October 20, 2014

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AMA, AHA, and ANA Issue Joint Statement on the Ebola Virus

On Friday afternoon, the American Medical Association, the American Hospital Association, and the American Nurses Association distributed a media statement noting the commitment of physicians, hospitals, and nurses to maintaining a strong collaborative effort to address the public health threat posed by Ebola.


As our nation's strategy to address the Ebola virus continues to evolve, hospitals and their partners in nursing and medicine are coming together to emphasize that a solution-oriented, collaborative approach to Ebola preparedness is essential to effectively manage care of Ebola patients in the U.S.  Ensuring safe care for patients, healthcare workers, and communities demands the combined efforts of inter-professional, state and federal organizations.  In addition to domestic efforts to prepare for and treat Ebola, an enhanced focus on the part of the United States and the international community to contain the outbreak in West Africa is fundamental to stopping the spread of this virus.

Hospitals, physicians, and nurses have the same goals in addressing any Ebola case; to ensure that all hospital and clinical staff are able to safely provide high-quality, appropriate, patient care. We are committed to ensuring that nurses, physicians and all frontline healthcare providers have the proper training, equipment and protocols to remain safe and provide the highest quality of care for the patient.  As the Centers for Disease Control and Prevention (CDC) updates the protocols and procedures involved with patient care and personal protective equipment, we will review and share updated guidance with our collective memberships as it becomes available.

Our nation's hospital, physician and professional nursing organizations remain in communication with one another and with our nation's public health institutions at the local, state and national levels. We are committed to maintaining a strong collaborative effort to address this public health threat.



AMA Assembles Ebola Resources for Physicians and Public

The Centers for Disease Control and Prevention (CDC) on Sept. 30 confirmed the first U.S. case of Ebola, and developments associated with the virus continue to unfold. Prepare your practice and your patients with resources developed by Ebola experts and assembled by the AMA in one convenient location.

Visit the AMA's online Ebola Resource Center for information from the CDC and other public health groups. Resources cover:

  • Understanding the virus
  • Preparing your hospital or practice
  • Screening and diagnosing Ebola
  • Treating patients with the virus

The resource center will be updated regularly to give you, your practice staff and your patients the most up to date information you need. Save ama-assn.org/go/ebola to your favorites for an easy reference.

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BOLIM Executive Director Steps Down

Maine Board of Licensure in Medicine Executive Director Randal C. Manning has notified the Board that he will resign from his position, effective October 31, 2014, in order to retire.  At its meeting last week, the Board thanked Mr. Manning for his many years of service.  Assistant Executive Director Timothy Terranova has been named Interim Executive Director while the Board conducts a search for Mr. Manning's successor. [return to top]

All MMA Members Invited to Attend Listening Session Thursday in Auburn

MMA will hold its next member "Listening Session" this coming Thursday, October 23rd from 5:30 to 7:30 pm at Gritty McDuff's in Auburn.  While invitations were sent only to members practicing in Androscoggin and Oxford counties (and the community of Bridgton), any member is welcome.  The session will also serve as a local reception for new President Lisa Ryan, D.O.  Dr. Ryan practices pediatrics in Bridgton.  

Anyone interested in attending should RSVP to Lisa Martin via e-mail lmartin@mainemed.com or by calling her at 622-3374, ext. 221.

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MMA and Board of Licensure in Medicine Present REMS Course on Saturday, Nov. 15 at Maine General and on the Web

The Maine Medical Association and the Maine Board of Licensure in Medicine are sponsoring a three-hour CME course on extended-release opioid analgesics on Saturday, November 15, 2014.  The course will be presented from 9:00 am to noon at MaineGeneral Medical Center but can be accessed through the web via webex as well. But the webex connection is available to only 25 remote sites so register ASAP.  Registration is available on the MMA website at www.mainemed.com.  The cost of the program is just $15 for those physicians attending in Augusta (who will receive breakfast) and the program is free for those registering and participating through webex. 

The faculty for this Risk Evaluation and Mitigation Strategy are Noah Nesin, M.D., FAAFP, Chief Medical Officer at Penobscot Community Health Center and Elisabeth Fowlie Mock, M.D., M.P.H., past president of the Maine AFP and an academic detailer for MMA.

Any questions about the course can be directed to Gail Begin via e-mail to gbegin@mainemed.com or by calling Gail at 485-1341.

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Get Covered, Stay Covered - Health Insurance Marketplace Update

Open Enrollment for health insurance through the Marketplace begins on November 15th and ends on February 15, 2015.  Patients should enroll or renew between November 15th and December 15th for coverage to begin on January 1, 2015.

Important information for your patients who have 2014 insurance coverage through the Marketplace - 5 Steps to Staying Covered Through the Marketplace: Review, update compare, choose and enroll.

Marketplace assistance is available by phone, online and in-person.  Some people will have questions about applying for health insurance and about plans available through the Marketplace.

  • Assistance is available by phone at the Marketplace Call Center 1-800-318-2596 and online at www.healthcare.gov.

  • In Maine, consumers can go to www.enroll207.com to search for free in-person assistance by zip code.

  • They can also call the Maine Helpline at 1-800-965-7476 with questions and to get help with applications.

For more information, resources for your patients, or training for your practice, contact ACA Outreach Coordinator Sue Kring at skring@mainemed.com or 662-2364.


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November 7, First Friday Seminar on Opiate Limits and Application of Health Information Technology Being Offered Free of Charge

November 7, 2014 at the Maine Medical Association - Please register on-line at www.mainemed.com!  The Program is being offered free of charge.



To promote the use of Health Information Technology (i.e. PMP, HIE & SBIRT) to assist health care providers throughout Maine in achieving easier access to comprehensive patient data to assist them in providing integrated, effective & efficient patient treatment..  And to inform attendees of the experience in the MaineCare program of the Jan. 1, 2013 prior authorization requirements on opioid-based medication.


8:30 AM     Registration
9:00           MaineCare and Opioids Dr. Kevin Flanigan
10:00         Break
10:10         PMP/HIN Phil Profenno, PMP & Eriko Farnsworth
11:00          Panel session and Q&A
12:00         Adjourn


Philip Profenno, PMP, Director of Implementation and Client Services is Director of Implementation and Client Services at HealthInfoNet and responsible for connecting participants to the exchange, including data integration, clinical portal access, user training and education. He has been an IT Professional serving Maine healthcare organizations for over 20 years with extensive experience implementing practice management and electronic medical records systems. Phil holds a Bachelor of Arts in Mathematics from Bowdoin College and is certified as a Project Management Professional with the Project Management Institute.

Kevin Flanigan, MD is the medical director of MaineCare, the state’s Medicaid program for low-income and disabled adults and children. Among Dr. Flanigan’s goals are reducing the use of hospital emergency departments for nonemergency care and enhancing MaineCare’s statewide care management efforts. Dr. Flanigan is a graduate of the University of Richmond and the Medical College of Virginia in Richmond, Va. He completed an internship and residency at the University of Louisville Hospital in Kentucky, with concentrations in pediatrics and internal medicine. He continues to study at the University of Massachusetts at Amherst and serves in a leadership role with the Maine Medical Association. He first was licensed in Maine in 1997 and has worked in primary care, urgent care and hospital settings.

Eriko Farnsworth is managing the Prescription Monitoring Program’s integration and interoperability projects which include interstate PMP data exchange, integrating state’s health information exchange and other health networks with the PMP. She also oversees PMP data integrity and pharmacy compliance. She is currently involved with various in-state and nationwide committees and leadership groups helping to nationalize and standardize the PMP programs throughout the United States. Eriko’s background in law as well as in behavioral health gives her a unique perspective and insight into enhancing, promoting and increasing PMP utilization for efficient use of health information technology to improve patient care.

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AMA Releases Annual Analysis of Competition in Commercial Health Insurance Markets

On October 9th, the AMA released the 13th edition of its annual study of competition in U.S. health insurance markets.  Wellpoint, Inc., soon to be renamed Anthem, Inc., has the largest market share in 82 of 388 metropolitan areas.  Health Care Service Corp. was second with a leading market share in 37 metropolitan markets.  UnitedHealth Group was third with a leading market share in 35 markets.  The report is entitled, Competition in Health Insurance:  A Comprehensive Study of U.S. Markets. [return to top]

MMA Board of Directors Endorses Bond Issue for UMaine Lab to Monitor Health Threats Related to Ticks

At its meeting on October 15th, the MMA Board of Directors voted to endorse Ballot Question II which authorizes a bond issue in the amount of $8 million to build a laboratory to monitor human health threats related to ticks, mosquitoes, and bedbugs.  The Animal and Plant Disease and Insect Control Lab would be located on the Orono campus and would be administered by the University of Maine Cooperative Extension.

The Board urges all members and their families to vote on November 4th.  Every vote counts!

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PQRS Incentive Payments Now Available

Incentive payments for the Physician Quality Reporting System (PQRS) now are available for eligible professionals and group practices who successfully met the program's reporting criteria for Medicare Physician Fee Schedule Part B services furnished in 2013. 

Physicians can access their 2013 feedback reports in two ways:

  • National Provider Identifier (NPI)-level reports. These reports can be requested through the CMS communication support page by creating an NPI-level feedback report request.  The report will be sent electronically in two to four weeks to the email address provided in the request.
  • Taxpayer Identification Number (TIN)-level reports. These reports contain NPI-level detail and are available for download via CMS' quality reporting portal.  An "Individuals Authorized to Access CMS Computer Services" (IACS) account is required to access a TIN-level report through the portal. To request an IACS account, consult the IACS quick references guides

For more information about the PQRS incentive payments, review CMS' analysis and paymentWeb page.  For more information about interpreting the data in the report, view the 2013 PQRS feedback report user guide or the 2013 eRx incentive program feedback report user guide

Physicians can contact the QualityNet Help Desk for assistance 8 a.m.-8 p.m. Eastern time Monday through Friday at (866) 288-8912 or qnetsupport@hcqis.org.

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Job Openings

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: https://www.gdbiw.com/careers


Family Nurse Practitioner

Sacopee Valley Health Center is recruiting a Family Nurse Practitioner to provide walk-in care on Fridays, Saturdays and Sundays.  This 30 hour per week position involves no after-hours call with an excellent benefit package including health, disability and life insurance, 401k retirement plan, and a generous paid time off plan. Applicants must be a graduate of a Family Nurse Practitioner Program with current Maine licensure. Please submit resume to nbuck@svhc.org or mail to:  Human Resources Coordinator, Sacopee Valley Health Center, 70 Main Street, Porter, Maine 04068. Sacopee Valley Health Center is an Equal Opportunity Provider and Employer.


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 mlefay@kvhc.org or visit our website at www.kvhc.org.  KVHC is an equal opportunity employer.






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Upcoming Events


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, jsalis@aol.com, (207) 577-2018



 Webinar:  Get Covered, Stay Covered: Looking Ahead to Open Enrollment 2015

October 28, 2014, 12-1pm, Quality Counts Brown Bag Forum

Information for health care providers, practice staff, and the community. Learn about duties, deadlines, and where to go for help. Join us to hear what we've learned and what to expect during Open Enrollment 2014-2015.

Register online here. [return to top]

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