September 29, 2014

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Sunshine Act Open Payments Database to Debut Tomorrow

The long awaited and much debated Open Payments database mandated in the federal Sunshine Act debuts tomorrow, September 30th amid renewed controversy regarding its accuracy and comprehensiveness.  The database is intended to reveal how much money physicians receive from drug and device manufacturers. 

Several trade associations this past week complained again to CMS that they have not had an opportunity to review the information in order to confirm its accuracy.  The Pharmaceutical Research and Manufacturers of America, BIO, and AdvaMed stated that CMS has not yet explained why one-third of the payment information submitted by pharmaceutical and device makers was deleted from the database.

Initially, the database will display payments made in the last five months of 2013 and updated going forward.

MMA, through the AMA and dozens of other medical societies, has asked for additional time to allow physicians to register and review the payment data.  The registration process has been plagued by delays and technical problems and those physicians who have successfully navigated it have reported lots of errors.   We asked for a six-month delay in the launch of the site but CMS granted only an additional 12 days.  The AMA is concerned that physicians lack the needed time to ensure correct data is displayed and that the public will understand the context of the data.

MMA Seeking Internists and Hospitalists as Peer Reviewers

For nearly thirty years, the Maine Medical Association has operated a very successful peer review program responding to the need for independent peer review in many different settings.  The Association generally sends three board certified specialists to perform a chart review and reviewers are compensated for time.  If you or someone you know may be interested in this kind of work, please contact Dianna Poulin at MMA at or 622-3374, ext. 223.


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Reminder: Hydrocodone products Rescheduled as Schedule II Controlled Substances on Oct. 6

Effective October 6, 2014, hydrocodone-containing products will be rescheduled as Schedule II Controlled Substances pursuant to federal regulations promulgated by the DEA.  Notably, this will include products such as Vicodin, which was formerly classified as a Schedule III drug, meaning that it could be called in to the pharmacy and could be re-filled.

Schedule II drugs are considered to have "high potential for abuse, which may lead to severe psychological or physical dependence."  For that reason, they are more heavily regulated than other scheduled medications.

Schedule II drugs may not be called in to the pharmacy except in emergency situations, with emergency doses, which must then immediately be reduced to writing and delivered to the pharmacy within 7 days.  Faxing of a Schedule II drug is not permitted.  Refills are not permitted although multiple prescriptions may be written to cover up to a 90-day supply, when appropriate.  Each prescription must be "dated as of" and "signed on" the day issued and include written instructions on each prescription indicating the earliest date on which that prescription may be filed.  At the end of the 90-day supply, the patient must be seen again to receive another prescription.

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First Friday CME Program on Oct. 3 Features Hot Topics in Risk Management

MMA offers its next First Friday program this coming Friday, October 3rd and is proud to again have Medical Mutual Insurance Company of Maine presenting our annual risk management program.  Topics this year include:

  • Vulnerabilities and emerging cyber threats in healthcare.
  • Analyzing the new risk assessment process in determining a HIPAA security breach.
  • Risks related to handoffs in care transitions.

Faculty for the program includes Cheryl Peaslee, RN, BSN, MBA, CPHO, HACP, Vice President, Risk Management at Medical Mutual, Stacey Doten, RN, CPHO, HACP, Senior Risk Manager at Medical Mutual, and Lou Anne McLean, MHA, CPHRM, HACP, FASHRM, also a Senior Rick Manager at Medical Mutual.

The program runs from 9:00 am to noon and is available live at MMA's offices in Manchester and also remotely via webex.  There is a $70 charge per attendee.  You may register online at or by calling Lisa Martin at MMA at 623-3374, ext. 221 or via e-mail to Lisa at

An additional First Friday program has been scheduled for November 7th and the topic is the Efficient Use and Application of Health Information Technology.  MaineCare Medical Director Kevin Flanigan, M.D., MBA will lead that program off and discuss the MaineCare experience with the opioid limits which took effect on January 1, 2013.  Other speakers that morning include Philip Profenno from HealthInfoNet and Eriko Farnsworth from the state's Prescription Monitoring Program.




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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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Direct Primary Care Workshop Attracts Interest

This past Friday, September 26th, the Maine Medical Association, the Maine Academy of Family Physicians Foundation, Maine Quality Counts, Martin's Point Healthcare, and the Maine Osteopathic Association joined together in sponsoring The Direct Primary Care Workshop for Maine.  The presenter was Brian Forrest, M.D., of Access Healthcare Direct.  Dr. Forrest has helped physicians around the country to transition to new models and is currently helping physicians open direct care and hybrid practices in several states.

The workshop brought together a diverse group of practitioners who received practical knowledge for physician/providers and consumers/employers about the possibility of and potential role of DPC arrangements or networks in Maine's health care payment reform.  The direct primary care (DPC) model gives family physicians a meaningful alternative to fee-for-service insurance billing, typically by charging patients a monthly, quarterly, or annual fee (i.e., a retainer) that covers all or most primary care services including clinical, laboratory, and consultative services, and care coordination and comprehensive care management.  Because some services are not covered by a retainer, DPC practices often suggest that patients acquire a high-deductible wraparound insurance policy to cover emergencies.

Direct primary care and concierge care are not synonymous.  In practices offering concierge care, the patient typically pays a high retainer fee in addition to insurance premiums and other plan obligations (e.g., copays, out-of-pocket expenditures), and the practice continues to bill the patient's health insurance carrier.  DPC practices typically serve patients with low to moderate incomes, those with no insurance, and those with high deductible plans.  There is no single DPC practice model; rather the model represents an array of possible practice arrangements that range from total practice conversion to a payment option within a traditional practice situation. 





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Report on Maine Health Exchange Advisory Committee

The Maine Health Exchange Advisory Committee met on September 22nd to review the situation in Maine prior to the next Exchange open enrollment period which begins on November 15, 2014.  The Committee received an update from Christie Hager, Region One Director for the U.S. Department of Health and Human Services.  Ms. Hager noted that she had recently met with her nine counterparts across the country  and new HHS Secretary Burwell.  She also reminded committee members of the recent announcement regarding new federal funding for two navigator programs in the state and a $1.1 million award to the Maine Health Data Organization to increase the capacity of rate review in the interest of transparency.

Insurance Superintendent Eric Cioppa also provided attendees with the approved 2015 rates in the federally facilitated exchange, auto enrollment and small group rating structure.  In the individual marketplace exchange, the three companies participating are offering rates that are slightly lower or slightly higher than last year.  Maine Community Health Options has decreased its rates by 0.8%, Anthem Health Plans of Maine has decreased its rates by 1.1%, and Harvard Pilgrim Health Care, a new entry in the exchange, increased its rates 2.2% from off-exchange last year.  Mr. Cioppa also noted that all the marketplace plans will also be available off the Marketplace Exchange.

Consumers this year will be auto-enrolled in the same plan, or the plan closest to the old plan, if their old plan is no longer available.  A health insurer must provide the policy holder written notice of renewal before the first day of open enrollment, but after they have signed issuer agreements which be as late as November 3rd.  The Marketplace must provide notices to consumers before November 15, 2014 advising of the open enrollment period, the consumer's coverage in 2015, and the opportunity for the consumer to obtain an updated eligibility determination.

It is critically important that individuals whose income has changed significantly since their eligibility determination for 2014 contact the Marketplace for re-determination.


In the small group market, average rates have increased 6.2 to 10%.


The Committee meets next on Thursday, Oct. 16 from 9:30am to 3:00pm at the State House. At that meeting, the members will review a draft report to the Legislature.




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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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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

   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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