November 5, 2018

In This Issue
CMS Issues Final Medicare Physician Payment Rule
Signatures being Collected for Citizen Initiated Proposal on Physician Assisted Death
New Web-based Decision Support Tool Helps With Chronic Pain Treatment
Health Insurance Marketplace 2019 Open Enrollment Now Through December 15, 2018
AMA Urges FTC to Act on Insulin Prices
MaineGeneral to Offer X-waiver Course
Ten Takeaways from the Surgeon General's Opioid Report
"Great American Smokeout" November 15th; "Tar Wars" Anti-smoking Education
Webinar: The Changing Landscape of Retirement - Tuesday, November 13 5pm
MMA Presentation on Healthcare Issues Considered by 128th Legislature Now Available
MMA Legislative Committee's Organizational Meeting Scheduled for December 6
Upcoming Specialty Society Meetings
Next Steps in Addressing Maine's Opioid Crisis: 11/7 Presentation Scheduled
Introduction to Lean in Healthcare Full-Day Workshop on Friday, November 9
Division of Disease Surveillance Annual Infectious Disease Conference - November 14
MICIS 3-hour Opioid CME Presentation - November 26 in Portland
Enrollment Underway for Maine’s Physician Executive Leadership Institute - The Advanced Course - Deadline for Enrollment at Discounted Price: November 30th
Identifying Substance Use Early Saves Lives! - SBIRT with Motivational Interviewing Training - 1-day Sessions Offered on Dec 8, Feb 2, Mar 2, Apr 6
Physician – Leeds
Psychiatric Mental Health NP - Leeds
Psychiatric Nurse Practitioner - Nasson Health Care
Primary Care Physician
PCHC wants to add more Family Physicians at Multiple Locations!
Outpatient Internal Medicine Physician – Bangor, Maine
OB/GYN Physician Opportunity
Franklin Health Behavioral Services is seeking a BC/BE Psychiatrist/Medical Director
Internal Medicine MD or DO (BE/BC)
Podiatrist (Non-Surgical)
Internal Medicine Outpatient Physician
Seeking Medical Director for Family Medical Practice in Waterville, ME
Internal Medicine Physician
Opportunities at the VA for Volunteer Physicians

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New Web-based Decision Support Tool Helps With Chronic Pain Treatment

Patient–provider communication is critically important in pain management and predicts patient satisfaction better than actual decreases in reported pain. A new web-based decision support tool helps patients with chronic pain and their health care providers work together to better manage chronic pain. The tool is free of charge and can be accessed at ThePainAPP.com

Here’s how it works. Patients interact with PainAPP on their own (online) before seeing their provider, answering questions about their treatment goals and preferences, viewing videos of other patients dealing with chronic pain, and learning ways to manage chronic pain and improve communication with providers. PainAPP also walks patients through a comprehensive pain assessment, including risk for opioid misuse, psychosocial and behavioral factors, and attitudes towards different pain treatments. A summary report is generated that the patient can share with print out or send to their provider through a patient portal. This report includes the patient’s treatment goals, preferences, and a comprehensive pain assessment. This information can help providers better understand their patients, spend less time collecting data, and more time talking with patients about what matters to them.

The tool was pilot tested in a prospective controlled pilot study. Participants were referred through providers or patient networks. Testing included 38 participants (68% female, 85% white), half (56%) referred by providers. Half (47%) of PainAPP users shared their summary report with their provider. Both PainAPP and the control website were highly rated in all areas, with PainAPP slightly outperforming the control website on most dimensions. All PainAPP users would recommend it to others with chronic pain; nearly all trusted the information and said it helped them think about my treatment goals (94%), understand my chronic pain (82%), make the most of my next doctor's visit (82%), not want to use opioids (73%), think about the pros and cons of opioids (71%), manage my chronic pain (65%), and want to stop using opioid medications (33%).  

In conclusion, PainAPP offers a new approach for patient education, comprehensive pain assessment and patient-provider communication. PainAPP appears useful in improving communication and chronic pain management and discouraging opioid use. If you have any questions or are interested in customizing the tool for your practice, please email PainApp@SDMR.us.


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