November 3, 2014

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MMA Advocates for Science over Emotion and Politics in Ebola Quarantine Debate

In an op-ed published in the Portland Press Herald last week, MMA President Lisa Ryan, D.O. and Lani Graham, M.D., MPH argued that the national CDC guidelines were adequate and that the state-attempted, mandatory 21-day quarantine of nurse Kaci Hickox would do more harm than good by discouraging physicians and nurses from volunteering to treat patients in the West African nations.

The op-ed piece also noted that such a mandatory quarantine would severely impact the medical workforce necessary to treat victims of the disease if a patient were diagnosed and treated in Maine.  In subsequent interviews with the media, Dr. Ryan noted that the virus is transmitted only through contact with bodily fluids.  People who are infected do not become contagious until they develop symptoms, which include fever, vomiting, and diarrhea.  "Until that happens," Dr. Ryan said, "there is no risk."

Additional interviews were recorded on MPBN and MMA EVP appeared on MSNBC's Rachel Maddow show responding to questions about the state's attempted quarantine.

the MMA op-ed can be found on the MMA website at  

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 to your favorites for an easy reference.

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George W. Bostwick, M.D. 1927-2014

MMA has learned of the recent death of one of its most beloved former Presidents, George W. Bostwick, M.D.  Dr. Bostwick died September 28, 2014 at his home in Portland.  Our condolences go out to his wife Mary Ann and his sons Richard and William and daughter Elisabeth.

Dr. Bostwick was active in the Maine Medical Association from 1956 when he opened a practice in Newcastle until 2007 when he retired from a geriatric practice in Bangor.  In 1981-1982 he served as President of the Association.  He served the Lincoln-Sagadahoc County Medical Society as Secretary for more than  twenty years and also served as Speaker of the MMA House of Delegates.  He also served as chair of the MMA Bylaws Committee for many years,

His thorough knowledge of parliamentary procedure and bylaws in combination with his unruly hair, made him a formidable figure at MMA meetings.  Presiding somewhat like a slightly eccentric professor, Dr. Bostwick endeared himself to generations of physicians for more than fifty years.  Watch for a full story of his remarkable medical career and his work with MMA in the Jan-Feb-March 2015 issue of Maine Medicine, complete with appropriate photos.


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Sign up Now for Maine Health Action Network (HAN)

The Maine CDC urges all Maine physicians to register with the Maine Health Alert Network.  HAN is a secure, web-based communications system used by the CDC and its Partners to exchange information within and between their respective agencies.

HAN members include physicians, nurses, hospital staff, clinicians, public health workers, emergency preparedness and management personnel, first responders, and many others.

As a physician in Maine, it is important that you are aware of urgent health related information!  Won't you please consider registering?  The registration process will collect some basic information that the system will use to contact you.  Once you have completed the registration process, an administrator will review your registration and notify you once your account is approved.

To Register for the Health Alert Network, go to

The Maine CDC also invites all physicians to sign up for their public health update newsletters by e-mailing  


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Applications for Participation in MaineCare Health Homes still Available

Applications are still being accepted for medical practices to participate in MaineCare's Health Homes, a component of its Value-Based Purchasing strategy.  Modeled after Maine's Multi-Payer Patient-Centered Medical Home Pilot, Health Homes partner with community care teams and behavioral health home organizations  to serve MaineCare patients with chronic conditions and serious mental health needs.  Participating practices receive $12 per member per month to provide population-based Health Home services to MaineCare members with chronic physical conditions and $15.00 per member per month for patients with serious mental health needs. Both adults and children may be enrolled in the program.

Here are the details:

  • Applications opened Wednesday, October 15, 2014 and close November 14, 2014.  Practices with more than one location must complete a separate application for each location. 

  •  Practices that apply and qualify will be eligible to participate in both Stage A and Stage B Health Home Programs as of January 21, 2015.  Practices that are already participating in Stage A Health Homes do not need to apply to participate in Stage B.  These practices may contact MaineCare with any questions about participation in Stage B. 

Comprehensive information about the Health Home and Behavioral Health Home initiatives can be found at MaineCare's Value-Based Purchasing Web Site.




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Planning for 127th Maine Legislature by MMA Legislative Committee Will Take Place Nov. 18

Election Day is tomorrow and the 127th Maine Legislature's composition will be decided, barring any recounts of course.  On the evening of Tuesday, November 18th, the MMA Legislative Committee, chaired by Amy Madden, M.D., will meet at the Frank O. Stred Building in Manchester to prepare for the coming legislative session.  The meeting will begin with dinner at 6:00 p.m.  We will begin the substantive part of the meeting between 6:15 and 6:30 p.m. and will conclude by 8:30.  The agenda will include a review of election results and leadership races in the new Maine legislature and discussion of known or potential legislative initiatives for the coming session from the MMA, medical specialty societies, other health care advocacy organizations, as well as potential threats for organized medicine.  Any Maine physician who is interested in MMA's advocacy work is welcome to attend and medical specialty organizations are strongly encouraged to send one or more representatives to participate in the discussion.  The MMA staff and leadership will refine the organization's legislative agenda between this meeting and the "cloture deadline" or deadline for legislators to submit bills which is usually some time in mid-December.

We welcome participation by all, but please RSVP to Ashley Bernier (; 622-3374, ext. 213) so we can plan adequately for food.  For more information about the meeting, please contact Andrew MacLean, Deputy EVP & General Counsel at or 622-3374, ext. 214. [return to top]

Two Weeks to Open Enrollment

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

  • In Maine, consumers can go to 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 or 662-2364.


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Enrollment Webinar Recording Available

The October 28 Quality Counts Brown Bag Forum webinar "Get Covered, Stay Covered: Looking Ahead to Open Enrollment 2015" is now available online. Click here for the full webinar recording, slides and links to resources and information about 2015 Health Insurance Marketplace Open Enrollment. [return to top]

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

November 7, 2014 at the Maine Medical Association - Please register on-line at!  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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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  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 or by calling Gail at 485-1341.

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Summary of October 22nd SIM Steering Committee Meeting

 The following is a summary of the most recent SIM Steering Committee meeting, provided by one of the physician members of the group.

  • Becky Arsenault from Franklin Memorial Hospital had been representing small, non-affiliated hospitals.  Since Franklin Memorial has joined Maine Health, she will be replaced.  A new member should be announced next month.
  • November and December Steering Committee meetings will be combined into one, probably on December 3.
  • There is a SIM quarterly newsletter here:
  • Hunt Blair, a consultant for the Office of the National Coordinator (ONC), spoke about the work to develop a road map for the interoperability of IT infrastructure.  He emphasized that CMS has to become more flexible within their standards and hinted that he felt a solution to Meaningful Use Visit Summaries may eventually include the use of Maine Health Info Net, something that currently is not an acceptable solution.
  • Katie Fullam Harris (Maine Health) has suggested a review of SIM objectives and priorities, to be sure they reflect current needs.  A work group to assess this will be formed and will include Katie, Jay Yoe (evaluator), Kristine Ossenfort (Anthem), and the leaders of the partner organizations (MQC, MHMC and MHIN).
  • Frank Johnson (MHMC) spoke about measure alignment and expects a final measure set to recommend to payers soon.  It will be 37 to 40 measures.  There remains concern that commercial payers may not embrace measure alignment.  There is an October 30 meeting of the measure alignment work group where the list should be finalized and they will also begin mapping the move from claims based measures to measures of clinical outcomes.
  • Mike Delorenzo (MHMC) reviewed Total Cost of Care formulas and Total Cost Index calculation.  The tools that they are using are validated and carefully tested for consistency. 
  • Dr. Jay Yoe presented the charter and procedures for evaluation of SIM.
  • Ellen Schneiter (MHMC) discussed acceleration of payment reform.  The Accountable Care Implementation (ACI) subgroup will be meeting on November 18, 3:00 to 5:00 PM at Maine General Hospital, Conf Room 3 (first floor).  At this meeting they will be reviewing a Maine specific resource paper and developing a work plan aimed at accelerating payment reform.  This could be an important opportunity to have your voices heard.  The failure to do more than very incremental payment reform is a risk to the success of delivery system transformation, so your input is important.
  • Randy Chenard (SIM Project Manager) gave a brief overview of the approach to meaningful involvement of consumers.  There is a 3-point action plan:
  1. Sub committees already have consumer reps and that needs to be better communicated.
  2. There will be a forum at SIM annual meeting on consumer engagement.
  3. It will be an agenda item for the Steering Committee.

As always, lots of information is available at:

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Job Openings

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 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.


Seeking Physicians (Non Behavioral Health) to Participate in Ongoing Committees with MCHO

Maine Community Health Options (MCHO) is seeking physicians (Non Behavioral Health) to participate in ongoing committees with MCHO. 

Available committee roles are:

  1. Credentialing Committee
    • One specialty
    • One primary care physician (MD/DO)
Credentialing files are sent electronically for review prior to the meeting and participation can be in person or remotely. Meets once a month and the stipend is $250 for each meeting.
  1. Medical Management Committee
  • Two specialty physicians (MD/DO)
Agenda items are sent electronically for review.  Meets quarterly and can be attended remotely or in person.  Stipend is $250 for each meeting.
  1. Quality Assurance Committee
    • Two specialty physicians (MD/DO)
Agenda items are sent electronically for review.  Meets quarterly and can be attended remotely or in person.  Stipend is $250 for each meeting.
The physician committee members must hold an active, unrestricted license to practice medicine and be board certified (if applicable) by:
  • A specialty board approved by the American Board of Medical Specialties (doctors of medicine); or
  • The Advisory Board of Osteopathic Specialist from the major areas of clinical services (doctors of osteopathic medicine)

Please contact John Yindra or 207-402-3327 for more information.


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.


Chief Dermatologist Job in Central Maine

Challenging, Lucrative, Chief Dermatologist job in central Maine - honoring and serving Veterans.  An experienced Dermatologist is needed in Augusta, Maine.  Must have an unrestricted medical license (from any U.S. state), and current BLS 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 Dermatology by the appropriate accrediting agencies.

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.

Contact John Poulin at 207-621-6913 or


Physician Sought

DFD Russell Medical Centers (DFDRMC) operates three community health centers in beautiful Central Maine. We are seeking a full time physician for immediate placement.  A current unencumbered Maine license and proficiency with electronic medical records are required.

Our three health centers serve a multicultural, rural population of about 10,000 patients and have a family practice focus serving pediatrics to geriatrics.  We have integrated behavioral health, care managers, a patient assistance coordinator and an excellent clinical support staff to support the candidate in delivering excellent clinical care.

Excellent benefits, including medical, dental, life insurance, 401K retirement plan, flexible spending accounts, generous paid time off and an incentive plan.  Salary is commensurate with experience.

We are an equal opportunity employer committed to diversity in the workplace.  If you want additional information about this position, which combines making a difference in patients’ lives with a family-friendly work life, please fax or e-mail your resume as soon as possible to Laurie Kane-Lewis, CEO.

Fax: 207-524-2459 and Email: 














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Upcoming Events


Join your colleagues for the Maine CRC Round Table onNovember 17th and help Maine reach an 80% colorectal cancer screening rate by 2018!

The American Cancer Society, The Maine Cancer Consortium and The Maine CDC Colorectal Cancer Control Program invite you to prevent more colon cancers and save more lives. We value your knowledge about colon cancer screening and encourage you to participate in our collaborative.

Please Join Us for Breakfast and Discussion

  • To better assess colorectal cancer screening rates in Maine
  • To identify significant barriers to colon cancer screening in Maine
  • To form partnerships in an effort to improve colon cancer screening rates statewide.

Dates & Times:

November 17, 2014

8:30am -10am at the Senator Inn in Augusta

8:15am check-in

8:30am program begins

Please RSVP

For more information, please contact or (207) 373-3716

We look forward to seeing you!

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