September 26, 2016

 
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Senator King and A.G. Mills added to Oct. 27 MMA/MHMC Symposium Agenda in Portland. Register Today!

U.S. Senator Angus King and Maine Attorney General Janet Mills will speak at the Oct. 27th Symposium, joining David Blumenthal, M.D., President of the Commonwealth Fund as speakers at the plenary sessions.  The Symposium will offer a dozen breakout sessions in addition to the plenary sessions intended to provide clinicians, employers and practice staff with the information needed to excel and prosper in the coming healthcare environment.

The Maine Medical Association and Maine Health Management Coalition's 2016 Symposium will be held on Thursday, October 27 at the Holiday Inn By The Bay in Portland.

At this year's symposium we will continue to highlight and explore strategies that each of us can take to help improve health and lower costs. Our keynote speaker, David Blumenthal, MD, President of The Commonwealth Fund, will share examples of how organizations around the country are getting more value from their health care dollars and will comment on where the nation's health care system is likely to be headed following the election. Senator AngusKing will close the program at 4:00pm and Maine Attorney General Janet Mills will open the day at 8:15am.  A.G. Mills is expected to comment on the increasing number of drug overdose deaths in the state. The various breakout sessions will dive into the details to highlight individual efforts that organizations in Maine can emulate. There will be presentations on tackling prescription drug abuse for providers and employers, alternative payment arrangements being tested through employer/provider partnerships, an overview of how MACRA will impact the payment landscape in our state, and more!

Thursday, October 27, 2016

8am - 5pm

Holiday Inn By The Bay, 88 Spring Street, Portland ME

MMA Seeks Your Feedback on Draft Statement on Reform of the U.S. Health Care System

Earlier this year, the MMA Board of Directors decided to update the Association's policy on health care reform which consisted of a Resolution passed by the membership at the 2002 Annual Session and a White Paper dated in 2003 drafted in anticipation of the Maine legislature's debate of the Baldacci Administration's Dirigo Health Program legislation. 

Accordingly, the Board established an Ad Hoc Committee on Health Care Reform last Spring and MMA solicited volunteers for this Committee through this e-newsletter.  The membership of this Committee is as follows:

MAINE MEDICAL ASSOCIATION

2016 AD HOC COMMITTEE ON HEALTH CARE REFORM

ROSTER

1.       Hani Jarawan, M.D., Chair, Portland

2.       Maroulla Gleaton, M.D., Palermo

3.       Scott Hanson, M.D., M.P.H., Lewiston/Auburn

4.       Jabbar Fazeli, M.D., Portland

5.       Paul Cain, M.D., Lewiston/Auburn

6.       Philip Caper, M.D., Brooklin

7.       Cathleen London, M.D., Robbinston

8.       Richard Swett, M.D., Dover-Foxcroft

9.       Thomas Sneed, M.D., Readfield

10.   Samuela Manages, M.D., F.A.A.F.P., St. David

11.   Lani Graham, M.D., M.P.H., Freeport

Staff:  Andrew MacLean, Deputy EVP & General Counsel

This Ad Hoc Committee met several times during the course of the summer and produced a draft Statement on Reform of the U.S. Health Care System that it presented to the Board of Directors prior to the Annual Session. During the General Membership meeting at the Annual Session, MMA President-elect Jabbar Fazeli, M.D. announced the draft Statement and solicited feedback from members.  The MMA Board of Directors will discuss the draft Statement at its next scheduled meeting from 4-6 p.m. on Wednesday, October 5th.  MMA members who wish to review and comment on the draft Statement may find it on the MMA web site here, and may provide feedback by contacting Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com, 622-3374, ext. 214 (O), or 215-7462 (C).  The MMA Board also is very interested in hearing comments from any medical specialty society that might have comments specifically relating to that specialty.

 

 
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Awards Presented at the MMA’s Annual Session to Rep. Linda Sanborn, Buell Miller, M.D. and Patsy Thompson Leavitt, DNP, FNP

Three awards were presented at the Maine Medical Association’s annual banquet in Bar Harbor on September 10, 2016.

Dr. Brian Pierce, MD presented the 2016 Mary Cushman, M.D. Award for Humanitarian Service to Patsy Thompson Leavitt, DNP, FNP, Volunteer Director and Nurse Practitioner at the Leavitt’s Mill Free Health Center.  Dr. Leavitt was nominated for the award by Andrew Packard, M.D.  Dr. Leavitt has led the efforts of a team of over 30 volunteers in the care of over 1600 uninsured patients.  Founded in 2003 and supported by community donations, the Center has grown from a small rural clinic to a multi-disciplinary center providing primary care, dental care, physical therapy, dermatology, laboratory services, prescription assistance, advocacy and referrals to specialty care.  The Center is also a training site for interns in dentistry, nursing and social work.  As a USM nursing professor, Patsy provides the academic rigor for a rich and intense experience caring for the underserved in a multi-disciplinary environment.  The Cushman Award is accompanied by a $1,000 contribution to a charitable organization to be chosen by the recipient.

Buell Miller, MD received the 2016 Maine Medical Association President’s Award for Distinguished Service.  Dr. Miller established what would eventually become the largest Ob-Gyn group in the state, and held a number of positions in the American Congress of Obstetrics and Gynecology District I, and in the Maine Section. Always active in MMA, Dr. Miller became even more active in Association activities following his retirement from active practice. He worked part-time at MMA doing outreach and development work for several years, and founded the MMA’s Senior Section which he continues to chair.  The MMA is proud to recognize Buell Miller for the important roles and tasks he has performed for the MMA over the past five decades.

Because State Representative Linda Sanborn, M.D. could not attend last year’s Annual Banquet to receive the 2015 Association's President's Award for Distinguished Service, the award was presented to her this year by Lisa Ryan, D.O.  Dr. Sanborn was recognized for her advocacy and exemplary service, for her dedication to her patients during a successful career as a family physician, to the Association as a long time member and volunteer and, most recently, to her constituents and the citizens of Maine as state legislator representing House District 26, part of Gorham. 

Please join the MMA in recognizing Dr. Leavitt, Dr. Miller and Dr. Sanborn for their outstanding service.

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Work Continues on Proposed PMP Rule

An ad hoc committee comprising physicians, nurse practitioners, podiatrists, veterinarians, pharmacists and others has been meeting with the Department of Health and Human Services to discuss the implementation of the Maine opioid bill’s exemptions and PMP checking requirements. Convened by State Health Officer Chris Pezzullo, DO, the group is currently considering a draft rule prepared by the Department.

The Maine Medical Association has been represented in all these meetings by Gordon Smith and Peter Michaud. Several members of the Association have been directly involved in the discussions and wordsmithing, including Stephen Hull, Steve Diaz, Noah Nesin, David Bachman, Sue Woods and Tim Pieh. Any Maine physician is invited to participate and help shape the new regulations. The next meeting is this Tuesday, September 27th, from 8:30 to 10:30 a.m. at the DHHS conference room, 221 State Street in Augusta. Those wishing to attend should contact Tyler Lamensky at tyler.lamensky@maine.gov .

Among the issues being discussed in preparation for rule-making are prescriptions for acute opioids over a base of chronic care; prescribing in situations of active taper; the definition of “inpatient status” and its relation to observational status; and what it means to be under a “prescriber’s care.” There have been significant, substantive discussions of the exemptions to the MME limits and to the PMP check requirement. Any physician who wishes to be heard on these issues is strongly encouraged to attend.

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Over 100 Ophthalmologists Attend 15th Annual Downeast Ophthalmology Symposium in Bar Harbor
Approximately 110 ophthalmologists attended the 15th Annual Downeast Ophthalmology Symposium at the Harborside Hotel and Marina in Bar Harbor this past weekend.  Course Director Sam Solish, M.D. founded the course in 2001 and the Symposium has become one of the most popular regional ophthalmology conferences in the country.  With attendees from 29 states and Russia, this year's conference was considered by many attendees to be the best yet with many positive comments.

 
The keynote presentation, entitled, Ophthalmology in an Era of Health Care Evolution, was given by Michael X. Repka, M.D., MBA, Medical Director for Governmental Affairs of the American Academy of Ophthalmology.  Dr. Rebka is the David L. Guyton, M.D. and Feduniak Family Professor of Ophthalmology at Johns Hopkins School of Medicine in Baltimore.
 
Congratulations to Dr. Solish and staff Shirley Goggin for a terrific 15 years.  And we wish to also acknowledge the outstanding work of the DOS Planning Committee, consisting of a dozen practicing ophthalmologists in the state.
 
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Opioid Prescribing Webinar September 28th

Join a Webinar to Learn About Electronic Prescribing of Opioids

The Maine Medical Association has selected DrFirst as its exclusive partner in providing electronic prescribing of controlled substances solutions to MMA members. 

DrFirst will provide an educational webinar on how to get started e-prescribing controlled substances, along with a demo of their EPCS Gold software, on September 28 from 2-3pm ET. Even if that time isn’t convenient, register anyway and receive a recording of the event.

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Clicks and Keyboards Stealing Face-time with Patients

Almost one-half of the physician workday is now spent on electronic health record (EHR) data entry and other administrative desk work while only 27 percent is spent on direct clinical face-time with patients, a time-motion study published Monday in the Annals of Internal Medicine found. This finding is further proof that administrative burdens are directly affecting the patient-physician relationship.  Though efforts are underway to make EHRs more practical for clinical use, there are ways to relieve this burden through team-based care.

The time-motion study, conducted by experts at the AMA and Dartmouth-Hitchcock Health Care System, also found that for every hour of face-to-face time with patients, physicians spend nearly two additional hours on their EHR and other clerical desk work throughout the day.

Physicians do not feel these are the tasks that should be taking up a majority of their work day—they undercut the patient-physician relationship.

The time-motion study correlates with a study published recently in the Journal of Graduate Medical Education that tracked the average “mouse miles”—or active time—residents spent using EHRs. The study found that first-year residents spent an average of five hours per day on the EHR caring for a maximum of 10 patients.

(Excerpt from AMA Wire® article by Troy Parks. For the entire article, click here.) [return to top]

"Vision for Compassion: Restoring Sight in Mexico" Bangor Ophthalmologist Leads Mission to Perform 150 Cataract Surgeries in Monterrey, Mexico
Bangor ophthalmologist Curt Young, M.D. of Vision Care of Maine and a team of 6 ophthalmic technicians will travel to Monterrey, Mexico the end of this week to participate in a mission with five other eye teams from around the country to provide cataract surgeries to those patients in most need in the country of Mexico.  Dr. Young and his team are volunteering their time and expertise as well as providing the surgical supplies to perform more than 150 cataract surgeries in five days.

 
This mission is being coordinated by ChOSEN (Christian Ophthalmic Surgery Expedition Network) a non-profit organization whose mission is to restore sight to those in need in Mexico through ophthalmic surgery.  Individuals and organizations interested in supporting the trip can make a tax deductible contribution to ChOSEN, c/oVision Care of Maine, 1 Ridgewood Drive, Bangor Maine 04401.  or go to www.razoo.com/us/story/Vcom.
 
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Study: No Association Between Physician Employment and Quality of Care

In a retrospective cohort study of U.S. acute care hospitals between 2003 and 2012, no association was found between switching to an employment model of physician relationships and improvement in quality of patient care.

The study, published in the Annals of Internal Medicine (full text available to subscribers only), looked at 803 switching hospitals and a control group of 2085 nonswitching hospitals matched for year and region. The authors looked at risk-adjusted hospital-level mortality rates, 30-day readmission rates, length of stay and patient satisfaction scores for common medical conditions. Measurements were based on responses to the American Hospital Association annual questionnaire.

While hospitals are employing an increasing number of physicians (42% of hospitals in 2012 compared to 29% in 2003), with over 70% of Maine physicians now being employed, these findings suggest that physician employment alone is not a sufficient means of improving patient care in the hospitals.

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Reducing Unnecessary and Low Value (to the patient) Care: "Advancing Choosing Wisely"

American Medical Association STEPS Forward™ practice improvement strategies, just launched the new “Advancing Choosing Wisely” module providing 5 Steps to help physicians/practice teams reduce low-value and unnecessary care in your practice.

How will this module help me reduce unnecessary care in my practice?

·         Five STEPS to advancing Choosing Wisely in your practice

·         Answers to frequently asked questions about Choosing Wisely

·         Tools and resources to help you and your team implement Choosing Wisely

Go to:  Advancing Choosing Wisely® and learn more!

To learn more about Choosing Wisely in Maine, go to the Maine Quality Counts Choosing Wisely webpage and access the Choosing Wisely Toolkit and other information here. (This Toolkit is also highlighted and available for download on AMA’s StepForward “Advancing Choosing Wisely” module under Resources)

Explore all of the new practice improvement strategies on STEPSForward.org

·         Adopting the ECHO model™ (Extension for community healthcare outcomes)

·         Appreciative inquiry: Fostering positive culture

·         Clinical decision support and diagnostic imaging

·         Forming a patient and family advisory council

·         Listening with empathy

·         Preventing physician distress and suicide

·         Quality Reporting and the importance of Qualified Clinical Data Registries (QCDRs) in maximizing your success

Visit STEPSForward.org for all the modules and practice improvement strategies that can help guide your practice transformation. [return to top]

MACRA Penalties Can Now be Avoided, CMS Says

Avoiding penalties under the Medicare Access and CHIP Reauthorization Act (MACRA) just got easier.  The Centers for Medicare and Medicaid Services (CMS) Acting Administrator Andy Slavitt last Thursday announced that the final MACRA regulation will exempt physicians from any risk of penalties if they choose one of three distinct reporting options in 2017.

In a blog post, Slavitt announced that CMS heard physicians’ concerns about the proposed start date for performance reporting under the new Medicare payment system and that the agency will offer three reporting options for the Merit-based Incentive Performance System (MIPS)—and if you choose one for 2017, you will not receive a negative payment adjustment in 2019.

The options will be described fully in the final rule, but here are the basics:

  • Option one:  Test the program
    As long as you submit some data to the Quality Payment Program, including data from after Jan. 1, you will avoid a negative payment adjustment, Slavitt said. This option is intended to ensure that the system is working and that physicians are prepared for broader participation in the coming years as they learn more.
  • Option two:  Partial-year reporting
    Physicians can choose to report Quality Payment Program information for a reduced number of days. Your first performance period could begin well after Jan. 1 and your practice could still qualify for an incentive payment.

    Slavitt offered an example. “If you submit information for part of the calendar year for quality measures, how your practice uses technology and what improvement activities your practice is undertaking,” he said, “you could qualify for a small positive payment adjustment.”
  • Option three:  Full-year reporting
    If your practice is ready to get started on Jan. 1, you can choose to report Quality Payment Program information for the full calendar year. Your first performance period would begin on Jan. 1, and if you submit information for the entire year your practice could qualify for a modest positive payment.
  • Advanced Alternative Payment Model (APM) option.
    This option is still available and qualified participants in advanced APMs will be eligible for five percent incentive payments in 2019.

Choosing any of these options guarantees that you will not receive a negative payment adjustment.

The announcement confirms that physician input is playing a critical role in the development of the final MACRA rule. Slavitt stated his appreciation for the constructive participation of physicians in the feedback process and added that CMS looks forward to further engagement with physicians to make sure the new Medicare payment system works for everyone, including patients.

"By adopting this thoughtful and flexible approach, the Administration is encouraging a successful transition to the new law by offering physicians options for participating in MACRA,” said AMA President Andrew W. Gurman, MD, in a statement commending Slavitt and Department of Health and Human Services Secretary Sylvia Mathews Burwell.

“This approach better reflects the diversity of medical practices throughout the country,” he said. "The AMA believes the actions that the Administration announced today will help give physicians a fair shot in the first year of MACRA implementation.”

This kind of flexibility is what physicians were seeking throughout the draft rule comment period—and now it is a reality. The only way to receive a negative payment adjustment now is by not participating at all.

 

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Job Openings

BC/BE FAMILY PRACTICE PHYSICIAN - Sheepscot Valley Health Center

Sheepscot Valley Health Center (Cooper Mills - between Augusta and the Maine coast) seeks a BC/BE Family Practice Physician to provide primary care and preventive services in an outpatient family practice. Join two physicians, three family nurse practitioners and a physician assistant serving 3,700 people annually. Integrated behavioral health, psychiatric medication management, podiatry, and care management are also provided on site.

The practice has been a vital part of the community since 1980 and is part of HealthReach Community Health Centers, a group of eleven Federally Qualified Health Centers in Central and Western Maine serving 28,000 residents in 80 Maine towns each year.

We offer competitive compensation and malpractice coverage. The site is eligible for loan repayment. EOE. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901. (207) 660-9913. Fax: (207) 660-9901. 

Communications@HealthReach.org  -   www.SheepscotCHC.org.

10/3/16

PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER - Katahdin Valley Health Center

Excellent Work Life Balance!  Katahdin Valley Health Center is in search of a Psychiatric Mental Health Nurse Practitioner.  These openings are a result of our continued growth. KVHC is Federally Qualified Health Center with sites in Ashland, Houlton, Island Falls, Patten, Millinocket and now Brownville.   Join our practice in one of the newly expanded facilities. KVHC is a fully electronic medical record site and offers a competitive salary and benefit package which includes: a 10% of first year salary sign on bonus, generous amounts of paid time off, CME, Life and Disability as well as FTCA malpractice coverage. No nights weekends or holidays! Family Medicine Practitioners who join KVHC are eligible to apply for NHSC Loan Repayment. 

To learn more about KVHC and Practitioner Opportunities, please contact Michelle LeFay at michelle.lefay@kvhc.org or visit our website at www.kvhc.org.  KVHC is an equal opportunity employer.

 10/17/16

BOARD-CERTIFIED/BOARD-ELIGIBLE PHYSICIANS - Eastern Maine Medical Center

Eastern Maine Medical Center has exciting opportunities for Board-Certified/Board-Eligible MD/DO physicians to join well-established, quality-driven, outpatient Family Medicine and Internal Medicine practices in the Greater Bangor area.

Eastern Maine Medical Center offers exceptional family medicine practice opportunities in modern facilities with a cutting edge EMR. A supportive, collegial atmosphere and minimal call which is strictly outpatient characterize our work environment.

Physician opportunities require an MD/DO or foreign equivalent, three year Family Medicine Residency, Maine physician licensure (or immediately eligible for same), and board certification/eligibility. Candidates in need of J-1 visa waivers welcome to apply.

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 at Eastern Maine Medical Center at 207-973-5358 or emmccvs@emhs.org

9/26/16

PRIMARY CARE SPORTS MEDICINE Opportunity in Portland, ME

Dynamic multi-subspecialty physician-owned and -led orthopaedics group seeks a fellowship trained, board certified or board eligible Primary Care Sports Medicine Physician to join Maine’s premier orthopaedic practice - OA Centers for Orthopaedics.  We are an established group with our own surgery center and all ancillary services (PT, MRI, and Imaging).  If you are interested in joining a growing, high volume, quality-focused group practice with no call, then this is the opportunity for you!

The ideal candidate will have substantial orthopaedic experience and comfort with acute orthopaedic conditions. We are searching for a physician leader to be part of a growing acute walk-in clinic, OrthoAccess, with a full spectrum of surgical subspecialty support. We offer a generous compensation and benefits package, including vacation, CME stipend, relocation allowance, and 401(k) plan with profit sharing.  Partnership-track position with eligibility after 5 years for full-time physicians. Walk-in clinic hours are Monday – Friday, 1:00PM – 8:00PM; Saturday, 9:00AM – 2:00PM. Rotating Saturday coverage required; approximately 5 shifts per year. Flexible part-time or full-time weekday schedule, between the walk-in clinic and routine clinical days.

Send inquiries or CVs to:

Aileen Kiwior, PHR, Senior HR Generalist

OA Centers for Orthopaedics
33 Sewall Street
Portland, ME 04102

EMAIL: hr@orthoassociates.com

www.orthoassociates.com

www.spectrummedicalgroup.com

10/24/16

ORTHOPAEDIC FOOT & ANKLE SURGEON Opportunity in Portland, ME

Dynamic multi-subspecialty physician-owned and -led orthopaedics group seeks a board certified or board eligible Orthopaedic Surgeon who has completed a Foot & Ankle fellowship to join Maine’s premier orthopaedic practice - OA Centers for Orthopaedics.  We are an established group with our own surgery center, all ancillary services (PT, MRI, and Imaging).  If you are interested in joining a growing, high volume, quality-focused group practice with minimal call, then this is the opportunity for you!

OA Centers for Orthopaedics is searching for a surgeon to join our established Foot & Ankle Center to help meet the needs of this growing service line.  We offer a generous compensation and benefits package, including 6 weeks of vacation, CME stipend, relocation allowance, and 401(k) plan with profit sharing.  Partnership-track position with eligibility after 2 years.

Send inquiries or CVs to:

Aileen Kiwior, PHR, Senior HR Generalist

OA Centers for Orthopaedics
33 Sewall Street
Portland, ME 04102

EMAIL: hr@orthoassociates.com

www.orthoassociates.com

www.spectrummedicalgroup.com

10/24/16

PHYSICIAN, NPPA or PA - Community Care and Geriatrics

Community Care and Geriatrics is seeking a Physician, a NPPA, and/or a PA who is interested in working on a team dedicated to patient-centered care, innovation and collaboration. If this sounds like an opportunity you would be interested in, consider this:

  • You will be working with 17 facilities in the community, Skilled Nursing facilities, Long Term Care facilities, and Assisted Living facilities.
  • You will be working in an autonomous, challenging, and highly stimulating environment!
  • You will be using the latest and highest leading EMR systems for geriatric care including gEHRiMed.
  • As a provider, you will have the freedom to handle your own schedule, you’ll have the support of leadership and clinical staff including your own Medical Assistant, Nurse Practitioners, and Physician Assistants.
  • Community Care and Geriatrics also offers loan repayment!

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

9/26/16

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.

11/7/16

 

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Upcoming Events

MaineGeneral Medical Center's 2016 Geriatric Symposium

October 6, 2016 

7:45am - 4:30pm

Alfond Center for Health - Augusta, ME

This year’s keynote speaker will be Dr. Michael LaMantia MD, MPH, the new Section Chief of Geriatrics at the University of Vermont.  There will also be talks by Cliff Singer MD, Annette Beyea DO MPH, Sarah Hallen MD, Kim Church RN & Jane O’Rourke LMSW, Nancy Rushton APRN and Noreen Flanagan MD. Lunch will be provided and CMEs are available.  

REGISTRATION:

The 2016 Geriatrics Symposium is free for MaineGeneral employees. A $50 registration fee for non-MaineGeneral employees will support the MGMC Key Trust Educational Endowment. 

Registration is limited to 225 participants, on a first come, first served basis.  If paying by check, please make checks payable to “2016 Geriatrics Symposium.”  All checks must be received by 9/30/16.

For more information and to register online visit: https://mainegeneral.coursestorm.com/course/maine-general-annual-geriatrics-symposium-update-on-dementia-carePlease contact Karen Garcia at 626-1151 or at karen.garcia@mainegeneral.org with any questions regarding the Symposium.

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MAINE CHAPTER - AMERICAN ACADEMY OF PEDIATRICS
FALL CONFERENCE - OCTOBER 15 & 16 IN BAR HARBOR

HOT TOPICS IN PEDIATRICS: FROM INFANTS TO ADOLESCENTS

Register Here

The conference features national and local speakers on topics including:

·         Neonatal Abstinence Syndrome and care for drug affected babies and their mothers

·         Strategies from VT and CT to address the influx of drug affected infants

·         Addiction as a Pediatric Disease

·         Immunization Controversies: influenza, meningococcal B and HPV

·         The Impact of Chronic Disease and Health on Child’s School Attendance, Education and Well-Being

·         The Use of Proton Pump Inhibitors

·         The Status of Foster Care in Maine

·         OB Thresholds of Viability

·         and more!

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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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Maine Health Management Coalition and Maine Medical Association's 2016 Symposium

Thursday, October 27 

Holiday Inn By The Bay, Portland

About the Symposium

For this year's symposium we will be continuing to highlight and explore actionable strategies that each of us can take to help improve health and lower costs.  Our keynote speaker, David Blumenthal, MD, President of The Commonwealth Fund, will share examples of how organizations around the country are getting more value from their health care dollars, and breakout sessions will dive into the details to highlight individual efforts that organizations in our state can emulate.  There will be presentations on tackling prescription drug abuse for providers and employers, alternative payment arrangements being tested through employer/provider partnerships, an overview of how MACRA will impact the payment landscape in our state, and more!

When: Thursday, October 27, 2016, 8am - 5pm

Where: Holiday Inn By The Bay, 88 Spring Street, Portland ME 04101

Register Here!

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