May 16, 2016

 
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MMA and Quality Counts Announce Caring for ME Initiative to Address Heroin Epidemic

On Wednesday May 11th, MMA and Quality Counts brought together at the Maine Hospital Association interested parties to discuss educational needs surrounding the new law limiting prescribing for opioids and to support prevention efforts; to maintain a compassionate and informed approach to chronic pain management; to improve the safety of opioid prescribing; to appropriately diagnose addiction when it exists; and to improve access to effective treatments for patients with substance use disorders.

The activities discussed will be promoted as the CARING FOR ME initiative.  CARING FOR ME is a collaborative effort that aims to bring together a wide set of partners to promote shared messages, educational resources, and practical tools for health care professionals.  Outside funding will be sought by MMA and Quality Counts to support the initiative.  Tools and resources for health care professionals are being collected and developed and can be found on the MMA website and at the Quality Counts website.

Ultimately, the goal is to support Maine clinicians to improve their management of chronic pain and safety of opioid prescribing and improve the identification of addiction and referral for substance abuse treatment services.  MMA and Quality Counts will support this goal by convening stakeholders to create a shared vision, promote collective leadership, and provide a range of supports, educational tools, and quality improvement methods to Maine clinicians and practice teams.  The May 11th meeting was the beginning of this process and further meetings will be scheduled.

The Caring for ME initiative follows closely on the heals of the presentation of the Maine Opiate Collaborative recommendations last week.  The Collaborative was established last Fall by U.S. Attorney Thomas Delahanty, Attorney General Janet Mills, and Commissioner of Public Safety John Morris.  MMA was a member of the Board of the Collaborative.  The three Task Forces, chaired by volunteers and made of experts in addiction, treatment, patients in recovery, law enforcement officers, and others each met nearly a dozen times.  The Collaborative also held 20 community forums across the state that were attended by more than 1500 people.  Each of the Task Forces were given summaries of the comments and recommendations made by the public which helped to inform the final recommendations.  The community forums were supported financially by the Maine Health Access Foundation and the Maine Community Foundation.

Some of the recommendations have already been achieved, such as the limits on opioid prescribing established in P.L. 2015, Chapter 488.  Others are readily achievable.  But other recommendations are expensive and time-consuming and will require time, effort, and state or federal funding to accomplish.  What follows are highlights of the Task Force recommendations.  The full set of recommendations are now available on the MMA website, and each issue of the Update for the next few weeks will feature one or more of the Task Force recommendations.

Goal 1:  Promote good public health and safety, and reduce the harmful effects of opiate use.

  • Objective 1:  Increase understanding of harms and decrease stigma surrounding opiate and heroin use disorder.
  • Objective 2:  Decrease youth use of opiates and associated risk factors.
  • Objective 3:  Reduce unnecessary access to legal opiates.
  • Objective 4:  Decrease the number of drug-affected babies born in Maine each year.
  • Objective 5:  Decrease opiate overdose and death in Maine.
  • Objective 6:  Increase opportunities and decrease barriers to recovery for people with substance use disorders.

Goal 2:  Strengthen and enhance Maine's public health infrastructure to prevent and reduce opiate use disorders and overdose deaths.

  • Objective 1:  Enhance the state's capacity to implement a comprehensive approach to prevent and reduce opiate use disorders.
  • Objective 2:  Increase district and local level capacity to prevent and reduce opiate misuse and overdose in Maine.

Detailed strategies are included with each of the objectives in the Prevention Task Force reports.

The Treatment Task Force divided its recommendations into those presented by a Treatment Team and those recommendations involving specialty populations such as adolescents, women, and children (also drug courts and and corrections).  

The Treatment Team recommendations are extensive and call for:

  • increasing Medication Assisted Treatment (MAT) in primary care;
  • rationalizing prescribing for opioids;
  • immediately expanding addiction treatment services - prioritizing the integration of MAT across the state;
  • enhancing availability of insurance, and addressing the needs of special populations.

The Law Enforcement Task Force identified five areas of discussion and established subcommittees in order to develop recommendations covering each of the five subject areas:  

1.  Cultural/Attitudinal Education and Training

2.  Investigation

3.  Law Enforcement Community Initiatives

4.  Problem Solving Courts

5.  Custodial Treatment & Re-Entry with Treatment

Through the course of its work, the Law Enforcement Task Force ultimately made the following recommendations:  

  • train all existing and new law enforcement personnel on the science of substance use disorders;
  • identify, investigate, and prosecute the most dangerous drug traffickers;
  • support and encourage effective law enforcement diversion programs;
  • increase statewide access to effective problem solving courts; and,
  • provide custodial treatment for county jail inmates with substance use disorders and to provide case management services for re-entry into the community.  

A huge thank you goes to the co-chairs and many volunteers who worked for over six months to prepare these far-reaching and detailed recommendations.  Work will continue to proceed in order to measure the implementation of the recommendations.

 
 

MMA Members Invited to Attend Next Member Listening Session in Brunswick, May 25

MMA members and their guests are cordially invited to join MMA officers, Board members, and senior staff at a member "Listening Session" at the Brunswick Inn, 165 Park Row, Brunswick. (directions and map)

The event will be held from 5:30 to 8:00 pm on Wednesday evening, May 25th.  Stop by for an appetizer and beverage on MMA and share with MMA officers your thoughts and opinions on issues impacting health care in Maine.  This is the 6th such session MMA has held in the past two years and the sessions have been found to be a popular way for physicians to join together and get acquainted or re-acquainted. 

Although every member in Lincoln and Sagadahoc counties has been invited, along with physicians residing or practicing in Brunswick, any MMA is welcome and may bring a guest, as well.  But, for planning purposes, please do RSVP to Sarah Lepoff at MMA via e-mail to slepoff@mainemed.com or by calling her at 622-3374, ext. 213.

 
 
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Physician X-Waiver Half & Half Training for Prescribing Buprenorphine on May 25th

 MAT Training by Leah Bauer, M.D.

What: Online Training followed by a Face-to-Face Training on 5/25/2016

When: Wednesday, May 25, 2016  • Time: 8:00 am – 12:30 pm

Where: Wishcamper Center, University of Southern Maine, Portland, Maine

Fee: $40.00

Contact Hours: CME provided for physicians for the Face-to Face portion of the program. Certificates given for completion of 8 hours required training which includes the online segment of training.

Limited to 20 physicians and 5 mid-level Practitioners.

Registration and information at: http://xwaiver.eventbrite.com

This "Half and Half" course includes both online and face-to-face components. The first "half" of the course consists of 3.75 hours of self-guided online training, including five modules and a required examination. After completing the first "half" of the course and successfully passing the examination, you must attend the second "half" of the course. The second "half" of the course consists of 4.25 hours of live face-to-face training.

                  

Requirements for this Training

Register at the link provided above and course documents will be distributed via email. Registered participants will create an account to log into the course. Trainees must complete the first portion of the online training and successfully pass the required examination. Please do this as soon as possible so that you can review the trainee course materials and complete the first half examination before the face-to-face training on May 25, 2016.

The “Drug Addiction Treatment Act of 2000” created the opportunity to expand treatment for opioid use disorder into the mainstream of medical practice, increase the number of persons treated, and have an important positive public health impact. The legislation specifies several ways in which physicians can be considered qualified to prescribe and dispense buprenorphine in their offices for the treatment of opioid use disorder. The completion of this training fulfills the requirement prior to notifying the U.S. Department of Health and Human Services (DHHS) of their intention to begin prescribing buprenorphine for the treatment of opioid use disorder.

The presentation is designed to train qualified physicians in dispensing or prescribing specifically approved Schedule III, IV, and V narcotic medications for the treatment of opioid addiction in an office-based setting. The goal of this training is to acquire the knowledge and skills needed to provide optimal care to opioid use disorder patients.

Designated by the DHHS, this training meets the eight-hour requirement and is designed for physicians to dispense buprenorphine in office practice for treatment of opioid use disorder. Participation in this training will provide physicians with a comprehensive overview of buprenorphine prescribing and its safe and effective use in an office-based setting. This training is designed for physicians and other primary care providers who are likely to treat opioid dependent persons in their practice, such as those in family practice, general internal medicine, psychiatry, pediatrics, adolescent medicine specialists, and Opioid Treatment Programs.

At the conclusion of this activity participants should be able to:

•  Review the pharmacological treatments of opioid use disorder

•  Determine medical record documentation that must be followed; how to take a patient history and evaluation

•  Discuss the process of buprenorphine induction as well as stabilization and maintenance techniques  

Dr. Leah Bauer, MD is a psychiatrist and Medical Director of the Addiction Resource Center at Mid Coast Hospital in Brunswick. She has a strong interest in medication assisted treatment of substance use disorders and has led several buprenorphine x-waiver trainings as well as spoken at national meetings on these issues.

Dr. Bauer will be assisted by Dr. Joe Dreher and Dr. Kristen Silvia.

The University of New England College of Osteopathic Medicine (UNECOM) is accredited by the American Osteopathic Association (AOA) and the Maine Medical Association’s Council on Continuing Medical Education and Accreditation (MMA CCMEA) to provide continuing medical education for physicians.  UNECOM has requested that the AOA Council on Continuing Medical Education approve this program for a maximum of 4.0 hours of AOA Category 2A CME credits. Approval is currently pending

 

UNECOM designates this educational activity for a maximum of 4.25 AMA PRA Category 1 Credit(s)TM and 4.25 University of New England contact hours for non-physicians.  Contact hours may be submitted by non-physician, non-PA health professionals for continuing education credits.

 

Physicians and other attendees should only claim credit commensurate with the extent of their participation in this activity.  The University of New England College of Osteopathic Medicine will submit the osteopathic credits to the AOA, upon receipt of attendance by the activity organizer.

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of University of New England College of Osteopathic Medicine (UNECOM) and CCSME. UNECOM is accredited by the Maine Medical Association Council on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.

 

Funding for this initiative was made possible (in part) by Providers’ Clinical Support System for Medication Assisted Treatment (5U79TI024697) from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.  

This activity is sponsored in part by the Maine Behavioral Health Workforce Development Collaborative.

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Register Now for 163rd MMA Annual Session: Renewing the Joy & Passion in Medicine

Registration materials are now available on the MMA website for the Association's 163rd Annual Session taking place at the Harborside Hotel in Bar Harbor from September 9-ll, 2016.  Registration materials were also included in the most recent issue of Maine Medicine which should have arrived on members' desks last week.  The Annual Session begins with an opening night reception beginning at 5:30 pm on Friday evening, September 9th.  

The theme of this year's meeting is "Renewing the Joy and Passion in Medicine."  With nearly 60% of physicians reporting one or more symptoms of burnout, this is an important time for MMA members to give consideration to this topic.  At least three hours of education will be available. 

On Saturday evening, the annual dinner will feature the presentation of 50 year pins, the Mary Cushman, M.D. Award for Humanitarian Service and the President's Award for Distinguished Service.  Following presentation of the awards, President Brian Pierce, M.D. will present the President's gavel to Charles Pattavina, M.D., the President-elect.  Dr. Pattavina is an emergency physician who directs the Department of Emergency Medicine at St. Joseph's Hospital in Bangor.

We look forward to see you in Bar Harbor in September!

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Physician Payment is Key to Adoption of Telemedicine

Physicians consistently report that payment—or lack thereof—is the primary obstacle to adoption of telemedicine within physician practices.  So it is no surprise that states are working to fix that.

To date, 29 states and the District of Columbia have adopted laws that require private insurers to cover services delivered via telemedicine.  Nearly one-third of these laws were adopted in 2015 alone, and many were based on the AMA model state legislation, the AMA Telemedicine Act.

The AMA Telemedicine Act outlines an approach by which states can support insurance coverage of and payment for telemedicine, which:

  • Ensures that insurers provide coverage for the cost of services provided through telemedicine;
  • Prohibits insurers from excluding from coverage a service solely because the service is provided via telemedicine;
  • Allows parity in payment for telemedicine services as compared to the same provision provided in-person;
  • Allows insurers to collect a deductible, copayment or coinsurance up to the amount collected for in-person diagnosis, consultation or treatment; and
  • Prohibits annual or lifetime limits on coverage for telemedicine services.

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Supreme Court Case Could Have Major Health Implications

Depending on how it reads the Clean Air Act, the Supreme Court of the United States could limit the authority of the Environmental Protection Agency (EPA) to restrict carbon emissions that cause climate change and have been proven to inflict major health problems on the people of the world.  Find out how this case could affect your patients.

A case for clean air

At stake in West Virginia, et al. v. EPA, is whether that federal agency has the authority to enforce recent regulations known as the Clean Power Plan. The final rule of the plan was released in October.  On the same day, 12 state governments, led by West Virginia, sued the EPA in the U.S. Court of Appeals for the District of Columbia Circuit, claiming that the regulations exceeded the EPA’s authority under the Clean Air Act.

The states involved moved to prevent the regulations from being enforced until the appeals are resolved. The Court of Appeals denied the stay motions, and the states appealed this denial to the U.S. Supreme Court.  By a 5:4 vote, the U.S. Supreme Court stayed these regulations until complete resolution of the case.

How this case affects public health

The Clean Air Act empowers the EPA to establish standards for the regulation of pollution from existing stationary sources of emissions.  In response to this directive of the Clean Air Act, the EPA adopted the Clean Power Plan, which establishes carbon pollution standards for power plants that will help slow the harmful impacts of carbon pollution on public health. The plan was designed to achieve a 32 percent reduction of the 2005 levels of carbon emissions by 2030.

“These regulations are well within [the] EPA’s statutory authority,” the Litigation Center of the AMA and State Medical Societies said in an amicus brief submitted to the U.S. Supreme Court. “Failure to uphold the Clean Power Plan would undermine [the] EPA’s ability to carry out its legal obligation to regulate carbon emissions that endanger human health and would negatively impact the health of current and future generations.”

Carbon emissions are a significant driver of the anthropogenic greenhouse gas emissions that cause climate change and consequently harm human health. Direct impacts from the changing climate include health-related illness, declining air quality and increased respiratory and cardiovascular illness. Changes in climate also facilitate the migration of mosquito-borne diseases, such as dengue fever, malaria and most recently the Zika virus.

“In surveys conducted by three separate U.S. medical professional societies,” the brief said, “a significant majority of surveyed physicians concurred that climate change is occurring … is having a direct impact on the health of their patients, and that physicians anticipate even greater climate-driven adverse human health impacts in the future.”

Read more at AMA Wire®.
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New Resources Available From the Patients’ Action Network

In order to provide patient advocates with the best tools and resources, the AMA Patients’ Action Network recently made some new changes to its website.

These updates include:

  • An updated website design;
  • New call to action on freeing up regulations that affect electronic health records and interfere with the patient-physician relationship;
  • Even more resources to help enhance advocacy efforts;
  • An interactive “share your story” feature; and
  • Stronger social media tools to make it easier to connect with fellow advocates.

Visit www.patientsactionnetwork.com to use these new resources.

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4 Steps to Prepare for Medicare’s New Payment Systems

While the details of the Medicare Access and CHIP Reauthorization Act (MACRA) regulations still are being hammered out, physicians should start preparing for the new payment systems now.  Make sure you’re on track by taking four important steps.

The lengthy proposed rule released by the Centers for Medicare & Medicaid Services (CMS) outlines the draft regulations the agency is considering for implementation.  This is just the beginning of the official rulemaking process, but what is known for sure is that physicians will have a choice in whether to participate in the Merit-based Incentive Payment System (MIPS) or meet requirements for an alternative payment model (APM).

Here are the steps you can take to prepare your practice for one of the two new Medicare paths:

  • 1.  Review your quality measurement and reporting.  Understanding current quality reporting requirements and how you are scoring across both the Medicare Physician Quality Reporting System (PQRS) and private payers will help your practice be better suited for the upcoming changes.

    You also should try to access and review your Medicare quality and resource use reports (QRUR) to see where you can make improvements related to cost ahead of time.  Two particularly important components to identify as you prepare for meeting the care coordination requirements are:  (1) your most costly patient population conditions and diagnoses, and (2) targeted care delivery plans for these conditions.

    Tip:  You can access your 2014 annual PQRS feedback reports and QRURs on the CMS Enterprise Portal using your Enterprise Identify Data Management account.  Learn more about how to access these reports. If you are part of a large practice or health system, you may need to talk to your administrator about accessing your QRUR.

  • 2.  Understand your patient data and benchmarks.  Data registries can streamline reporting and improve performance scores.  If you are not already participating in a patient clinical data registry, contact your medical specialty society to discuss how to participate in theirs.  There also might be regional registries relevant to your practice.

    Tip:  You can view a list of 2016 CMS-approved qualified clinical data registries and contact information on the CMS website.

  • 3.  Check on your electronic health record (EHR).  If your practice uses an EHR, contact your vendor to discuss how its product supports adoption of new payment models.

    Make sure your EHR is certified to the Office of the National Coordinator for Health IT’s (ONC) 2014 or 2015 certification requirements. Using a 2014 or 2015 edition EHR is essential for participation in either MIPS or APMs.

    Ask your vendor when they will update your software to the 2015 certified edition and whether reporting quality measures through the EHR is a viable option based on the proposed MIPS quality requirements.

    Tip:  You can check your product’s certification in a listing by the ONC.

  • 4.  Stay informed.  There are several ways to keep your practice up-to-date on the new regulations:

    • Stay connected with the AMA for tools to assist you in implementation.  Watch AMA Wire® to learn about a free online individual practice readiness assessment tool that will launch this summer.
    • Contact your medical specialty society or state medical association to find out if there are APM opportunities for your practice and how you can get involved in their development.
    • Seek out local support for your quality improvement activities.  Practice transformation networks and regional health improvement collaboratives provide resources and technical support.

For more information on how to prepare for the new Medicare payment systems, review the AMA’s MACRA checklist, or check out the AMA’s STEPS Forward™ collection of practice improvement strategies that can help your practice prepare for value-based care.

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New Podcast Provides Guidance on HIPAA’s Patient Access Rule

A new podcast produced by the AMA and the Healthcare Information and Management Systems Society (HIMSS) answers questions about providing patients access to their health information, as required by the Health Insurance Portability and Accountability Act (HIPAA).  The podcast follows up on guidance released earlier this year by the U.S. Department of Health and Human Services (HHS) Office for Civil Rights.

In addition to providing general information about HIPAA’s patient access rule, the podcast specifically considers whether certified electronic health record technology can help physicians comply with HIPAA’s patient access requirements.  It features Dr. Salvatore Volpe, MD, a physician in solo practice, and Adam Greene, an attorney in Washington, D.C., and former regulator at HHS, where he was responsible for determining how HIPAA rules apply to health information technologies.

A second AMA-HIMSS podcast, “The nuts and bolts of achieving HIPAA Security Rule compliance through effective risk assessment,” is available for continuing medical education credit.  This and other free HIPAA resources can be found on the AMA website.
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Maine Law Court Affirms Superior Court Decision Applying Immunity Provision of Maine Health Security Act

The Maine Supreme Judicial Court recently handed down an opinion affirming a lower court’s decision rejecting the plaintiff physician’s tort claims against defendant physicians who had made certain statements about the plaintiff physician during a hospital medical staff credentialing proceeding. The dispute required the Law Court to interpret the application of a provision of the Maine Health Security Act that provides immunity to physicians for statements made during a credentialing proceeding, 24 M.R.S.A. §2511, Immunity. The Law Court rejected various arguments by the plaintiff physician that this immunity provision should not apply and affirmed the lower court’s granting of summary judgment in the case, essentially finding the immunity to be absolute. This means that there were no material facts in dispute to warrant an evidentiary hearing and that application of §2511 was clear.  The case is Strong v. Brakeley, et al. 2016 ME 60, decided April 21, 2016.

 
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2016 PQRS Group Practice Reporting Option Open Until June 30th

Practices consisting of two or more eligible professionals that would like to participate in the 2016 Physician Quality Reporting System (PQRS) under the group practice reporting option (GPRO) have until 11:59 p.m. Eastern time June 30, to register as a GPRO.

Practices with two or more eligible professionals do not have to participate in PQRS as a GPRO and may participate as individuals in the program. This may be a better option for certain practices.

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

  • Qualified PQRS registry

  • Qualified clinical data registry—new 2016 GPRO option

  • Electronic health record (EHR)

  • Web interface—for groups with 25 or more eligible professionals only

  • Consumer Assessment of Health Providers and Systems (CAHPS) for PQRS Survey through a Centers for Medicare & Medicaid Services (CMS) certified survey vendor (as a supplement to another GPRO reporting mechanism). A GPRO with a 100 or more eligible professionals must report CAHPS. See CAHPS for PQRS Made Simple for complete details.

If a practice would like to participate as a GPRO and submit data via electronic health record (EHR), it is highly recommended that the practice consult their EHR vendor before registration. Some EHR vendors will not support the GPRO EHR option, only the individual PQRS EHR option.  Qualified clinical data registry participants also should check with their vendor to determine if they will support the GPRO option.

The AMA recommends that a practice weigh all options before signing up for GPRO in 2016, because a practice cannot change its GPRO designation with CMS once the registration period closes.  If a physician is participating in PQRS as an individual, there is no need to register.

The registration system can be accessed using a valid Enterprise Identity Management (EIDM) account. Instructions for obtaining an EIDM account with the correct role are provided on the PQRS GPRO registration Web page. Instructions for registering to participate in the 2016 PQRS GPRO are provided in the 2016 PQRS GPRO registration guide.
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Job Openings

FALMOUTH ORTHOPAEDIC CENTER - Falmouth, Maine

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.

5/16/16

Exciting Physician Leadership Opportunity in Maine

The Office of Child and Family Services (OCFS) within Maine’s Department of Health and Human Services (DHHS) is searching for the ideal candidate to be its Medical Director, serving as a senior leader and its clinical representative.

The selected candidate will play key advisory roles in improving the health of some of Maine’s most vulnerable citizens.   You will provide leadership in:

  • Policy development
  • Utilization of resources
  • Clinical practice models the guide the care and treatment of children known to child welfare and at-risk families.

Why Join Our Team?

Maine OCFS is:

  • Committed to reducing the number of youth in out-of-home placements by increasing the effectiveness of community-based services.
  • Working closely with Georgetown University’s Technical Assistance Center to guide us in Evidenced-Based and Promising Practice Models
  • Has multiple agencies and partners collaborating to address the social, medical and behavioral challenges impacting children and families.
  • Intensely focused on complex trauma.
  • Creating  new strategies to decrease the number of youth in custody on Psychotropic medication; 
  • Enhancing its family reunification practices.

Why Maine?

Maine is home to some of the finest beaches, lakes and mountains in the country.  For more information on why Maine is called vacationland all year, please visit the Maine tourism website at http://visitmaine.com/. 

This position is contracted through the University of Maine and the annual salary is $181,800.  

6/9/16

HOSPITALIST - Brunswick, Maine

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 Medicine. Procedures are not required. Excellent Intensivist and subspecialist support is available. New graduates and experienced candidates are encouraged to apply. 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.

6/27/16

OUTPATIENT INTERNAL MEDICINE - Mid Coast Maine

Mid Coast Medical Group is seeking a BC/BE Outpatient Internis 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.

6.27/16

FAMILY PRACTICE PHYSICIAN Sought In Oakland Maine!

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.

7/18/16

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.

7/4/16

PHYSICIAN/MEDICAL DIRECTOR - Nasson Health Care 

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.

6/27/16

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. 

5/23/16

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 cpattavina@sjhhealth.com

7/18/16

FAMILY MEDICINE/OUTPATIENT INTERNAL MEDICINE PHYSICIAN  

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.

5/23/16

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Upcoming Events
 

MCMI Training Programs – Level 1 and Level 2

General Information for 2016

When and where held:

                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

Schedule:

              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

              jsalis@aol.com

              (207) 577-2018

  ***

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