May 11, 2015

 
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MMA Advocacy Agenda on Full Display at State House this Week

MMA's advocacy on behalf of physicians, patients, and public health will be on full display at the State House this week with hearings on four vaccination bills Monday, physician assisted-death on Friday, and work sessions on bills impacting physician assistants, expanding scope of practice of APRNs, preparing for a potential state-based insurance exchange, and expanding MaineCare in the middle of the week.  The 7 to 6  committee report on L.D. 422 involving Lyme disease could begin debate in the House of Representatives within the next two weeks.

Nearly 1400 bills have now been printed and the vast majority of these bills have not yet been disposed of.  Some bills of interest, such as the bill on Lyme Disease, have been in the committee of jurisdiction for weeks but floor debate is expected soon. A work session on L.D. 970 expanding the scope of practice of various categories of nurse practitioners has been scheduled for 1:00 pm on Thursday, May 14th in the Joint Standing Committee on Labor, Commerce, Research and Economic Development (LCRED).

A bill asking for a single licensure for PAs (L.D. 830) will be worked on by the LCRED Committee on Tuesday, May12th at 1:00 pm.  Language has been developed by a work group representing all the interested parties which would allow a PA to remain licensed by the Board which they originally licensed under even if the supervising physician was changed from an M.D. to D.O. or vice versa.  This language would appear to meet the needs of most of the PAs impacted.  Credit is due to the Maine Association of Physician Assistants for getting the bill this far.

On Wednesday, May 13th, the Health & Human Services Committee will work on the MaineCare expansion bills and the Joint Standing Committee on Insurance & Financial Affairs on Thursday will work on L.D. 1344 providing for a state-based insurance exchange if the United State Supreme Court in the King v. Burwell case should determine that subsidies are not available on a federally-facilitated exchange.

On Friday morning, the Judiciary Committee will hold a pubic hearing on L.D. 1270 which would allow a physician to provide a fatal dose of medication to a terminally-ill patient at their request.  Some safeguards are provided to prevent abuse.  MMA will oppose the legislation citing the current provisions of the AMA Code of Ethics which state that a physician shall not take actions to intentionally cause the death of a patient.

Thanks to the many (nearly 50) physicians who have provided testimony at the State House this year.  All MMA members are welcome to join the weekly legislative committee calls at 8:00 pm on Tuesday nights.  See the accompanying article in this Update for details (Legislative Committee).

 
 

Ulrich B. Jacobsohn, M.D., 1928-2015; Former President of MMA

The Maine Medical Association family was saddened this past week to learn of the death of a beloved former President of the Association, Ulrich B. Jacobsohn, M.D. at age 86.  A successful psychiatrist who practiced chiefly in the public sector, Ullie (as he was known to his friends) was an incredibly warm and loving person who lived a full life and enjoyed his family, his professional work, and a variety of hobbies including international travel.  He had resided at the Maine Veterans Home in Augusta since a debilitating stroke more than two years ago which tragically left him without the ability to speak although his soulful eyes and retained cognitive ability could communicate a warmth that he retained until his death on May 6th.

One of only a handful of MMA Presidents who were immigrants to this country, Ullie was born in Berlin, Germany in 1928.  His father, Franz, a 6th generation physician and prominent ophthalmologist, removed the family from Germany and the Nazi Regime in 1933, fleeing to Ethiopia and then to Bangkok, Thailand until the end of the war.  In 1948, Ullie came to the United States to attend Reed College in Portland, Oregon, in preparation to becoming a 7th generation physician.  But unlike his predecessors, he decided to specialize in psychiatry instead of ophthalmology.  He completed medical school at Washington University and a residency at St. Louis Hospital where he met the love of his life, Dorothy Jeanne Williams.  He and Jeanne married and have four children and seven grandsons.  Jeanne died in 2004.

After serving in the U.S. Navy and practicing psychiatry for several years in California, Dr. Jacobsohn re-located his family and practice to central Maine in 1971.  He purchased a stately home on the banks of the Kennebec River where he and Jeanne raised t heir family and enjoyed gardening, theater, music, travel, and friends.  The former Jacobsohn home is now a branch of Kennebec Savings Bank which has successfully retained many features of the old home.  Before the conversion, Dr. Jacobsohn was given an opportunity to tour the home one final time and relive many fond memories.

After moving to Maine, Dr. Jacobsohn became the Clinical Director of the Augusta Mental Health Institute (now renamed Riverview Psychiatric Center) and later served as the Medical Director of the Maine Department of Mental Health.  He developed a keen interest in forensic psychiatry and became the first psychiatrist in Maine to become board certified in that specialty.  He served as the Director of the State Forensic Service from its inception until he retired in 1998 after being employed by the State for 27 years.  In addition to his service to the Maine Medical Association, culminating in his election as President, he also served as President of the Maine Psychiatry Association, now known as the Maine Association of Psychiatric Physicians (MAPP).  MAPP has named its annual leadership award in his honor.

Dr. Jacobsohn is survived by his and Jeanne's four children and seven grandsons.  He also leaves behind a legion of friends, colleagues, and patients who are sustained in his death by their memory of an incredibly strong and loving father and a compassionate and skilled physician.  He will be greatly missed by all who knew him including his many friends at MMA.  Our condolences go out to his children David, Julia, Mark, and Stacey.

 

 

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3rd Annual Maine Harm Reduction Conference Thursday, May 14th, Portland

The 3rd Annual Maine Harm Reduction Conference will be held this Thursday, May 14th, at the Portland Public Library in Portland.  This important conference highlights opportunities the state could take advantage of in order to reduce the risk of harm to patients abusing substances.

Look under the Upcoming Events article in the Update for details and registration information.

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12th Annual MMA Benefit Golf Tournament, Monday, July 20 at Augusta Country Club

Registration materials have been mailed for the 12th Annual MMA Benefit Golf Tournament to be held, once again, at the Augusta Country Club.  The Tournament, using a traditional four-ball scramble format, will be held on Monday, July 20, 2015 with lunch beginning at 11:00 am and the golf starting at noontime.  The net proceeds from the day's activities will benefit the Maine Medical Education Trust Scholarship Fund which supports Maine residents in medical school.  

The Association is fortunate to once again have a former MMA President, Brian Jumper, M.D., as chair of the event.  While his game may not be what it once was, Dr. Jumper's organizational talent and general swagger have helped make up for the occasional bogie or worse.  

Registration materials and sponsorship information can be obtained from Lisa Martin at MMA.  Lisa is available at 622-3374, ext. 221 or via e-mail to lmartin@mainemed.com.

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New enroll207 Resource - Special Enrollment Period Rack Cards

Open Enrollment for 2015 Health Insurance Marketplace plans ended in February, but some people can sign up for coverage outside open enrollment if they have a major life event -- such as getting married, having a baby, or losing their health insurance -- that makes them eligible for a Special Enrollment Period. 

A new enroll207 rack card with simple information about special enrollment periods and qualifying life events is now available, along with consumer brochures about the Marketplace and health insurance booklets.  You can order these free materials for your practice at www.enroll207.com/material-order-form/.  For more information contact Susan Kring, ACA Outreach Coordinator at 662-2364 or skring@mainemed.com.

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Telemedicine Bills Make Headway in States

With bills signed into law in Arkansas, Colorado, Idaho and North Dakota in recent weeks, legislation promoting the use of telemedicine continue to find success in state legislatures.

Arkansas, Colorado and North Dakota’s bills set the stage for physicians to be reimbursed by private insurers for telemedicine services, with Colorado’s bill also removing the state’s geographic site restrictions.  Arkansas’ and Idaho’s bills clarify how to establish a patient-physician relationship via telemedicine, and provide guidance to physicians on appropriate prescribing via telemedicine, obtaining informed consent and maintaining medical records following a telemedicine encounter.

Legislation addressing various aspects of telemedicine practice, reimbursement and licensure continues to progress in more than a dozen states, with bills in states including Iowa, Kentucky, Missouri, Minnesota, Oregon, Tennessee, and Washington having passed the first house of jurisdiction.

Meanwhile, Patrice Harris, MD, secretary of the AMA Board of Trustees, participated in a panel at a recent Federation of State Medical Boards meeting focused on a new interstate compact designed to facilitate a speedier medical licensure process for physicians seeking licensure in multiple states.  Dr. Harris highlighted AMA policy in support of the compact, as well as AMA advocacy in partnership with interested state medical associations, focused on expeditious adoption of the compact.

Read more about the compact at AMA Wire, and visit the AMA Web page on state telemedicine advocacy for more information.
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FSMB to Revise Guidelines for Using Opioids for Chronic Pain

The Federation of State Medical Boards (FSMB) last week adopted a resolution at its 2015 Annual Meeting that will ultimately lead to the group updating its model policy on the use of opioid analgesics in the treatment of chronic pain.

The resolution calls for the FSMB to “establish a workgroup, comprised of state medical and osteopathic boards, and other key stakeholders,” including the AMA,  American Osteopathic Association, specialty societies, and state medical associations that will review the current science and revise the policy.

Patrice Harris, MD, secretary of the AMA Board of Trustees, joined several physicians testifying in support of the FSMB re-opening the model guidelines to help ensure that there is an appropriate balance between detecting potential abuse and misuse with protecting patients’ access to care, which may include opioids.

“Treating a patient who experiences pain requires evaluating, diagnosing, and developing a treatment plan that is unique to each patient,” said Dr. Harris.  “One-size fits all solutions raise many concerns not only for physicians, but also for patients.”

Please contact Daniel Blaney-Koen of the AMA for more information about the FSMB model guidelines.
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PQRS Group Practice Reporting Option Available Until June 30th

Practices consisting of two or more eligible professionals (EP) that would like to participate in the 2015 Physician Quality Reporting System (PQRS) under the group practice reporting option (GPRO) have until June 30th to register as a GPRO.

Practices with two or more EPs do not have to participate as a GPRO and may participate as individuals in PQRS.

Upon GPRO registration, a practice must indicate whether it plans to participate in PQRS under the following options:

  • Qualified PQRS registry.
  • Electronic health record (EHR).
  • Web interface (for groups with 25 or more EPs only).
  • Consumer Assessment of Health Providers and Systems for PQRS survey via a CMS certified survey vendor (as a supplement to another GPRO reporting mechanism). A GPRO with a 100 or more EPs must report through this system.

If a practice would like to participate in PQRS through a qualified clinical data registry, it should not register as a GPRO (the qualified clinical data registry option is only available to EPs participating as individuals).

In addition, if a practice would like to participate as a GPRO and submit data via its EHR system, the practice should consult with its EHR vendor before registration because some EHR vendors will not support the PQRS GPRO EHR option.

A practice cannot change its GPRO designation with CMS once the registration period closes, so it is important for practices to consider all the options. If a practice is participating in PQRS as an individual, it does not need to register.

Practices can access the registration system using a valid Individuals Authorized Access to the CMS Computer Services (IACS) account. Step-by-step instructions for obtaining an IACS account with the correct role are provided on the PQRS GPRO registration Web page, as are instructions for registering to participate in the 2015 PQRS GPRO option.

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MMA Legislative Committee Weekly Conference Call, Tuesday, May 12th at 8 p.m.

The next MMA Legislative Committee weekly conference call for the First Regular Session of the 127th Maine Legislature will take place tomorrow, Tuesday, May 12th at 8:00 p.m.

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate.  Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate.  It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode.  These will remain the same for every weekly call during the session.

Conference call number:  1-619-326-2772

Passcode:  729-7185

The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week.  The calls rarely last longer than an hour.  The MMA staff lists a suggested position for each bill and any medical specialty particularly affected by the bill.  

If you have an opinion about any of these bills, but cannot participate in the call, please contact Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com or 622-3374, ext. 214.

The following are bills of interest to the physician community printed last week.  We will discuss the priority bills marked with an asterisk (*) first. 

LD 1391, An Act Regarding the Treatment of Forensic Patients (monitor or oppose; psychiatrists)*

LD 1392, An Act To Amend the Maine Medical Use of Marijuana Act (monitor; Public Health Committee)*

 

 

 

 

 


 

 

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POLITICAL PULSE: National Vaccine Debate Comes to Maine

HHS COMMITTEE TAKES TESTIMONY ON BILLS DEALING WITH PHILOSOPHICAL EXEMPTION, PROPOSED VACCINE INJURY OFFICE

Today, the Health & Human Services Committee spent the day hearing testimony from vaccine proponents and skeptics on three bills (LDs 471, 606, and 1076) addressing vaccine issues.  LD 471 would require a clinical consultation before a family could claim a philosophical exemption to routine childhood vaccines for entrance to day care and school.  LD 606 would eliminate the philosophical exemption.  LD 1076 proposes a new Vaccine Consumer Protection Program within DHHS.  Physician turnout in support of the public health benefit of vaccines today was tremendous & the MMA would like to thank the following physicians for taking time out of their busy schedules to address the legislature on this issue.

  • Lisa Ryan, D.O., President, MMA
  • Don Burgess, M.D., Southern Maine Health Care
  • Laura Blaisdell, M.D., M.P.H., InterMed
  • Deborah Hagler, M.D., Martins Point 
  • Alyssa Goodwin, M.D., Martins Point
  • Amy Belisle, M.D., Maine Quality Counts
  • Norma Dreyfus, M.D., MMA Public Health Committee
  • Gabe Civiello, M.D., Franklin Memorial Hospital
  • Jan Pelletier, M.D., EMHS, President, Maine Chapter, American Academy of Pediatrics
  • Larry Losey, M.D. also submitted written testimony in support of vaccines though he was unable to attend the hearing today

Rep. Linda Sanborn, M.D. (D-Gorham) (prime sponsor of L.D. 471) and Rep. Ralph Tucker (D-Brunswick) (prime sponsor of L.D. 606) made highly credible presentations of their bills, very much making the case in favor of vaccines.  Clinicians other than physicians, including Anne Graham, PNP, Juliana L'Heureux, R.N. (speaking for ANA-Maine), and Alison House, R.N. (speaking for Maine Community Health Options) also contributed substantially to the debate.  Meryl Nass, M.D. and Robert F. Kennedy, Jr. were notable witnesses in opposition to the bills addressing Maine's philosophical exemption.  The hearings began at 9:30 a.m. and ended after 6 p.m.  The first work session on the bill should be next week and we are working to have one or more physicians available to answer questions from the Committee.

INSURANCE COMMITTEE HEARS BILLS ON KING V. BURWELL CONTINGENCY, CONSUMER "SHOPPING"

Last week, the IFS Committee held public hearings on two significant health policy bills.  On Tuesday afternoon, the Committee heard a bill (L.D. 1305) that continues the legislature's interest in health care price transparency and providing consumers with the tools to comparison shop for health care services.  MMA testified "neither for nor against" this bill, believing in the bill's concepts, but having concern about implementation of some of its concepts.  The MMA spoke in favor of a bill (L.D. 1344) on Thursday afternoon that would provide for establishment of a state exchange if the U.S. Supreme Court decides in the KIng v. Burwell case that the ACA's personal subsidies are not available through a federal exchange.  Most health care stakeholders supported the bill.

APPROPRIATIONS COMMITTEE CONTINUES BIENNIAL BUDGET WORK

As the Appropriations Committee has completed accepting reports back from policy committees, it now enters a phase of work sessions that will take up much of the rest of the session.  In a new approach, the Committee apparently has broken the budget into sections and assigned a pair of legislators, one Democrat and one Republican, to consider that section of the budget and make recommendations to the whole Committee.  You can find all budget documents, including the HHS Committee report, on the Office of Fiscal & Program Review web site here.  The biennial budget negotiations likely will occupy much of the rest of the session, some time in June.  The MMA continues its advocacy on behalf of Maine physicians and patients on various aspects of the budget proposal.

 You can find the documents on the Governor's proposed biennial budget on the Bureau of the Budget web site.

The following are high points from the “Medical Care - Payments to Providers” or “MAP” account, the primary account dealing with physician & hospital reimbursement:

  • Provider-base reimbursement, p. A-336.  Total cut in each year is $7.3 M state & federal.  Description sys, “Reduces fundingy eliminating the separate facility fee payments that are billed on a UB-04 claim form and paid to hospitals for the services of hospital-compensated physicians, and provides funding to equalize reimbursement rates of hospital-compensated physicians and non-hospital-compensated physicians and eliminates the cost settlement component of hospital-compensated physician reimbursement.  This would eliminate the two separate fee schedules of reimbursement and ensure all physicians billing under Section 90 of the MaineCare Benefits Manual would be reimbursed on the non-facility fee schedule.” There is no separate language in Part C, the language section of the budget.
  • Health Homes, p. A-336. Replaces lost federal funding, so GF amount is $5.6 M/$7.8 M in the first & second years of biennium respectively.  Description says, “Provides funding for Health Homes for adults with serious and persistent mental illness and children with serious emotional disturbance (Stage B) and Health Homes for individuals with one or more chronic conditions (Stage A) due to the elimination of the enhanced federal match of 90/10 under the ACA.”
  • Primary care fee increase, p. A-336.  The amount is $7.4 M GF, $12.5 state & federal funds in each year of biennium.  Description says, “Provides funding for the reimbursement of primary care physicians at an enhanced rate which replaces expiring funds provided through the ACA.”
  • Community-based behavioral health services provided by hospital-affiliated entities, p. A-337.  educes funding by $13 M in each year of biennium.  Description says, “Reduces funding by requiring all community-based behavioral health services, including those that are operating as part of a hospital or in an administrative unit of a hospitality to bill and receive rates of reimbursement under Section 65 of the MaineCare Benefits Manual.”
  • Critical Access Hospital (CAH) reimbursement, p. A-337.  Saves $4.2 M in each year of biennium by reducing reimbursement from 109% to 101% of costs.
  • Methadone treatment coverage eliminated, p. A-339. Savings is $1.2 M/$1.5 M state & federal.
  • ER rates, p. A-339. Savings is $1.9 M/$2.6 M state & federal.  Description says, “Reduces by changing reimbursement on non-emergent use of emergency services to be paid at an office visit rate.”
  • Medicare Shared Savings Program cuts, p. A-339.  Savings is $29 M/$34 M state & federal.  Description says, “Reduces funding by reducing the Federal Poverty Level (FPL) in the Medicare Savings Program (MSP) to the federal minimum.”
  • Section 65 BH services 10% reimbursement cut, p. A-337. Savings in this line is $10.4 M in each year of biennium state & federal.  There's also at least one line on this cut in the BDS part of the DHHS budget.  FYI, despite the merger in the Baldacci years, the BOB still breaks the DHHS budget down into 2 parts, “DHHS, formerly BDS” (behavioral & developmental services) & “DHHS, formerly DHS” (human services).

 



 

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Upcoming Events

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Maine Concussion Management Initiative Training Programs – Level 1 and Level 2

General Information for 2015

When and where held:

                           May 1, 2015 in Machias at DownEast Community Hospital                       

              June 12, 2015 in Waterville at Colby College

              October 20, 2015 in Portland in conjunction with the Maine Brain Injury Conference

(Registration and fees will be through the Maine Brain Injury Conference for October 20)

Training Program: Training programs in 2015 will be updated.

              Level 1 - An Introduction to Concussions and Concussion Management

              Level 2 – Interpreting Neurocognitive Testing (Level 1 is a prerequisite for taking Level 2)

              8:00am – 8:15   Registration and Continental Breakfast (Level 1 and Level 2 are run simultaneously)

              8:15am-12:00pm            Level 1 – An Introduction to Concussions and Concussion Management

          • The Diagnostic and Return to Play Dilemma
          • Sport Related Concussion: Short and Long Term Sequelae
          • Concussion Sideline Assessment
          • Concussion Risk Factors, Treatment and Return to Function
          • Tools in Concussion Management
          • Concussion Case Studies
          • Review and Wrap-up

   8:15am-12:00pm            Level 2 – Interpreting Neurocognitive Testing             

          • Using ImPACT Testing in Concussion Management
          • Interpreting ImPACT Test Results
          • Case Reviews
          • Review and Wrap-up

              Registration Fee:

              $100 for Health Care Professionals (MD, DO, NP, PA, Neuropsychologist, ATC, RN, PT, OT, SLP)

              $40 for school personnel and all other attendees

                             (School nurses, coaches, school athletic directors, administrators, parents, etc.)

              $20 for students – currently enrolled in a college program

Registration Fee Includes:

  1. Handouts
  2. Continental Breakfast and mid-morning break
  3. CEU/CME credits for Health Care Professionals

Registration Confirmation will be sent by email and will include:

  1. Directions to training location.            
  2. Training agenda.

For more information contact:

              Jan Salis, PT, ATC

              MCMI - Membership Committee Chair

              jsalis@aol.com

              (207) 577-2018

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First Friday Program – June 5, 2015 – 8:30 - Noon

Addressing Suicide Risk in Healthcare Settings: 

Assessment, Management and Follow-up

(A Half-day seminar - n-person attendance preferred but webex is available.)

Greg A Marley, LCSW - Clinical Director, NAMI Maine 

Suicide is the 10th leading cause of death across the lifespan and the leading cause of injury death in Maine.  Healthcare settings are an effective site for identification and intervention; someone at increased risk for suicide is much more likely to be seen in a primary practice or other healthcare setting than to initially seek help from a mental health clinician.  Some of the most vulnerable, including those with depression, middle aged men and older adults seek help from their primary care or other medical practitioner.  Gaining the assessment tools and office protocols to effectively address suicide risk is increasingly important during this time of rising suicide rates.   

Objectives:

This workshop is designed to: 

  • Present a model for suicide prevention protocol in primary care and other healthcare settings
  • Develop a rationale for suicide prevention in healthcare settings  
  • Build awareness of populations at increased risk for suicide, 
  •  Increase skills in carrying out a suicide assessment interview, 
  • Introduce an evidence-based screening tool to assess and quantify suicide risk, 
  • Increase skills in use of risk assessment to inform level-of-care decision making 
Agenda:

8:30 Registration

9:00 Introduction and Background Information on Suicide in Maine

9:45 Integration of suicide prevention in healthcare settings;

10:15 Break

10:30 Suicide risk assessment and the assessment interview

11:15 Response to risk; Level of care, safety planning and follow-up

11:45 Wrap-up and Questions

Faculty:

Greg A Marley, LCSW is the Clinical Director of NAMI Maine and has devoted much of his professional efforts over the past 8 years to addressing suicide prevention in multiple settings in Maine.  He has provides training, infrastructure development and technical assistance to integrate suicide prevention into schools and colleges, worksites, community agencies and healthcare practices, including a partnership with MMA and MPCA to bring this effort to primary care practices.  

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MEDICAL GROUP MANAGEMENT ASSOCIATION NEW ENGLAND REGIONAL CONFERENCE

The Tides of Change in Health Care

Don't miss the boat to ride the tide!!!

Registration is now open for our New England Regional Conference being held at the beautiful Samoset Resort in Rockport Maine, May 13-15, 2015.

The 2015 New England MGMA Regional Conference features a wide range of speakers who will provide you with the insight and tools you need to help your practice thrive.

In addition to our great keynote and breakout speakers, we have pre-conference activities including ACMPE, Fellowship and Excel workshops and we are also holding a pre-conference golf tournament!   Won't it be nice to walk on grass instead of snow?

This is a great event for you and your colleagues to meet and network with members of Maine, Vermont, New Hampshire and Massachusetts/Rhode Island MGMA and our vendor sponsors.  On Wednesday evening we will be providing  a gift card so you can have an opportunity to visit the local restaurants.

Please go to the following link to begin your registration and review the conference agenda: http://www.newenglandmgma.com/registration-information/.

We accept all Visa, Master Card, Discover and American Express.  If paying by check, please make check out to NERC/NHMGMA.

If you have any questions please contact Pam Beaule at PBeaule@StMarysMaine.com.

We hope you will join us and help make this conference a success!

Denise Andrade, FACMPE, Marketing Chairperson

 

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The 3rd Annual Maine Harm Reduction Conference!

The conference will be held on Thursday, May 14th at the Portland Public Library in Portland.

We've got a lot of exciting presenters and workshops lined up for you this year, including a workshops on the Cutting Edge of Harm Reduction, Housing in Harm Reduction and Recovery, Law Enforcement Assisted Diversion, and Updates in Treatment and Recovery.This year's keynote will be delivered by Mark Kinzly, Harm Reduction Coalition Board Member, Evaluation Specialist with Street Works and former Site Coordinator for NIDA Funded Research with Yale School of Medicine

To view the program and/or register follow the link below!

https://www.mainehealthequity.org/events/mehra-sec/


 

 

 

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Job Openings

Gastroenterologist Job in Central Maine

Challenging, Lucrative, Gastroenterologist job in central Maine - honoring and serving Veterans.  An experienced Gastroenterologist is needed in Augusta.  Develop your skills of diagnosing, treating, and managing patients, while living in an all-season recreational getaway!

Must-haves: Fellowship-trained and B/C specializing in Gastroenterology, fellowship-trained in Transplant Hepatology, and fellowship-trained in Advanced Endoscopy; experience in Upper Endoscopy (including EGD, Barrett's Esophagus diagnosis and treatment, vatical bleeding, bleeding ulcers, dilation, stent placement for esophageal strictures, and treating food impactions); experience in  Colonoscopy (diagnostic and therapeutic), ERCP, EUS with FNA (for both solid and cystic lesions), Push enteroscopy, Deep small bowel enteroscopy, Capsule endoscopy, and Combined Interventional and Endoscopic interventions (Rendezvous procedures); experience in hepatology and liver diseases; lastly, an unrestricted medical license and current BLS certification.

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.

Salary will be commensurate experience, using VA’s market-based physician pay system. 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.  Relocation expenses are not authorized.  Equal Opportunity Employer.  Disabled persons and/or veterans are encouraged to apply.

For more information contact John Poulin: john.poulin@va.gov

5/25/15

Family Medicine and Outpatient Internal Medicine Physicians

Katahdin Valley Health Center is recruiting dedicated Family Medicine and Outpatient Internal Medicine Physicians that are committed to providing quality health care services to the people in Central/Northern Maine.  Join our practice in one of the newly expanded facilities.  We are seeking physicians for our Millinocket and Brownville outpatient only practices.  KVHC is a fully electronic medical record site and offers a Four day work week with 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 and $2500 annually toward CME.  The call schedule is 1 in 9 with additional coverage from the Open Access Clinic.  Physicians who join KVHC are eligible to apply for NHSC Loan Repayment.  HPSA scores at the KVHC sites increased in 2015.

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.

06/01/15

Family Practice Opportunity:  Lincoln, ME Lakes Region·    

  • Prenatal skills preferred, but not required
  • BE/BC in Family Medicine
  • Flexible schedule/4-day work week, if desired
  • Typically 36 clinical hours/4 administrative
  • Average 18-22 patients per day; Light phone call of 1:8
  • Potential for leadership growth
  • Join 8 well-established  physicians and a podiatrist with superb support from multi-disciplinary team including LCSWs, NPs and Pas  in Federally Qualified Community Health Center with 6 locations
  • Practice at busy main FQHC site in Lincoln - modern facilities, up-to-date technology, on-site radiology/lab and integrated EMR
  • Help build and lead vital primary care services for under-served populations supporting 19 small, rural towns in North Central Maine; Service area population +/- 24,000
  • Work collaboratively with two local Critical Access Hospitals
  • Excellent salary and benefit package
  • Generous paid time off and CME benefits, recruitment bonus, paid moving expenses, as well as medical school loan repayment through the National Health Service Corps, and/or other student loan repayment programs
  • J1 visa candidates welcome

Lincoln, Maine: Home of 13 Lakes.  45 minutes from the Bangor Metro area with international airport. Maine’s border with Canada is only a little more than 1 hr away, and Quebec City is just a 5-hour drive. 2 hours to the Coast!  

Contact Jamie Grant at Health Search New England at JGrant@nehs.net or 207-745-7059.  www.HealthSearchNewEngland.com

6/8/15

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 psychiatry.jobs@dartmouth.edu.  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.

6/01/15

   
 

 

 

 

 

 

 

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