Maine Medicine Weekly Update - June 19, 2017
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Professionalism Conference Draws Enthusiastic Crowd and Impressive Reviews

Two outstanding keynote talks and panel presentations by the five leading clinical ethicists in Northern New England highlighted the Professionalism conference hosted by MMA, the Lown Institute and partnering professional associations on Saturday in Portsmouth, NH. Over 100 attendees provided very positive reviews of the day's events. Efforts will be made to continue the dialogue.


The day long conference had been in the works for well over a year and had been a joint effort among the Lown Institute and the Northern New England professional associations representing physicians, nurse practitioners and physician assistants. The speakers examined the current barriers to busy clinicians conducting themselves professionally and also the aspects of the current system leading to stress and burnout.

The morning keynote talk by Thomas Bodenheimer, M.D., MPH was entitled "Professionalism in the Age of Medical Conglomerates" and addressed the following topics:

  • Traditional physician professionalism: a contract between the medical profession and society
  • The medical profession breaks its contract with society
  • Medical conglomerates flourish
  • Impact on physicians
  • New views of professionalism

         

Dr. Bodenheimer discussed frankly the fragile bond between physicians and society and the loss of trust as the cost of health care has exploded and the quality of that care has been challenged by the IOM report and others. He also discussed the consolidation of the health insurance industry, hospitals and physician practices and the relationship of these events to physicians reporting the prevalence of burnout rising from 45 to 54% between 2011 and 2014. The burnout rate of the general working population in 2014 was 28%.  And he noted that burnout is associated with unnecessary testing and referrals, increased costs, lower quality and reduced patient experience of care. 
 
Dr. Bodenheimer attributed burnout to a lack of autonomy and control over work and noted that the content of the work does not match what physicians were trained for. EMRs were noted as an issue as well as the pressure to see more patients. And the average number of clinical items addressed in a 20 minute primary care visit has increased from 5.4 (1997) to 7.1 (2005). He also discussed how physicians spend their time and the general degradation of work under some models of modern management. He noted some bright spots around the country where preserving the division of labor occurred but was joined with conception and execution of work with teams.
 
Dr. Bodenheimer closed by talking about the Charter on Medical Professionalism (2002) and the Quadruple Aim.
 
The afternoon keynote speaker, Eric Campbell, PhD, Professor of Medicine at Harvard Medical School. Dr.Campbell is a sociologist with a special interest in physician conflicts of interest. His talk featured the current status of relationships between prescribers and industry.

 

 
Two panels of clinical ethicists responded to the morning keynote talk and also raised several additional topics. Attendees had ample time to ask questions and provide commentary and the  final reactor panel concluded that discussion of these issues was essential and should continue beyond the conference.  
 
One of the highlights of the conference was the performance of a one act play entitled, "Side Effects" written and performed by playwright and actor Michael Milligan. In the play, Milligan shares the struggles of a solo practicing physician through a fictionalized account of Dr. William MacQueen. As bureaucratic and financial pressures collide with his professional standards, Dr. MacQueen must reconcile the Art and Business of Medicine. The play was profound and Mr. Milligan received a standing ovation and many accolades from attendees.

 

 
MMA wishes to thank the Lown Institute and our collaborating medical, nursing and PA associations and organizations including Maine AllCare, the Maine Hospital Association and Quality Counts. We also wish to thank and acknowledge the following commercial sponsors:
 
Baystate Financial
 
CDI Quality Institute
 
Community Health Options
 
Dr. First
 
MedHelp Maine
 
NH Med Bank
 
Maine Medical Education Trust
 
Maine Independent Clinical Information Service (MICIS)
 
Norman Hanson and Detroy
 
Physicians Foundation
 
Spectrum HealthCare Partners
 

News and Views from the 2017 AMA Annual Meeting

Maine physicians Robert McAfee, M.D., Charles Pattavina, M.D., Maroulla Gleaton, M.D., Richard Evans, M.D., and Jack McGill, M.D. represented Maine in Chicago.  Tufts University School of Medicine, Maine Track students Kimberly Dao, Corinne Carland, and Nabil Saleem also participated in the meeting.

As another AMA Annual Meeting came to a close last week, physicians adopted a number of new policies to improve the health of the nation.

Highlights include:

You can find reference committee reports and other business documents from the meeting on the AMA web site here.

 

AMA Launches Opioid Education Microsite

As part of its continued advocacy efforts to help reverse the nation's opioid epidemic, the AMA last week launched a microsite focused on providing physicians with state- and specialty-specific education and training resources.

The microsite, www.end-opioid-epidemic.org, includes nearly 300 education and training resources across three major categories:

  1. Recommendations from the AMA Opioid Task Force  
  2. State medical society resources
  3. Medical specialty society resources

Physicians can use the site's "State Selector" and "Specialty Selector" to find tailored education and training resources. The AMA Opioid Task Force also has identified numerous national education and training resources. The site highlights the progress physicians have made in using prescription drug monitoring programs, reducing the nation's opioid supply, increasing treatment capacity and increasing access to naloxone.

To further support physicians and patients locating physicians authorized to treat opioid dependency with buprenorphine by state, each state-specific page includes a link to the U.S. Substance Abuse and Mental Health Services Administration Buprenorphine Treatment Practitioner Locator.

"Physicians have made progress, but to truly reverse the nation's opioid epidemic, we all have much more work to do," said Patrice A. Harris, MD, MA, chair, AMA Opioid Task Force. "That's why the Task Force urges physicians to increase their efforts and use PDMPs, enhance their education, help prevent overdose deaths by co-prescribing naloxone, and improve access to the best treatment options available." 

While the initial launch of the website is focused on encouraging physicians to take action by using education and training resources, the next phase of the website will encourage physicians and patients to share their own stories.

America's medical community continues to focus on ways to support patients who need treatment as well as help increase overdose prevention efforts. The AMA Opioid Task Force also recently issued recommendations focused on safe storage and disposal, encouraging physicians to:

  1. Talk to your patients about proper use of opioid analgesics
  2. Remind your patients to safely store medicines away from children and never share prescriptions
  3. Urge your patients to safely dispose of expired, unwanted, and unused medications, utilizing pharmacy and law enforcement "Take Back" resources

  

MMA Annual Benefit Golf Tournament Monday, July 10, 2017

MMA's Annual Benefit Golf Tournament is still available for registration.

The tournament will feature a traditional four player scramble format and will be played at the Augusta Country Club in Manchester.  Lunch will begin on the deck at 11:00am with a shotgun start at noon.  Net proceeds will again benefit the medical student scholarship fund which is hosted within the Maine Medical Education Trust.

 
Persons wishing to play or sponsor a team or hole or contribute an item for the raffle should contact Lisa Martin at MMA (lmartin@mainemed.com or call 622-3374 ext. 221).  The cost to play is $125 per player or $500 for a four person team.   
 
Prizes will be awarded to the top three teams with low gross and low net scores with additional prizes for closest to the pin (on all par 3's) and longest drive (men and women).
 
Brian Jumper, M.D. is the Tournament Chair.

HHS Update on WannaCry and New OCR Resources on Reporting After Cyberattacks

The AMA recently notified physicians of a global ransomware attack known as WannaCry, which jeopardized the security of computers and medical devices.

The U.S. Department of Health and Human Services (HHS) is cautioning providers that it is aware of two large, multistate hospital systems that are continuing to face significant challenges to operations because of the WannaCry malware.

This is not a new WannaCry attack, but rather an effect of the virus remaining on a machine even after the machine's Windows software is patched and anti-virus software has been run. Those two activities block the virus from executing its encryption stage. However, the virus may still disrupt Windows operating systems in varying ways. For example, it may cause the device to reboot or display a "blue screen." HHS states that the virus will not spread from a machine where it still exists to a patched machine.

HHS also released new emergency contact information for the U.S. Food and Drug Administration (FDA) in the event that a practice experiences a suspected cyberattack affecting medical devices: (866) 300-4374. Reports of impact on multiple devices should be aggregated at a system/facility level.

Finally, the HHS Office of Civil Rights has released an infographic and quick-response checklist to explain the steps a covered entity should take in response to a cyber-related security incident. It notes that covered entities must presume protected health information that is improperly accessed, acquired, used or disclosed at the time of a cyber-related security incident is a breach unless:

  • The information was encrypted by the covered entity at the time of the incident. 
  • The entity determines through a written risk assessment that there was a low probability that the information was compromised during the breach.

  

MMA Files Comments on Licensing Board Rules on Use of Controlled Substances for Treatment of Pain

On June 1, MMA filed comments with the Board of Licensure in Medicine on proposed Rule, Chapter 21, Use of Controlled Substances for Treatment of Pain. The proposal was prepared jointly by five licensing boards representing prescribers including Physicians, PAs, Nurse Practitioners, Podiatrists and Dentists.

MMA's comments can be found on the MMA website at www.mainemed.com. The highlights of the comments are as follows: 

  • Some portions of the rule are inconsistent with Chapter 488 and the anticipated amendments to Chapter 488. These should be amended to conform to the law.

  • By adopting the principle of Universal Precautions and proposing to delete the current language in Chapter 21 which states that the Boards will not take disciplinary action against a prescriber for deviating from the rule when contemporaneous medical records document reasonable cause for deviation, the proposed rule removes the critical element of judgment from medical practice insofar as the prescribing of opioid medical is concerned.  

  • The obligation for clinicians to offer or arrange evidence-based treatment for patients with opioid use disorder is unrealistic in some parts of the state where services are sparse or non-existent.

  • In many portions of the proposed rule references are made to controlled substances when the reference should be to the narrower term opioids.

  • The requirement of Universal Precautions removes the critical element of medical judgment and is overly broad.

  • The obligation regarding managing withdrawal or referring to an addiction specialist is unrealistic given the short supply of such specialists in the state.

  • There should be reasonable exceptions to the universal requirements for treatment agreements, urine drug screens and random pill counts.

  • Continuing Medical Education requirements should be consistent among the boards.

The Board of Licensure in Medicine is expected to review the final rule at its July meeting but all five of the boards must review and approve the final rule before it becomes effective.  

FDA Requests Halt to OpanaŽ ER Sales

The Food and Drug Administration has asked Endo Pharmaceuticals to remove Opana® ER from the market because of its high potential for abuse.

From the AMA Morning Rounds:

        According to the New York Times (6/8, Grady, Subscription Publication), “the drug, Opana ER – a form of...oxymorphone hydrochloride – has been heavily abused and linked to outbreaks of H.I.V., hepatitis C and a serious blood disorder among people who crush the pills into powder and inject it.” The Times adds that the FDA’s move “may signal a more aggressive approach against prescription opioids that are found to be widely abused.” In a statement, FDA Commissioner Scott Gottlieb, MD, said, “We are facing an opioid epidemic – a public health crisis, and we must take all necessary steps to reduce the scope of opioid misuse and abuse.” Dr. Gottlieb “added that the F.D.A. would continue to ‘take regulatory steps’ against products fueling the epidemic.”

        The Wall Street Journal (6/8, Whalen, Subscription Publication) reports that FDA’s Center for Drug Evaluation and Research Director Janet Woodcock said in a statement, “The abuse and manipulation of reformulated Opana ER by injection has resulted in a serious disease outbreak. When we determined that the product had dangerous unintended consequences, we made a decision to request its withdrawal from the market.”

 

Is Your Staff Checking BP Correctly?

In a recent study, only one of 159 medical students used the proper procedure to check blood pressure of a 50-year-old new to the practice. Do you know the correct method?


From the AMA Wire:

At a recent medical conference, 159 medical students volunteered to take part in a blood-pressure check challenge. Individually, students went into a mock exam room where a patient actor sat, legs crossed, on an elevated stool with no arm, back or foot support. An empty chair with support for the patient’s back and arms was next to the stool. A table that could support the patient’s arm properly was adjacent to the stool and an automated BP monitor, a tape measure and small, medium, large and extra-large BP cuffs sat on the table.

The students were told the patient actor was 50 years old, new to the practice and had not seen a doctor in several years, a scenario that calls for health professionals to check blood pressure in both arms. Researchers asked the students to measure the patient’s BP and write down the results. Professional observers evaluated the students in action and passed or failed them on 11 skills.

The results were “disappointing,” study authors said in an article published in The Journal of Clinical Hypertension. Just one student scored 100 percent. On average, students performed 4.1 of the 11 skills correctly. The “Blood Pressure Check Challenge” was held at the 2015 AMA Annual Meeting.

“Given these students represented schools in 37 states, the results suggest it is unlikely that current U.S. medical students are able to perform reliably the skills necessary to measure BP accurately,” the study authors wrote.

(For the rest of the article, follow this link.)

 

Weekly MMA Legislative Committee Conference Call Information

MMA Legislative Committee Chairs Katherine Pope, M.D. and Stephen Meister, M.D. welcome you to participate in the weekly conference calls of the MMA Legislative Committee. MMA staff will report on the status of bills which have come up for a vote in the House and Senate.

MMA Legislative Committee Chairs Katherine Pope, M.D. and Stephen Meister, M.D. welcome you to participate in the weekly conference calls of the MMA Legislative Committee.

The next MMA Legislative Committee weekly conference call for the First Regular Session of the 128th Maine Legislature will take place tomorrow, Tuesday, June 20th, at 8:00 p.m.

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate. Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate. It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode. These will remain the same for every weekly call during the session.

Conference call number:  207-480-4790
Passcode:  057614#

The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week. The calls rarely last longer than an hour. The MMA staff lists a suggested position for each bill and any medical specialty particularly affected by the bill. 

If you have an opinion about any of these bills, but cannot participate in the call, please contact Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com or 480-4187, or Peter Michaud, Associate General Counsel at pmichaud@mainemed.com or 480-4199.

No new bills of interest to medicine were printed last week. During this week's call MMA staff will discuss current status of bills discussed earlier and updates on floor debates and other action in the House and Senate.


Legislative Highlights of the Week

Read what happened this past week in the Maine Legislature: floor votes in the House and Senate, budget negotiations, and more.

The legislative week ended on a sour note for physicians. Just a few minutes before this writing, the Senate voted 26-9 to eliminate jury duty exemptions for physicians...in fact for anyone other than the governor and those on active military duty. LD 46 had been presented as a bill to add nurse practitioners to the list of those exempt, but at the hearing the judicial system lobbyist offered an amendment changing the bill completely by removing the exemptions. The MMA and other physician organizations had no advance notice of the change. The House has not yet voted on the bill, but the margin of the vote in the Senate is not hopeful.

As far as anyone knows, there continues to be a stalemate on the budget. The sticking point is the 3% surtax on household incomes over $200,000. The House and Senate Democrats have offered a compromise, and the Senate Republicans have been willing to discuss it, but the House Republicans remain steadfast in opposing anything but a total repeal of the surtax. Those of us who were around Augusta in some capacity in 1991 remember the last State shutdown: it wasn't pretty, and it left scars that persisted for a very long time.

Okay, enough bad news for now; there is some good news, too. LD 503, which would fund the "Doctors for Maine's Future" program with a $16 million endowment in the 2018-19 fiscal year, has passed both the House and Senate. It is now on the "special appropriations" table, where all bills that bear a fiscal note (an amendment showing how much implementation would cost) are placed pending passage of the budget. The last thing the Appropriations Committee does is decide which bills will come off the special appropriations table and be sent to the governor for his consideration. Many bills do not make it off that table, but LD 503 has had consistent strong support and we are very hopeful that it will become law this year.

The governor had vetoed LD 324, which would allow corrections officers to administer naloxone. Both the House and Senate voted strongly to override the veto, which means that the bill becomes law. Lives will be saved.

LD 456 is an example of how the simple passage of a bill does not necessarily mean it will become law. This bill, which would allow pharmacists to administer all vaccines to adults with a standing order and boosters to children 11-18 with a prescription, has passed the House and Senate but carries a fiscal note. That means it is on the special appropriations table, and chances are good that it will die there. If it does, that will mean a victory for the pediatric health home concept and unified treatment of children and adolescents.

By a margin of one vote the House failed to pass a bill, LD 327, that would allow wrongful death cases in probate court on behalf of fetuses who failed to survive after more than 24 weeks gestation. While the bill excepted mothers and physicians in cases of lawful abortion, it would have changed the law significantly by recognizing legal rights in an unborn fetus: the court case would be brought by the estate of the fetus. The bill is currently tabled in the Senate, awaiting action.

LD 889, which would prohibit use of tanning beds by children under 18, passed both the House and Senate in late May. On Friday, June 9th, the Governor vetoed the bill. MMA and other health lobbyists worked hard for override, but the House failed to override the veto, so for the third session in a row this bill will not become law.

Finally, LD 1031 and LD 1363, the two bills that clarify and improve the opioid law and rules passed last year, have both passed through the two chambers of the Legislature. The governor signed the bills Friday and today (June 19th), and since they are emergency legislation they become effective immediately.

 

Call Your State Representatives: L.D. 46 Eliminating Physician Exemption from Jury Duty Passed the Senate!

In an ironic but dangerous twist, legislation to add nurse practitioners to the list of individuals exempt from jury duty has resulted in a near unanimous recommendation from the Judiciary Committee to eliminate all the current exemptions, including the exemption for physicians and dentists in active practice. On June 19th, the Senate voted to pass the bill. Now it's up to the House.

L.D. 46, An Act to Provide Consistency Among Medical Professionals with Regard to Jury Duty Exemption, was introduced at the request of the Maine Nurse Practitioner Association. MMA took no position on the bill, following discussion during one of the weekly calls of the Legislative Committee. But when the bill was heard before the Joint Standing Committee on the Judiciary, the lobbyist for the Judicial branch presented an amendment which eliminated all of the current exemptions. When MMA representatives were advised of the amendment, we attended the work session but none of the outside interests were provided an opportunity to present the arguments against the amendment at the work session. The bill, now with the amendment, passed the Senate on June 19th by a vote of 16-9.

 
A recent survey by MMA of membership on the question of whether physicians should remain exempt from jury duty showed strong support for retaining the exemption (68% in favor, 20% opposed and 12% with no opinion). It would be helpful for physicians to call your state representatives to discuss your views on the bill as well as the process issue (no hearing on the amendment, despite it being directly contrary to the bill's intent), the difficulty it would pose to the efficient operation of medical and dental practices, and the difficulty, inconvenience and expense for patients.   

It is essential that MMA members contact our legislators so that they hear the message: physicians are doing their share.

June 20 Webinar: Recognizing When Patients Have Concerns About the Cost of Their Health Care

Webinar: Tuesday, June 20 12:00-1:00pm  

Recognizing When Patients Have Concerns About the Cost of Their Health Care

Peter A. Ubel, M.D. is a physician and behavioral scientist whose research and writing explores how people make decisions related to health and health care.  He is the Madge and Dennis T. McLawhorn University Professor of Business, Public Policy and Medicine at Duke University.  He is the director of the Program for Improving Healthcare Consumerism and core faculty at the Duke-Margolis Center for Health Policy.  He uses the tools of decision psychology and behavioral economics to explore topics like informed consent, shared decision making and health care cost containment.  He has authored over 250 academic publications, he majority of which involve empirical explorations of decision psychology as it pertains to health care.  He has written for the New York Times, the Los Angeles Times, the Atlantic, the New Yorker, and is a regular contributor at Forbes.  His books include Pricing Life (MIT Press 2000), Free Market Madness (Harvard Business Press, 2009) and Critical Decisions (HarperCollins, 2012).  You can find his blogs and other information at http://www.peterubel.com/. 

Register here

 

National Medicare Education Program June 28

Save the date, June 28th, for a CMS Medicare webinar.

There will be a National Medicare Education Program conference call and webinar on Wednesday, June 28, 2017. from 2:00 to 3:30 Eastern time. The program is free and is sponsored by the Centers for Medicare and Medicaid Services (CMS). Watch for agenda and registration information coming soon.

Online Learning Opportunities Offering CME Credits - from the Northern New England Practice Transformation Network

Take Advantage of Online Learning Opportunities Offering CME Credits - Available 24/7 now from the Northern New England Practice Transformation Network (NNE-PTN)

Take Advantage of Online Learning Opportunities Offering CME Credits - Available 24/7 now from the Northern New England Practice Transformation Network (NNE-PTN)

The Northern New England Practice Transformation Network, led by Maine Quality Counts in collaboration with the Citizens Health Initiative at the University of New Hampshire's Institute for Health Policy and Practice, and Vermont Program for Quality in Healthcare, Inc., is funded through the Centers for Medicare and Medicaid Services' Transforming Clinical Practice Initiative to provide technical assistance to support you, your practice, and your consumers in the transition to value-based payment. The QC Learning Lab has been designed to support health care practitioners and professionals, and practice teams with a wide range of continuing education offers including online courses, webinars, and learning sessions.

Topics include:

  • Improving Patient Outcomes with Cost of Care Conversation in the Clinical Practice
  • How to Transform Practice Finances for Success with Advanced Payment Models
  • Seamless Care
  • Get a Grip on Change
Click here to register for these no cost online learning opportunities, available 24/7 at your convenience.
 
This project is supported by FONCMS-1L1-15-003 from the U.S. Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the author and do not necessarily represent the official views of HHS or any of its agencies or the Maine Medical Association.

Save the Date: MICIS Presentation on Opioid Prescribing in Auburn on Wednesday, July 19

The Maine Independent Clinical Information Service (MICIS) will be presenting a session on opioid prescribing on July 19th in Auburn that is designed to fulfill your 3-hour opioid CME requirement. There is no charge for this session.

Wednesday, July 19 at the Hilton Garden Inn Auburn Riverwatch, Auburn ME 

This  education session will feature an update on Chapter 488 and DHHS and board rules, as well as clinical content with a compassionate, patient-centered perspective. 

The 3-hour program will begin in the late afternoon. Details including start and end times and the the link to registration for the July 19th presentation will be included in next week's MMA weekly update on June 26. The presentation is free -- advanced registration will be required.

Presented by the Maine Independent Clinical Information Service (MICIS), a program of the Maine Medical Association. This MICIS presentation activity qualifies for a maximum of 3 CME credits of the 3 CME credit requirement for opioid medication education found in P.L. 2015, Chapter 488, Maine's recent legislation to address the opioid drug abuse crisis. (Attendees should only claim credit for the hours they attend.)

16th Annual Downeast Ophthalmology Symposium - September 15-17

Spread the word across the country!  The Maine Society of Eye Physicians and Surgeons will be presenting the 16th Annual Downeast Ophthalmology Symposium at the Harborside Hotel & Marina in Bar Harbor, Maine September 15-17, 2017!  

The Maine Society of Eye Physicians and Surgeons will be presenting the 16th Annual Downeast Ophthalmology Symposium at the Harborside Hotel & Marina in Bar Harbor, Maine September 15-17, 2017! The Symposium is open to ophthalmologists across the country and offers 16.00 AMA PRA Category 1 Credits.

Please spread the word across the country.....we would love to have someone represent every state!

DATES:  September 15-17, 2017

LOCATION:  Harborside Hotel & Marina, Bar Harbor, ME  04351

TOPICS:  Glaucoma, Cornea/Cataract/Refractive, Retina

MORE INFORMATION / REGISTER NOW

 

Patient Safety Academy - September 29

Join us for the 8th Annual Patient Safety Academy!  This day-long event is open to anyone interested or engaged in patient safety activities.

This day-long event is open to anyone interested or engaged in patient safety activities.  The Academy includes plenary sessions, exhibits, and networking opportunities.  Workshops will provide skill-building and best practice lessons in the areas of patient engagement, infection prevention, falls prevention, antibiotic stewardship, patient safety culture, and much more!

WHEN:  Friday, September 29, 2017

WHERE:  Portland, on the USM campus, Abromson Center

COST:  $50 general registration / $25 student registration

MORE INFORMATION / REGISTER

Questions can be directed to Karen Pearson or 207-780-4553.

Maine Providers Standing Up for Healthcare Schedules Press Conference for this Friday in Lewiston

This broad-based, grassroots group of health care practitioners welcomes new members to attend the press event this Friday in Lewiston or to join the ranks!  The group is particularly interested in recruiting new members from northern and eastern Maine.  For more information, please contact Sam Zagar, M.D. at samzagar@gmail.com.

Maine Providers Standing Up for Healthcare is a grassroots organization that arose in early 2017 opposing the repeal of the ACA without a viable alternative.  Our mission is to inform and influence healthcare policy based on our vast experience caring for the people of Maine.  We are deeply concerned about the threat to health coverage for millions of individuals and families. 

Since January, we have organized Op-Ed campaigns and public speaking events, and have lobbied our Congressional delegation through traditional and social media, direct contact, and a public hearing on Capitol Hill. 

Events are rapidly changing in the Senate.  Our next event is a PRESS CONFERENCE this FRIDAY 6/23 at 10:30 am at the CMMC Family Medicine Clinic at 76 High Street in LEWISTON.  The purpose is to urge Senator Collins to oppose any bill that would reduce the number of Mainers with health insurance. Speakers will include frontline providers, patients, and state legislators. 

Google maps- https://tinyurl.com/y8bgosy7 

All are welcome.

Any frontline healthcare providers in Maine (physicians, nurses, advanced practice professionals, mental health providers, physical therapists, etc) interested in becoming involved with the organization can email Dr. Sam Zager at samzager@gmail.com.

 

Register Now for the MMA and Maine Health Management Coalition 2017 Symposium on October 11

Join us on October 11, 2017 at the University of Southern Maine in Portland for the 3rd annual symposium on health care value.  Registration is now open.

This year we are excited to announce that our keynote speaker will be Dr. Elisabeth Rosenthal, Editor-in-Chief at Kaiser Health News and the New York Times best-selling author of An American Sickness: How Healthcare Became Big Business and How You Can Take it Back.

Registration, the conference agenda, and information about breakout sessions and speakers are available at www.mehmc.org/symposium

Family Medicine Physician - Pittsfield, ME

Sebasticook Valley Hospital is seeking a full time Family Medicine physician to join Sebasticook Valley Family Care a modern practice located just off I-95 in Pittsfield.

Sebasticook Valley Hospital is seeking a full time Family Medicine physician to join Sebasticook Valley Family Care a modern practice located just off I-95 in Pittsfield.  Be part of a ten member collegial medical staff providing primary care services in a rural community. Work schedule is 4 days per week, with limited telephone call from home.  This position comes with competitive compensation, fringe benefits, assistance with medical education debt, signing/relocation bonus negotiable. 

SVH is a 25-bed modern critical access hospital located in Pittsfield which is 20 minutes north of Waterville, and 40 minutes south of Bangor. The hospital serves a population of 30,000 in this central Maine area.  SVH takes a proactive approach in helping people in the Sebasticook Valley improve the quality of their lives. The hospital works with local businesses, schools, the religious community, other healthcare providers, area organizations, and private individuals to make the Valley a healthy place to live. SVH serves has a wide range of outpatient services, including over 20 specialty services.
 
For more information, please contact Sherry Tardy, PHR, DASPR, at 207-487-4085 or email a CV for review to stardy@emhs.org.

8/7/17

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. 

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 or email emmccvs@emhs.org.
 
7/17/17

Outpatient Only - Internal Medicine with Loan Repayment & Sign-on Bonus

The Central Maine Medical Group seeks BE/BC Internal Medicine physician to join cohesive, well-established, hospital-employed practice in Lewiston, Maine. 

The Central Maine Medical Group seeks BE/BC Internal Medicine physician to join cohesive, well-established, hospital-employed practice in Lewiston, Maine.  We offer:
  • Up to $200K in medical student loan repayment
  • $50K sign on bonus
  • Up to $12K moving allowance
  • 4 day work week/generous outpatient call
  • Healthy work/life balance
Central Maine affords easy access to the coast and mountains where you can enjoy four seasons of outdoor activities.  We have a growing arts and restaurant scene in a very safe affordable area to live and raise a family.  To join our growing team, contact Gina Mallozzi, Central Maine Medical Center, 300 Main Street, Lewiston, ME  04240.  Email:  MallozGi@cmhc.org; Fax: 207/344-0696; Call:  800/445-7431; or visit our website:  http://recruitment.cmmc.org/.
 
9/18/17
 
 

Part-time Clinical & Part-time Research Position in Central Maine

Central Maine Medical Center and Maine Research Associates seek a physician to work 50% in your specialty and 50% as medical director of its clinical research company.  

Central Maine Medical Center and Maine Research Associates seek a physician to work 50% in your specialty and 50% as medical director of its clinical research company.  Maine Research Associates is a full service clinical trial research center with certified coordinators, over 25 years of experience, and is physician led.  Central Maine Medical Center, located in Lewiston, is a 250 bed, Level II trauma center and is part of a three hospital system serving populations of western and central Maine.   
 
Qualified candidates will be BE/BC in your specialty.  Candidates will possess experience as a Principal Investigator on clinical trials and will understand the clinical research industry, institutional review boards (IRB’s), and the general regulatory requirements of safe & responsible clinical research. 
 
Interested candidates should contact Julia Lauver, CMMC, 300 Main Street, Lewiston, ME  04240.  Fax: 207/755-5854. Email: LauverJu@cmhc.org .  http://www.maineresearchassociates.com/  
https://www.cmmc.org/ 
 
9/4/17

Family Medicine Physician - Winthrop, ME

Winthrop Family Medicine in Winthrop, Maine is recruiting a Family Medicine Physician!

Winthrop Family Medicine in Winthrop, Maine is recruiting a Family Medicine Physician! We are a MaineGeneral Health hospital-owned outpatient practice with four MD/DOs, three NPs, a PA, and integrated behavioral health with an LSW and LCSW. We are one of the original practices in Maine’s Patient Centered Medical Home pilot. We deliver team-based care to a full range of patients spanning newborns to geriatrics, including two local nursing homes, home visits, osteopathic manipulation and functional medicine consultation. There are lab, imaging and physical therapy services on site. We also routinely teach and precept medical, nurse practitioner, physician assistant and medical assistant students. Our patients are admitted by the hospitalist team at MaineGeneral’s Alfond Center for Health, Maine's newest hospital, completed in November of 2013. There are 192 private rooms at the Augusta facility. Generous benefits package offered.

Contact Tiffiny Parker, Physician Recruiter, tiffiny.parker@mainegeneral.org

7/3/17

DO or MD Physician - Augusta, ME

Maine-Dartmouth Family Medicine Residency (MDFMR), a community of allopathic and osteopathic physicians in Augusta, Maine who love to teach, is seeking a DO or MD Physician to join our faculty.

Maine-Dartmouth Family Medicine Residency (MDFMR), a community of allopathic and osteopathic physicians in Augusta, Maine who love to teach, is seeking a DO or MD Physician to join our faculty. Come teach and practice family medicine in a community and hospital system where you will be well supported! Ideal candidate has strong clinical skills and a passion for teaching. Must be willing to practice in both inpatient and outpatient settings and practice of full spectrum family medicine is a plus. We are looking for an enthusiastic, flexible candidate dedicated to high quality patient care. Maine-Dartmouth Family Medicine Residency is a successful and innovative dually accredited, community based, thirty-resident program. MDFMR is a mission-driven organization that provides healthcare to patients of all ages, with an emphasis on underserved and rural people. Our graduates go on to practice in Maine and across the country. Generous benefits package offered. 

Contact Michelle Bragg, michelle.bragg@mainegeneral.org

7/3/17

Family Medicine Physician - Waterville, ME

Waterville Family Practice, a five provider private practice in downtown Waterville, Maine, is seeking a Family Medicine Physician to join the all outpatient practice.

Waterville Family Practice, a five provider private practice in downtown Waterville, Maine, is seeking a Family Medicine Physician to join the all outpatient practice. Enjoy the many advantages and flexibility of a private practice in a brand new facility. You will be joining three other doctors and two physician assistants with an option to remain an employee or buy-in and shared ownerships after 2-4 years. Practice the full scope of family practice without OB care with the support of exceptional specialists in the Waterville area. 

Contact jphelps@watervillefp.com or call 207-873-1185.

7/3/17

Family Medicine Physician/Clinician Leader - Portland, ME

The Maine Medical Center (MMC) and Maine Medical Partners (MMP) are seeking an outstanding clinician-leader to serve as practice leader for the Portland Family Medicine Center. 

The Maine Medical Center (MMC) and Maine Medical Partners (MMP) are seeking an outstanding clinician-leader to serve as practice leader for the Portland Family Medicine Center.  This practice is the location for the main outpatient clinical sites for MMC’s Family Medicine Residency Program.   The residency program has a regional and national reputation for excellence in family medicine training, innovative faculty development and is recognized as a desirable training program for students. 

The successful candidate will be Board Certified in Family Medicine with at least 3 years of experience, with demonstrated leadership, organizational, and mentoring skills. 

Situated on the Maine coast, Portland offers the best of urban sophistication combined with small-town friendliness.  Just two hours north of Boston, this is an exceptionally diverse and vibrant community. 

Please submit a cover letter and CV to:  Alison C. Nathanson, Director, MaineHealth Physician Recruitment at (207) 661-7383 or nathaa@mainehealth.org.

7/31/17

Family Medicine - Windham, ME

Maine Medical Partners Lakes Region Primary Care is seeking an Internal Medicine-Pediatrics or Family Medicine trained physician for their well-established outpatient practice located in Windham, just outside the greater Portland, Maine area.  Outpatient call only, with no attendance at deliveries or hospital call required.

Maine Medical Partners Lakes Region Primary Care is seeking an Internal Medicine-Pediatrics or Family Medicine trained physician for their well-established outpatient practice located in Windham, just outside the greater Portland, Maine area.  Outpatient call only, with no attendance at deliveries or hospital call required.

This well established practice has been in the Windham community for almost 20 years and is part of Maine Medical Center’s Internal Medicine-Pediatrics residency program, with opportunities to teach Medicine-Pediatric Residents and medical students.

Windham is the largest town in the Sebago Lake Region and represents the diversity and character expected of a community 10 miles west of Portland, Maine's largest city.  The area is ideal for outdoor sports and recreation, offering hiking, boating, agricultural fairs and festivals, ice fishing and snowmobiling. 

For more information please contact Alison C. Nathanson, Director, MaineHealth Physician Recruitment Center at (207) 661-7383 or nathaa@mainehealth.org.

7/31/17

Family Nurse Practitioner/Physician Assistant Wanted

Family Nurse Practitioner/Physician Assistant wanted to join rural health clinic practice located in beautiful coastal DownEast Maine.  Seeking FNP or PA with experience treating acute and chronic illnesses for patients of all ages.

FAMILY NURSE PRACTITIONER/PHYSICIAN ASSISTANT WANTED to join rural health clinic practice located in beautiful coastal DownEast Maine.  Seeking FNP or PA with experience treating acute and chronic illnesses for patients of all ages.  Maine Licensure required.  Will work with eligible candidate to secure participation in Loan Repayment programs.  Excellent compensation package available.  Please send resume, references, and salary requirement to: HealthWays/Regional Medical Center at Lubec, Attn: Human Resources, 43 South Lubec Road, Lubec, Maine  04652. Email: trier@rmcl.org   For more information contact :Terry Rier (207) 733-1090 ext 2116 An Equal Opportunity Employer.

7/3/17

Physician - Lubec, ME

Regional Medical Center at Lubec seeks a physician willing to lead and expand our Medication Assisted Treatment services program. 

Regional Medical Center at Lubec seeks a physician willing to lead and expand our Medication Assisted Treatment services program.  As a key member of the team including medical assistants and onsite substance abuse and behavioral health counselors, the physician will provide evaluation and medical management of patients struggling with opiate addiction.  Current unencumbered license to practice medicine in Maine and Suboxone Certification (or willingness to take the certification program) required.  Familiarity with evidenced-based chemical dependency care and risk management strategies a plus.  Position is part time but can be combined with family practice to be a full time position. Salary negotiable, commensurate with qualifications and experience.  Please send CV and cover letter to: Regional Medical Center at Lubec, Attn: Human Resources, 43 South Lubec Road, Lubec, Maine 04652 or email: trier@rmcl.org.  For more info contact: (207) 733-1090 ext 2116.  Equal Opportunity Employer.

7/3/17

Nurse Practitioner - Swift River Family Medicine - Rumford, ME

The Nurse Practitioner is responsible for providing primary healthcare to patients and families of all ages, focusing on health maintenance, disease prevention, patient education and counseling.

New Grads are encouraged to apply!

The Nurse Practitioner is responsible for providing primary healthcare to patients and families of all ages, focusing on health maintenance, disease prevention, patient education and counseling. Provider will be involved with Occupational Health, Employee Health and DOT physicals (training available). Expectations are to see between 16-20 patients per day, depending on experience.  Current practice holds 4900 patients with 5 Medical Doctors and one OB GYN.  We also host a rural track residency program with 1-4 resident providers on any given day.   

Current Registered Nurse and Advanced Practice Nurse License in the State of Maine.

Full Time, Monday-Friday;busy family medicine practice located in Rumford, Maine. Call ratio 1/8 with clinical staff doing 1st call assist.

Contact: Donna Lafean, CMMC Associate Professional Recruiter

Phone: 888-832-4057

Fax: 207-344-0658

E-mail: lafeando@cmhc.org

7/31/17

Physician Assistant/Nurse Practitioner - Bridgton, ME

Bridgton Hospital, part of the Central Maine Medical Family, seeks a physician assistant or nurse practitioner to join its well-established hospitalist program.

Bridgton Hospital, part of the Central Maine Medical Family, seeks a physician assistant or nurse practitioner to join its well-established hospitalist program. The full time hospitalist PA/NP would be responsible for two regular weeknight shifts and every fifth weekend, allowing for a healthy work/life balance. The candidate would be responsible for overnight admissions and care of acute inpatients and swing bed patients in our 21-bed critical access hospital. This is a contracted position with opportunities for loan repayment and additional per diem hours. Previous hospital experience necessary.

 
For more information visit our website at ww.bridgtonhospital.org. Interested candidates should contact Donna Lafean, CMMC Associate Professional Staff Recruiter, 300 Main Street, Lewiston, ME 04240; email: lafeando@cmhc.org; call: 800/445-7431; fax: 207/344-0658.
 
7/31/17

 

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.

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.

 9/11/17

Gastroenterologist - Brunswick, Maine

Mid Coast Medical Group is seeking a full time BC/BE Gastroenterologistto join an established Gastroenterologypractice with two Physicians and two Nurse Practitioners.

Mid Coast Medical Group is seeking a full time BC/BE Gastroenterologistto join an established Gastroenterologypractice with two Physicians and two Nurse Practitioners. Position includes outpatient and operative work, conveniently located adjacent to Mid Coast Hospital and the state-of-the-art Digestive Health Center. New graduates and experience candidates are encouraged to apply.

The Coastal location, thriving downtown, historic neighborhoods and Bowdoin College campus make this part of Maine a very desirable place to live.

Mid Coast offers competitive benefits and compensation package, along with an excellent work environment.

For more information or to submit CV, contact Melanie Crowe, Physician Recruiter: mcrowe@midcoasthealth.com, Phone 207-406-7872.

Visit our website at www.midcoasthealth.com.

9/11/17

Ophthalmologist - Brunswick, Maine

Mid Coast Medical Group is seeking a full time BC/BE Ophthalmologistto join an established, comprehensive practice with locations in Bath and Brunswick, Maine.

Mid Coast Medical Group is seeking a full time BC/BE Ophthalmologistto join an established, comprehensive practice with locations in Bath and Brunswick, Maine. The recruited position will replace a retiring partner in a group with 4 Ophthalmologists and one Optometrist.  New graduates and experienced candidates are encouraged to apply.

The Coastal location, thriving downtown, historic neighborhoods and Bowdoin College campus make this part of Maine a very desirable place to live.

Mid Coast offers competitive benefits and compensation package, along with an excellent work environment.

For more information or to submit CV, contact Melanie Crowe, Physician Recruiter: mcrowe@midcoasthealth.com, Phone 207-406-7872.

Visit our website at www.midcoasthealth.com.

9/11/17