May 6, 2013

 
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Medical Community Reacting to Chain Drug Store Pharmacists Refusing to Fill Scripts

Medical societies across the country are receiving calls from angry members objecting to the practice of at least one major pharmacy chain that has instructed its pharmacists to obtain additional information directly from the physician prior to filling the prescription.  This information sometimes includes diagnosis, ICD-9 code, expected length of therapy and previous medications/therapies tried and failed.  Although the practice may be the result of an agreement between the DEA and the chain, invading the physician-patient relationship and/or questioning the judgment and/or rationale of a physician in each and every controlled substance prescription perverts the spirit and intent of the DEA regulations.  A resolution will be presented by the New England delegation to the American Medical Association seeking to eliminate the practice.

DEA regulations state only that the pharmacist has a responsibility to be sure that a prescription is legitimate.  Therefore, pharmacists are not and under no circumstances should be required to confirm the appropriateness of a prescription; this decision is a purely medical one, completely in the purview of the treating physician.  Questioning a prescription, whether for a new medication or for the same monthly refill of the same dose of a regular refill for a patient who has had the same prescription for the past five years (for example) is completely unreasonable.

The draft resolution to the AMA House of Delegates, discussed and approved at the New England meeting of the AMA delegates last Saturday in Groton, Ct.,asks that the AMA deem routine calls from pharmacists to verify the rationale behind prescriptions, diagnosis and treatment plan to be an inappropriate interference with the practice of medicine and unwarranted.

MMA staff has begun receiving calls from members who are asked for this type of verification, even for some medication that is not controlled.  The examples to date have involved Walgreens, the largest chain pharmacy in the nation. The DEA launched an investigation of the chain's operation in Florida in 2012 and it is believed that the new practices of the pharmacists employed by Walgreens are a result of the investigation and any DEA action taken.  But other pharmacy chains are purported to be planning similar calls and collection, inappropriately, of clinical information on each patient.

Members are encouraged to bring any such calls to the attention of MMA EVP Gordon Smith at gsmith@mainemed.com.  Data collected will be shared with the AMA as its legal staff attempts to learn how widespread the practice is.

POLITICAL PULSE: Legislative Highlights from the Week

Here are some highlights of what MMA's advocacy team followed at the State House the week of April 29th.  It was another extremely busy week for Committees as they rush to meet a May 17th deadline for voting on all bills.  

MMA BILL ON PRACTITIONER TRANSPARENCY RECEIVES PUBLIC HEARING

An MMA-written bill on the transparency of health practitioners' credentials received a hearing last week in the Insurance and Financial Services Committee.  Senator Geoffrey Gratwick sponsored the bill (LD 727), which would ensure that patients receive accurate health care information by prohibiting deceptive or misleading advertising or misrepresentation in the provision of health care services, requiring the identification and level of licensure of health care practitioners with patient contact and clarifying disciplinary actions that may be taken for failure to comply with these consumer information requirements. MMA EVP, Gordon Smith, Esq., testified in favor of the bill, along with Dr. Aaron Tebbs, representing the Maine Society of Anesthesiologists and Dr. Jack Forbush with the Maine Osteopathic Association.  The Maine Nurse Practitioner Association testified neither for nor against the bill, raising a concern with the volume of information that would be required on a name tag. The Maine Psychological Association and the association representing physical therapists also testified but did not oppose the bill.

The Committee also held work sessions on a number of bills being followed by the MMA, including LD 984, An Act To Amend the Health Plan Improvement Law Regarding Prescription Drug Step Therapy and Prior Authorization, and bills related to a health insurance exchange, the Maine Guaranteed Access Reinsurance Association and health insurance rate review.  Although the vote was not unanimous, LD 984 did receive a majority ought to pass report, as amended.  The bill would still permit health insurance carriers to use step therapy protocols as a cost containment mechanism, but those protocols cannot require an off-label prescription and cannot subject a patient to step therapy more than once for a particular drug during the period the patient is covered by the carrier.  The bill also changes the time frame for a carrier to respond to a non-emergency prescription drug prior authorization request from two days to 24 hours. 

LABOR COMMITTEE CONSIDERS BOLIM BILL, MODIFIES COMPOUNDING PHARMACY PROPOSAL

Last Wednesday, the Labor, Commerce, Research and Economic Development Committee held a public hearing on a Board of Licensure in Medicine bill (LD 1437) that would make several changes to physician and physician assistant licensing.  For example, it provides that physician assistants have the same duty as physicians to report acts of a physician's misconduct, it clarifies that a health care provider or health care entity is required to report disciplinary action taken against an employee, even if that person is employed by a 3rd party, and it allows the board to specify individuals other than physicians for the purpose of conducting examinations of physicians and physician assistants to determine whether a physician or physician assistant is mentally and physically competent.  The bill also seeks to address the issue of MD-DMD maxilliofacial surgeons not being able to receive a medical license.  The MMA raised this issue with LD 1196, which the committee unanimously voted ought to pass, but the Board prefers a different solution.  MMA testified neither for nor against the bill, and primarily raised a concern with the provision of the bill that  adds a ground for discipline of not providing documentation requested by the Board during an investigation.  A work session on the bill is scheduled for tomorrow (May 7).

The Committee also held a work session on LD 1315 - addressing compounding pharmacies - and voted to turn the bill into a resolve that would create a stakeholder group to study the issue.  MMA had testified neither for nor against the bill. 

JUDICIARY COMMITTEE APPROVES NALOXONE BILL, REJECTS DUTY TO WARN

The Judiciary Committee held work sessions last week on several bills of interest to the MMA.  A majority of the committee voted to support a modified version of LD 1046, An Act To Provide Immunity for Prescribing and Dispensing Intranasal Naloxone Kits.  The amended language is derived from the Massachusetts law which allows third party prescribing in addition to third party administration of naloxone. The Committee is also seeking to ensure there is language including requiring training in recognizing and responding to overdose and administration of naloxone.   This is a huge win for Maine's overdose prevention community.   The Committee rejected LD 1200, which would codify the "Tarasoff" duty-to-warn provision into Maine law.  Finally, the Committee also approved an amended version of LD 744, which originally would have changed the 3 year statue of limitations for professional negligence suits to 10 years in the case of sexual misconduct.  The modified bill will extend the statute of limitations  to 6 years but only for health care personnel providing therapy for individuals who are suffering from a mental health condition

EDUCATION COMMITTEE TAKES ACTION ON PUBLIC HEALTH BILLS

Last week, the Education Committee took up several bills for work session that had public hearings the week before.  The majority of the Committee voted in favor of LD 1160, An Act To Reduce Obesity among Schoolchildren, which would require schools to provide 30 minutes of physical activity each day and prohibit the use of food as a reward.  The Committee voted that LD 1241,  An Act To Protect School Athletes from Head Injuries, ought not to pass.  This was consistent with the MMA position on the bill.  MMA testified that data does not support the approach taken by the bill.  The Committee also voted to support a modified version of LD 1366, An Act To Require Students To Receive Instruction in Cardiopulmonary Resuscitation and the Use of an Automated External Defibrillator prior to Graduation. 

MMA WEIGHS IN ON BILLS BEFORE HHS

The Health and Human Services Committee continues its busy pace with a number of hearings and work sessions every week.  The following were of particular interest to MMA: 

Public Hearings: 

  • Price transparency bills: LD 755, An Act To Require Estimates of Patient Costs Prior to Treatment and LD 990, An Act To Require Public Disclosure of Health Care Prices.  MMA testified in opposition to LD 755, which would require health providers to provide a "written cost estimate" taking into account insurance coverage before services are provided but in favor of LD 990, which would require providers to disclose the price or charge they set for services. 
  • LD 1065, An Act Regarding Patient-directed Care at the End of Life.  This bill includes a number of provisions regarding care at the end of life but most notably would authorize physician assisted suicide.  A number of entities opposed the bill including the Maine Osteopathic Association, MaineHealth, Eastern Maine Health System and the Maine Hospice Council. In testimony delivered by EVP Gordon Smith, MMA opposed 1065 noting the current ethical provision prohibiting a physician from taking direct action that would result in the death of a patient.  Mr. Smith also noted the danger of enacting such legislation at a time when over 10% of Mainers are not covered by health insurance, public or private.  It is feared that patients at the end of life may turn a right to die into a duty to die, not wishing to impoverish their family as a result of medical costs.
  • LD 754, An Act To Encourage Transparency in the Disclosing of the Ingredients in Vaccinations for Children.  This bill is identical to a bill introduced last session and would require a health care provider or clinic staff person to disclose the ingredients of the immunizing agent or agents to the parent or guardian of the child. It also requires the health care provider or staff person to notify the parent or guardian of the option of refusing immunization of the child based on religious or philosophical beliefs. MMA and MAAP, Dr. Stephen DiGiovanni with MaineHealth, and the Maine Osteopathic Association testified in opposition.  The Maine Primary Care Association and Maine Immunization Program submitted letters in opposition.  Unfortunately, during a work session this morning, at least four members of the committee voted to support the bill, thus ensuring a debate and vote on the floor of the House and perhaps the Senate.
  • LD 753, An Act To Prohibit the Sale of High-caffeine Energy Drinks to Persons under 18 Years of Age.  Maine Medical Association and Maine Osteopathic Association testified in support of the measure.  It was strongly opposed by the Maine Beverage Association, Maine Grocer's Association, and others. 
  • LD 882, An Act To Amend the Laws Governing Confidentiality of Health Care Information To Enhance Public Safety.  This intent of the bill is to make Maine law consistent with federal regulations and preserve a practioner's ability to report private health care information to law enforcement officials and other governmental entities in order to protect public health and welfare.  MMA testified neither for nor against the bill, but is supportive of the concept of Maine's confidentiality law being consistent with federal law and is working with interested parties on an amendment to the bill. 

 Work Sessions: 

  • LD 1066, the bill to accept federal funds to expand MaineCare coverage.  This week the HHS Committee considered what the fiscal note for LD 1066 will look like.  The issue revolves around whether the cost to insure a group of parents covered by Medicaid were already included in the baseline budget.  Because they were in fact included, the costs associated with LD 1066 will be much lower than the administration anticipated.  In addition, this week HHS Secretary Sebelius sent a letter to Govenor LePage explaining that CMS believes Maine will be eligible for a 100% match for childless adults.  With these two pieces of information, the main cost associated with the expansion would be administrative costs.   Advocates are working to confirm how cost shifts from the state to the federal government could offset administrative costs, which the administration has estimated to be as much as $7 million. 
  • LD 716, An Act Regarding Prescription Medications for Children under the MaineCare Program.  This bill as drafted would have created a PA process and additional hurdles for prescribing stimulant medication to children. MMA worked with the sponsor to turn the bill into a study of appropriate prescribing practices for stimulant medications.
  • LD 1247, An Act To Expand Coverage of Family Planning Services.  This bill expands Medicaid coverage for family planning services to adults and adolescents who have incomes less than or equal to 200% of the official poverty line, funded with 90% federal dollars.  A majority of the Committee voted in favor of the bill. 
  • LD 1024, An Act To Enhance Enforcement of the Mandatory Reporting of Abuse and Neglect.  The bill would require the Department of Health and Human Services to make a report, which may include confidential child protection information, to the licensing board of a professional who appears to have violated the mandatory reporting law.  The Committee voted to re-refer the bill to the Judiciary Committee, which will be considering a bill from the administration that also addresses mandatory reporting issues. 
  • LD 1294, An Act To Increase the Penalty for Smoking in a Motor Vehicle When a Child Is Present.  The Committee voted unanimously that the bill ought not to pass but will send a letter to the Maine CDC encouraging the agency to undertake an education campaign around the dangers of secondhand smoke and Maine's current law prohibiting smoking in a car with a minor present. 
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MMA Legislative Committee Conference Call, Tuesday, May 7th, 8 p.m.

**PLEASE TAKE NOTICE - THE CALL IN NUMBER HAS CHANGED (due to technical difficulties)**

The MMA Legislative Committee weekly phone calls will continue tomorrow, Tuesday, May 7th at 8 p.m..  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:  1-877-668-4493  NOTE THAT THIS IS A NEW CALL IN NUMBER

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 1470, An Act To Develop Juvenile Assessment Centers (monitor; pediatricians; psychiatrists)

LD 1485, An Act Relating to Insurance Company Formation and Dissolution (monitor)

LD 1486, An Act To Reduce the Use of Hospital Emergency Departments for Preventable Oral Health Conditions (monitor or support; pediatricians; Public Health Committee)*

LD 1487, An Act To Implement Managed Care in the MaineCare Program (monitor until discussed)*

LD 1491, An Act To Strengthen the Laws Regarding Certain Crimes Committed by a Person in a Position of Authority (monitor; psychiatrists)*

LD 1493, An Act To Revise the Laws Concerning Criminal History Record Information and Intelligence and Investigative Information (m0nitor)*

LD 1495, An Act To Amend the Laws Pertaining to Employee Health Insurance (monitor)

LD 1496, An Act To Modernize and Simplify the Tax Code (oppose extending sales tax to elective cosmetic procedures; plastic surgeons)*

LD 1498, An Act To Amend the Labor Laws as They Relate to Payment for Required Medical Examinations (monitor)

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MMA Board of Directors Meeting Updates

The Maine Medical Association Board of Directors held a regularly scheduled meeting last Wednesday, May 1st, at the MMA Headquarters in Manchester from 4-6pm.  Priority topics included several bills currently pending before the 126th Legislature and a report on the recent meeting with the leadership of the Maine Hospital Association.  The preliminary schedule and educational sessions for the 160th Annual Session being held in Portland Oct. 4-6, 2013 were announced.  The theme of the meeting will be the Changing Face of Medical Education with a focus on undergraduate, graduate and continuing medical education.  Key note speakers include Edison Liu, M.D., PhD, President and CEO of the Jackson Laboratory and Peter Bates, M.D., Vice President, Medical and Academic Affairs, Chief Medical Office and Academic Dean for the Maine Medical Center - Tufts University School of Medicine.

The Board next meets June 5th.  [return to top]

MaineHealth, Anthem Blue Cross and Blue Shield In Maine Announce Agreement to Form ACO

Anthem Blue Cross and Blue Shield in Maine (Anthem) and MaineHealth announced last week that the two organizations have launched a comprehensive commercial Accountable Care Organization (ACO), which is designed to lower the cost of health care while improving overall quality.

“This is an exciting time for our two organizations and for the state,” said Frank McGinty, executive vice president of MaineHealth.  “This agreement with Anthem will enable our ACO to expand its focus on increasing value to patients through improved quality and slowing the rate of health care cost increases, which over time will result in more affordable healthcare for Mainers.  ACO’s are fairly new to Maine, and they have great potential for better care at a lower cost.”

MaineHealth’s Accountable Care Organization works in partnership with MaineHealth, the MMCPHO and Community Physicians of Maine, which consists of seven member hospitals and more than 1,000 physicians throughout southern Maine.  “This benefits our patients because more providers in southern Maine are collaborating to coordinate care for patients,” said Mr. McGinty.

“Maine is fortunate to be at the forefront of a number of innovations in health care,” said Daniel Corcoran, president and general manager at Anthem.  “MaineHealth is in a unique position because of the broad range and reach of its services, as well as its other affiliations.  Anthem is the largest carrier in the state and is focused on implementing programs aimed at improving the cost and quality of health care.  Together, we strongly feel that we can improve health care delivery and affordability for the citizens of Maine.”

“In addition, both organizations will collect and analyze data on quality, costs, and utilization which enables them to identify and implement efficiencies and improvements to the health care delivery system, which benefits patients and Maine’s business community.

“We view this as another positive step toward changing the way health care is delivered,” said Dr. Scott Mills, president of the MMCPHO and Community Physicians of Maine.   “The concept is to bring together the hospitals, the physician group practice, and the insurance carrier all with the same goal - to provide high quality, cost-effective care to those we serve.”

Both organizations noted that this effort is yet another element of a strong collaboration between the two entities.  MaineHealth actively participates in Anthem’s Quality Hospital Improvement Program which provides financial incentives for outstanding quality performance, as well as other pay-for-performance arrangements related to primary care and certain cardiac procedures, among others.

The program will be phased in throughout the year.

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MaineCare Health Homes Initiative: Extension of NCQA Recognition Deadline & Re-opening of Application for Participation

The Office of MaineCare Services is pleased to announce a deadline extension for NCQA PCMH recognition and the re-opening of the application process for primary care practices interested in participating in the MaineCare Health Homes initiative.  This extension is an effort to include as many eligible primary care practices as possible in the Health Homes initiative.

The deadline for achieving full NCQA PCMH recognition for practices in the Health Homes initiative is extended to December 31, 2013.The application process for MaineCare Health Homes is now open.  Practices will need to complete the online application by Fri, May 24, 2013. For practices with more than one location, a separate application must be completed for each location.

For more information about the Health Homes initiative, see MaineCare’s Health Homes webpage.

Additionally, Maine Quality Counts will be hosting a webinar for practices interested in becoming a MaineCare Health Home.  This webinar will be held on Thursday, May 9th 2013 at 12:00 PM.  You can register for this webinar online.

Questions about the MaineCare Health Homes initiative should be referred via email to Kitty Purington or to Lisa Letourneau. [return to top]

Medicare Delays May 1 Referring/Ordering Deadline

Based upon questions raised by the AMA, the Centers for Medicare & Medicaid Services (CMS) announced that implementation of the Phase 2 ordering and referring denial edits has been delayed. The edits, which will deny certain claims if the ordering or referring provider has not either enrolled in Medicare or properly opted-out, were previously scheduled to go live on May 1; CMS will announce the new implementation date in the near future. The AMA has been working closely with CMS to address significant technical issues and confusion related to this requirement, and will continue its advocacy to ensure that implementation of these edits does not unduly burden physicians. For more information, please visit the AMA Medicare enrollment website, which will be updated as more information becomes available.

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Target Lyme - May is Lyme Disease Awareness Month

Lyme disease is the most common tick-borne disease in Maine.  Over 1,100 cases of Lyme disease were reported to Maine CDC in 2012, and as people begin to head outdoors to enjoy the warmer weather, we expect the 2013 numbers to increase. May is Lyme Disease Awareness Month in Maine so remember to educate your patients about ticks and how to prevent Lyme disease.

Prevention: It is easier to prevent Lyme disease than it is to treat it!

  • Wear protective clothing
  • Use an EPA approved repellent
  • Use caution in tick infested areas
  • Perform daily tick checks

What’s important to remember about Lyme disease? 

  • Lyme disease is caused by the bacteria Borrelia burgdorferi, which is spread through the bite of an infected deer tick, Ixodes scapularis.  The tick must be attached for at least 24 hours to transmit Lyme disease. 
  • Lyme disease can manifest itself with a wide variety of symptoms, including dermatologic, rheumatologic, and cardiac abnormalities.
  • The most common symptom of early Lyme disease is erythema migrans (EM), also known as “the bull’s eye rash.”  EM lesions are often accompanied by other acute symptoms such as fatigue, fever, arthralgia, or myalgia.
  • Late manifestations of Lyme disease include arthritis characterized by brief attacks of joint swelling, Bell’s palsy or other cranial neuritis, radiculoneuropathy, lymphocytic meningitis, and 2nd or 3rd degree atrioventricular block.
  • EM lesions are considered diagnostic for Lyme disease and are reportable to Maine CDC.
  • Lyme disease is a treatable illness.  Antibiotic therapy has proven effective for the treatment of Lyme disease – the earlier treatment is initiated the easier the disease is to treat.  Clinical guidelines for the treatment of Lyme disease are available at the Infectious Disease Society of America (IDSA)’s website.

Early diagnosis and treatment are important!

  • Lyme disease is common in Maine - remember to think Lyme in a patient with an EM lesion. 
  • Report EM lesions and positive laboratory results to Maine CDC.
  • The treatment of choice for Lyme disease is doxycycline; guidelines for treatment are available at the IDSA’s website.

Thank you for your efforts in helping Maine CDC “Target Lyme” this year!

Resources:

  • Maine CDC has Lyme disease resources available for providers and the public on its website
  • Lyme disease data for Maine is available through the Maine Tracking Network at under EPI Information on the left hand side of the page

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Accept Federal Funds for Maine’s Health - Action Needed

As a member of the Cover Maine Now! coalition, the Maine Medical Association has been working to bring new federal funds to Maine to cover tens of thousands of uninsured Mainers.  

Accepting these federal dollars, which have already been set aside to cover Maine’s uninsured, will benefit all Maine people and boost Maine’s economy.  

You can help our efforts by signing a petition to your state legislators.  The legislature is considering a plan to accept federal funds, and they need to know that you support it.  

Please send a message to your legislators today. 

Accepting federal funds will save lives and save money.  Please help us keep the momentum going!

Urge your legislators to support accepting the federal money.  

To learn more about our efforts, visit Cover Maine Now. [return to top]

Upcoming Events

Maine Center for Cancer Medicine Presents Educational Lecture Series:  Screening & Treatment

4th Wednesday of Each Month (with exceptions), 6 pm – 7 pm

100 Campus Drive, Conference Room, Scarborough, Maine

Note: To attend the live presentation or join a lecture via Webex, contact Betsy Chase

at 207-396-7634 or chasee@mccm.org

FREE CME Credit Available

May 22, 2013:  Prostate, Treatment Update  Dr. Aronson

June 26, 2013:  Lung, Screening & Treatment Update  Dr. Thomas

July 24, 2013:  Breast, Screening Update  Dr. Weisberg

August 28, 2013:  Breast, Treatment Update  Dr. Weisberg

September 18, 2013:  GI, Screening Update   Dr. Benton

October 23, 2013:  GI, Treatment Update   Dr. Dugan

November 13, 2013:  Melanoma Review and Update for the PCP   Dr. Aronson

December 18, 2013:  Palliative Care Review  Dr. Keating

January 22, 2014:  Brain, Screening and Treatment Dr. Evans

February 26, 2014:  Clinical Research Overview  Dr. Thomas

March 26, 2014:  Hematologic, Treatment Update  Dr. Ryan

***

AMDA Maine State Chapter 2013 Medication Safety Conference 

May 17, 2013

11:30 am - 3 pm 

DiMillo’s Floating Restaurant

25 Long Warf Portland, ME 

No cost to Healthcare Professionals

Topics include reducing adverse drug events related to Coumadin and practical approaches to reducing antipsychotic use in dementia. 

Attendees may registration online at www.mainemda.com or by contacting Tammy Wing directly at (207) 780-6565 or email thewitt@mainegeriatrics.com

 ***

Advancing Change:  Healthcare System Transformation in Northern New England 

Keynote Speaker:  Jay Want, MD, Center for Improving Value in Health Care

May 21, 2013

8:00 am - 5:00 pm

University of New Hampshire, 75 Main Street, Durham, NH

For more information or to register, click here

***

Save the Date: Enhancing Healthcare for Persons with Intellectual Disabilities

June 11, 2013

Holiday Inn by the Bay, Portland

This one-day program will provide information valuable for improving clinical and systemic capabilities for the effective delivery of healthcare to persons with intellectual disabilities.

***

Save the Date: 

Maine Public Health Association 29th Annual Meeting 

October 22, 2013 

8:30 am - 4 pm 

Augusta Civic Center 

For more information, click here. 

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Job Openings

FAMILY PRACTICE PHYSICIANS Sought - Katahdin Valley Health Center

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.

5/6/13  

INTERNIST - Coastal Maine

Seeking a BC/BE Internist to join a Mid Coast Medical Group practice of seven internists in Bath, Maine.  Mid Coast Medical Group is a department of Mid Coast Hospital and is a NCQA-qualified Patient Centered Medical Home.  It practices high quality internal medicine supported by an excellent EMR.  Our "outpatient only” call is 1 in 7.

Bath is a beautiful, small, historic city on the coast of Maine.  Nearby Mid Coast Hospital, built in 2001, is the newest full-service, stand-alone hospital in New England.  Mid Coast Hospital combines the newest medical technology with skilled medical professionals and Maine’s natural beauty, to meet the psychological as well as the physiological  healing needs of their patients.

This 92-bed hospital has an active medical staff of 160 physicians serving a population of 90,000 area residents.

Mid Coast offers a competitive benefits and compensation package and an excellent work environment.

Contact Jill Rose, Physician Recruiter, at jrose@midcoasthealth.com or call (207) 373-6888.

5/6/13 

Emergency Department PA

Full time summer position, mid-May to mid-October.  Emergency Department practitioner.  Primary duties are direct patient care in the emergency room setting; diagnosis and treatment; meeting with physician supervisor in a timely manner.  Graduate of approved Physician Assistant's program.  Certification in BLS, ACLS, PALS, and ATLS or equivalent.   Current Maine licensure.  Medical Practice maturity as evidenced by at least two years of mid-level practitioner experience within an emergency department setting or by completion of an ER specific residency training program.

For more information or to apply please visit us at http://www.mdihospital.org or contact Charlotte Skiff at 207-288-5081, ext. 1165 or Charlotte.Skiff@mdihospital.org

5/13/13  

Behavioral Health Consultant

Sacopee Valley Health Center is seeking a full time LCSW to join our Medical Team as the Behavioral Health Consultant.  This position involves working with patients in a busy integrated primary care setting to more effectively manage the behavioral aspects of their physical/mental illnesses and/or chronic medical conditions.

Applicant must possess valid State of Maine license or be license eligible.  Experience in a health care setting preferred.  Anticipated start date for this position:  June 3, 2013.

Send resume to info@svhc.org or mail to:  Human Resources Coordinator, Sacopee Valley Health Center, P.O. Box 777, Parsonsfield, ME 04047.  Sacopee Valley Health Center is an equal opportunity provider and employer.

6/3/13           

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