September 22, 2014

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Health Care for Maine (HC4ME) Holds 2nd Annual Health Care for Maine Conference

More than two hundred individuals convened last Tuesday, September 16th at the Augusta Civic Center for the 2nd Annual Health Care for Maine Conference sponsored by Health Care for Maine.  Ron Pollack of Families USA provided an inspiring keynote address emphasizing the opportunity lost when the state failed to accept the federal funds available to provide coverage for more than 69,000 Mainers.

MMA Legislative Chair Amy Madden, M.D. participated in the morning plenary session providing a campaign update from the Cover Maine Now Coalition in which MMA has a leadership role.  Dr. Madden spoke passionately about the difficulties patients encounter when they do not have health insurance.  She was joined on the panel by Gail MacLean, a farmer and resident of Gray, Maine who lost coverage when the so-called non-categoricals were dropped from MaineCare at the end of 2013.  Completing the panel was Ann Woloson, Policy Analyst for Maine Equal Justice Partners.

MMA Executive Vice President Gordon Smith joined Hilary Schneider from the American Cancer Society Cancer Action Network (ACS CAN) and Becky Smith of the American Heart Association (Maine) in a morning breakout session entitled, Beyond Enrollment:  Emerging Post-ACA Policy Trends.  Mr. Smith spoke on the trends toward narrow networks and the potential impact on patients.

The Health Care for Maine Coalition is expected to continue to advocate for expanded Medicaid coverage using 100% federal funds available until the end of 2016.



MMA President Lisa Ryan, D.O. Presents State Report at New England Delegation Meeting Saturday

On Saturday, September 20th, MMA's newly inaugurated President Lisa Ryan, D.O. attended the Council of New England State Medical Societies/New England Delegation to the AMA meeting at the offices of the Massachusetts Medical Society in Waltham, Massachusetts.  Dr. Ryan joined other New England state medical society Presidents in presenting a report on key issues and current activities in the states.  The group also reviewed and considered proposed resolutions on the following topics to be presented at the AMA Interim Meeting in Dallas, Texas in early November:

  • Help Control Pharmaceutical Costs
  • Rebuilding AMA Membership
  • Patient Education Regarding the Medicare Chronic Care Management Fee
  • Engaging and Empowering our Members
  • Face to Face Burden

MMA Past President and AMA Delegate Richard Evans, M.D. was elected Vice Chair of the Delegation at this meeting.  [return to top]

AMA Calls for Design Overhaul of Electronic Health Records to Improve Usability

Building on its landmark study with RAND Corp. confirming that discontent with electronic health records (EHRs) is taking a significant toll on physicians, the American Medical Association (AMA) recently called for solutions to EHR systems that have neglected usability as a necessary feature.  Responding to the urgent physician need for better designed EHR systems, the AMA released a new frameworkPDF FIle outlining eight priorities for improving EHR usability to benefit caregivers and patients.

"Physician experiences documented by the AMA and RAND demonstrate that most electronic health record systems fail to support efficient and effective clinical work," said AMA President-elect Steven J. Stack, M.D.  "This has resulted in physicians feeling increasingly demoralized by technology that interferes with their ability to provide first-rate medical care to their patients."

While AMA/RAND findings show physicians generally expressed no desire to return to paper record keeping, physicians are justly concerned that cumbersome EHR technology requires too much time-consuming data entry, leaving less time for patients.  Numerous other studies support these findings, including a recent survey by International Data Corporation that found 58 percent of ambulatory physicians were not satisfied with their EHR technology, "most office-based providers find themselves at lower productivity levels than before the implementation of their EHR" and that "workflow, usability, productivity, and vendor quality issues continue to drive dissatisfaction."

"Now is the time to recognize that requiring electronic health records to be all things to all people - regulators, payers, auditors and lawyers - diminishes the ability of the technology to perform the most critical function - helping physicians care for their patients," said Dr. Stack.  "Physicians believe it is a national imperative to reframe policy around the desired future capabilities of this technology and emphasize clinical care improvements as the primary focus."

To leverage the power of EHRs for enhancing patient care, improving productivity, and reducing administrative costs, the AMA framework outlines the following usability priorities along with related challenges:

  • Enhance Physicians' Ability to Provide High-Quality Patient Care
  • Support Team-Based Care
  • Promote Care Coordination
  • Offer Product Modularity and Configurability
  • Reduce Cognitive Workload
  • Promote Data Liquidity
  • Facilitate Digital and Mobile Patient Engagement
  • Expedite User Input into Product Design and Post-Implementation Feedback

These priorities were developed with the support of an external advisory committee comprised of practicing physicians, as well as noted experts, researchers and executives in the field of health information technology.

Despite numerous usability issues, physicians are mandated to use certified EHR technology to participate in the federal government's EHR incentive programs.  Unfortunately, the very incentives intended to drive widespread EHR adoption have exacerbated and, in some instances, directly caused usability issues.  The AMA has called for the federal government to acknowledge the challenges physicians face and abandon the all-or-nothing approach for meeting meaningful use standards. Moreover, federal certification criteria for EHRs need to allow vendors to better focus on the clinical needs of their physician customers.

The AMA recognizes that not all EHR usability issues are directly related to software design itself.  Some issues are a result of institutional policies, regulations, and sub-optimal implementation and training.  The AMA will continue to move aggressively on these fronts, including empowering physicians to work with vendors and other to develop and implement more usable products.

To advance these goals, the AMA plans to utilize the eight usability priorities to lead EHR improvements for physicians, vendors, federal and state policymakers, institutions and health care systems and researchers, which could ultimately lead to greater professional satisfaction for physicians.  Through these efforts, the AMA hopes to advance the delivery of high-quality and affordable health care to improve the health of the nation.

The following selection of quotes has been drawn from the AMA/RAND research report and members of the AMA's external advisory committee on EHR usability.

AMA/RAND Research Report 
Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy

"Electronic health record usability, however, represents a unique and vexing challenge to physician professional satisfaction. Few other service industries are exposed to universal and substantial incentives to adopt such a specific, highly regulated form of technology, one that our findings suggest has not yet matured."

Gary Botstein, M.D. 
AMA Advisory Committee on EHR Physician Usability 
Decatur, Georgia

"The ultimate measure of a well-designed electronic health record is how it helps physicians take better care of patients. It is critical that enhancing quality patient care is the first priority of an electronic health record and data collection is second. Particularly for physicians in solo and small practices, digital data collection has become overwhelming and interferes with and detracts from time with patients."

John Mattison, M.D. 
AMA Advisory Committee on EHR Physician Usability 
Southern California

"Data liquidity is critical to optimal patient safety and quality outcomes, especially as it supports a complete health record, and is essential for safe transitions between different care providers."

Christine Sinsky, MD 
AMA Advisory Committee on EHR Physician Usability 
Dubuque, Iowa

"The designs of many electronic health records do not meet the needs of physicians and too often detract from valuable time with patients. As a practicing physician, my desire is that EHRs will help me focus on patient care.  They can do this by providing concise, context sensitive and real time data that is uncluttered by extraneous information. This will help in eliminating the current information overload and unnecessary administrative data entry that is overwhelming today's physicians and interfering with patient care."

Steven Steinhubl, MD 
AMA Advisory Committee on EHR Physician Usability
La Jolla, California

"Given the rapid growth of digital technology in health care, whether for health and wellness, or the management of chronic illness, a comprehensive health information technology strategy must include interoperability between a patient's mobile technology, telehealth technology, and the electronic health record."

Raj Ratwani, PhD
AMA Advisory Committee on EHR Physician Usability 
Washington, DC

"User-Centered Design (UCD) is critical to advancing electronic health record usability to meet the cognitive and workflow needs of physicians.  While some electronic health record vendors have implemented UCD, their results have been inconsistent and many others do not utilize UCD."

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Diversion Alert Program Now Includes 24% of Active Prescribers

Diversion Alert, the program now operating statewide that advises physicians and other prescribers of the arrests and convictions involving drug-related offenses has now enrolled, either directly or indirectly, more than 24% of the active prescribers in the state, totaling more than 2500 prescribers.  This number includes 29% of the licensed MDs and 14% of the Physician Assistants.  985 prescribers are directly registered to receive the reports and 850 prescribers receive the reports indirectly through their practices.

The Advisory Committee to the Program met last Thursday, September 18th and received an update from the staff regarding efforts to fund the program beyond the current funding period which ends on March 1, 2015. Currently, the program operates with funds from the Attorney General's Office.  The Program needs between $50,000 and $100,000 annually to continue to operate.

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Tavenner Reports Paid Enrollment Through Exchanges is 7.3 Million on August 15th

In a recent appearance before the House Oversight and Government Reform Committee, CMS Administrator Marilyn Tavenner told lawmakers that about 7.3 million individuals had paid for their ACA coverage and enrolled in health plans sold through government-run exchanges as of August 15th.  The figure is 9% less than the government's earlier estimate of 8 million.  The difference is those who simply signed up versus those who paid and enrolled.  Although 8 million individuals had chosen plans through the federal exchange and 14 state-run exchanges, their  enrollment was not confirmed until they paid their first month's premium to their insurance carrier.   [return to top]

Next MMA Listening Session to be held Thursday, October 23rd in Lewiston

MMA will hold its next member "Listening Session" in Auburn on Thursday evening, October 23rd from 5:30 to 7:30 pm at Gritty McDuff's Brewpub, 68 Main Street, Auburn.  These sessions are informal and are intended to give MMA members an opportunity to meet MMA officers and to share what thoughts they may have about the value of MMA and about what MMA needs to be doing to be an effective voice for Maine's physicians.

This particular event will also serve as a reception recognizing the new President, Lisa Ryan, D.O.  Dr. Ryan practices pediatrics in Bridgton with Central Maine Medical Group and is the Association's first President with an osteopathic medicine degree.

All MMA members will receive an invitation but anyone wishing to RSVP may communicate with Ashley Bernier at MMA via e-mail to

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Medicare Payments for Chronic Care Coordination Coming January 2015

In January of 2015, Medicare will begin paying doctors to coordinate care for patients with two or more chronic conditions.  Though doctors have coordinated such care for Medicare patients in the past, they were previously ineligible for reimbursement. The care coordination payments will be $42 a month per patient, with patients paying approximately 20% of the fee. 

Care coordination entails the following elements:

  • Obtaining patient agreement in writing
  • Drafting and implementing a comprehensive care plan
  • Psychological and social needs assessment
  • Medication management
  • Coordination with other doctors caring for the patient
  • Coordination of transitions of care, e.g. from hospital to home
  • Effective use of electronic health records
  • 24/7 access to a doctor or other staff for urgent chronic care needs

The care coordination payments represent a significant policy shift toward improving the care of Medicare patients with two or more chronic conditions, a group that accounts for two-thirds of all beneficiaries but 93% of all Medicare spending. The investment in care coordination should result in better care and lower costs.  [return to top]

Board of Licensure in Medicine Clarifies New Telemedicine Guidelines

The Maine Board of Licensure in Medicine made important changes in its Telemedicine policy when it met on September 9th.  Most significantly, the policy was changed to a Guideline and the prohibition against prescribing scheduled drugs through telemedicine was repealed in favor of a permissive provision set forth below.  The changes were effective immediately.

The new language on Prescribing (in section H. of the Guidelines), reads as follows:

"Telemedicine technologies, where prescribing may be contemplated, must implement measures to uphold patient safety in the absence of traditional physical examination.  Such measures should guarantee that the identity of the patient and provider is clearly established and that detailed documentation for the clinical evaluation and resulting prescription is both enforced and independently kept.   Measures to assure informed, accurate and error prevention prescribing practices (e.g. integration with e-Prescription systems) are encouraged.

Prescribing medications, in-person or via telemedicine, is at the professional discretion of the physician.  The physician prescribing via telemedicine must ensure that the clinical evaluation, indication, appropriateness, and safety considerations for the resulting prescription are appropriately documented and meet the same standard of care as that of a traditional patient-physician interaction.  Consequently, prescriptions via telemedicine carry the same accountability as prescriptions delivered during an encounter in person.   However, where such measures are upheld, and the appropriate clinical consideration is carried out and documented, physicians may exercise their judgment and prescribe medications as part of telemedicine encounters."

This amended policy is now consistent with the final product of the work group formed by the Federation of State Medical Boards to review telemedicine and to make recommendations to the state medical licensing boards.

During the discussion at the meeting on Tuesday, Board members did express concern about some of the potential applications for telemedicine being discussed nationally and MMA members implementing new services utilizing telemedicine technology should follow the national trends and potentially consult with the Board or MMA.

The Board Guidelines can be found on the MMA website at (spotlight section).

On September 9th, the American Telemedicine Association (ATA) issued two reports grading states on their telemedicine policies.  No state received high marks for easing licensing restrictions, but seven states, including Maine, received "A" grades for having insurance coverage policies that encourage telemedicine adoption.

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Payment Reform Update: Current Context and Emerging Issues

The MMA’s payment reform webpage now offers a new report on payment reform entitled “Payment Reform Update: Current Context and Emerging Issues.

This publication was authored by Benjamin Townsend, Esq. of Kozak & Gayer to serve as an educational resource for Maine physicians and includes an update on payment reform in the context of the implementation of the Affordable Care Act including specific examples and discussions of ongoing payment reform efforts in Maine. Please visit the Payment Reform Resources webpage on the MMA site to access this report and more.

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Health Insurance Marketplace Update: Open Enrollment for 2015 Begins Two Months From Today on November 15

The next open enrollment for the Health Insurance Marketplace starts on November 15, 2014 and closes February 15, 2015.  The Health Insurance Marketplace provides options for more affordable health insurance. Depending on household income, many people may be able to get lower costs on monthly Marketplace health insurance premiums and out-of-pocket costs.

The benefit year for 2014 Marketplace plans ends December 31, 2014. Individuals who are now enrolled and get financial assistance through the Marketplace should review their options and either renew the current plan or choose a new health plan by December 15 to continue health coverage on January 1, 2015.  Some people may want to switch plans or make changes for 2015, and many will need the help of Assisters to make changes and understand options.
Some people can sign up outside of Open Enrollment, and may be eligible for a Special Enrollment Period if they have a qualifying life event such as: having a baby, adopting a child, getting married, having a change in immigration status, moving to a new area or losing health insurance.
A Navigator or Certified Application Counselor can help review coverage options and apply for an insurance plan.  Go to to find a local Assister or call the Maine HelpLine at 800-965-7476. 
To request brochures for your patients and waiting room, resources and updates for office staff, or information about where your patients can get enrollment assistance, contact Susan Kring, ACA Outreach Coordinator, at 662-2364 [return to top]

Job Openings


A progressive 25-bed critical access hospital in central Maine is seeking a FP to join their employed primary care group.  This is a full time opportunity which consists of 32 patient contact hours per week, allowing time to enjoy what this region of Maine has to offer! 

Sebasticook Valley Health (SVH) in Pittsfield, Maine is an integral member of the communities it serves. SVH takes a proactive approach in helping people in the Sebasticook Valley improve the quality of their lives.  SVH serves an area of approximately 30,000 people and has a wide range of outpatient services, including over 20 specialty services.  SVH is a proud member of the Eastern Maine Healthcare Systems which ensures access to high quality care to Maine residents and visitors.

For Further Information, please contact:

Sherry Tardy, Director Business Development/Provider Recruitment
Sebasticook Valley Hospital
447 North Main Street
Pittsfield, ME  04967

By email at: or by phone at: 207-487-4085


Gastroenterologist Jobs in Central Maine!

Challenging, Lucrative, Gastroenterologist jobs in central Maine - honoring and serving Veterans. Gastroenterologists are needed in Augusta. Must-have an unrestricted medical license (from any U.S. state), and current ACLS certification. This is your opportunity to use and develop your skills of diagnosing, treating, and managing patients according to standard, usual, and acceptable methods and techniques.

B/C or B/E specializing in Gastroenterology by the appropriate accrediting agencies required.

This is the opportunity for you to receive a competitive salary, a generous leave package, excellent health & life insurance benefits, and retirement benefits. You'd be eligible to participate in a pension program as well as a matching Thrift Savings Plan which is similar to a 401K. If you are a veteran, you may be able to combine accrued military retirement credit with VA pension benefits.

Your salary will be determined by local Physician/Dentist Compensation Panel (commensurate with education, experience and qualifications). By law, U.S. Citizens will be given 1st preference but non-citizens will be considered in the absence of qualified citizens. A signing bonus may be available.  Equal Opportunity Employer. Disabled persons and/or veterans are encouraged to apply.


Department of Psychiatry Faculty Position

The Geisel School of Medicine at Dartmouth, Department of Psychiatry, in a productive collaboration with the State of Maine, is seeking psychiatrists to join our faculty for inpatient responsibilities at the Riverview Psychiatric Center.

Riverview Psychiatric Center is a 92-bed acute psychiatric facility located in Augusta, ME and is the flagship inpatient treatment center for Maine’s public mental health system.  Psychiatrists with expertise in general inpatient psychiatry or forensic psychiatry are encouraged to apply.

Academic duties can include teaching and supervision of medical students and residents. Research opportunities available and encouraged.

Candidates should be board certified or eligible in Psychiatry. This position will include a faculty appointment at The Geisel School of Medicine at Dartmouth at a rank and salary commensurate with experience. Curriculum vitae and three letters of reference, addressed to Dr. William Torrey, Search Chair, should be e-mailed to  Please reference search number PS0314D.

Dartmouth College/Dartmouth Hitchcock Clinic/Geisel School of Medicine is an equal opportunity/ affirmative action employer with a strong commitment to diversity. In that spirit, we are particularly interested in receiving applications from a broad spectrum of people, including women, persons of color, persons with disabilities, veterans or any other legally protected group.


Physician Reviewers Sought

Maine Community Health Options (MCHO) is seeking physician reviewers to assist with 2nd level Medical Necessity Appeal requests.  This is a contracted position and physicians will be paid for their time involved in reviewing and participating in the Appeal. 

The physician reviewer must hold an active, unrestricted license to practice medicine and be board certified (if applicable) by:

  1. A specialty board approved by the American Board of Medical Specialties (doctors of medicine); or
  2. The Advisory Board of Osteopathic Specialist from the major areas of clinical services (doctors of osteopathic medicine)

In addition, in order to meet State mandated timeframes for Appeal decisions, the physician reviewer must be available to:

  1. Review the Appeal request within 5 business days of MCHO receipt of the Appeal.
  2. Participate in an Appeal panel with MCHO staff as well as the member or their provider within 10-15 business days from receipt of the Appeal request.
  3. Provide a written summary opinion of the Appeal determination within 5 business days from convening the panel.

Please contact Trish Ward at 207-402-3771 or for more information.


Family Physician - Potential income of $430,000.00 plus

We are recruiting for a full-time primary care physician with emergency/urgent care experience for a client in Nova Scotia, Canada.

The position is at a small community hospital near the town of Antigonish, Nova Scotia.  Antigonish is a vibrant, welcoming community and home to one of Canada’s top undergraduate schools, St. Francis Xavier University. 

The physician will be expected to maintain a primary care clinic at a community hospital and participate in after hours call for the level 1 ER at the facility.  The emergency room sees approximately 30-40 patients per day. 

This is an ideal position for a new physician with a sense of adventure, or an experienced physician looking for more work-life balance.  

Income is from an Alternative Payment Plan (APP) and fee-for-service.  Income of $236,000.00 for APP for daytime work, and $140/hour for out of hours emergency room coverage (expected 1400 hours of emergency room coverage, per physician, per year; 1 in 4 call.)

You will have access to a wide range of outdoor/indoor activities, including hiking, golf, boating, skating and, of course, hockey. (It’s Canada, after all.)  

Please Contact:

David Nurse

CanAm Physician Recruiting Inc.

Office: 1-902-719-7309

Fax: 1-902-640-3118


Industrial Physician - Salaried Job Opportunity

Job Description:

  • Provides routine and emergency medical services to BIW employees
  • Performs physical examinations to support regulatory driven medical surveillance programs such as asbestos, lead, cadmium, respirator and hearing conservation
  • Performs pre-placement and return-to-work examinations
  • Performs patient examinations to support the company's Probable Cause policy
  • Provides medical support for sea trials
  • Determines work capacity and assigns work restrictions for new or chronic injuries and illnesses
  • Interfaces with Workers' Compensation to assist case management
  • Participates in quality assurance audits
  • Provides consultation to management on ADA and job accommodations
  • Participates in updating clinic protocols and standards of practice

Required Education/Training:

  • Allopathic/osteopathic physician with Maine license
  • Board certified or board eligible in occupational medicine
  • ACLS certified

Experience (type and number of years):  Four years’ experience in ambulatory care preferred

Unique/Additional Requirements:  DOT/CDL examiner certification desirable

Thank you for your interest in Bath Iron Works.  For a link to this listing and other career opportunities, please visit our web site at:


Family Practice Physicians

Katahdin Valley Health Center is recruiting dedicated Family Practice Physicians that are committed to providing quality health care services to the people in Central/Northern Maine.  Join our practice in one of the newly expanded facilities.  We are seeking physicians for our Millinocket, Ashland and Houlton locations.  KVHC is a fully electronic medical record site and offers a competitive salary ($170,000 to $190,000 annual) and benefit package which includes: a 10% of first year salary sign on bonus, generous amounts of paid time off, $2500 annually toward CME as well as a completely outpatient site.  The call schedule is 1 in 8 with additional coverage from the Open Access Clinic.  Physicians who join KVHC are eligible to apply for NHSC Loan Repayment.

To learn more about KVHC and Practitioner Opportunities, please contact Michelle LeFay at or visit our website at  KVHC is an equal opportunity employer.






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Upcoming Events


Direct Primary Care (DPC) Workshop

with Dr. Brian Forest, Founder, Access Healthcare Direct & AAFP DPC Workgroup Leader

& Maine physicians developing an integrated Maine Direct Care Network for existing practices

 Calling Doctors & Consumers: Come explore the options.

September 26, 1-5pm and September 27, 8:30-12:30pm,  2014

Maine Medical Association, Manchester

For further information email


Prenatal Education-Strategies that Work 

Join us for a webinar featuring the Geisel School of Medicine Faculty developed for all Physicians, Nurses, Nurse Practitioners, Physician Assistants, Certified Nurse Midwives and all other members of the Perinatal Team.  Be sure to join us live to get any questions you may have answered and to learn from your peers around the state!

Learning Objective:  After this webinar the participant will able to institute evidence-based, effective, and timely breastfeeding education for pregnant women.

How to JoinWebinar 
Conference line 1-877-455-0244 
Passcode 207-287-4064

To join the live meeting on October 2nd click on the adobe connect link above, click on the “Guest” button and enter your name.  You may call in to the meeting conference # before or after you do this.  If you have a direct phone line # to your office you can enter that number when prompted and the meeting will call you.  Press #1 to connect your audio to the meeting and you are in!  See you all there.

Earlier 6 for ME Recorded Webinars can be found here: 
Recording of Webinar 1 The Epidemiological Evidence for the Benefits of Exclusive Breastfeeding- Alison Holmes, MD

Recording of Webinar 2 Why Provider Education Matters & the Expanding Evidence of the “Ten Steps to Succesful Breastfeeding”


Psychopharmacology for Medical & Behavioral Health Professionals

Focus:  Individuals with Autism or Intellectual Disabilities

Thursday, October 2, 2014

10 a.m. to noon

Woodfords Training & Resource Center, 100 Larrabee Road, Westbrook

Cost is $25, but register before 9/26/14 & the fee is $20

The presenters are Katherine Ray, M.D., Psychiatrist, and David Payne, PA-C.  The course is intended to enhance understanding of the appropriate use of psychotropic medications with children and adults with developmental disabilities, such as autism spectrum disorder.  Drug interactions, dosage, side-effects, and the need for alternative or adjunctive methods, such as behavioral interventions and counseling will be discussed.  Participants will have the opportunity to discuss actual cases.

This course is appropriate for direct care providers such as primary care physicians, nurses, physician assistants, licensed clinical social workers, and licensed clinical professional counselors.

Seating may be limited.  Advance registration is recommended.  FMI or to register, contact Training Coordinator Maria Romano, 207-878-9663, ext. 4131, or

This training is supported in part by a grant from the Maine Developmental Disabilities Council



The Maine Public Health Association’s (MPHA) 

30th Annual Fall Conference

October 7, 2014

Augusta Civic Center

Keynote speakers include: Erik N. Steele, D.O., FAAFP, Senior Vice President, Chief Medical Officer, Summa Health System and Paul Kuehnert, DNP, RN Team Director for the Bridging Health and Health Care Portfolio, Robert Wood Johnson Foundation

For more information or to register, click here.


Maine Health Management Coalition 2014 Annual Symposium:

"Finding Value: How to Lower Cost & Improve Health"

Wednesday, October 15th, 8 am to 2:45 pm

at the Abromson Center on the University of Southern Maine campus 

MMA members are entitled to a special registration fee of $75 (instead of $100).

The Symposium is shaping up to be a truly enlivening event for all those engaged in the challenging work of improving health care delivery and controlling costs.  Highlights of the day will include:

  • Keynote speaker Ron Sims, Board Chair of Washington Healthplanfinder, Washington State’s insurance exchange.  A community health innovator, Sims is well-known for the award-winning employee wellness program he instituted to reduce rising healthcare costs.  Within the program’s first year, 75% of employees at moderate or high risk for developing a chronic disease eliminated at least one risk factor.
  • Other outstanding speakers include Neel Shah, MD, MPP, Founder and Executive Director of, a national nonprofit that helps caregivers engage in controlling medical costs, and Richard Wexler, MD, Chief Integration Officer of Healthwise, which merged with the Informed Medical Decisions Foundation in April 2014 and now uses expertise in shared medical decision making to help people make better health decisions.

A full agenda with links to all of the Symposium details is available at To register, go to


Maine Concussion Management Initiative Training

October 21, 2014 in Portland in conjunction with the Maine Brain Injury Conference

7:30 a.m. - 12:00 p.m. 

Includes An Introduction to Concussions and Concussion Management & Interpreting Neurocognitive Testing (including using ImPACT)

$100 for Health Care Professionals  (CEUs/CME available); $40 for school personnel and all other attendees

For more information or to register, contact Jan Salis,, (207) 577-2018

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