February 25, 2013

 
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Maine Receives $33 Million Payment Reform Grant

Maine will receive a $33 million three-year grant from the federal government intended to test whether new health care payment and delivery models will produce better results and lower health care costs than the present system according to an announcements by state and government officials on Friday.  Funding will come in the form of a Cooperative Agreement from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS), Center for Medicare & Medicaid Innovation (CMMI).  The Innovation Center was established in the Affordable Care Act (ACA).

Health and Human Services (HHS) Secretary Kathleen Sebelius announced the first recipients of State Innovation Model awards made possible by the Affordable Care Act.  Nearly $300 million in awards is intended to provide flexibility and support to states to help them deliver high-quality health care, lower costs, and improve their health system performance.  It is significant that three of the first six states receiving these grants are in New England (Maine, Massachusetts and Vermont).

Maine will receive a $33 million three-year grant that will test whether new payment and service models will produce superior results and lower costs.  The effort, called the Maine Innovation Model, hopes to achieve more than $1 billion in overall savings over a three-year period.  MaineCare officials have worked with the Maine Health Management Coalition, Quality Counts and Maine HealthInfoNet for many months to prepare the application for the grant which will commit more resources to many of the payment reform initiatives already begun in the state.  MMA congratulates Commissioner Mary Mayhew, MaineCare Director Stephanie Nadeau, Project Director Michelle Probert and Medical Director Kevin Flanigan, M.D. as well as MHMC, QC and HIN staff for their success in achieving this grant which may be a game-changer in bringing about true reform in the payment and delivery system.

The Maine Innovation Model will strengthen efforts already underway by aligning MaineCare, Medicare, and commercial insurer payments and systems to achieve and sustain lower healthcare costs across the State. "Providers will know what to expect in terms of payments and will have clear guidance on the data they must report so they can focus their energy on transforming care for their patients," said Commissioner Mary Mayhew. "As a result of collecting consistent information, patients can compare different health care providers in terms of cost and quality and find practices that best fit their needs, regardless of how the bill is being paid."  Mayhew said that resources will be available through the grant to assist patients in managing their own health conditions, including help to navigate the path to care from a peer who has experienced his/her health condition.

Data generated will be publicly reported, reinforcing the commitment to transparency, Mayhew said. 

The Maine Health Management Coalition (MHMC) is the State's primary partner in implementing this grant. MHMC is made up of more than 60 employers who represent 200,000 employees and dependents. It is a purchaser-led collaborative representing employers, providers, payers, and consumers. 

Additional partners include HealthInfoNet, the state's Health Information Exchange and Maine Quality Counts.

"This grant will help Maine's MaineCare program build on the experience and success of the MHMC's work in quality improvement, consumer education, value-based insurance design, transparency, and payment reform, as well as the excellent work of others in Maine to improve healthcare for an important segment of Maine's population," said Elizabeth Mitchell, CEO of the Maine Health Management Coalition.

For more information on the awards announced today, please go to:  http://innovation.cms.gov/initiatives/State-Innovations/. Later this week, other information on the Model Grant including a Q & A document will be available on the MMA website at www.mainemed.com.  MMA will also continue to report in the Weekly Update on progress under the grant, including the activities expected during the three-month ramp-up period. 

 

POLITICAL PULSE: Legislative Highlights of the Week

Here are some highlights of what MMA's advocacy team followed at the State House the week of February 18th: 

LEGISLATURE APPROVES SUPPLEMENTAL BUDGET

The Maine State Legislature overwhelmingly passed the Supplemental Budget last week, thus balancing the state budget for the current fiscal year and closing a $166 million gap. The House voted 129-14 and the Senate voted unanimously, 35-0, to support it. The budget, which won unanimous approval from the budget-writing Appropriations Committee two weeks ago, now goes to Gov. Paul LePage for his signature. The budget does not include administration proposals to reduce hospital reimbursement rates and outpatient services. In other DHHS areas, the committee kept the Drugs for the Elderly program intact and rejected a cap on general assistance.  The Appropriations Committee will next begin work on the two-year budget.

MMA OPPOSES INCREASED PHARMACIST ROLE IN ADMINISTERING KIDS VACCINES 

The Labor, Commerce, Research and Economic Development Committee held a public hearing last week on LD 148, An Act to Amend the Laws Governing Drugs and Vaccines Administered by Pharmacists.  This bill would expand the current law that allows pharmacists to administer flu vaccines to all individuals over age 9 and all vaccines to adults.  It would now allow pharmacists to administer any vaccine recommended by the United States Centers for Disease Control and Prevention Advisory Committee on Immunization Practices to those over age 9.  MMA opposed the bill on a number of grounds, including that pharmacists cannot currently participate in the state immunization registry (ImmPact) or the new universal childhood immunization program, so there would be serious issues with information sharing with primary care providers and payment for the vaccine when administered to children.  Testimony by MMA EVP Gordon Smith on behalf of MMA and the Maine Chapter American Academy of Pediatrics can be found here.  The Committee was very interested in the arguments presented by Mr. Smith and may hold over further consideration of the bill until they take up a bill on collaborative practice agreements with pharmacists and hear from the Maine Immunization Program. 

HEALTH AND HUMAN SERVICES COMMITTEE CONSIDERS FREE SAMPLES, PHYSICIAN DELEGATION, HEALTH COSTS  

The Health & Human Services Committee had an extremely busy schedule this week, full of public hearings and work sessions of interest to MMA.  The committee held a work session on  LD 77, An Act To Require Health Care Practitioners To Distribute Free Samples of Medication in Certain Circumstances.  MMA had testified in opposition to the bill.  After discussion, the Committee voted unanimously that the bill ought not to pass, so it does not proceed out of committee.   The Committee also held a public hearing on an MMA-drafted bill, LD 198, that would modify Maine's law on physician delegation of tasks to unlicensed personnel.  The changes would allow physicians to delegate to all support staff, not just employees, and allow delegated tasks to be carried out if the physician is not on the premises.  The Board of Licensure in Medicine also testified in favor of the bill and no one testified in opposition.  Testimony by MMA Deputy EVP Andrew MacLean can be found here.   Dr. Josh Cutler also delivered MMA testimony in favor of LD 230, An Act to Establish the Commission on Health Care Cost and Quality.  This bill was sponsored by Rep. Anne Graham and would establish a group similar to the Advisory Council on Health Systems Development that existed from 2005 to 2009 and would monitor the accessibility, cost and quality of health care in the State.  The Committee will hold work sessions on both LD 198 and 230 this Thursday. 

TRANSPORTATION COMMITTEE REJECTS HELMET, CELL PHONE MEASURES 

Last week, a majority of the Transportation Committee voted ought not to pass on LD 66, An Act to Require that Motorcyclists Wear Helmets and LD 68, An Act to Prohibit the Use of Handheld Mobile Telephones While Operating a Motor Vehicle.  MMA testified in favor of LD 66, which would have required all motorcyclists to wear a helmet regardless of age. MMA testimony on the bill can be found here and an Associated Press Story on the hearing can be found here.  

EVENTS WEEK OF 2/25/13 

If you are interested in attending or learning more about any of the events taking place at the State House this week, please contact Jessa Barnard at jbarnard@mainemed.com or 622-3374 x 211.  For a full list of events taking place at the State House, visit the Legislative Calendar

Wednesday, 2/27, 10 am, Health and Human Services Committee public hearings on 

  • LD 197, An Act To Permit Nurse Practitioners To Perform the Functions of School Physicians
  • LD 257, An Act To Protect Newborns Exposed to Drugs or Alcohol
  • LD 386, An Act To Reduce Tobacco-related Illness and Lower Health Care Costs in MaineCare
  • LD 390, An Act To Restore MaineCare Coverage for Ambulatory Surgical Center Services

Wednesday, 2/27, 1:30 pm, Health and Human Services Committee public hearings on 

  • LD 272, An Act To Reduce Youth Cancer Risk
  • LD 337, An Act To Require That Burn Injuries and Wounds Be Reported to the Office of the State Fire Marshal
  • LD 388, An Act To Amend the Controlled Substances Prescription Monitoring Program Participation Requirements

Thursday, 2/28, 1 pm, LCRED Committee public hearing

  • LD 411, An Act To Amend the Health Care Practitioner Licensing, Disciplinary and Reporting Laws Regarding Alcohol and Drug Abuse

Thursday, 2/28, 1 pm, Health and Human Services work sessions on 

  • LD 162, An Act To Repeal the Maine Certificate of Need Act of 2002
  • LD 198, An Act To Clarify Physicians' Delegation of Medical Care
  • LD 230 An Act To Establish the Commission on Health Care Cost and Quality

Thursday 2/28, 1:30 pm, Insurance and Financial Services public hearing

  • LD 205, An Act To Exempt Free Clinics from Licensing under the Charitable Solicitations Act
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MMA Legislative Committee In-person Meeting Tonight; Tuesday Call to Discuss Cardiovascular Tech Bills Only

There will be an in person Legislative Committee meeting tonight, Monday, February 25th at 6pm at MMA.  Dinner will be served. All are invited to attend and the call-in option is still available with the same number as always.  

The first hour of the meeting will be spent discussing the complex issues related to opiate overdose prevention and two bills submitted this session to help prevent overdose, An Act to Amend the Laws Governing Prosecution of Individuals Possessing a Controlled Substance under Certain Circumstances and An Act to Provide Immunity for Prescribing and Dispensing Intranasal Naloxone Kits.  The guest speaker will be Jayne Harper, MS, MCHES.  Ms. Harper is the Overdose Prevention Educator at the MaineGeneral Prevention Center, HealthReach Harm Reduction Program.  The second hour will be spent discussing the new bills printed this week (see list below). 

The MMA's regular weekly Legislative Committee conference call on Tuesday, February 26, 2013 at 8 pm will be dedicated solely to a continuing discussion of the issues raised by L.D. 348, An Act Concerning the Scope of Practice of Cardiovascular Technologists and LD 509, An Act To Exempt Certain Supervised Medical Assistants from Licensing under the Medical Radiation Health and Safety Laws. MMA EVP Gordon Smith will moderate this call and physicians of all specialties with an interest in the issues are encouraged to participate.  

Conference call number:  1-877-669-3239

Passcode:  23045263

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 495, An Act Regarding the Law Pertaining to the Confidentiality of Enhanced 9-1-1 System Information and Records (monitor; emergency physicians)

LD 499, An Act To Promote Dental Care for Low-income Populations (monitor or support; psychiatrists; Public Health Committee)

LD 506, Resolve, Directing the Bureau of Insurance To Amend Its Rules Pertaining to Medicare Advantage Plans (monitor)

LD 507, Resolve, Directing the Department of Health and Human Services To Amend Its Rules To Improve the Oral Health Education of Children (monitor or support; pediatricians)

LD 509, An Act To Exempt Certain Supervised Medical Assistants from Licensing under the Medical Radiation Health and Safety Laws (position depends on results of further discussion; radioligists, cardiologists, orthopaedic surgeons)

LD 517,  An Act To Restore Funding for Head Start (monitor or support; pediatricians)

LD 520, An Act To Protect Maine Consumers from Predatory Medical Pricing (oppose)

LD 523, An Act To Require Health Insurance Coverage for Hearing Aids for Adults (monitor; otolaryngologists)

LD 528, An Act To Require Parental Consent for a School To Conduct Mental Health or Behavioral Screening on a Student (monitor; pediatricians)*

LD 534, An Act To Improve Care Coordination for Persons with Mental Illness (position depends on discussion & further analysis; psychiatrists)*

LD 536, An Act To Improve the Efficiency of Use of MaineCare Funds (monitor)

LD 537, An Act To Help Maine Residents Receive Private Health Care Insurance (monitor)

LD 539, An Act To Ensure Parity in the Ability To Counsel Patients (support; OB-GYNs; pediatricians)*

LD 546, An Act To Improve Transparency and Oversight of the Maine Guaranteed Access Reinsurance Association and To Make Changes Necessary To Comply with Federal Law (support)

LD 547, An Act To Ensure the Accountability of Taxpayer Funds and State Collaboration, Planning and Oversight in the Implementation and Operation of a Health Exchange in Maine (support)

LD 553, An Act To Remove the Statement of Oral Condition as a Requirement for Denturists Making Partial Dentures (monitor)

LD 556, An Act To Modernize the Statutes Governing Physician Assistants (DEAPA bill; support)*

LD 564, Resolve, To Allow Maine Drivers To Use Bioptic or Telescopic Spectacles When Driving Class C Motor Vehicles and When Testing for a Class C Driver's License (oppose; ophthalmologists)

LD 575, An Act To Amend the Laws Relating to Radon Testing (monitor; Public Health Committee)

LD 576, Resolve, To Protect Concealed Handgun Permit Information on a Temporary Basis (monitor; Public Health Committee)

LD 579, Resolve, To Clarify and Improve the Eligibility Process for Services for Persons with Intellectual Disabilities or Autism (monitor; pediatricians; psychiatrists)

LD 589,  An Act To Strengthen the Law Regarding Texting and Driving (monitor or support; Public Health Committee)

LD 597, An Act To Inform Persons of the Options for the Treatment of Lyme Disease (monitor or oppose; Public Health Committee)*

LD 603, An Act To Repeal an Insurance Reporting Requirement (monitor)

LD 609, An Act To Increase Suicide Awareness and Prevention in Maine Public Schools (monitor or support; pediatricians; Public Health Committee)

LD 610, Resolve, To Amend the Rule Regarding Certain Mandatory Charity Care Policies To Be Consistent with MaineCare and the Federal Patient Protection and Affordable Care Act (monitor)

LD 627, An Act Relating to Orally Administered Cancer Therapy (support)*

LD 629, An Act To Restore Eligibility and Funding for Drug Programs for the Elderly and Disabled (monitor or support)

LD 633, An Act To Grant the Commissioner of Health and Human Services and the Commissioner's Designees the Independent Authority To Issue Adjudicatory Subpoenas (monitor)

LD 634, An Act Regarding Permits for Final Disposition of Dead Human Bodies (monitor)

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Results of Member SurveyMonkey Poll

Thank you to those members who took a minute from their busy schedules to respond to MMA's quarterly poll question sent electronically through SurveyMonkey in early February.  Based upon 245 responses, the results are as follows:

1. Do you support legislation introduced by Rep. Mark Dion to eliminate the list of conditions/diseases in the current medical marijuana law in favor of allowing a physician to prepare a certificate for any patient whom the physician believes would benefit from its use?

Yes   31.4%

No    68.6%

2.  Do you believe that Maine should accept federal funds to expand MaineCare eligibility as provided for in the Affordable Care Act?

Yes   75.8%

No    24.6%

3.  Do you believe the Maine Medical Association should establish a Facebook Page?

Yes   37.6%

No    62.4%

The next survey will be sent out in April or May.

 
 
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Corporate Affiliate Breakfast April 18 to Feature Olympian Jenny Thompson, M.D.

MMA's Annual Corporate Affiliate Breakfast will be held this year at 7:30 a.m. on Thursday, April 18th, at the Portland Country Club in Falmouth.  We are especially honored this year to have as our speaker Jenny Thompson, M.D., a pediatric anesthesiologist with Spectrum Medical Group.  Dr. Thompson is one of the most decorated Olympians in history, holding the current record for the most career Olympic medals by an American female athlete.  Participating in the Summer Olympics in 1992, 1996, 2000, and 2004, Dr. Thompson won 12 Olympic medals, including 8 gold medals, the most medals for any female Olympian swimmer in history.  She also was a member of the Stanford University team that won four NCAA titles.

A graduate of Stanford University, Dr. Thompson went on to earn  a medical degree at Columbia University College of Physicians and Surgeons and completed an anesthesia residency at Brigham & Womens in Boston. She completed her medical education doing a fellowship in pediatric anesthesia at Childrens Hospital, also in Boston.

All Corporate Affiliates will receive an invitation in the mail and this year the members of our Senior Section also will be invited.  Other members wishing to attend at a cost of $20 may contact Lisa Martin (lmartin@mainemed.com or call 622-3374, ext. 221) to see if space is available.  Members of the MMA Committee on Membership and Member Benefits will also receive an invitation and a meeting of the Committee will be held following the breakfast.

 

 

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Register Today: Physicians' Day at the Legislature, March 19

Physicians' Day at the Legislature 

State House, Hall of Flags, Second Floor

Tuesday, March 19, 2013, 8 am to 4 pm

Speak with your legislators and participate in the legislative process. Speak up on issues of significance to physicians, such as: health care reform; Medicaid funding; scope of practice; state budget priorities; childhood obesity prevention efforts; and more. 

We strongly urge you to attend and invite your colleagues. 

Our State House visits make a very positive impression on legislators.

For more information or to register, click here.

Questions? Contact Maureen Elwell, (207) 622-3374, ext. 219, melwell@mainemed.com

In addition to the traditional events in the Hall of Flags, the MMA & MOA would like to start the day at 7 am with a Walk/Run, along the Kennebec River Rail Trail.  All physicians and legislators are welcome.  The Kennebec Valley YMCA’s locker rooms will be available to all participants before and after the walk/run.  The starting point and ending point will be the Kennebec River Rail Trail Message Board at Capitol Park, which is located west of the YMCA on the opposite side of the football field.  The participants will walk/run along the trail to Hallowell and back (2 miles). Come start your morning with a healthy walk/run along the beautiful Kennebec River Rail Trail!

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Visit MMA Re-designed Website at www.mainemed.com

MMA announced its newly designed website earlier this month and since that time, hundreds of members and practice support staff have visited the site which was re-designed and re-built over a nearly two year period.  All content has been updated and several new content areas and features have been added.  With the members only section eliminated, all visitors will have access to the physician finder feature, the popular Physician's Guide to Maine Law, the monthly poll question and agendas and minutes for all MMA committees.  Physicians will be able to register online for all MMA events and continuing education courses will be available on the site.  The new site is just one element of a communications strategy intended to find the most effective way to communicate with members, corporate affiliates and all others interested in the work of the Association.

There is a lot of content on the site and it will be a priority at MMA to keep the content up to date.  Other features will be added in the future as feedback from members is received.

This newly designed website would not have been possible without the diligence and hard work of Shirley Goggin of the MMA staff.  Many thanks to Shirley and also to Medical Mutual Insurance Company of Maine (and webmaster Mark McGhie particularly) which hosted the previous site for many years.  A thank you as well to Paul Klainer, M.D. and members of the Association's Committee on Technology and Communications which began the process of redesign with the issuance of an RFP two years ago.

We welcome your comments on the site.  Could you find what you were looking for?  How easy was the site to navigate?  Send your comments to Gordon Smith, Executive Vice President at gsmith@mainemed.com or to Shirley Goggin at sgoggin@mainemed.com. [return to top]

MMA Lauches Payment Reform Resource Page; Seeks Volunteers for Payment Reform Committee

MMA is pleased to launch a new payment reform resource page on its website. Visit this page for “how-to” manuals for physicians such as “Evaluating and Negotiating Emerging Payment Options” and much more.

More payment reform resources, forums and webinars to come

The new webpage is the first of many tools MMA will offer physicians seeking to better understand emerging payment reform models and to prepare their practices to engage in payment reform initiatives such as Accountable Care Organizations (ACOs). This initiative is made possible by a grant to the Maine Medical Education Trust by the Maine Health Access Foundation (MeHAF).  The payment reform initiative will also offer educational forums and webinars as well as legal resources such as sample contracts and a database of healthcare attorneys available to work with small, independent practices.  

Volunteers Sought for MMA Payment Reform Committee

The MMA is seeking volunteers for a new ad hoc Payment Reform Committee. This committee will build off the work of the former Payer Liaison Committee but will have a different focus and structure. Supported by funding from the MeHAF grant, this committee will engage practitioners interested in payment reform models such as accountable care organizations.  Committee members will hear from public and private payers, employers, and others who will keep them informed of developments at the state and national level and may also be asked to advise the MMA on the development of educational programming and other resources on payment reform for Maine’s physician population. 

The committee will meet no more than four times a year on a flexible schedule over the next 1-2 years of the grant cycle and will allow for phone or video participation.  The first meeting will be in April.  If you are an MMA member with an interest in payment reform, please consider serving on this committee.  To volunteer, or to ask questions or be added to our email list for notification of upcoming educational events and new payment reform resources please contact Project Manager Jennifer Reck, MA at jreck@mainemed.com. [return to top]

US DHHS Releases Final Essential Health Benefits Rule

On February 20th, the Department of Health & Human Services released the final rule establishing benefits that must be covered beginning in 2014 by individual and small group plans that took effect since passage of the Affordable Care Act in March 2010.

The 149-page final rule fulfills a requirement in ACA that the plans cover essential health benefits (EHBs) for 10 categories of care, including basic services such as hospitalization and emergency care, as well as mental health and maternity care.  Also, the plans must cover a minimum of 60% of the actuarial value of covered medical services.  The rule applies to plans sold within the online health insurance exchange markets that will be created under ACA, as well as plans sold outside of the exchanges.

The final rule is published in today's Federal Register. [return to top]

CBO Reduces Budget Score for SGR Repeal

The Congressional Budget Office (CBO) recently lowered the score for repealing the SGR formula from $243 billion to $138 billion over 10 years.  According to the CBO, this lower score resulted after taking into account the lower rate of spending growth for physician services in recent years.  CBO is projecting that the SGR will produce a 25% physician payment cut on January 1, 2014, followed by modest positive updates in subsequent years.  It is important to note that factors in the flawed  SGR as well as changes in CBO modeling can still produce changes in the score.  The AMA urges the Congress to seize this opportunity to finally repeal the SGR and begin implementing a new Medicare delivery and payment system that will incentivize efficient, high-quality care.

The Republican leadership of the House Ways & Means Committee and the Energy & Commerce Committee jointly unveiled the outline of a proposal to replace the sustainable growth rate formula.  The framework would begin with eliminating the SGR and providing a period of stable payment rates (amount not yet determined).  Phase two would base fee schedule updates on performance as measured by physician-endorsed quality measures.  It appears that physicians would be ranked with their own specialties and earn higher updates for better performance.  In phase three, physicians who rank high on quality would be given the opportunity to earn additional payments based on efficiency.  

Recently, the Committees' Republican staff held a briefing with physician groups to further discuss the joint proposal and plans for its consideration.  Both committees intend to follow "regular order," holding hearings and bill mark ups.  Staff also indicated that they hope to proceed in a bipartisan manner.  In addition, the Chairman of the Energy & Commerce Committee, Rep. Fred Upton (R-MI), addressed the AMA's National Advocacy Conference in Washington on Wednesday, February 13th, expressing his strong desire to move legislation repealing the SGR to the House floor before the August recess.  Indeed, the committee held its first hearing on the SGR the following day.

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Tobacco-Free Hospital Network Gold Star Standards of Excellence Award Nominations Due

The  Maine Tobacco-Free Hospital Network invites hospital to be recognized in the 2013 Maine Tobacco-Free Hospital Network Gold Star Standards of Excellence Awards Program.  All Maine hospitals are invited to apply by February 27th, to be among those celebrated for creating tobacco-free environments and supporting tobacco-free lifestyles. Hospitals that have met at least six of the ten Gold Star Standards will be recognized on March 27th at an event at the Maine Hospital Association in Augusta. 

Hospitals that have previously been recognized are encouraged to reapply to be recognized for their ongoing efforts.  Please complete the award application and return it to the Maine Tobacco-Free Hospital Network by February 27th.  For more information on the Gold Star Standard of Excellence program and adopting tobacco-free policies, visit the MTFHN website or contact Network staff for free support. [return to top]

Job Openings

VICE-PRESIDENT PHYSICIAN PRACTICES - Mayo Regional Hospital

Mayo Regional Hospital, located just 35 miles northwest of Bangor in Dover-Foxcroft, is seeking a VP of Physician Practices for its well-established hospital-based primary care practices. The VP of Physician Practices leads all aspects of the practices, and reports directly to the CEO.  Responsibilities include planning and coordination for six offices in Dover-Foxcroft and surrounding communities.  The position ensures that patients, providers, staff, insurance agreements and facilities meet the goals and objectives of the hospital.  Provider recruitment and retention experience is desired.  A degree in Business Administration or related field is required, with experience managing multiple physician office practices.  Knowledge and understanding of RHCs and the Patient Centered Medical Home Model is a plus.  This opportunity offers a competitive wage and benefits package that includes:  Group health/dental/life, 403(b) retirement plan with employer match, tuition assistance, educational loan payback eligibility, relocation assistance and a generous paid time off program.  Please send resume and cover-letter to: Mayo Regional Hospital, Attn: Joanne Leonard, Dept. B, 897 W. Main Street, Dover-Foxcroft, ME 04426 or E-mail to jleonard@mayohospital.com.  EOE  

2/25/13 

FULL-TIME HOUSE MANAGER

Hospice of Southern Maine seeks a full time House Manager responsible for the management and coordination of the Gosnell Memorial Hospice House, ensuring continuity, cost effectiveness and quality of operations.  This position is also responsible to facilitate communication, provide leadership to the Gosnell House staff and other areas of HSM, and directly supervise all Gosnell House Staff (nurses, home health aides, social workers, cooks, housekeepers, house assistants).

Requirements:  Active Registered Nurse license in the State of Maine.  Bachelor’s degree in nursing, public health, health services or business administration, or related field such as public administration preferred. CHPN preferred. Minimum of 3-4 years of progressively responsible experience in acute care nursing (oncology and/or hospice) required.  Experience managing staff on a shift basis and recent experience in a skilled facility or as a case manager of hospice patients required.  Valid driver's license with an automobile that is insured according to state and/or agency requirements and is in good working order.

Contact Information:  You may submit your resume, cover letter and salary requirement to:  hr@hospiceofsouthernmaine.org or by fax to (207) 883-1040.

Hospice of Southern Maine is an equal opportunity employer, and does not discriminate against applicants or employees on the basis of race, color, sex, sexual orientation, religion, national origin, age, veteran status, disability or any other characteristic protected by applicable law. All employment decisions shall be consistent with the principles of equal employment opportunity. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act, the Vietnam Veterans Readjustment Act, the Maine Human Rights Act, and Title I of the Americans with Disabilities Act, applicants that require accommodation in the job application process may contact the Human Resources Office at 207-289-3640 or by e-mail at hr@hospiceofsouthernmaine.org for assistance.

3/18/13 

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.

3/25/13 

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 www.kvhc.org.  KVHC is an equal opportunity employer.

3/25/13 

Orthopedic Surgeon - Maine Air National Guard


The Air National Guard Orthopedic Surgeon examines, diagnoses, and treats diseases and injuries of the musculoskeletal system by surgical and conservative means. In this role, you’ll perform surgery, manage orthopedic surgery services, oversee the administration of anesthetics, and provide diet recommendations.

Benefits
The Maine Air National Guard gives you the opportunity to serve your community and country with pride, and help people in a whole new way. If you still have student loans, you may be eligible for the Student Loan Repayment Program, or you can potentially get money for college that transfers to your dependents through the Montgomery G.I. Bill.

Besides a monthly paycheck, as a member of the Air Guard you’ll receive low-cost life insurance, a military retirement plan, and eligibility for VA home loans. With more than 140 Air Guard bases in the United States, Puerto Rico, Guam, and the U.S. Virgin Islands you’ll be able to serve where you live, without interrupting your civilian medical practice. And as an Air Guard member you’ll have access to Base Exchange and Commissary shopping as well as free space-available air travel.

Learn More Today
Go to GoANG.com/ME or call 1-800-TO-GO-ANG to find out how you can become an important member of America’s homeland defense in the Maine Air National Guard.

4/4/13 

Surgeon - Maine Air National Guard

As a General Surgeon in the Maine Air National Guard, you’ll adapt the skills and knowledge you’ve gained in your civilian career to the military environment. You’ll provide urgent treatment to Air Guard personnel sick or wounded during duty, and regular healthcare to personnel training in your unit.

Benefits
The Air National Guard gives you the opportunity to serve your community and country with pride, and help people in a whole new way. If you still have student loans, you may be eligible for the Student Loan Repayment Program, or you can potentially get money for college that transfers to your dependents through the Montgomery G.I. Bill.

Besides a monthly paycheck, as a member of the Air Guard you’ll receive low-cost life insurance, a military retirement plan, and eligibility for VA home loans. With more than 140 Air Guard bases in the United States, Puerto Rico, Guam, and the U.S. Virgin Islands you’ll be able to serve where you live, without interrupting your civilian medical practice. And as an Air Guard member you’ll have access to Base Exchange and Commissary shopping as well as free space-available air travel.

Learn More Today
Go to GoANG.com/ME or call 1-800-TO-GO-ANG to learn how you can become an important member of America’s homeland defense in the Maine Air National Guard.

4/4/13  [return to top]

Upcoming Events

 Quality Counts Brown Bag Forum 

ACO Series: Beacon Health & MaineHealth ACO

February 26, 2013

12-1 pm 

Recognizing the rapid changes occurring in the Maine health care landscape, Maine Quality Counts (QC) is partnering with the Maine Health Management Coalition (MHMC) to present a new webinar series designed to introduce Accountable Care Organizations (ACOs) and what they mean for health care stakeholders in Maine.

Click here to register.

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MGMA Third Party Payer Seminars

Payer representatives from the major payers will be speaking at this seminar and providing updates that affect your practice.   

February 26, 2013

8am - 4pm 

Waterville Elks Club, 76 Industrial Street, Waterville

Pricing: $45 for MEMGMA Basic Members; FREE for MEMGMA Premium Members ; $45 for MEMGMA Members’ Staff; $75 for Non-Members

For more information or to register contact: Linda Tardif, Education Chair,(207) 783-1449, LTardif@CentralMaineKidneys.com 

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AMA Webinar: Do I need a statistician? Benchmarking practice performance to achieve value

February 27, 2013

 7 - 8 p.m

Speakers: Michael Neuss, MD, and Steven Larson, MD

Learn how to identify the right metrics and use technology solutions to benchmark individual physician and practice performance. Make comparisons within and outside of your practice to assess quality and efficiency and learn how to develop a performance improvement strategy to address sub-optimal care. 

Register and learn more about the AMA Innovators Committee and other webinars in this series.

 


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Finding Our Way Out of a Broken Health Care System: Health Care Town Hall Meetings

March 4th 

5:30 pm – 8:00 pm

On March 4th, Maine Quality Counts and its partners will present free “Health Care Town Hall Meetings” throughout Maine to preview the documentary:  ESCAPE FIRE:  The Fight to Rescue American Healthcare.  The viewing of this award-winning documentary film will be followed by an engaging discussion between health care providers and consumers regarding how to increase the quality of care while reducing the cost of health care in Maine.  

The ESCAPE FIRE Health Care Town Hall meetings are scheduled from 5:30 pm – 8:00 pm (doors open at 5:00 pm) at the University of Maine on Monday, March 4th, at the following locations:

Augusta – Auburn --  Machias --  Orono --  Portland --  Presque Isle

For more information and to register, see the information attached or click here.

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Medical Professionals Health Program 

1st Annual Professionals Conference:

Health, Wellbeing and Awareness, Fostering Wellness in the Workplace

April 5, 2013

Holiday Inn By The Bay, Portland

For more information, or to register, click here.

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Adverse Childhood Experiences and the Development of Adult Health-risks, Violence, Disease & Premature Death 

presented by Maine Association of Psychiatric Physicians

April 19, 2013

8-4:30 pm 

Mariott at Sable Oaks, South Portland 

Presenter: Vincent J. Felitti, MD 

For more information or to register, contact Dianna Poulin at dpoulin@mainemed.com or 622-7743 

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Save the Date

Healthcare Transformation Learning Symposium

Advancing Change: Healthcare System Transformation in Northern New England

 Tuesday, May 21, 2013

8 am  - 4 pm

University of New Hampshire, Durham, NH

Topics: Data  to Drive System Change,  Regional Tools & Learning, Funders' Perspectives on Supporting Transformation

For more information, click here.

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Save the Date:  

One-day Conference on Aging, Dementia, and Developmental Disabilities

Sponsored by the Charlotte White Center and Co-sponsored by the Maine Developmental Disabilities Council, Momentum Services, and University of Maine Center on Aging

Thursday, May 23, 2013

8:00 a.m. – 4:30 p.m.

Spectacular Events Center, 395 Griffin Road, Bangor

 This event is designed to provide helpful information to families, direct care workers, clinicians, program staff, and administrators concerned about adults with intellectual and developmental disabilities who are affected by dementia. 

For more information, click here

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