August 1, 2016

 
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Opioid Prescribing Limits Began Friday, July 29th

Maine's new law limiting prescribing for opioid medication took effect on Friday, July 29th but only the provision of the law limiting the maximum daily dose (based on morphine equivalency) is now in effect with the other elements in the law not taking effect until January 1, 2017 or beyond.  There is an exception for medical necessity available until January 1, 2017.  

The exclusions in the law include prescribing opioid medication to a patient for:

  1. Pain associated with active and aftercare cancer treatment;
  2. Palliative care, as defined in Title 22, section 1726, subsection 1, paragraph A, in conjunction with a serious illness, as defined in Title 22, section 1726, subsection 1, paragraph B;
  3. End-of-life and hospice care;
  4. Medication-assisted treatment for substance use disorder; or
  5. Other circumstances determined in rule by the Department of Health and Human Services pursuant to Title 22, section 7254, subsection 2; and
  6. When directly ordering or administering a benzodiazepine or opioid medication to a person in an emergency room setting, an inpatient hospital setting, a long-term care facility or a residential care facility.

Although the requirement to check the Prescription Monitoring Program (PMP) for a new script does not take effect until January 1, 2017, it would not be possible to know what opioid medication the patient may be receiving from other prescribers without checking the PMP.   So, in effect, the PMP mandate should be observed beginning July 29th if a prescriber is not already routinely checking the PMP for new scripts for an opiate based medication.  On January 1, 2017, the PMP mandate will include a first script written for a benzodiazepine in addition to an opioid.

 

Other information on the new law can be found on the MMA website at www.mainemed.com. MMA attorneys are available to present CME programs on the new law.  If you are interested in a presentation at your practice or facility contact MMA's CME Coordinator Gail Begin at gbegin@mainemed.com or EVP Gordon Smith at gsmith@mainemed.com or by calling Gordon at 215-7461.

 

 

 

 

8th Annual McKusick Lecture & Incoming Class Reception at TUSM - MMC Program

The 8th Annual McKusick Lecture & Incoming Class Reception took place on Thursday, July 28th at the Dana Center on the Maine Medical Center campus.  Richard W. Petersen, President & CEO of the Maine Medical Center welcomed the TUSM - MMC Program incoming class of 2020, parents, faculty, benefactors, and friends of the Program.  Peter W. Bates, M.D., Senior Vice President of Academic Affairs and Chief Academic Officer at the Medical Center and Harris A. Berman, M.D., Dean of the Tufts University School of Medicine spoke about the history of the Program and paid tribute to the McKusick family.  

Dr. Bates then introduced the McKusick lecturer, Farzad Mostashari, M.D., M.Sc., CEO of Aledade, Inc. and formerly a senior HIT staffer in the Obama Administration.  Dr. Mostashari offered a very engaging talk entitled, From Volume to Value, From Process to Outcomes:  The Future of Medical Care.

Following Dr. Mostashari's lecture, Robert G. Bing-You, M.D., Vice President, Medical Education, Maine Medical Center, and Jo E. Linder, M.D., Director of Student Affairs, Medical Education, Maine Medical Center joined Dr. Bates and Dr. Berman to introduce members of the incoming class and present them with their white coats.  The event closed with a reception.

The members of the Class of 2020 are:

  1. Kaitlyn Bergeron, Shapleigh, Northeastern University
  2. Mark Broadwin, Concord, MA, Colby College
  3. Corinne Carland, Shapleigh, MIT
  4. Elena Cravens, Winterport, Wellesley College
  5. Michael Delucia, Norwich, VT, MIddlebury College
  6. Eli Dibner-Dunlap, Cleveland, OH, Skidmore College
  7. Gabrielle Donahue, Cape Elizabeth, Colby College
  8. Jessica Evans, Van Buren, Bowdoin College
  9. James Finney, Kingston, NH, Dartmouth College
  10. Sydney Ford, Brunswick, University of St. Andrews, Scotland
  11. Jodi Forward, Sherborn, MA, Colgate University
  12. Eliot Gagne, Gorham, University of Maine
  13. Laura Getchell, Raymond, Wesleyan University
  14. Alexandra Grzywna, Framingham, MA, Wellesley College
  15. Ben Guido, Montville, Colby College
  16. William Hirschfeld, Hopkinton, NH, Dartmouth College
  17. Samuel Lloyd, Yarmouth, Boston College
  18. William Long, Littleton, CO, Regis University
  19. Micah Ludwig, Waldoboro, Bowdoin College
  20. Owen Maguire, Amherst, MA, Northeastern University
  21. Anna Martens, Scarborough, Muhlenberg College
  22. Hannah Martin, Yarmouth, Swarthmore College
  23. Lauren McAllister, Bethel, Bates College
  24. Parker Merrill, Brunswick, University of Virginia
  25. Robert Michaud, Limington, Saint Joseph's College of Maine
  26. Antigone Mitchell, Candia, NH, Bowdoin College
  27. Grace Mueller, Edwardsville, IL, University of Southern Maine
  28. Kelsey-An O'Neil, Cumberland, University of Southern Maine
  29. Jacqueline Ordemann, Groton, MA, Bates College
  30. Brianna Philbrick, Brewer, Boston University
  31. James Poulin, Lewiston, University of Maine
  32. Samuel Poulin, Readfield, Colby College
  33. Zachary Radford, Tuftonboro, NH, Bates College
  34. Sheila Rajan, Orrington, Colby College
  35. John Royal, II, Ellsworth, University of Maine
  36. Nabil Saleem, Alpharetta, GA, Bates College
  37. Jennifer Scontras, Saco, Brandeis University

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New Physician Non-discrimination Rules Now in Effect

On July 18, 2016 new regulations under Section 1557 of the Affordable Care Act went into effect that prohibit physicians and other health care providers from discriminating against individuals on the basis of various factors and require notice of those rights. The regulation went into effect after nearly 25,000 comments were received and reviewed. (Physicians employed by health care entities covered by the regulations don’t have to provide the notices and policies described below, since the employer has that obligation.)

The requirements apply to all health programs and activities that:

  • ·         Receive Federal financial assistance from DHHS;
  • ·         Are administered by Health Insurance Marketplace entities; and
  • ·         Are administered by DHHS (such as Medicare and Medicaid).

These new regulations codify requirements that already exist in more general terms, but they impose a new requirement that physicians provide a written notice of nondiscrimination to individuals. The notice must state that the physician’s practice:

  • Does not discriminate on the basis of race, color, national origin, sex [including gender identity], age [except for pediatric or gerontological specialists], or disability;
  • Provides free aids and services to people with disabilities to communicate effectively, such as sign language interpreters, written information in other formats; and
  • Provides language services to persons with limited English proficiency.

In addition, the notice must advise how those services may be obtained, contact information for the person responsible for grievance procedures (in offices of 15 or more employees), how to file a grievance, and how to file a discrimination complaint with the US DHHS Office for Civil Rights (OCR).

Covered entities may not rely on the person’s minor child to provide language services except in the case of a life-threatening emergency, nor may they rely on unqualified bilingual or multilingual staff or “low quality” video remote interpreting services.

This regulation by its terms does not apply to employment discrimination, which is covered elsewhere in state and federal law. Also, if the application of this regulation would violate federal laws protecting religious freedom and conscience, it need not be applied.

Finally, practices with 15 or more employees are required to designate a compliance coordinator who will investigate any grievances and adopt grievance procedures to address complaints.

The US DHHS Trainer’s Guide and PowerPoint slide deck on the new rules may be found on the DHHS website by clicking the links above. The website also has a notice form which is an appendix to the rule itself.


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Enrollment Now Available for Hanley Center Physician Executive Leadership Institute Advanced Course (V)

Enrollment is now available for the Hanley Center's Physician Executive Leadership Institute Advanced Course Class V.   Enrollments received prior to November 15, 2016 lock in at the 2016 rate.   The PELI Curriculum includes:

  • Strategic Thinking & Collective Intelligence

  • Business Skills & Financial Literacy

  • Effective Clinical Leadership Styles & Leading Change

  • Health Care Policy & Economics

  • Conflict & Negotiation

Dates for the Class V course are as follows:

  • Session I:  March 16-18
  • Session II:  May 18-20
  • Session III:  June 15-17
  • Session IV:  September 28-30
  • Session V:  November 9-ll

For more information, go to hanleyleadership.org or call the Center at 207-553-9851.

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HHS Office of Civil Rights Issues New Ransomware Guidance

In light of recent FBI guidance and media reports of increasing cyberattacks on health IT systems, the U.S. Department of Health and Human Services Office of Civil Rights (OCR) has released new guidance on ransomware.

The new guidance reinforces activities required by the Health Insurance Portability and Accountability Act (HIPAA) that can help organizations prevent, detect, contain and respond to threats, including:

  • Conducting a risk analysis to identify threats and vulnerabilities to electronic protected health information (ePHI) and establishing a plan to mitigate or remediate those identified risks
  • Implementing procedures to safeguard against malicious software
  • Training authorized users in detecting malicious software and reporting such detections
  • Limiting access to ePHI to only those persons or software programs requiring access
  • Maintaining an overall contingency plan that includes disaster recovery, emergency operations, frequent data backups and test restorations

The guidance makes clear that a ransomware attack usually results in a "breach" of health care information under the HIPAA Breach Notification Rule.  Under the rule, and as noted in the guidance, entities experiencing a breach of unsecure PHI must notify individuals whose information is involved in the breach, HHS and in some cases the media, unless the entity can demonstrate and document that there is a "low probability" that the information was compromised.

The AMA is preparing a series of cybersecurity resources for physicians, which will be available on its new cybersecurity web page. The page currently contains information about steps physicians can take today to improve their cybersecurity practices.

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MMA Room Block for Annual Meeting Expires August 9! Make Your Reservations NOW.


Maine Medical Association 

163rd Annual Session

September 9-11, 2016

Harborside Hotel, Bar Harbor, ME 

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Renewing the Joy & Passion in Medicine

 
4.5 AMA PRA Category 1 CME Credits TM




Dear Colleagues & Friends:

Recognizing the signs of professional exhaustion is the first step to reintroducing joy and purpose to your career.   Please join your colleagues at this year's Annual Session where you will learn new tools that will help you develop resiliency and renewal in your personal and professional life. 

Click Here to view the full schedule and register for this event.  Bring your family so they can enjoy Mt. Desert Island and Acadia National Park.  


Saturday, Sept. 10, 10:00 a.m.

Tuning Up Your Resilience Program features five physicians who have extensive experience in physician resilience and burn-out prevention. Dr. Jo Shapiro serves as Chief, Div of Otolaryngology, Dept of Surgery, at Brigham and Women's Hospital and is an Associate Professor at Harvard Medical School. She was one of the first woman division chiefs and was recently named as a finalist for the Schwartz Center Compassionate Caregiver Award. Dr. George Dreher, knowing what a habit of mindfulness brought to his life and career at Maine Medical Center, started offering a Mindful Practice of Medicine course and helped create a medical staff subcommittee on practitioner health and resilience. Dr. Christine Hein, who is the Medical Director of the Emergency Medicine Workgroup, knows first-hand the pressure practitioners face in their daily work and how important self-resiliency strategies can be in maintaining ideal standards of care for patients. Ben Tipton, PAC, has been working to improve resiliency at the Mid Coast Hospital and has built a Mindfulness-based Stress reduction program which is providing training for an increasing number of staff. Dr. David Strassler is the chair of the Martin's Point Provider Resiliency Team and has recently undertaken a drive to reduce burdensome paperwork.


Saturday, Sept 10, 12:00 p.m.

Speakers Kevin Mannix and Linda Rota, LSW, will deliver the Saturday noon keynote.  Kevin and Linda have co-authored the book, Weathering Shame, an autobiography on their personal experience growing up with the stigma and shame of 

alcoholism and mental illness. Kevin is a veteran weatherman at WCSH6, Portland and WLBZ 2, Bangor.   His spouse, Linda Rota, LSW, has been a social worker for more than thirty years. She is a 1982 magna cum laud graduate of USM with a B.A. in social welfare and criminal justice. Linda served in the Peace Corps in Sierra Leone, West Africa and trained volunteers on cross-cultural issues. Their book will be available for purchase and book signing.


Sunday, Sept. 11, 9:00 a.m.

Simple Mindfulness Applications to Cultivate Joy & Passion in Work & Life.  Countless demands and rushing about are the norm these days. We live in stressful, chaotic times. The speed of life around us is going faster and faster. This way of living affects our health, our relationships, our families, and the quality of our lives. We do have the ability, the strength, and the stability within us to meet these challenges in a way that brings more happiness into our everyday lives. Mindfulness is a way to access these inner resources.
 

Nancy Hathaway, M.Ed., LpastC, has been studying and teaching mindfulness for 40 years. She has interned and worked with Jon Kabat-Zinn, Ph.D. in the Mindfulness Stress Clinic at the University of Massachusetts Medical Center and the State of Massachusetts, Department of Corrections. She teaches Mindfulness nationally including Harvard University's Work and Family Center, MIT, hospitals, universities, high schools, colleges, parent groups, and couples courses.  She is an Adjunct Professor in numerous colleges in Maine teaching Mindfulness courses.  She has studied internationally with teachers in the Zen, Vipassana, and Tibetan traditions and holds a Masters in Education degree with a Counseling Psychology track.


 

7th Annual Silent Auction

Request for Donations

The auction proceeds will benefit the Maine Medical Education Trust (MMET) Scholarship Fund which directly benefits Maine students and relies on this auction as a primary revenue source.

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Donation Examples:

Gift Certificates to a Maine restaurant, hotel or resort

Gift Baskets

Weekend or week-long stay at a Condo, Camp or Vacation Home

Concert, Theater or Sporting event tickets

Painting, sculptures, drawing or other artwork

Wine and Spirits

Personal Services (such as spa treatments, car detailing, etc)

Pottery

Handmade Items

For more information  on donations 

click here.



Stay Connected


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Maine Medical Association

30 Association Drive

PO Box 190
Manchester, ME 04351

 info@mainemed.com

207-622-3374 






Copyright © 2016. All Rights Reserved.

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Department of Justice Challenges Proposed Health Plan Mergers

Last week, the United States Department of Justice announced that it would file litigation seeking to block the proposed mega-mergers of Anthem and CIGNA and Aetna and Humana.   MMA, the AMA, and several other medical societies had asked the Justice Department to block the mergers based upon standard anti-trust principles.  While this action by the Justice Department will not, in and of itself, halt the mergers, observers believe that Anthem and CIGNA may not have the desire to go forward in the face of federal opposition.  It is possible that Aetna and Humana may continue with their plans, but if successful, the merger of these companies would not have as big an impact in Maine as an Anthem-CIGNA merger.

"Following substantial input from our members, the MMA Board voted to oppose the mergers and we were pleased to be able to talk with Justice Department investigators last January and convey to them the belief of our members that the mergers would not be in the best interest of patients or health professionals of all types," said Gordon Smith, MMA EVP following the announcement.   "We are very appreciative of the work of the AMA and several other state medical societies which joined in the opposition to these mega-mergers and we are very gratified that the Justice Department, following its investigation, ultimately agreed with our position."

The annual research by the AMA on the consolidation of insurance markets by the national plans also was a very important element in the Justice Department investigation.   The health insurance market in Maine was one of the markets that showed significant consolidation and concentration of the health insurance market if the Anthem-CIGNA merger were approved.

You can read the AMA's press statement on the recent DOJ action here.

MMA thanks those members and practice managers who provided input to both the Attorney General's office and the Justice Department.

An AMA Viewpoints post by AMA President Andrew W. Gurman, MD

Prospects for major health insurance consolidation took a major hit when the U.S. Department of Justice (DOJ) and a number of states filed antitrust lawsuits Thursday to block both the Aetna, Inc.-Humana, Inc. and Anthem, Inc.-Cigna Corp. mergers.  The DOJ asserted that the mergers would substantially lessen competition.

When something comes up that could negatively affect our patients and the quality and affordability of the care they receive, physicians take the lead and engage policymakers.  With the same drive that put us through late nights in med school, carried us through the intensity of our residencies and continues to push us every day to go the extra mile for our patients and their families, we took these mergers on—and our voices were heard.

Creating even larger goliaths would be unacceptable—and I said so in a public statement today. Federal and state officials have a strong obligation to enforce antitrust laws to protect patients by ensuring a competitive marketplace that operates in patients' best interests.

The DOJ's action is a significant step toward the kind of marketplace that doesn't put the insurers first but rather puts patients first. And that's what we as physicians care about most.

Physicians fight to protect patients
Both mergers were announced in July of last year. My colleague, Immediate-past President, Steven J. Stack, MD, responded swiftly with a statement detailing how the mergers would increase health insurance market concentration and reduce competition in both the market for the sale of health insurance and in the market in which health insurers purchase physician services, ultimately resulting in further patient injury due to a decrease in the quality and quantity of available physician services. Neither development is something we as physicians can allow.

At the outset of the DOJ and state investigation of these mergers, the AMA was armed by our annual market studies on competition in health insurance and by an AMA study published in a leading academic journal establishing that a previous merger—United Health Group Inc.'s 2008 merger with Sierra health services—resulted in higher premiums.

Over the course of the next year, we physicians took it upon ourselves to stand up against the mergers of these powerful insurers by submitting testimony in congressional and state proceedings and preparing memoranda to state and federal officials investigating the mergers. In this effort, the AMA joined with state medical societies and gained the assistance of influential lawyers and economists to gather the evidence and present the arguments against the mergers to the DOJ, state attorneys general and state insurance departments.

I testified at a congressional hearing examining the proposed mergers and the impact they would have on competition in September, urging them to closely scrutinize the mergers and utilize enforcement tools at their disposal to protect patients and preserve competition.

Two weeks before, my colleague, Barbara L. McAneny, MD, who is a member of the AMA board of trustees, testified before Congress with a similar message. Together, we carried that message into the 2015 AMA Interim Meeting, where the AMA House of Delegates passed new policy that emphasized the need for active opposition to consolidation in the health insurance industry that could result in anticompetitive markets.

In December, the AMA identified the "big 17"—states where the mergers would have the greatest impact—and formed a coalition to block the mergers. A survey was developed relating to the monopsony issues raised by the proposed mergers and sent out to physicians in those states. Physician feedback was included as the big 17 coalition drafted letters sent to the DOJ.

What's important is that the medical community came together under this coalition, not with the intention of fighting the goliath companies that would be formed by the mergers, but rather to prevent them from happening. The physician voice is stronger when we can all come together under the same leadership.

As the letters were drafted and sent, we continued to lay on the pressure and the argument of the coalition became stronger and harder to refute.

Last month, the California Department of Insurance issued a letter urging the DOJ to block the Anthem-Cigna merger. The insurance commissioner based this conclusion on a March 29 public hearing that included testimony and written comments from the public, patient advocates, experts on health insurance mergers, and both the AMA and the California Medical Association (CMA).

Jointly with the CMA, we filed a comprehensive, evidence-based analysis (log in) explaining why the merger should be blocked. At the hearing, our top antitrust attorney, testified that the consequences of the proposed merger would have long-term consequences for health care access, quality and affordability.

Similarly, Missouri, with our input, took a hard stand against Aetna's acquisition of Humana in May when the Missouri Department of Insurance issued a cease-and-desist order preventing the companies from doing any post-merger business in Missouri's Medicare Advantage markets and some commercial insurance markets.

All of these efforts raised awareness and ultimately led to this moment today—on the cusp of a win for our patients.

Today's news is especially gratifying. The DOJ /State suit against Anthem-CIGNA incorporates the AMA's concerns that the merger would result in a health insurer buyer "monopsony" power over the physician marketplace. The suit against Aetna adopts the AMA's long-held and strenuously argued view that Medicare Advantage is a separate market that would suffer antitrust injury by the proposed Aetna-Humana merger. Finally, the AMA is thankful the state Attorneys General, like Florida, who listened to the physicians' concerns and joined the lawsuits.

The fight isn't over yet
A merger of this magnitude would compromise physicians' ability to advocate for their patients—something we consider an integral part of our place in society. In practice, market power allows insurers to exert control over clinical decisions, which undermines our relationships with patients and eliminates crucial safeguards of patient care.

On the other hand, competition can lower health insurance premiums, enrich customer service and spur inventive ways to improve quality and lower costs. Patients benefit when they can choose from many different insurers that are competing for their business by offering coverage that patients want and at competitive prices.

The suit filed by the DOJ is not the end—yet. Both companies have stated that they plan to fight the battle in court and challenge the DOJ lawsuit. The AMA will remain engaged in this process and relentless in our quest to preserve competition in the health insurance marketplace.  

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Maine Gets an A for Hospital Price Transparency

Every year (since 2013) the Health Care Incentives Improvement Institute, a non-profit healthcare reform think tank, releases a “report card” on all the states, reporting on each state’s price transparency laws.  This year 43 of the 50 states received an “F”.  Oregon received a “B”, while Vermont and Virginia achieved “C” and Arkansas got a “D”.

Only three states received an “A” rating: Colorado, New Hampshire, and…Maine!

Maine moved up from a “B” last year to this year’s “A” rating due to improvements in how the data are presented, in addition to how they are collected.  The CompareMaine website was noted among Maine’s practices that other states should emulate: “Collects data in an APCD, including full scope of providers, and paid amounts. Has an excellent website for consumers.”

The 18-page report describes in considerable detail the process that was used in assessing the states during the grading process. It includes the legislation scoring rubric and the legislated website rubric.

While analyses of quality in comparison to price are open to critique on such issues as patient population, severity of conditions treated and other factors, and while we all still have improvements to make in developing accurate and reliable measures of quality and cost, price transparency is a step toward empowering patients in their attempts to make their own health care decisions based on data rather than anecdote.


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Congressional Recess Begins Without Zika Action

Prior to recessing for the summer, Congress failed to provide critically needed funding to address the threat of the Zika virus.  The U.S. House of Representatives has passed funding for public health, mosquito abatement, vaccine research and other Zika-related activities, though the measure was not able to garner the necessary support to pass the U.S. Senate prior to adjournment.

Democrats have objected to provisions in the proposal that offset the new spending through cuts to other programs as well as to limitations on the use of the funds that exclude Planned Parenthood clinics in Puerto Rico.  Republicans in turn have urged the transfer of unobligated funding that was intended to address the Ebola epidemic as an alternative to new funding and have questioned the relatively slow pace of the distribution of funds that have already been identified to support Zika-related activities.

Given this impasse, no new funding to address Zika will be made available prior to the return of Congress after Labor Day.
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What Supreme Court Ruling on Admissions Means for Med Schools

The Supreme Court of the United States has made a ruling in a case considering race as one factor in academic admission, which allows medical schools to create a more racially and ethnically diverse physician workforce that more closely reflects the patient population and can combat racial disparities in health outcomes.

Where the case began and its result
In Fisher v. University of Texas at Austin, Abigail Fisher, a white applicant, was rejected from the University of Texas undergraduate college and sued the university, asserting that the school preferred African-American students over whites and that she would have been accepted if racial preferences were not in place.

In 2013, the Supreme Court held that the University of Texas could potentially use racial preferences in its admission decisions under limited circumstances, known as "strict scrutiny."  The Supreme Court remanded the case to the court of appeals for determination of whether the university's racial preferences met the strict scrutiny standard.

On remand, the court of appeals confirmed its earlier ruling, which had approved the racial preferences.  The latest Supreme Court ruling affirmed the court of appeals application of the strict scrutiny standard to the University of Texas admission policies.

"The goal of increasing medical career opportunities for minorities is an important step in developing a diverse physician workforce that will help bridge the gap in racial health disparities," said Andrew W. Gurman, MD, AMA president.  "The AMA supports efforts to bring an end to any inequalities in health care."

Read more at AMA Wire.
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Upcoming Events

163rd Annual Session

  September 9-11, 2016

Harborside Hotel - Bar Harbor, Maine

The theme of this year's program is "Renewing the Joy & Passion in Medicine."  For more information and to register click here

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15th Annual Downeast Ophthalmology Symposium

September 23-26, 2016

Harborside Hotel - Bar Harbor, Maine

15 Hours Category 1 AMA PRA CME Credits Offered

Topics include Glaucoma, Cataract, and Uveitis.  Michael X. Repka, MD, MBA will deliver the Keynote address on Ophthalmology in an Era of Health Care Evolution.  There will also be time to enjoy the beautiful area!

For more information and to register visit: https://maineeyemds.com/symposium-home or contact Shirley Goggin at 207-445-2260 or sgoggin@mainemed.com.

 

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MCMI Training Programs - Level 1 and Level 2

October 25, 2016

When and where held:  On October 25, 2016, the Maine Concussion Management Initiative will present Level 1 and Level 2 Training as the Youth Concussion Track at the Brain Injury Association of America-Maine Chapter's 7th Annual Conference on Defining Moments in Brain Injury in Portland at USM.

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: 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: Conference - 7:30pm to 4:30pm

MCMI Level 1: 9:30am to 1:00pm

MCMI Level 2: 1:30pm to 4:30pm                                                   

Registration:

Fee: $100 for all participants for the entire day

How to register: online atwww.biausa.org then click on BIAA-Maine (in the menu on the left)

CMEs will be provided. Exact contact hours not determined at this time

For more information contact:

Jan Salis, PT, ATC, MCMI - Membership and Education Committee - Chair

jsalis@aol.com or (207) 577-2018

 

 

 

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Job Openings

PRIMARY CARE PHYSICIAN - Eastern Maine Medical Center

Eastern Maine Medical Center seeks a primary care physician, board-certified/board-eligible in internal medicine, to join our well-established, quality-driven, outpatient practice. Husson Internal Medicine is one of seven primary care practices operated by Eastern Maine Medical Center. Our practice was the second in the nation to achieve “Patient-Centered Medical Home” status with NCQA. All physicians are NCQA-certified in diabetes and cardiac care. Our primary care network, largest in our area, has adopted a new practice model to include teams of one physician, one nurse practitioner, two registered nurses, and two medical assistants.   

Eastern Maine Medical Center is a 411-bed, regional, tertiary care and level II trauma center serving the more than 500,000 residents living in central, eastern, and northern Maine We offer a collegial atmosphere, cutting-edge EMR, generous vacation and CME benefit, flexible work schedule, and reasonable call schedule. No hospital call required. Candidates in need of J-1 visa waivers welcome to apply.  

For confidential consideration, please contact: Amanda Klausing Eastern Maine Medical Center Phone: 207-973-5358 emmccvs@emhs.org   

8/22/16

PHYSICIAN - Penobscot Community Health Care

Penobscot Community Health Care is seeking a Physician who is interested in working on a team dedicated to patient-centered care, innovation and collaboration for their Belfast location, Seaport Community Health Center. If this sounds like an opportunity you would be interested in, consider this:

You will be working on a team that has served its community for nearly 30 years!

You will be providing comprehensive, integrated primary health care services for an organization that exemplifies their Mission in everything they do.

You will be working on a team that recently achieved the highest level of recognition as a Patient-Centered Medical Home (PCMH) by the National Committee for Quality Assurance (NCQA).

You will be given the chance to make a difference in the lives of not only your patients, but the community you serve…every day.  

For more information, please contact Vanessa Sanderson, Recruitment Coordinator, Penobscot Community Health Center at (207) 404-8015 or vsanderson@pchc.com.

8/22/16

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.

9/19/16

MEDICAL DIRECTOR SOUGHT for Mayo Regional Hospital Psychiatry and Counseling Clinic

Mayo Regional Hospital is seeking a part time Medical Director for its Psychiatry and Counseling clinic.  Mayo Psychiatry and Counseling provides mental health and substance abuse outpatient services, 5 days per week. The practice is staffed with a Director, Adult Psychiatrist, 2 PMHNP (child, adolescence and adult scope) and 7 clinicians.  The position would require 10-15 hours per week, with a combination on on-site and off-site work. Please contact, Lori Morrison, Vice President Physician Practices 207-564-4336 or lmorrison@mayohospital.com.

8/8/16

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) 661-7383 or nathaa@mainehealth.org.

9/5/16

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.

8/29/16

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