for medical specialty societies, county societies, the American Society of Medical Association Counsel (ASMAC), and Downeast Association of Physician Assistants (DEAPA);
  • Maine Medical Education Trust (MMET);
  • Maine Medical Education Foundation (MMEF);
  • Development activities including Committee for Tomorrow;
  • External communications;
  • Corporate Affiliate Program;
  • Affinity/Royalty arrangements;
  • Senior section;
  • Finance activities, including Budget & Investment Committee, payroll and benefits, and managing investments;
  • Governance activities, including Board of Directors meetings and activities, bylaws, orientations, retreat, and Nominating Committee;
  • Annual session;
  • Publications:  Maine Medicine, Maine Medicine Weekly Update, and website;
  • MMA representation on or before external boards and commissions involved in the development of health care policy at the state, regional, or national level.

The Sunday morning discussion of these programs and services is the first of a series of strategic discussions anticipated by the MMA Board of Directors during 2013.

HHS Releases Final Omnibus HIPAA Rule

The long-awaited final rule updating several provisions in Health Insurance Portability and Accountability Act regulations was released Jan. 17 by the Department of Health and Human Services Office for Civil Rights.

As promised, the omnibus rule embodies four final rules:

  • modifications to the HIPAA Privacy and Security rules mandated in the Health Information for Economic and Clinical Health (HITECH) Act;
  • changes to the HIPAA enforcement rule;
  • final regulations concerning reporting of data breaches; and
  • modifications to the Privacy Rule as required in the Genetic Information Nondiscrimination Act (GINA).

The rule becomes effective March 26, but covered entities and their business associates have until Sept. 23 to comply.  Among key provisions finalized in the rule are requirements that business associates—entities with which traditional HIPAA-covered entities have relationships that involve protected health information—comply with certain HIPAA Privacy and Security rule obligations.

The final rule also amends the so-called harm standard, used to determine when entities are required to report data breaches.

At a minimum, physician practices will have to update and redistribute their Notice of Privacy Practices and modify Business Associates Agreements to reflect changes in the rules.  The MMA will be preparing sample policies and will post them on www.mainemed.com when they are complete. 

The final rule is set for Jan. 25 Federal Register publication. A prepublication copy of the rule is available by clicking here.  You can read HHS's news release about the new rule here[return to top]

POLITICAL PULSE: MMA Submits Legislative Package & Other Highlights of the Week

This week at the state house, committees largely spent their time hearing introductions from state agencies, key stakeholders and lobbyists.  The Appropriations and Financial Affairs Committee continued to be briefed on the various budget bills and began to discuss the supplemental budget on Thursday.  The Committee will hold public hearings on the supplemental budget beginning next week. 

With cloture on Friday, legislators and advocates were busy finalizing and submitting bill language.  MMA has working with legislators to submit the following 12 bill proposals on behalf of the MMA or various specialty socieites.  In addition, the Association will be assisting with a number of other bills being submitted by other organizations as the lead.  Please contact Andrew MacLean with questions or concerns at amaclean@mainemed.com

  1. AN ACT TO AMEND THE HEALTH CARE PRACTITIONER LICENSING, DISCIPLINARY, AND REPORTING STATUTES REGARDING ALCOHOL AND DRUG ABUSE (Rep. Pringle, M.D.) This bill amends provisions of the Maine Health Security Act regarding the reporting of physicians with possible drug or alcohol problems to licensing authorities and provisions of the health care practitioner licensing statutes dealing with grounds for discipline to use current and more appropriate language for drug or alcohol problems.
  2. AN ACT TO MODERNIZE THE STATUTES GOVERNING PHYSICIAN ASSISTANTS (Rep. Mastraccio)This bill accomplishes the following:  It adds a physician assistant to the medical licensing board and the osteopathic licensing board, the boards which issue licenses to physician assistants; It permits physician assistants to delegate medical acts to medical assistants so long as such delegation is included in the plan of supervision with the supervising physician; It repeals a provision in the Osteopathic Licensing law which currently prohibits a physician assistant from employing a supervising physician; and In order to have one set of regulations governing physician assistants and their supervising physicians, this act would require the osteopathic board and the medical board to do joint rule-making and allow for issuance of a single license.
  3. AN ACT TO AMEND THE LAWS GOVERNING PROSECUTION OF INDIVIDUALS POSSESSING CONTROLLED SUBSTANCE UNDER CERTAIN CIRCUMSTANCES  (Rep. Dorney, M.D.) This bill provides an exception to the crime of unlawful possession of a scheduled drug for a person charged with that crime if the evidence for the charge is gained as a result of the person’s seeking medical assistance for a drug-related overdose.
  4. AN ACT TO RESTORE MAINECARE COVERAGE FOR AMBULATORY SURGICAL CENTER SERVICES (Rep. Cooper)
  5. AN ACT TO PROVIDE IMMUNITY FOR PRESCRIBING AND DISPENSING INTRANASAL NALOXONE KITS (Rep. Dorney, M.D.) This bill provides immunity for health care professionals and persons who assist a person who is experiencing or likely to experience an opiate related drug overdose with intranasal naloxone.  
  6. AN ACT TO AMEND THE POSTGRADUATE EDUCATION REQUIREMENTS FOR PHYSICIANS WHO HAVE COMPLETED AN ACCREDITED RESIDENCY PROGRAM IN ORAL AND MAXILLOFACIAL SURGERY (Rep. Volk) The purpose of the bill is to amend the postgraduate training requirements of the Medical Practice Act for oral surgeons who have graduated from a dual degree (MD, DDS) program so that they qualify for a medical license in the State.  The Board of Licensure in Medicine is given the authority to limit the license to the practice of Oral and maxillofacial surgery, as defined by rule.
  7. AN ACT TO CLARIFY PHYSICIAN DELEGATION (Rep. Dorney, M.D.) This act seeks to clarify that a physician or surgeon may delegate to the physician's or surgeon's employees or support staff certain activities relating to medical care and treatment without being present on the premises at the time the activities are performed, consistent with 32 MRSA § 2205-B governing advanced practice registered nursing delegation.
  8. AN ACT TO AMEND THE PRESCRIPTION MONITORING PROGRAM REQUIREMENTS  (Rep. Dorney, M.D.) This bill provides for an alternative to the current mandatory participation provision in the Prescription Monitoring Program consisting of automatic enrollment at the time of licensure. 
  9. AN ACT TO AMEND THE MAINE MEDICAL RADIATION HEALTH AND SAFETY ACT (Sen. Alfond) This bill clarifies that a license is not required for any medical assistant who has been properly instructed and trained in fluoroscopy C-arm or other imaging equipment positioning and who is assisting a physician who is operating the fluoroscopy C-arm or other imaging equipment and supervising the procedure.
  10. AN ACT TO AMEND THE HEALTH PLAN IMPROVEMENT ACT REGARDING PRESCRIPTION DRUG STEP THERAPY AND PRIOR AUTHORIZATION (Sen. Gratwick) The bill amends the Health Plan Improvement Act to establish certain standards for prescription drug step therapy or “fail first” policies.  It also reduces the time for health insurance carriers to respond to non-emergency prescription drug prior authorization requests from two days to 24 hours.
  11. AN ACT TO REDUCE YOUTH CANCER RISK (Sen. Gratwick) This bill prohibits minors under 18 years of age from using tanning devices. 
  12. AN ACT ESTABLISHING THE “HEALTH CARE PROFESSIONAL TRANSPARENCY ACT OF 2013” (Sen. Gratwick) The purpose of this bill is to ensure that patients receive accurate health care information by prohibiting misleading and deceptive advertising or representation in the provision of health care services and to require the identification of the licensure of health care professionals.  Various national studies conducted in 2008 and 2010 revealed the depth of confusion regarding the education, skills, and training of health care professionals and indicated strong support for regulating the advertising and marketing claims of health care professionals.  As medicine continues to move toward care teams, it is of vital importance that patients know the important and distinct roles that various health professionals play in their care and in the health care delivery system. 
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MMA Legislative Committee Conference Call Tuesday, Jan. 22, 8 pm

The MMA Legislative Committee weekly phone calls will continue tomorrow, Tuesday, January 22th.  They will be held every Tuesday at 8 pm through the session. 

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate.  Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate.  It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode.  These will remain the same for every weekly call during the session:

Conference call number:  1-877-669-3239

Passcode:  23045263

The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed that week, to hear the views of specialty societies on the new bills or their concerns about any health policy issues, and to discuss the highlights of legislative action that week.  The calls rarely last longer than an hour and usually we can accomplish our business in much less time. 

If you have an opinion about any of these bills, but cannot participate in the call, please call or email Andrew MacLean, Deputy EVP at 622-3374, ext. 214 or amaclean@mainemed.com.

The following are bills of interest to the physician community printed last week.  We will discuss the priority bills marked with an asterisk (*) first:

LD 8Resolve, Directing the Department of Health and Human Services To Provide Coverage under the MaineCare Program for Home Life Skills Services for Adults with Intellectual Disabilities or Autistic Disorder (monitor)

LD 20

An Act To Fully Fund the Homemaker Services Program (monitor)

LD 22

An Act To Promote Equity in Business Opportunity for Tobacco Specialty Stores (oppose; Public Health Committee) 

LD 23

An Act To Lower the Cost of Copies of Medical Records (oppose)* 

LD 29

An Act To Provide Support Services to Adults with Intellectual Disabilities or Autistic Disorder (monitor)

LD 30

An Act To Provide Home and Community Services for Individuals with Intellectual Disabilities or Autism (monitor) 

LD 32

An Act To Expand the Types of Vaccines That May Be Administered by Pharmacists (oppose; Public Health Committee)* 

LD 44

An Act Regarding Pharmacy Provider Audits (monitor) 

LD 51

An Act To Allow Lifetime Disability Plates or Placards for Eligible Applicants with Lower Limb Loss (monitor or support) 

LD 57

An Act To Exempt Occupants of Antique Autos from Seat Belt Requirements (monitor or oppose; Public Health Committee)*

LD 60

An Act To Reduce the Number of Public Safety Answering Points (monitor) 

LD 62

An Act To Provide Additional Funding for Respite Care for the Elderly and for Adults with Disabilities (monitor) 

LD 66

An Act To Require That Motorcyclists Wear Helmets (support; Public Health Committee)*

LD 68,

An Act To Prohibit the Use of a Handheld Mobile Telephone while Operating a Motor Vehicle (support; Public Health Committee)*

LD 77

An Act To Require Health Care Practitioners To Distribute Free Samples of Medication in Certain Circumstances  (oppose)* 

LD 83

An Act To Protect Health Insurance Ratepayers from Undocumented Rate Increases  (support)* 

LD 85

An Act To Amend the Motor Vehicle Ignition Interlock Device Requirements in the Laws Regarding Operating Under the Influence (monitor)


 

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Registration for the State's Prescription Monitoring Program No Longer Requires a Notarized Form

The State Office of Substance Abuse Services and MMA are pleased to announce that the services of a notary public will no longer be required in order to register to access on-line records in the Prescription Monitoring Program database.  The requirement was a condition of a federal grant which has now expired.  The necessity of seeking out a notary to sign the enrollment form was seen as a significant barrier to participation in the Program.

 By virtue of legislation enacted in 2012 as part of the Supplemental Budget, enrollment will be required of all prescribers with the ability to prescribe controlled substances unless 90% of the prescribers in that licensing group are registered by Jan. 1, 2014.  Legislation is being prepared to delay that date in favor of a process that would automatically enroll prescribers at the time they receive a professional license or a DEA license.  That legislation is likely to be considered by the Health and Human Services Committee this session.

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Maine Board of Environmental Protection Agrees to Ban BPA from Infant Formula, Baby Food

Members of the state’s Board of Environmental Protection voiced unanimous support Thursday for a measure extending Maine’s ban on the chemical bisphenol A to infant formula packaging and baby food containers, agreeing there’s clear evidence babies are exposed to the chemical — commonly known as BPA — and that BPA-free alternatives are widely available.

The board, however, stopped short of suggesting a BPA ban in toddler food containers that had been sought by a citizens’ petition. The Board will not be supporting the toddler food portion of the rule because there isn't a "bright line" description they can use to differentiate toddler food from other food.  The Kid-Safe Products Act only allows the Board to regulate chemicals in foods intentionally marketed to toddlers under 3. 

Members of the Maine Medical Association and Physicians for Social Responsibility had testified and submitted comments to the Board when they held public hearings on the proposed rule in September. 

Board members plan to take a formal vote on the measure next week. Their recommendation would then go to lawmakers, and a ban could take effect as soon as Aug. 15.

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HHS Re-launchs HealthCare.gov With New information About Health Insurance Marketplace

This week, HHS launched a newly rebuilt HealthCare.gov website, where Americans will be able to get the information they need for enrollment in plans sold via Health Insurance Exchanges beginning in October. Consumers now have the opportunity to sign up for emails and text messages, which will provide them with more information to help them make well-informed decisions when the time to enroll for coverage begins.  And come October, individuals and small businesses will be able to buy insurance from qualified private health plans and check if they are eligible for financial assistance — all in one place. The website will help you prepare for the coming new Health Insurance Marketplace(also known as Health Insurance Exchange), learn about the law, and more.

Read the Secretary’s Blog: Countdown to Affordable Insurance.

 Follow @MarketplaceGov on Twitter.

 Like Health Insurance Marketplace on Facebook.

 Please direct questions to HHSIEA@hhs.gov.

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Changes in MaineCare Tamiflu Policy

Due to the increased outbreak of influenza and the importance of early initiation of Tamiflu therapy, MaineCare is temporarily suspending the requirement for the necessity of a positive influenza test in either the member or family member prior to dispensing Tamiflu. 

If you have any question please contact GHS at 1-888-420-9711

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Value Based Insurance Design Dinner, Jan. 24

Maine Medical Association, Maine Health Management Coalition, and Maine Community Health Options Present:

 Dinner and Discussion:

Value-Based Insurance Design 

and

Choosing Wisely

 

Date:  January 24, 2013

Time:  6:00 p.m. – 8:00 p.m.

Place:  DaVinci’s Restaurant, Bates Mill Complex, Lewiston

Please RSVP by emailing eschulman@maineoptions.org no later than Tuesday, January 22, 2013

 

Value Based Insurance Design

Presenter:  Dr. A. Mark Fendrick

When everyone is required to pay the same out-of-pocket amount for health care services whose benefits depend on patient characteristics, there is enormous potential for both under-and overuse.  Unlike most current health plan designs, Value-Based Insurance Design (V-BID) explicitly acknowledges and responds to patient heterogeneity.  It encourages the use of services when the clinical benefits exceed the cost and likewise discourages the use of services when the benefits do not justify the cost.

 

Choosing Wisely

Presenter: Barbara Crowley, M.D.

Choosing Wisely is part of a multi-year effort of the ABIM Foundation to help physicians be better stewards of finite health care resources.  Originally conceived and piloted by the National Physicians Alliance through a “Putting the Charter into Practice” grant, nine medical specialty organizations, along with Consumer Reports, have identified five tests or procedures commonly used in their field, whose necessity should be questioned and discussed.   [return to top]

MaineCare Limits on Opioid Pain Medication In Effect; PA Forms for Chronic Pain Management Now Available

The limits impact both prescriptions for acute pain and chronic pain and will be effective retroactively.  The  proposal, which is being put into an emergency rule, is posted on the MMA website at www.mainemed.com (in Spotlight section).  There are also new limits on methadone and Suboxone prescribed for treatment of addiction and those limits are discussed below in a separate article.

The proposal is divided into sections dealing with acute pain (pain expected to be resolved within 60 days) and non-acute or chronic pain.   Exceptions to the limits are made for the following categories:

  1. A MaineCare member who is receiving opioid medications for symptoms related to HIV, AIDS and cancer and other qualifying diseases and conditions, as set forth on the Department's Preferred Drug List.
  2. A MaineCare member who is receiving opioid medications during inpatient treatment in a hospital, in a nursing facility or during hospice care.
  3. A MaineCare member who is receiving 30 milligrams or less of morphine sulfate equivalents on a daily basis.
  4. A MaineCare member for whom MaineCare reimbursement for opioid medications for the treatment of addiction is restricted by limits applicable to methadone and buprenorphine and naloxone combination medications.

While prescribers impacted by the limits are encouraged to review the details of the proposal on the MMA website (in Spotlight section) at www.mainemed.com, the essence of the proposal is a limit of 15 days of medication for acute pain, with the ability to receive up to three 14 day renewals through prior authorization so long as there is a face to face visit with the patient.  A renewal beyond 57 days would require a treatment plan consisting of incorporation of non pharmacologic treatments and functional assessment of the member by the physician or other prescriber.  In essence, treatment beyond 57 days will move the patient to the non-acute, or chronic pain limits.

For treatment for chronic pain, opioids will be covered by MaineCare only after one or more non-pharmacologic treatment alternatives are attempted.  The proposed rule includes as such alternatives physical therapy, occupational therapy, chiropractic therapy, osteopathic manipulative treatment, cognitive behavioral therapy, and acceptance commitment therapy. Note that the Department may waive the requirement of a non pharmacologic intervention treatment through prior authorization when participation is not feasible and opioid treatment is medically necessary.

The following forms are now available in the Authorizations and Referrals folder of the Provider Forms page of the Health PAS Online Portal:

  • PA for Physical Therapy (PT) Services for Chronic Pain Form
  • PA Fax Cover Sheet for Therapy Services Review
The forms can also be found on the Pain Management Program webpage on the MaineCare website.

Post-surgical pain is treated as acute pain, but a more liberal provision applies as after the first fifteen day script, the surgeon may renew the script for a total of 60 days, in one or multiple prescriptions through prior authorization.  But there is a requirement that the patient be seen by a provider (not necessarily the surgeon).

MMA staff is available to present CME programs on this topic to medical staffs and other interested groups.  If your practice or staff is interested in a presentation, contact Gordon Smith, Esq., at gsmith@mainemed.com or by calling 622-3374, ext. 212.  Dr. Flanigan is frequently able to present as well and he can be reached at his MaineCare office at 287-1827.

Finally, physicians are reminded that these limits imposed by the Legislature are limits on the ability of MaineCare to pay for the medication.  The physician is free to write for whatever medication he or she believes is appropriate for the patient and the patient may pay cash for the medication if it is not covered by MaineCare. But in doing so, the prescriber may wish to consider whether these limits will eventually be considered the appropriate standard of care for treatment of pain. [return to top]

Attestation Form for MaineCare Primary Care Payment Bump Available; Must be Completed

As reported in previous issues of the Update, the Office MaineCare Services (OMS) is implementing Section 1202 of the Affordable Care Act, effective January 1, 2013 which requires Medicaid programs to pay “for primary care services furnished by certain physicians in calendar years (CYs) 2013 and 2014 at rates not less than the Medicare rates in effect in those CYs or, if greater, the payment rates that would be applicable in those CYs using the CY 2009 Medicare physician fee schedule conversion factor.” 

In order to receive the increased rate, providers must fill out and submit a Self Attestation form. By completing the form, providers attest that s/he meets the criteria established by the ACA – specifically, that:

  • they are appropriately Board certified; OR 
  • that 60 percent of their Medicaid claims are for evaluation and management (E&M) and vaccine administration codes as specified in the federal rule.  

The Self-Attestation form can be found here (downloadable Word document) and provides detail on each of the above criteria.

Provider files will be updated once OMS has approved your form, and OMS will send you a confirmation via email. Please note that the increase will not occur until OMS has approved your form, and that payments will be retroactive to 1/01/13. 

If you have any questions, please contact Donna Sutter at OMS at (207) 629-4280. [return to top]

Limited Number of Remote Sites Available for Feb. 1 Program on Opiates; Plenty of Room to Attend in Manchester

The MMA's First Fridays Educational Series for 2013 begins on Friday, Feb. 1 from 9:00am to 1:00pm and includes an unusual feature.  THERE IS NO COST to attend, either in person at the MMA offices in Manchester or via webex from a laptop or desktop.  Because of grant funding by the state Office of Substance Abuse and Adult Mental Health Services, we are able to present the program without charge.  The number of sites available for webex have filled up, but there is space available to attend at the office in Manchester.

Faculty for the program includes Tamas Peredy, M.D. of the Northern New England Poison Center, John Lipovsky, the new coordinator of the Prescription Monitoring Program, Noel Genova, PA-C of the Chronic Pain Consultation Program, Stephen Kelleher,  and Gordon Smith, Esq. of MMA.  MaineCare Medical Director Kevin Flanigan will also be available to describe the MaineCare limits on opiate medication, effective Jan. 1, 2013.

Registration is available on the MMA website at www.mainemed.com.  Although the registration form notes that a fee is charged, just complete your registration form without including that portion.  A new form with a full agenda and goals and objectives will be available shortly and will be distributed electronically to all of the e-mail addresses we have available for members and their staffs.

Only twenty five remote sites are available so sign up as soon as possible if you know that your facility or practice would like to attend.

A complete list of all the 2013 First Friday programs is also on the website and was included with your Fall issue of Maine Medicine. [return to top]

Job Openings

MEDICAL DIRECTOR - Mercy Recovery Center, Westbrook, Maine

The Mercy Recovery Center offers the largest substance abuse treatment center in Maine for adults treating the entire spectrum of substance abuse from alcoholism to drug addiction. Treatment services include detoxification, group therapy, treatment of withdrawal symptoms, and long term therapies.

We are seeking a Psychiatrist specializing in addiction medicine to serve as Medical Director for the Recovery Center. Suboxone certification is required. Previous experience running an addiction clinic is strongly desired. This position oversees four physicians and 8 physician extenders. Direct care responsibilities include a combination of office visits, inpatient, and partial hospitalization coverage. Mercy offers a competitive compensation and benefits package.

Mercy is the Greater Portland regional health care system representing the highest standards of clinical excellence and compassionate care. Because of a commitment to excellence, the nursing, clinical and support services have consistently achieved superior patient satisfaction ratings, and remain committed to providing the highest quality healthcare for all.

FMI and to apply online, please visit our website: www.Mercyhospital.org 

Please send your CV to Alison Salerno, Provider Recruiter, at salernoa@mercyme.com, or Mercy Hospital, 144 State St., Portland, ME 04101.  207-879-3804 E.O.E.  

 1/28/13

HOSPITALIST - Belfast, Maine

Multi-specialty community hospital on the coast of Maine seeks full-time BC/BE Hospitalist to join an established group and provide full medical oversight of hospital inpatient and critical care activities. Belfast offers beautiful views of Penobscot Bay and is ideal for outdoor enthusiasts. Exceptional family environment with excellent schools.

Send CV to Dan Bennett, Director of Operations, Waldo County General Hospital, P.O. Box 287, Belfast, Maine 04915. Tel. 207-930-6741, Fax 207-338-6207, e-mail: dbennett@wcgh.org.

 2/11/13

MEDICAL DIRECTOR/PHYSICIAN - Health Access Network - Lincoln, Maine

Health Access Network (HAN), a Federally Qualified Health Center (FQHC) in Lincoln, Maine, is seeking a dynamic physician leader to serve in the role of Medical Director to provide overall direction and oversight of our clinical team, as well as provide part-time direct patient care. The Medical Director will join the health center’s leadership team in meeting the goals and objectives of the health center’s mission. Responsibilities include, but are not limited to administrative and on is two days a week administrative and three days providing direct patient care.

Qualifications: Board Certified in family medicine, Maine License, and have at least five years primary care and leadership experience. A practicing physician wishing to transition to a part time medical-administrative/management role is encouraged to apply. Community health center experience a plus. Familiarity with disease registries and electronic medical records is required. Must have exceptional verbal and written communication skills, and possess compassion, innovation, integrity, and excellence which are the health center’s values.

For more information or to forward your curriculum vitae' contact:  Sonia Maxwell, HR Director/Compliance Officer, P.O. Box 99, Lincoln, ME  04455, 207-794-6700, smaxwell@hanfqhc.org.

2/4/13

NURSE PRACTITIONER - Dexter, Maine

Sebasticook Family Doctors is a Federally Qualified Health Care Center currently accepting applications for a Full Time Nurse Practitioner for our  Dexter location.  Ideal candidate will have two or more years experience with exceptional clinical, interpersonal and EMR skills.    Maine License and DEA registration required.  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, mknowles@sfdchc.org.  

2/4/13

MD/DO Position Available - 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 mknowles@sfdchc.org.

2/4/13

PSYCHIATRIC NURSE PRACTITIONER Position Available - Dexter, Maine

Sebasticook Family Doctors is a Federally Qualified Health Care Center currently accepting applications for a Full Time Psychiatric Nurse Practitioner for our Dexter location. Position includes assessment, medical management, therapy and group work. Ideal candidate 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 at mknowles@sfdchc.org.

2/4/13

FAMILY PRACTICE PHYSICIANS SOUGHT - Millinocket and Patten Maine Locations

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 and Patten 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 mlefay@kvhc.org or visit our website at http://www.kvhc.org.  KVHC is an equal opportunity employer.

2/11/13 [return to top]

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