April 18, 2016

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Legislature Recesses Until Veto Day; MaineCare Expansion Fails, Opioid Prescribing Bill is Enacted, Midwifery Bill is on Governor's Desk
The Legislature met until 2:00am Saturday morning to complete most of its business and then recessed until a veto day yet to be scheduled.  During the final hours of the second session, MaineCare expansion (L.D. 633) failed enactment in the Senate by one vote, the opioid prescribing limits (L.D. 1646) were enacted and the midwifery bill (L.D. 690) was enacted and is on the Governor's desk.
The Governor has indicated that he will sign the opioid bill tomorrow but has given no indication as to his intentions regarding L.D. 690 which would license Certified Professional Midwives and regulate their practices.  Other bills that ultimately failed included L.D. 1305 which would have encouraged consumers to "shop" for certain elective services.  The final status of the medical malpractice bill, L.D. 1311 is a bit mysterious as the bill has never emerged from the Judiciary Committee.  Because it has not been defeated, it could show up on veto day for consideration by the House and Senate but that would be an unusual course of action.

MMA wishes to thank all the members who have been active in the Legislative Committee work this past session, including the chair Amy Madden, M.D. who will be giving up the chair of the committee in September. Amy will remain a member of the Board of Directors. Thank you also to the many physicians who served as Doctor of the Day.   Only a handful of days were not covered.

MMA's Annual HIPAA Update on May 6th Features Attorneys Ken Lehman, Lori Dwyer, and Ben Townsend; Moderated by MMA's Peter Michaud, J.D., R.N.

One of MMA's most popular CME programs, our Annual Health Information Privacy Compliance Seminar ("HIPAA Update"), is scheduled for Friday, May 6th at the MMA headquarters in Manchester.  The program also will be available by webinar.  Registration and breakfast will begin at 8:30 a.m. and the program will run from 9:00 a.m. to noon.  The presenters for the program are:

  •  Peter Michaud, J.D., R.N., MMA Associate General Counsel;
  • Kenneth Lehman, Esq., shareholder and Chair of the Health Care Group at Bernstein Shur, Portland;
  • Lori Dwyer, J.D.,  General Counsel and Compliance & Risk Officer, Penobscot Community Health Care, Bangor; and
  • Benjamin Townsend, Esq., shareholder at Kozak & Gayer, P.A., Augusta.

Registration materials will be posted on the MMA web site, www.mainemed.com, very shortly.  For more information, please contact Sarah Lepoff at slepoff@mainemed.com or 622-3374, ext. 213. [return to top]

MMA Senior Section Meets Wednesday, April 27th for Presentation, "Geriatrics: A Vision"

The MMA Senior Section, chaired by Buell Miller, M.D., next will meet in the large conference room of the Frank O. Stred Building in Manchester on Wednesday, April 27th.  Lunch will be available at 11:30 a.m. and the presentation will begin at noon.  The topic for this meeting is Geriatrics:  A Vision and the speakers are: 

  • Roger Renfrew, M.D., Medical Director of Geriatric Systems at MaineGeneral Health;
  • Nate Harmon, D.O., Medical Director, Inpatient Geriatrics and HELP Program, MaineGeneral Health; and
  • Eileen Fingerman, M.D., Geriatrician, MaineGeneral Health.

Learn how Dr. Renfrew and his collaborative team of health professionals at MaineGeneral are working to create a comprehensive geriatric program to meet the growing, age-specific medical needs of area seniors.

Please RSVP to Lisa Martin at lmartin@mainemed.com or 622-3374, ext. 221.  [return to top]

POLITICAL PULSE: Final Language Review on L.D. 1646 Yields Delay in Penalties

On Thursday, April 7th, the HHS Committee reviewed for the final time the language to the amended version of L.D. 1646 regarding opioid prescribing.  In addition to some minor language changes, the Committee agreed to delay penalties to prescribers until such time as the Prescription Monitoring Program improvements are implemented.  Among the earlier amendments supported is a proposal to delay the effective date of the limit on the average daily dose (100mg morphine equivalent dosage) for those patients who already exceed that dosage. The effective date of that limit would be July 1, 2017.   The additional time is beneficial to the so-called "legacy" patients in two ways.  First, it provides them and their physicians a longer opportunity to taper from the higher dosages in cases where it is medically appropriate to do so.  Secondly, it provides time for DHHS to complete its rule-making which is expected to provide more exceptions to the law.  Currently, the exceptions included are for cancer pain, hospice care, palliative care, and for medication administered within a hospital or other facility.  The proposal also does not limit dosages for treatment of addiction.  But, in exchange for the additional time for the "legacy" patients to adjust to the potential law, patients receiving  new prescriptions for opioids for pain will now be subject to the potential law 90 days after the adjournment of the session.  That effective date is expected to be around the middle of July.  However, and very importantly, this limit can be overridden based on medical necessity documented by the prescriber until such time as DHHS has completed its rule-making.

One of the last actions taken by the Committee was to move some of the provisions of L.D. 1648, the bill prepared by MMA for Senator Roger Katz (R-Kennebec) into the Governor's bill and to then vote "Ought Not to Pass" on the Katz bill.  The substantive provisions moved into the Governor's bill include the requirement that pharmacists register as data-requesters in the PMP, the similar provisions for veterinarians, and the ability of the PMP to exchange data with the Canadian provinces.  

At the completion of the work session on March 23rd, the members of the HHS Committee voted 11 to 1 "Ought to Pass as Amended" on the bill.  Only Senate Chair Eric Brakey voted against the bill stating that as a supporter of classic libertarian principles, he could not vote for a bill which inserted the government between a patient and hie or her physician.

 A memo to the HHS committee providing the details of the earlier agreement can be found on the MMA website at www.mainemed.com.  These details were presented to the HHS Committee at a work session on Friday, March 18th.  As covered in a previous Maine Medicine Weekly Update, MMA EVP Gordon Smith presented testimony in support of the bills, although with many caveats.

Essential to the original agreement was the extension of the 3-day limit for acute pain and the 15-day limit for chronic pain proposed in the Governor's bill, L.D. 1646.  The agreement provides for a 7-day limit for acute pain and a 30-day limit for chronic pain.  The seven day limit will mirror the law passed in MA last week.  These limits will apply only to opioid based medication prescribed for pain, not for medication prescribed for addiction treatment. In addition, exceptions are being developed for cancer pain, end of life care, hospice care, palliative care, and medication administered in hospitals and other institutional settings with additional exceptions to be developed through rule-making by DHHS.  The Department has agreed to accomplish the rule-making by January 1, 2017.

The mandatory education requirement in the Governor's bill will be changed to simply require that three hours of the existing 40 hours of category one CME credits be committed to the topic of prescribing for pain for those physicians who are prescribing opioid medication.  All the licensing boards regulating prescribers of controlled substances will be directed to amend their continuing education rules to implement this mandate.

The amended bill will continue to require a check of the Prescription Monitoring Program (PMP) each time a new opioid or benzodiazepine script is written and every 90 days thereafter if the scripts continue to be written.  This provision will be effective January 1, 2017.  And HHS will have an opportunity to make improvements to the PMP prior to the effective date.

The requirement to electronically transmit opioid scripts to a pharmacy is retained in the agreement with an effective date of July 1, 2017 but at the work session on March 23rd the Department agreed to allow those prescribers who are not able to meet the deadline to file a plan with the Department which could then grant a waiver.  Exceptions may be developed by rule similar to the process in New York State which is the only state currently with a firm mandate to transmit all prescriptions for controlled substances electronically consistent with the DEA technical requirements to ensure proper authentication of identification.

Several provisions in L.D. 1648 sponsored by Senator Roger Katz (R-Kennebec) received the support of the majority of the HHS committee and were grafted on to the Governor's bill.  These provisions include some enhancements to the PMP and a requirement that pharmacists register to be data requesters, as prescribers are required to do.  Pharmacists will also be required to check the PMP under specific circumstances.   With the adjustments made to the bill, pharmacy interests have indicated support for the proposal.  Veterinarians with a DEA license will also be required to register to use the PMP and will be required to check the PMP if they write a prescription to be filled in a pharmacy.




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Next MMA Weekly Legislative Committee Conference Call is Tuesday, April 19th 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, April 19th 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:  1-605-475-6711 (NOTE NEW NUMBER!)

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.

There are no new bills for review on this conference call.  We will discuss the status of key bills on opioid prescribing (LD 1646), certified professional midwives licensing (LD 690), alternative medical liability system (LD 1311), and shopping for medical services (LD 1305), along with the anticipated end-of-session schedule.


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DHHS to Hold Hearing on Proposed Marijuana Rule

On Tuesday morning, the Department of Health and Human Services will hold a hearing on a proposal to add  addiction to "opiates and drugs derived from chemical synthesis" to the list of conditions for which treatment with so-called “medical” marijuana is approved. The MMA’s Executive Vice President, Gordon Smith, will appear and testify against this proposal, as will Leah Bauer, M.D. for the Maine Association of Psychiatric Physicians. Dr. Bauer is a psychiatrist with the Addiction Recovery Center at MidCoast Hospital in Bath. 

Last year during the first session of the 127th Legislature, marijuana proponents tried unsuccessfully to have addiction added to the conditions list. Now the proponents are trying to accomplish the same result by going through departmental rule-making. In order for a condition to be added to the list via rule, the proponents must show the following:

  • ·        Reputable scientific evidence that supports the use of marijuana for the treatment of the condition;
  • ·        Sufficient evidence to demonstrate that marijuana use would benefit qualifying patients with the condition;
  • ·        Sufficient evidence that marijuana therapy is effective enough to warrant its use.

The MMA is not aware of any “reputable scientific evidence” supporting the use, benefit, or effectiveness of marijuana for opioid addiction treatment (It is unclear from the DHHS website hearing notice what is meant by "drugs derived from chemical synthesis"). It is expected that the proponents will provide various anecdotes in an attempt to establish the required criteria; they are trying to recruit “as many testimonies in Augusta as we can get” through the Medical Marijuana Caregivers of Maine Facebook page. A review of the DHHS marijuana website did not reveal any of the evidence upon which the petition was based.

Dr. Bauer is expected to testify that there is no scientific evidence tending to show that marijuana is useful in treating opioid addiction; in fact, there is evidence suggesting that it makes things worse. There is human and animal study evidence as well as clinical experience showing that many people enter opioid addiction treatment while being concurrent users of marijuana and have significant difficulty abstaining from marijuana even after stopping opioid use.

We expect to have more information for you in the next Weekly Update, after the hearing has taken place.

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CMS Announces “Largest-ever Initiative” to Improve Delivery of and Payment for Healthcare

On April 11th the Centers for Medicare and Medicaid Services unveiled the Comprehensive Primary Care Plus ("CPC+") model, a nationwide medical home model for primary care that will establish regionally based multi-payer payment reform and changes in care delivery. The model will be implemented in up to 20 regions and cover more than 20,000 physicians and clinicians and around 25 million patients. It promises to let doctors care for their patients the way they think will work best and to reward them for achieving results and improving care. An ambitious five-year plan, the CPC+ is intended to help primary care providers:

  • ·        Help patients with serious or chronic diseases achieve their health goals;
  • ·        Give patients 24-hour access to care and health information;
  • ·        Deliver preventive care;
  • ·        Engage patients and their families in their own care; and
  • ·        Work with hospitals and other clinicians, including specialists, to provide better coordinated care.

Primary care practices will be required to give patients around-the-clock access to care and health information, and they will be required to meet various requirements for managing and coordinating care. The plan is designed to move away from dependence on following certain treatment protocols or administering particular tests. The hope is that the new plan will encourage more communication between doctor and patient and an increased use of telehealth techniques.

There will be two tracks in the program, one similar to the existing CPC and designed for practices “ready to build the capabilities to deliver comprehensive primary care,” and the other for practices “poised to increase the comprehensiveness of care through enhanced Health IT, improve care of patients with complex needs, and inventory of resources and supports to meet patients’ psychosocial needs.” Track One will continue with a form of fee-for-service payment, while Track Two will move to “Comprehensive Primary Care Payments", a combination of Medicare fee-for-service and a percentage of the practice's expected Evaluation and Management reimbursements. Both tracks will receive up-front incentive payments.

CMS will first invite selected practices to participate in regions where there is sufficient interest from multiple payers, responding to proposals filed from now through June 12, 2016. Then it will publicize the regions involved and accept applications beginning July 15, 2016 from practices within those regions.

A set of frequently asked questions is available from CMS here. Also available are a Press Release and a Fact Sheet.

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SAVE THE DATE: MHMC & MMA 2016 Symposium
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Attention: Important Survey Opportunity to Inform a "State of the Union" of the Medical Profession

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

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: https://amnhealthcare.co1.qualtrics.com/jfe3/form/SV_bk1BYfVr1FDaOIR

To access previous Physicians Foundation surveys, visit www.physiciansfoundation.org.

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 visitwww.PhysiciansFoundation.org 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 www.merritthawkins.com. [return to top]

Job Openings


Seeking a BE/BC general or fellowship trained surgeon to join our expanding group.  Falmouth Orthopaedic Center is a well respected private practice in a vibrant orthopedic community. You will be partnering with 3 experienced surgeons each with an outstanding reputation in the area.

Located in Falmouth Maine (approximately 10 minutes from Portland, 2 hours from Boston) we pride ourselves on our four beautiful seasons, unlimited recreation, and top-ranking schools all within 10 minutes of the magnificent Maine coast. Falmouth is an excellent place to raise a family and offers a great quality of life with easy access to all the cultural amenities of the city of Portland.

This opportunity offers minimal ER call at a Level 2 community hospital with a competitive compensation package.  Our ideal candidate is a well trained general orthopedist or an orthopedist who is fellowship trained in foot and ankle, hand, pediatrics, sports medicine or adult reconstructive surgery.

Please send cover letter, CV, and inquiries to: hsgentile@maine.rr.com.



Inland Hospital Family Practice is seeking a full time Family Medicine Physician without OB to join the employed practice in Oakland.

The practice has been serving the greater Waterville/Oakland area for many years. The practice provides care for infants, pediatrics through geriatric care. A competitive salary with incentives, plus full benefits is offered along with assistance with medical education debt, paid time off, paid CME, and relocation allowance. Qualifications: Board Certified/Eligible in Family Practice. This site is not eligible to sponsor a J-1 waiver.

Inland Hospital is a dynamic healthcare organization that believes in putting the patient first in every way. We are a 48-bed community hospital in Waterville; Lakewood, a 105-bed continuing care center on the hospital campus; 18 primary and specialty care physician offices in Waterville and five surrounding communities. Inland has been a proud member of EMHS since 1998. Inland patients have seamless access to a higher level of care when needed.

For further information, please contact:

Sherry Tardy, Director Business Development/Provider Recruitment, Inland Hospital by email at: stardy@emh.org or by phone at: 207-487-4085.


INTERNAL MEDICINE PHYSICIAN - Maine Medical Partners Internal Medical Clinic

Maine Medical Partners is seeking a PT BC/BE internal medicine physician for their Internal Medicine Outpatient Clinic at Maine Medical Center in Portland, Maine. 

The Clinic is the primary outpatient teaching site for Maine Medical Center’s Internal Medicine Residency Program and is the medical home for a culturally diverse population.  The ideal candidate will have an interest in residency education and international/immigrant patient care.  The clinical portion of the position involves a mix of direct patient care and the precepting of Internal Medicine Residents. 

Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital, with a full complement of residencies and fellowships and an integral part of Tufts University Medical School. 

For more information please contact Alison C. Nathanson, Director, MaineHealth Physician Recruitment Center at (207) 396-8683 or nathaa@mainehealth.org.



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 http://www.nassonhealthcare.org 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 mcrowe@midcoasthealth.com 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 mcrowe@midcoasthealth.com or call (207) 406-7872, for more information.


Relocate to Beautiful Southwestern Maine - FAMILY PRACTICE PHYSICIAN

Sacopee Valley Health Center has a position available for a full-time family practice physician for our multi-service, progressive, rural federally qualified community health center located 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. Competitive salary and benefits package; physicians are eligible to apply for NHSC loan repayment.  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, (nbuck@svhc.org), Sacopee Valley Health Center, 70 Main Street, Porter, ME 04068. EOE. www.svhc.org. Sacopee Valley Health Center is an equal opportunity provider and employer. 



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 cpattavina@sjhhealth.com



The Maine Highlands offers great outdoor adventures, historic and cultural experiences, many culinary delights and unexpected entertainment opportunities.  KVHC’s newest clinic, Brownville, is located in the Maine Highlands and Katahdin Region.  As a result of this 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 the Brownville/Millinocket Maine regions.   KVHC’s clinics are outpatient only 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 mlefay@kvhc.org or visit our website at www.kvhc.org.  KVHC is an equal opportunity employer.


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Upcoming Events

Building Connections to Serve Maine Children:  
Critical Topics in Pediatrics and Behavioral/Mental Health

Joint Conference - Maine Chapter, AAP & Maine Council of Child and Adolescent Psychiatry

Saturday, April 30 – Sunday, May 1, 2016    -    Sable Oaks Marriott, Portland

Attention medical, behavioral and allied health providers, community and educational organizations, and family members: please join the Maine Chapter of the Academy of Pediatrics and the Council of Child Psychiatrists for a Sat/Sun program featuring local, regional and national experts in pediatrics and child/adolescent mental health. Key topics include:

Obesity, ADHD and behavior management, Concussions, Advanced Oral Health, Psychosis, Care Transitions with a focus on ID/DD kids, Youth Suicide/Depression/Anxiety/Self Injury, CBT+, Opioid Addiction, Adolescent Sexual Health/Vaccinations

Saturday evening there is a showing of the acclaimed movie addressing ACE's, 'Paper Tigers', with dinner and facilitated discussion to follow.

To view the full agenda and register:



MCMI Training Programs – Level 1 and Level 2

General Information for 2016

When and where held:

              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


Maine AG's Office Bidrigging Training

For those of you who may be involved in competitive bidding for government service agreements, the Maine Office of the Attorney General is providing a training opportunity to avoid problems in the contracting process.  The training is scheduled for April 14th at 10:00 a.m. at the Governor Hill Mansion in Augusta.  The training is expected to last about 90 minutes, depending on the level of audience engagement.

The training will show what to look for in detecting an antitrust violation: i.e., bid-rigging, price fixing, and market allocation. It will explain how these conspiracies are prosecuted and give tips on how to detect and prevent these schemes.  It will highlight common pitfalls and walk through what to do if you run into these red flags.

Bryan Serino is a Trial Attorney in the New York Office of the U.S. Department of Justice’s Antitrust Division.  At the Antitrust Division, he investigates and prosecutes criminal international and national conspiracies involving bid-rigging, price-fixing, and market allocation.  Prior to his time with the Department of Justice, he was an Assistant District Attorney at the Manhattan District Attorney’s office where he investigated complex frauds and international narcotics conspiracies.

The Governor Hill Mansion
136 State Street
Augusta, Maine 04330
Phone: (207) 629-4052

Conveniently located close to the Capital Building and Western Avenue in Augusta, we are only a mile off Exit 109 on I-95. The Governor Hill Mansion is at 136 State Street, on the corner of State and Green.

 If you are interested in attending this training, please contact Andrew MacLean, Deputy EVP & General Counsel, at amaclean@mainemed.com or 622-3374, ext. 214.  While not asking for a commitment, the AG's Office has asked MMA to provide them with some indication of the level of interest in the program.


Maine Hospice Council and Center for End-of-Life Care to hold their 19th Annual Maine Pain Symposium: "Palliative Care & Pain Management: A Responsibility to Do Better”

Join us April 15th at the beautiful Point Lookout Resort & Conference Center in mid-coast Maine.  Our keynote speaker Dr. Betty Ferrell will speak on "The Challenge of Compassionate Care for Someone with Serious Illness." Other presentations and breakout sessions include:

  • Emerging Concepts in Pain Management
  • Existential Suffering
  • The Science of Pain Management
  • Pain in the Pediatric Population
  • Panel Discussion on Addiction
  • Integrative Therapies: Acupuncture, Imagery & Hypnotherapy, Massage Therapy

Registration is $115 for General Admission, $90 Maine Hospice Council Members & Affiliates, $30 Students.

To learn more or to register, click here.


Hanley Center for Health Leadership Health Equity & Cultural Competency Trainings

Positive health outcomes are not evenly distributed across the public.  Some populations face much greater challenges in achieving and maintaining good health.  Public Health Leaders can play a crucial role in understanding the reasons for these differences and leading strategies to promote greater health equity.  In this workshop, we will explore the concepts of health and healthcare disparities, build greater insight into unconscious/implicit bias, and delve into models for developing individual and organizational cultural competence.

Below are links to the EventBrite pages with additional information and tickets:

Ellsworth Training – May 16th

Augusta Training – May 17th

Additional questions can be sent to jaclynbuck@hanleyleadership.org



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