March 7, 2016

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Last Chance to Register for MMA CME Program on Opioid Prescribing and PMP on March 11th

Free CME (3.5 hours) on opioid prescribing and use of the Prescription Drug Monitoring Program at MMA headquarters in Manchester on Friday, March 11th.

On Friday, March 11th, the Maine Medical Association, in cooperation with the Office of Substance Abuse & Adult Mental Health Services will present an educational program on prescribing for pain featuring a number of experts on issues ranging from community-wide guidelines for prescribing to the appropriate use of the Prescription Monitoring Program (PMP). The program is being held from 9:00 am to 12:45 pm at the offices of MMA in Manchester, Maine. The program is offered, AT NO COST, and is presented both live and via webex. Presenters include Noah Nesin, M.D., Medical Director at Penobscot Community Health Care, Lisa Letourneau, M.D., M.P.H., Executive Director of Quality Counts, Amy Belisle, M.D., Director of the Chronic Pain Collaborative at Quality Counts, Stephanie Nichols, Pharm.D., of Husson University School of Pharmacy and Clare Desrosier, Director of Diversion Alert. The program will be moderated by MMA EVP Gordon Smith, Esq.

Registration is available on the MMA website at or by calling MMA at 622-3374. 3.5 hours of Category one CME is available by attending the program and completing the evaluation form.



Maine ACOG Chapter Receives National Award

The American Congress of Obstetricians and Gynecologists has announced that the Maine Chapter of ACOG has been selected to receive the 2015 ACOG Achievement in State Legislative Advocacy Award for its collaborative approach to scope of practice and midwife licensure. The award comes with a financial grant to the Maine chapter and a listing on an awards plaque at the ACOG national office.

In a letter to Dr. Peter Manning and Dr. Danielle Salhany, ACOG said:

Maine ACOG engaged in a unique, year-long, professionally facilitated multi-stakeholder negotiation to reach consensus on a midwife licensure proposal predicated on the historic USMERA agreement and culminating in introduction of legislation to set a new minimum education standard for licensure by 2020. Maine ACOG participated in 20 bi-weekly meetings including a Home Birth Summit. This unprecedented stakeholder collaboration may reap future benefits far exceeding this single legislative victory.

 These efforts were supported by a grant from the AMA's Scope of Practice Partnership, and they resulted in the drafting and submission to the Legislature of LD 690, An Act to Ensure the Safety of Home Birth. The legislative progress of LD 690 is discussed in this week's "Political Pulse."

The MMA thanks the physicians of the Maine ACOG chapter for their tireless and effective work on this challenging project, work that will help to protect babies and mothers who choose home birth assisted by midwives. [return to top]

POLITICAL PULSE: Opioid Abuse Issue Continues to Dominate Health Debate

The Second Regular Session of the 127th Maine Legislature continues with an anticipated adjournment in mid-April.  The opioid abuse epidemic continues to be the dominant issue in the health policy debate this session and a significant piece of legislation on the topic from the Governor is anticipated soon, with another, different bill to be submitted by Senator Roger Katz, (R-Augusta). The Governor's bill is expected to contain limits on prescription of opioids and benzodiazepines, as well as mandates for practitioners' use of the Prescription Monitoring Program, while the Katz bill encourages the various licensing boards to take charge of the situation.

This week, the Judiciary Committee also will hold a second work session on L.D. 1311, the bill proposing an alternative means of resolving medical negligence claims in Maine.  The bill is opposed by all of the major stakeholders in the medical liability debate - the MMA, the Maine Hospital Association, the Medical Mutual Insurance Company of Maine, the Maine Trial Lawyers Association, and others. The Committee is expected to vote a majority "Ought Not to Pass," with instructions to the proponents and the stakeholders to conduct discussions during the summer months.

Last week, the HHS Committee held a work session on LD 1547, a bill which would make naloxone available over-the-counter, without a prescription. MMA legal extern Cora Best, a third-year law student at the University of Maine School of Law, delivered the MMA's testimony in favor of L.D. 1547 at the public hearing, and Lani Graham, M.D., M.P.H. also testified. At the work session the Committee majority voted "Ought to Pass," with a smaller than expected minority vote against the bill. Also last week, the MMA and the Home Birth Collaborative presented to the LCRED Committee a reworked version of LD 690, with revisions that would house the licensing function for lay midwives within the Board of Complementary Health Care Providers. The MMA was successful in insisting on joint rulemaking with the Board of Licensure in Medicine to establish rules governing midwives' practice, a practice which currently is completely unregulated. The Committee voted 8-2 in favor of the bill, which will now go to the full House and Senate. 
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MMA Board Meets Wednesday

The 27 member MMA Board of Directors will meet this Wednesday at 4:00pm at the MMA offices in Manchester. Any MMA member is welcome to attend. Included on the agenda are current legislative items and follow-up from the Board retreat in January. 

The Board is chaired this year by Jabar Fazeli, MD, a geriatrician who practices in the Portland area.

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MMA Welcomes Employed Physicians at Downeast Community Hospital

The employed physicians at Downeast Community Hospital in Machias all recently became MMA members through a group membership purchased by the hospital. Ten new members have joined the nine existing members. If you would like more information on MMA's group membership program, contact MMA EVP Gordon Smith via e mail to

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SAVE THE DATE: MMA's 2016 Benefit Golf Tournament will be Monday, July 18th at Augusta Country Club

MMA's Annual Benefit Golf Tournament will be held this year on Monday, July 18, 2016 again at the Augusta Country Club in Manchester.  Proceeds will benefit the medical school scholarship fund.  The event will begin with lunch on the deck with a shotgun start at noon in a traditional scramble format.  An incorrect date was listed in the most recent issue of MMA's Maine Medicine.

To reserve a spot for yourself or your foursome, or to learn about sponsorship opportunities, contact Lisa Martin at MMA at 622-3374, ext. 221 or via e-mail to


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Baystate Financial Presents Seminar on Social Security Claiming Strategies Before Critical April 30th Date!

MMA's financial services partner, Baystate Financial, is offering several seminars on What You Need to Know about Social Security Claiming Strategies in the coming weeks. Anthony Bartlett, ChFC, CASL, AEP of Baystate Financial will be the faculty for these complimentary events.  

Understanding the nuances of Social Security benefits has always been challenging . . . and the new Federal budget created major changes to certain claiming strategies. As a result, the complex set of rules are - more than ever - difficult to navigate alone.  

During this workshop, financial advisor Anthony Bartlett will walk you through:

  • How Social Security retirement benefits are calculated;
  • Which claiming strategies are being eliminated or severely curtailed after April 29, 2016; and
  • What actions you should take now, regardless of your age.

The workshop dates are:

Thursday, March 10, 2016, 6:00 - 8:00 p.m.

Salt Water Grille, 231 Front Street, South Portland, Maine

There is no fee to attend, but pre-registration is required. To register, please email Larry Perry at or call 207-775-6181.

For more information on Baystate Financial click here. [return to top]

Next MMA Weekly Legislative Committee Conference Call is Tuesday, March 8th at 8 p.m.

MMA Legislative Committee Chair Amy Madden, M.D. welcomes you to participate in the weekly conference calls of the MMA Legislative Committee.

The next MMA Legislative Committee weekly conference call for the Second Regular Session of the 127th Maine Legislature will take place tomorrow, Tuesday, March 8th 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:  1-302-202-1092

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 or 622-3374, ext. 214.

There are no new bills for review this week, but the staff will provide an update on current activities at the State House.

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HHS Issues HIPAA Guidance on Uses of Health Information

New fact sheets on permitted uses and disclosures of protected health information (PHI) for treatment and health care operations purposes under the Health Information Portability and Accountability Act (HIPAA) were released by the Department of Health and Human Services (HHS) Office for Civil Rights (OCR) and Office of the National Coordinator for Health IT (ONC).  HIPAA generally permits physicians to use and disclose protected health information for treatment and health care operations without first obtaining a patient’s written authorization. 

The fact sheets were announced in the first of a series of blog posts created to correct misunderstandings about HIPAA, address physician concerns related to the exchange of PHI in the absence of patient authorization and demonstrate how HIPAA supports interoperability by allowing the transfer of electronic PHI through Certified Electronic Health Record Technology or other electronic means.

The AMA has also created a toolkit on related aspects of HIPAA, which includes the requirements around privacy and security.
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Meaningful Use Attestation Deadline Extended

Physicians now have an additional two weeks to attest to meaningful use for the 2015 program year.  The Centers for Medicare & Medicaid Services (CMS) extended the original February 29th attestation deadline to midnight Eastern time March 11th.

Physicians must attest to meaningful use every year to receive an incentive payment and avoid a penalty.  Note that CMS is only extending the attestation period, not the reporting period, so physicians must have concluded their reporting by December 31, 2015.

To attest, physicians should submit their data through the CMS registration and attestation system.  Physicians may select an EHR reporting period of any continuous 90 days from January 1, 2015, (the start of the 2015 calendar year) through December 31, 2015. 

To speed the attestation process, the AMA recommends that physicians attest during off-peak hours, such as evenings and weekends, and take time now to ensure that their information is up-to-date before beginning to enter 2015 data.

As a reminder, the AMA is encouraging all physicians to apply for a hardship exemption as a result of the delay of the 2015 meaningful use modification rule.  The AMA has confirmed with CMS that applying for the hardship exemption will not preclude physicians from receiving the incentive if they successfully attest.  In essence, the hardship exemption will act as a safety net.   [return to top]

Health Insurance Marketplace Update

The 2016 Open Enrollment period for the Health Insurance Marketplace ended on January 31, 2016.  The next Open Enrollment period for 2017 health insurance plans through the Marketplace will start in the fall of 2016.

Outside of Open Enrollment some people may be eligible for a Special Enrollment Period if they have a life event such as getting married, having a child, or losing other health coverage.  For more information and Marketplace enrollment assistance:

For more information, contact Susan Kring, ACA Outreach Coordinator at 662-2364 or [return to top]

The Physicians Foundation Invites Over 650,000 Physicians to Participate in Fourth National Survey

Survey Will Inform a “State of the Union” of the Medical Profession

Boston, March 1, 2016 – The Physicians Foundation, a non-profit organization that seeks to empower physicians to lead in the delivery of high-quality, cost-efficient healthcare, is launching its fourth national Survey of America’s Physicians, one of the largest physician surveys ever undertaken in the United States.

“This is the one national survey that allows physicians to share their perspective on the state of the medical profession,” said Walker Ray, M.D., president of the Physicians Foundation. “We’d like to hear from as many physicians as possible so we can accurately understand – and share with the public – physicians’ perspectives on the most significant issues in medicine and healthcare today.”

The survey is being conducted by national physician search and consulting firm, Merritt Hawkins, and will be emailed to more than 650,000 physicians across the country from March-May of 2016. The survey will take approximately 10-12 minutes to complete and will allow physicians to share their thoughts on health reform, electronic medical records, new methods of physician reimbursement, ICD-10, and a variety of other topics. A full copy of the final survey report will be emailed to all physicians who participate, and participants will also be entered to win one of five $500 Amazon gift cards and one $5,000 Amazon gift card.

Physicians can access the survey via this link:

To access previous Physicians Foundation surveys, visit

About The Physicians Foundation

The Physicians Foundation is a nonprofit 501(c)(3) organization that seeks to empower physicians to lead in the delivery of high quality, cost efficient healthcare. It pursues its mission through a variety of activities including grantmaking, research, white papers and policy studies. Since 2005, the Foundation has awarded numerous multi-year grants totaling more than $37 million. In addition, the Foundation focuses on the following core areas: physician leadership, physician practice trends, physician shortage issues, and the impact of healthcare reform on physicians and patients. As the healthcare system in America continues to evolve, The Physicians Foundation is steadfast in its determination to strengthen the physician-patient relationship and assist physicians in sustaining their medical practices in today’s practice environment. For more information, please visit and follow the Foundation on Twitter at @PhysiciansFound to stay informed on the latest news.

About Merritt Hawkins

Merritt Hawkins is the leading physician search and consulting firm in the United States and is a company of AMN Healthcare (NYSE: AHS). For more information, visit [return to top]

Job Openings


The Director of Health Services provides leadership for Bowdoin College’s Health Center and is responsible for the daily operation and oversight of the medical staff and services of the Center. In addition to functioning as a key department head within the division of Student Affairs, s/he will serve as a licensed practitioner providing clinical services. The Director is a visible leader within the Bowdoin community, representing a trusted voice in student health matters, and educating the community about all types of health issues, including the integration of public health issues and the integration of mental health care. S/he must also have a keen appreciation for the varied health needs of a diverse student body. The Director balances administrative duties including oversight of the daily operations of the Center and clinical duties including providing primary and acute care to Bowdoin students and providing medical oversight of the clinical staff.

For further details about the position, job requirements, and to apply, please go to our careers website:

Bowdoin College is committed to diversity, inclusion and equality, and is an equal opportunity employer. We encourage inquiries from candidates who will enrich and contribute to the cultural and ethnic diversity of our College. Bowdoin College does not discriminate on the basis of age, race, creed, color, religion, marital status, gender identity and/or expression, sexual orientation, veteran status, national origin, or disability status in employment, or in our education programs.



Nasson Health Care is seeking a qualified clinical leader to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery.  

The Physician/Medical Director: 

  • Provides advice and counsel regarding a broad range of clinical, clinical policy, programmatic and strategic issues required to achieve the short and long-term strategies and objectives of Nasson Health Care; 
  • Provides direct clinical services and oversees physicians and advanced practice nurses; works in partnership with members of the practice team to manage the care of patients, assuring a high standard of medical care; 

  Qualifications include:

  • A minimum of three years’ experience as a Medical Director of a primary care medical practice;  A degree from an accredited medical school in the U.S.,
  • Board certification in Family or Internal Medicine;  An unrestricted Maine license to practice medicine, as well as a U.S. Drug Enforcement Agency license;
  • Working knowledge of the core concepts of evidence-based practice, social and behavioral determinants of health, population-based care, integration of medical, behavioral health and dental care, and Meaningful Use of health information technology.

Visit for an application. Completed cover letter, resume, and employment application will be accepted until position is filled.



Mid Coast Hospital is seeking a full time Hospitalist to join its established hospitalist service, which is expanding due to growth. The candidate should be BC/BE in internal medicine or family practice. New graduates and experienced candidates are encouraged to apply. Procedures are not required. Excellent Intensivist and subspecialist support is available. Part-time and per diem applications will be considered. 

Part of the Mid Coast–Parkview health family of services, Mid Coast Hospital offers competitive benefits and compensation package, along with an excellent work environment. Please send CV to Melanie Crowe, Physician Recruiter, at or call (207) 406-7872, for more information.



Mid Coast Medical Group is seeking a BC/BE Outpatient Family Practitioner to join our multi-specialty group. Admitting is through a high-quality Hospitalist service.

The Coastal location, historic neighborhoods, superior schools, and Bowdoin College campus make this part of Maine a very desirable place to live. 

Part of the Mid Coast–Parkview health family of services, Mid Coast Medical Group offers competitive benefits and compensation package, along with an excellent work environment. Please send CV to Melanie Crowe, Physician Recruiter, at or call (207) 406-7872, for more information.


Relocate to Beautiful Southwestern Maine

Full-time family practice physician wanted for multi-service, progressive, rural federally qualified community health center in a medically underserved area. Services on site include integrated primary care, dental services, family planning, mental health counseling, psychiatry, nutritionist, optometry, podiatry, social services support, sliding fee coverage, care management, radiology and lab services. NextGen EMR. Practice is outpatient only with no OB. On-call rotation is 4-5 times per month. NCQA Level III PCMH. Located in Porter, ME, between Portland and the White Mountains. Area is known for terrific four season recreational activities. Just two and one-half hours from Boston. Submit CV to: Nancy Buck, Human Resources Coordinator, (, Sacopee Valley Health Center, 70 Main Street, Porter, ME 04068. EOE. Sacopee Valley Health Center is an equal opportunity provider and employer .


E.M. BC/BP Physicians

St. Joseph Hospital is recruiting E.M. BC/BP physicians for its dedicated group.  Collegial, nurturing workplace with latest technology and just-completed expansion.  Members support each other and know patient satisfaction is achieved through staff satisfaction.  Leadership development and participation in policies and direction available. 

Equitable scheduling based on 1440-1472 clinical hours per year; more flexible arrangements available. 

Staffing: 51 hours per day, mostly physicians, for 27,000 visits.  We have great E.D. nurses.   

Area offers many cultural attractions, including the University of Maine, natural and organic food producers, pleasant pace, low crime, friendly people, great public schools and affordable housing.  Acadia National Park, Baxter, scenic towns and harbors, Sugarloaf,  I-95 and Bangor International Airport are right here or close.

Highly competitive package includes relocation, signing bonus, loan repayment, retirement and protected vacation and CME time with allowance.

Contact: Charles F. Pattavina, MD, F.A.C.E.P., Chief, Emergency Medicine at 207.907.3350  or


Family Medicine/ Outpatient Internal Medicine Physician

As a result of our continuous growth, Katahdin Valley Health Center is recruiting a Family Medicine/ Outpatient Internal Medicine Physician that is committed to providing quality health care services to the people in Brownville/Millinocket Maine.   Join our practice in a newly renovated facility.  KVHC is a fully electronic medical record site and offers a four day work week with a competitive salary 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. 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

MCMI Training Programs – Level 1 and Level 2

General Information for 2016

When and where held:


              March 11, 2016 in Bangor at St. Joseph’s Hospital  

              April 8, 2016 in Presque Isle at UMPI                   

              June 10, 2016 in Waterville at Colby College

              October 25, 2016 in Portland in conjunction with the Maine Brain Injury Conference

                                (Registration and fees will be through the Maine Brain Injury Conference for October 25)

                 March and April programs will be morning only with Level 1 and Level 2 at the same time.

               June and October programs will be Level 1 in the morning and Level 2 in the afternoon.


Training Programs:


              Level 1 – An Introduction to Concussions and Concussion Management

                            Speaker: Deb Nichols, CPNP or Peter Sedgwick, MD or Bill Heinz, MD

                           Level of Difficulty: beginner

                           Content: The Diagnostic and Return to Play Dilemma

                                           How Concussion Occurs and Pathophysiology            

                                           Concussion Signs and Symptoms

                                           Concussion Evaluation Tools

                                           Concussion Treatment

                                           Recovery Epidemiology

                                           Return to Function – Academics and Play

                                           Risk Factors and Protective Equipment

                                           Short and Long Term Sequelae

                                           Neurocognitive Testing

                                           Concussion Sideline Assessment

                                           Key Points


              Level 2 – Advanced Concussion Management (Level 1 is a prerequisite for taking Level 2)

                           Speaker: Mike Rizzo, FNP-C, CIC or Paul Berkner, DO

                           Level of Difficulty: intermediate

                           Content: Updates from Zurich 2012       

                                           Using ImPACT Testing in Concussion Management

                                           Interpreting ImPACT Test Results

                                           Concussion Case Reviews


              March and April – Level 1 and Level 2 (Offered at same time)

                           8:00am – 8:15am           Registration

                           8:15am – noon               Training Program


              June – Level 1:

                           7:45am – 8:00am           Registration

                           8:00am – noon               Training Program

                           Level 2:

                           12:15pm-12:30pm          Registration

                           12:30pm – 4:30pm         Training Program


Registration Fee:           

              For morning only training programs: March 11 and April 8

              $100 for Health Care Professionals (MD, DO, NP, PA, Neuropsychologist, AT, 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


              For morning and afternoon training program: June 10

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

              $175 for Health Care Professionals taking Level 1 and Level 2 - Only June 10


              $40 for school personnel and all other attendees                                                                                                              (School nurses, coaches, athletic directors and administrators, etc.)

              $70 for school personnel taking Level 1 and Level 2 - Only June 10


              $20 for students currently enrolled in a college program            

              $35 for students taking Level 1 and Level 2- Only June 10

CME/CEU contact hours: 3.50

Registration Confirmation will be sent by email.

Refund / Cancellation Policy: If you need to cancel contact Jan Salis, PT, ATC. You can choose to apply your registration fee to another training program or have your check returned.

For more information contact:

              Jan Salis, PT, ATC

              MCMI - Membership and Education Committee - Chair


              (207) 577-2018


MAT for Multidisciplinary Teams: Things You Need to Know in the Development and Delivery of Buprenorphine Services

This program brings experts who are providing buprenorphine services in Maine to share their knowledge about addiction and what is needed to develop quality MAT services.

Presenters: Dr. Leah Bauer, MD, a psychiatrist and Medical Director of the Addiction Resource Center at Midf Coast Hospital in Brunswick; Eric Haram, LADC, Director of Outpatient Behavioral Health at Mid Coast Hospital.

 5.5 Contact Hours Available
Click here for details. Certificates will be emailed to participants who attend the entire program. No partial credit will be given.

Training Objectives

  • Describe the basics of addiction and what happens in the brain around tolerance, affinity and withdrawal from opioids
  • Name key elements of safe and effective practice for the delivery of buprenorphine services
  • Identify roles and functions within teams for delivering MAT
  • Analyze how to finance and sustain your MAT program

Registration will begin at 8:30 a.m.

Lunch will be on your own.

This course is sponsored by CCSME through the Maine Behavioral Health Workforce Development Collaborative, a partnership between AdCare Educational Institute of Maine, Co-Occurring Collaborative Serving Maine, and Muskie School of Public Service with funding from the Maine Office of Substance Abuse and Mental Health Services (SAMHS), Department of Health and Human Services.

Wednesday, March 9, 2016 from 9:00 AM to 4:00 PM (EST) - Add to Calendar

Husson University - 340 County Road Westbrook, Maine 04092 - View Map


Printable Registration Form:

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