Maine Medicine Weekly Update - November 19, 2018
(Print All Articles)

Expectations High for Mills Administration on Health Care Issues

Governor-elect Janet Mills has begun to assemble her team that will hit the ground running on Jan. 2, 2019 and she has repeatedly stated that among her first priorities are MaineCare expansion and tackling the opioid/drug epidemic.

 

Expectations are running high in the health care community as the Governor-elect, the first female Governor of the State, has a substantial interest in and much background on issues impacting physicians, hospitals and other health care practitioners and organizations. She was one of the three founders of the Maine Opiate Collaborative, organized in September, 2015 and also was a member of the Task Force to Address the Opioid Crisis in the State which presented its report in December, 2017 to the Second Session of the 128th Legislature. During the campaign she issued a detailed 10 point plan to address the opioid/heroin/fentanyl issue in the state.  Among those recommendations are removing the two year limit for medication assisted therapy (MAT) in MaineCare and increasing reimbursement to providers of MAT.

 
During the 128th Legislature, Governor-elect Mills presented legislation to increase the transparency of steep increases in drug costs and more recently has advocated for lowering the costs of health insurance premiums. She has named MidCoast Hospital CEO Lois N. Skillings to her transition team which is charged with making recommendations for the major cabinet positions, including Commissioner of Health and Human Services.
 
MMA looks forward to working with the Mills administration as positions are filled and the Governor-elect takes office.  
 
 

Legislature’s Coverage Task Force Issues Report

The Maine Legislature’s Task Force on Health Care Coverage for All of Maine issued its final report last week. It has issued recommendations in three subject areas.

 

The Maine Legislature’s Task Force on Health Care Coverage for All of Maine issued its final report last week. It has issued recommendations in three subject areas.

The first recommendations relate to the task force itself and legislative oversight of health reform proposals, including centralizing oversight of health care reform in the Insurance and Financial Services Committee, to be renamed the Committee on health Care, Insurance, and Financial Services. It also suggests reestablishing the task force in the next legislative session to continue its work.

The second set of recommendations suggest proposing legislation to address the transparency, accountability, and oversight of pharmacy benefit managers, as well as to consider changing the Maine Health Data Organization’s structure, funding, and capacity for reporting and analyzing health care costs and quality.

The third set recommend that a variety of areas be studied further. Those include prescription drug pricing, responses to changes in federal law and regulations, and looking carefully at the regulatory structure of Maine’s health insurance market.

The full report can be found here: https://legislature.maine.gov/doc/2509 .

 

Athenahealth Inc. Sold

Athenahealth, the cloud-based EMR and billing service with over 900 employees in Belfast, was sold this past week for approximately $5.7 billion  or $135 per share. The buyer was private equity firm Veritas Capital and Elliott Management Corp.

 

Hundreds of Maine providers use one or more Athenahealth modules. The sale concludes a difficult period of time during which critics and shareholders pushed the company into a sale. The company was founded by Jonathan Bush in 1997. Jonathan is a nephew of former President George H.W. Bush and spent summers growing up on North Haven Island. The company, with headquarters located in Watertown, MA, opened its Belfast offices in 2008 in space formerly occupied by MBNA, the former affinity credit card issuer and server.

Any impact on the operation of the company or its work force in Belfast is unknown at this point.
 

 
 

Maine Suicide Prevention Program/NAMI Maine Presents 2 Programs for Clinicians Nov. 30

NAMI Maine, in partnership with MMA, will present educational programs on Suicide Assessment and Prevention & Management of Non-Suicidal Self-Injury in the Healthcare Setting.

 

In partnership with MMA, two programs are being offered on November 30th:

Suicide Assessment for Clinicians -Learn about suicide trends in high risk populations across the lifespan and the steps of a suicide risk assessment interview. Learn about intervention, determination of level of care, treatment, and referral. Designed for those working in mental health and primary care clinical roles who need more in-depth resources. Review of the Columbia Suicide Severity Rating Scale (C-SSRS) - approved for CME’s as well as CEUs.

Non-Suicidal Self Injury: Prevention and Management in a Healthcare Setting -Non-suicidal self-injury is the direct, deliberate destruction of body tissue in the absence of suicidal intent is on the rise among youth and young adults. This training reviews demographics, risk factors, and warning signs as well as recommendations for assessment, intervention, and management of self-injury with protocol development and implementation resources to support clinical providers, behavioral health clinicians, and other professional staff working in educational or healthcare settings. 

Click here to register.

 

Rule Amends Blood Test Requirement for Newborns

The Maine Center for Disease Control and Prevention has adopted new requirements for its newborn screening program. 

 

[from the Maine Hospital Association's EClips]

The Maine Center for Disease Control and Prevention has adopted new requirements for its newborn screening program. 

The revised rule, which was released and took effect November 14, amends the requirements for healthcare providers to test for certain congenital genetic disorders, which, if left untreated, can cause intellectual and developmental disability, serious illness or death. 

The rule also amends the protocols for collecting and storing newborn bloodspot screening (NBS) specimens and for reporting out-of-range results. It also establishes conditions for releasing NBS samples for research purposes and specifies that parents/legal guardians may request that their child’s residual filter paper specimens be destroyed.

AMA Urges OIG to Create Value-Based Anti-Kickback Safe Harbor

In a comment letter responding to the "Request for Information regarding the Anti-Kickback Statute, and Beneficiary Inducement Civil Monetary Penalty," the AMA urged the Office of Inspector General (OIG) to create a new value-based anti-kickback safe harbor to facilitate coordinated care and to promote well-designed alternative payment models (APMs).

 

In a comment letter responding to the "Request for Information regarding the Anti-Kickback Statute, and Beneficiary Inducement Civil Monetary Penalty," the AMA urged the Office of Inspector General (OIG) to create a new value-based anti-kickback safe harbor to facilitate coordinated care and to promote well-designed alternative payment models (APMs). AMA calls for the safe harbor to be broad, covering both the development and operation of a model to allow physicians to transition to an APM, and to provide adequate protection for the entire care delivery process—including downstream care partners.

The AMA also recommended that OIG create an anti-kickback safe harbor for the sharing of cybersecurity tools and resources. The AMA stressed that any cybersecurity safe harbor be easy to understand, interpret and enforce so that donors and recipients can readily distinguish permissible activities from those that violate the anti-kickback statute. The AMA suggested that the current EHR safe harbor may act as template for a new cybersecurity safe harbor.

Other recommendations from the AMA include:

  • Allowing personal services and management contracts that reward value and allow for incentive payments for efficient and better care
  • Expanding the warranty safe harbor to include bundled payments
  • Making the EHR safe harbor permanent and include covering replacement technology
  • Creating policy guidance that meeting the promoting access to care Civil Monetary Penalty (CMP) exception gets Anti-Kickback Statute protection
  • Establishing a new CMP exception from remuneration to allow for beneficiary incentives for adherence and management activities
  • Asking for policy guidance to waive cost-sharing when the amount is nominal (i.e., when reasonable collection efforts cost more than would be collected)

 

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.

 

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.

 

Visits to Physicians for Primary Care Declined From 2012 to 2016

Office visits to primary care physicians have declined, while visits to nurse practitioners and physician assistants increased.

 

[from AMA Morning Rounds]

Modern Healthcare (11/15, Kacik, Subscription Publication) reports, “Office visits to primary-care physicians have plummeted despite the expectation that frequent checkups with primary-care doctors improve a person’s health and lower costs,” research indicated.

MedPage Today (11/15, Lyles) reports that during the same time, “shifts in care led to gains for nurse practitioners (NPs) and physician assistants (PAs), “researchers found in “an analysis of private insurance claims.” During that four-year period, “office visits to see a primary care physician (PCP) decreased by 18% among patients 65 and under with employer-based insurance (1,510 to 1,237 visits per 1,000 providers),” the study found. The findings were published in HCCI: Trends in Primary Care Visits.

 

Health Insurance Marketplace 2019 Open Enrollment Now Through December 15, 2018

Open Enrollment for 2019 health insurance plans through the Health Insurance Marketplace began on November 1 and ends on December 15, 2018.

 

Health Insurance Marketplace Open Enrollment for 2019 began on November 1. Many people can get help with premiums or out-of-pocket costs for plans in the Health Insurance Marketplace.

2019 Open Enrollment ends on December 15, 2018.

Legislative Leaders Selected; Others Seek to Become Constitutional Officers

Presiding officers and leadership have been determined for the upcoming 29th Maine Legislature. House Speaker Sara Gideon (D-Freeport) will retain her position, while Senator Troy Jackson (D-Allagash) will assume the position of Senate President as the result of the change in majority party in the Maine Senate.

 

 

Presiding officers and leadership have been determined for the upcoming 29th Maine Legislature. House Speaker Sara Gideon (D-Freeport) will retain her position, while Senator Troy Jackson (D-Allagash) will assume the position of Senate President as the result of the change in majority party in the Maine Senate.

In the House of Representatives, all of the other party leadership positions will be occupied by new people. Rep. Matt Moonen (D-Portland) will be House Majority Leader and Rep. Ryan Fecteau, who formerly chaired the Labor, Commerce, Research, and Economic Development Committee, will be the Assistant Majority Leader. On the Republican side, Rep. Kathleen Dillingham (R-Oxford) is the incoming House Minority Leader, and Rep. Harold “Trey” Stewart III (R-Presque Isle) will be the Assistant Minority Leader.

On the Senate side, Sen. Nate Libby (D-Lewiston) will be the new Senate Majority Leader, with Sen. Eloise Vitelli (D-Arrowsic) as Assistant Majority Leader. The Republican side will feature Sen Dana Dow (R-Waldoboro) as Senate Minority Leader and Sen. Jeff Timberlake (R-Turner) as Assistant Minority Leader.

Several candidates have announced their interest in serving in the three “Constitutional Officer” positions. Secretary of State Matt Dunlap appears to be unopposed in his bid to retain his position. Attorney Henry Beck is vying with recent gubernatorial candidate Terry Hayes for the office of State Treasurer, the post Hayes presently holds. Among those who have expressed an interest in succeeding Governor-elect Janet Mills as Attorney General are State Senator Michael Carpenter (D-Houlton) (who previously held the post), State Senator Mark Dion (D-Portland), State Representative Aaron Frey (D-Bangor), Kennebec & Somerset County District Attorney Maeghan Maloney, and Attorney Tim Shannon of Portland.

MMA Legislative Committee's Organizational Meeting Scheduled for December 6

All are welcome to help the MMA determine its legislative agenda for the 129th Maine Legislature.

 The organizational meeting of the MMA Legislative Committee for the 129th Maine Legislature will take place on Thursday, December 6, 2018 from 6:00 p.m. to approximately 8:30 p.m. (dinner available at 5:30 p.m.) at the Frank O. Stred Building, 30 Association Drive in Manchester.  Because the Committee will be discussing the MMA’s legislative agenda for the next two years, medical specialty societies are strongly encouraged to have one or more representatives at the meeting.  Any interested member also is welcome.  Please RSVP to Sarah Lepoff at slepoff@mainemed.com or 622-3374, ext. 213.

The leadership of the Maine Legislature has set December 21, 2018 for cloture, the date by which new bills to be considered in the 129th Legislature must have sponsors and titles submitted.

While the date is not certain, since the newly elected leadership of the next (129th) Legislature can change it, this action makes it highly likely that cloture will not occur before that date. Any party or organization that wishes to have a bill considered in the 129th Legislature must have located a Senate or House sponsor and have at least a title for the bill, if not the whole language, in time for the bill to be submitted before cloture.

MMA Presentation on Healthcare Issues Considered by 128th Legislature Now Available

During the two sessions of the 128th Legislature, the Maine Medical Association advocacy team monitored well over 300 pieces of legislation involving some aspect of healthcare. With the session now nearly concluded, MMA attorneys are available to present a one hour CME talk on the new laws of which physicians need to be aware.

 

This is a one-hour, in-person presentation that will cover all bills that have become law related to health care over the last two years. Any last minute work the Legislature does this week will be added, so that a complete review will be available.

Medical practices, medical staffs or specialty societies interested in the presentation should contact MMA EVP Gordon Smith, Esq. via e-mail to gsmth@mainemed.com.

Upcoming Specialty Society Meetings

Below you will find an on-going list of Upcoming Specialty Society Meetings.  Any questions should be referred to the contact person listed for each specialty.

Below you will find an on-going list of Upcoming Specialty Society Meetings.  Any questions should be referred to the contact person listed for each specialty.

UPCOMING SPECIALTY SOCIETY MEETINGS

December 12, 2018
Maine Chapter of the American College of Emergency Physicians Meeting
Portland Regency Hotel – Portland, ME – 5:00pm
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

February 1-3, 2019
Maine Gastroenterology Society Meeting
Sugarloaf Inn - Carrabassett Valley, ME
Contact: Gail Begin at 207-588-6619 or gbegin@mainemed.com  

February 2-3, 2019
Maine & Rhode Island Urological Meeting
Sugarloaf Hotel & Conference Center - Carrabassett Valley, ME
Contact: Dianna Poulin at 207-480-4194 or dpoulin@mainemed.com  

February 9-10, 2019
Maine Society of Anesthesiologists Winter Meeting

Sugarloaf Hotel & Conference Center – Carrabassett Valley, ME
Contact: Lisa Montagna at 207-620-4015 or mesahq@gmail.com

April 3-6, 2019
27th Annual Family Medicine Update & Annual Meeting
Atlantic Oceanside – Bar Harbor, ME
Full brochure & registration available after Jan 15, 2019 at www.maineafp.org

Contact: Deborah Halbach at 207-938-5005 or maineafp@tdstelme.net

May 10, 2019
Maine Society of Eye Physicians and Surgeons Spring Educational Program & Business Meeting
Harraseeket Inn – Freeport, ME from 11:30am – 5:00pm
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

May 17-19, 2019
Maine Chapter, American College of Surgeons
Harborside Hotel and Marina – Bar Harbor, ME
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

May 18-19, 2019
Maine Chapter, American Academy of Pediatrics 2019 Spring Conference
Point Lookout – Northport, ME
Contact: Dee Kerry at 207-480-4185 or dakerry@aap.net

 

 

 

 

  


 

MaineGeneral to Offer X-waiver Course Dec. 11

MaineGeneral Hospital is offering a "half & half" opioid treatment course with Dr. RIchard Fein on Saturday, December 11, 2018. Get your DEA X-waiver and provide medication assisted treatment to your patients who need it.

 

Office-Based Treatment of Opioid Dependence Course
FOR: All physicians, NPs, PAs, MAs, other medical office staff
DATE: Saturday, December 8, 2018
LOCATION: MaineGeneral Thayer Center for Health
149 North Street, Waterville, ME
AAAP’s “Half and Half” Course
with Dr. Richard Fein (8am-12:30pm)
----------------------------------------------------------------------------------------------
AAAP’s “Half and Half” course with Dr. Richard Fein is a free American Academy of Addiction Psychiatry program that combines 4.25 hours of face-to-face/in-class instruction and 3.75 hours of online training. Those wishing to qualify for a waiver to prescribe buprenorphine (Suboxone, Subutex) must complete both components of this program.
Training will focus on clinical vignettes to help participants think through “real life” experiences in opioid dependence treatment. The online modules provide a background on the treatment of opioid dependence and substance use disorders. This program has been approved for a maximum of 8 AMA PRA Category 1 CMEs. Note that NPs/PAs can take this 8 hour waiver training and it will count towards their waiver application.
To register or for more information email shane.gallagher@mainegeneral.org
The  

MICIS 3-hour Opioid CME Presentation - 11/26 Portland & 11/28 Brewer

All licensees of the Board of Licensure in Medicine must take 3 hours of CME on opioid prescribing every two years whether they prescribe opioids or not.

 

All licensees of the Board of Licensure in Medicine must take 3 hours of CME on opioid prescribing every two years whether they prescribe opioids or not.

Improving Opioid Prescribing and Patient Safety

Portland: November 26
Brewer: November 28
5:00-8:30pm

This 3-hour presentation is an updated version of the broad clinical and legal review of opioid prescribing in Maine first presented by MICIS in 2017.

The Maine Board of Licensure in Medicine has established a new CME rule which is currently effective. All its licensees, whether MDs or Physician Assistants, must take 3 hours of CME on opioid prescribing every two years whether they prescribe opioids or not. No BOLIM licensee is exempt from this requirement.  

PORTLAND: Monday, November 26 at Fireside Inn & Suites REGISTER HERE

BREWER: Wednesday, November 28 at Jeff's Catering REGISTER HERE

Topics and Learning Objectives:

How Did We Get Here: (1) review 2016 CDC opioid prescribing guidelines, (2) understand morphine milligram equivalents (MMEs), (3) Assess alternative treatments for acute and chronic pain

Transforming Our Practices & Our Communities: (1) review best practices in opioid prescribing practice transformation, including team-based care, (2) understand benefits of buprenorphine prescribing, anticipate prescribing naloxone for all patients and families at risk

    Recent Legal Changes Affecting Opioid Prescribing in Maine: learn about recent changes in (1) Maine statutes related to opioid prescribing and safety and Substance Use Disorder recovery, (2) rules from licensing boards related to opioid prescribing and safety and Substance Use Disorder recovery, (3) rules from Maine DHHS relating to opioid prescribing and safety and Substance Use Disorder recovery

    The Maine Independent Clinical Information Service (MICIS) is a program of the Maine Medical Association. 

    This MICIS 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, and the similar requirement in the recent amendments to Chapter 1 of the Rules of the Board of Licensure in Medicine. 

    The Maine Medical Education Trust designates this live activity for a maximum of 3 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

    This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and the Maine Independent Clinical Information Service (MICIS). The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.

    For more information, contact Susan Kring at 480-4190 or skring@mainemed.com.

    Enrollment Underway for Maine’s Physician Executive Leadership Institute - The Advanced Course - Deadline for Enrollment at Discounted Price: November 30th

     

    Enrollment is now under way for the Hanley Center's sixth cohort of its Physician Executive Leadership Institute - The Advanced Course.

     

    Enrollment is now under way for the Hanley Center's sixth cohort of its Physician Executive Leadership Institute - The Advanced Course.

    Physicians enrolling in the course are designated as McAfee Fellows, in honor of former AMA and MMA President Robert McAfee, M.D. Participants gain knowledge, skills and tools in the core competency areas of: systems awareness; strategic focus; key management/business skills; self-awareness; healthcare trends; and teamwork and collaboration, best enabling them to lead and transform our healthcare delivery system.

    Over the past 7 years, more than 150 physicians have participated in the Advanced Course. The sixth class will begin March 2019 at the Brunswick Hotel & Tavern in Brunswick and continue through January 2020. There are six two-day sessions, each running from Thursday evening through late Saturday morning. The class is expected to include 35 physician leaders from Maine, New Hampshire, and beyond. 

    A distinguished five-member faculty team from the Heller School at Brandeis University delivers much of the program content for the Advanced Course, joining with Maine-based subject matter experts and physician leaders.  McAfee Fellows receive 80 hours of Category One CME for their participation in the full program.

    Deadline for enrollments at a discounted price: November 30, 2018

    Ready to accept the challenge? For more information about the Advanced Course, the nomination and the enrollment processes, please visit www.hanleyleadership.org, or contact Judiann Ferretti Smith at judiannsmith@hanleyleadership.org or Kathy Vezina at kathrynvezina@hanleyleadership.org.

    To Enroll Go Tohttps://www.hanleyleadership.org/leadership-programs/physicians-executive-leadership/Advanced-Course 

    11/27 Webinar - Opioid Use Disorder & Medication Assisted Recovery: Caring for Our Communities

    Maine Quality Counts 1-hour noon webinar presented by the Maine Independent Clinical Information Service (MICIS)

    Opioid Use Disorder & Medication Assisted Recovery: Caring For Our Communities

    Tuesday, November 27, 2018
    12:00 - 1:00 pm
    Register at Maine Quality Counts Upcoming Events

    Learning Objectives:

    • Appropriately recognize, diagnose and talk about opioid use disorder (OUD):
    • Compare pharmacologic treatments used in Medication Assisted Recovery (MAR);
    • Develop a strategy for treating acute pain for patients with OUD;
    • Constantly consider harm reduction.

    Presenter: Elisabeth Fowlie Mock, MD, MPH

    This activity qualifies for a maximum of 1 CME credit of the 3 CME credit requirement for opioid medication education found in P.L. 2015, Chapter 488, and the similar requirement in the recent amendments to Chapter 1 of the Rules of the Board of Licensure in Medicine.

    This activity has been planned and implemented in accordance with the accreditation requirement and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and the Maine Independent Clinical Information Service (MICIS).  The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians. 

    The Maine Medical Education Trust designates this activity for a maximum of 1 AMA PRA Category 1 CreditTM.  

    The Maine Independent Clinical Information Service (MICIS www.micismaine.org) is a program of the Maine Medical Association.  For more information contact Susan Kring at 480-4190 or skring@mainemed.com.


     

     

    Identifying Substance Use Early Saves Lives! - SBIRT with Motivational Interviewing Training - 1-day Sessions Offered on Dec 8, Feb 2, Mar 2, Apr 6

    Maine continues to see deaths from opiate use increase. Rates of opiate use are highest in the 18-25 year old group and data from those entering treatment suggest that the majority begin using before the age of 17. Maine AAP is committed to helping practitioners identify youth on this path earlier and intervening earlier! SBIRT (Screening, Brief Intervention, Referral to Treatment) is one evidence based approach to doing this.

     

    Maine continues to see deaths from opiate use increase. Rates of opiate use are highest in the 18-25 year old group and data from those entering treatment suggest that the majority begin using before the age of 17. Maine AAP is committed to helping practitioners identify youth on this path earlier and intervening earlier! Screening, Brief Intervention, Referral to Treatment is one evidence based approach to doing this. Maine AAP will be offering several trainings throughout the state over the next 6 months. Please consider joining us to enhance your skills in identifying and offering brief interventions in the primary care settings for youth on the path to substance use disorders.

    The Maine AAP will be offering one day Saturday sessions in several regions of Maine, providing training and coaching to Pediatricians and Pediatric Specialists in SBIRT (Screening, Brief Intervention and Referral to Treatment) and effective conversational skills in Motivational Interviewing.

    Confirmed Dates for all sessions:

    Saturday, December 8, 2018 - Presque Isle/Caribou - REGISTER NOW

    Saturday, February 2, 2019 - Bangor - REGISTER NOW

    Saturday, March 2, 2019 - Farmington - Franklin Memorial Hospital, Allen Room - REGISTER NOW

    Saturday, April 6, 2019 - Biddeford/Saco - REGISTER NOW

    Instructor: Stephen R. Andrew LCSW, LADC, CCS, CGP is a storyteller, consultant, trainer, co-author of Game Plan: A Man's Guide to Achieving Emotional Fitness, and Chief Energizing Officer of Health Education & Training Institute. He maintains a compassion-focused private practice in Portland, Maine (USA) where he also facilitates a variety of men's, co-ed, couples, and caregiver groups. Stephen has been a member of the International Motivational Interviewing Network of Trainers (MINT) since 2003 as well as a MIA-STEP (Motivational Interviewing Assessment; Supervisor Tools for Enhancing Proficiency) trainer for the New England ATTC. Stephen has been MITI trained and has over 100 hours of training in Motivational Interviewing. He provides coaching and training domestically and internationally for social service agencies, health care providers, substance abuse counselors, criminal justice, and other groups.

     

    Emergency Medicine Physician Assistants or Nurse Practitioners in multiple locations – BlueWater Emergency Partners

    As evidenced by our greater than 90% retention rate, BlueWater is the employer of choice for emergency providers throughout New England. It is our mission to provide outstanding emergency care with thoughtfulness, respect, and compassion.

    About BlueWater:
    As evidenced by our greater than 90% retention rate, BlueWater is the employer of choice for emergency providers throughout New England. It is our mission to provide outstanding emergency care with thoughtfulness, respect, and compassion. We strive to inspire leadership and innovation to create better hospital-based healthcare solutions. This can only be accomplished by supporting individual autonomy, professional growth, and satisfaction for all our providers. 

    About the Position:

    • Generous Compensation and Benefits Package (Fully Covered Family Health, Dental, HSA, HRA, Disability Insurance)
    • 401k contributions and Guaranteed Profit Sharing
    • Malpractice Insurance
    • CME Allowance
    • 4+ weeks of Paid Time Off

    Current Openings:
    Calais, Maine
    Machias, Maine
    Springfield, Vermont

    For more information please contact Will Henson at whenson@bluewateremergency.com or visit our website http://www.bluewateremergency.com/contact/employment-inquiry/.

    12/17/18


    Seeking Medical Director for Family Medical Practice in Waterville, ME

    Elmwood Primary Care, a hospital-employed outpatient Family Medicine practice located in the lakes and streams region of Maine, is recruiting for an experienced Family Medicine physician as the practice Medical Director.

    Elmwood Primary Care, a hospital-employed outpatient Family Medicine practice located in the lakes and streams region of Maine, is recruiting for an experienced Family Medicine physician as the practice Medical Director.  We are looking for an individual with a commitment to providing care to an underserved population, as well as a strong interest in team building, mentorship, and collaboration.  The weekly schedule would involve 16 hours of direct patient contact, with the remainder of time dedicated to practice leadership and care coordination.  Elmwood Primary Care has considerable behavioral health support, including a psychiatric nurse practitioner, a licensed clinical social worker providing counseling services, and social work services within the practice.  We strive to improve the health and well-being of our patients and the community as a whole, and we wish to find someone who shares this desire.  Interested candidates should email Tiffiny Parker, Physician Recruiter at tiffiny.parker@mainegeneral.org.

    12/3/18


    Physician – Leeds

    DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are seeking a full time Physician, for our Leeds location.

    DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are seeking a full time Physician, for our Leeds location.

    Our three health centers serve a multicultural, rural population of about 10,000 patients and have a family practice focus serving pediatrics to geriatrics. We have excellent clinical support staff.

    This position requires a high degree of flexibility, good clinical skills and commitment to team work and open lines of communication. It is a full-time at 4 days per week.

    This position combines making a difference in patients' lives with a family-friendly work life, please e-mail your resume to Laurie Kane-Lewis, CEO. (Laurie.Kane-Lewis@DFDRussell.org) EEO

    Requirements
    Current Maine license. Proficiency with electronic medical records.

    Benefits
    Excellent benefit package: medical, dental, life, 401(k), flexible spending accounts and a generous paid time-off plan. Salary is commensurate with experience; there is also an incentive plan and a CME reimbursement.

    12/31/18


    Psychiatric Mental Health NP - Leeds

    DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are seeking a full time PMHNP, for our Leeds location.

    DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are seeking a full time PMHNP, for our Leeds location.

    Our three health centers serve a multicultural, rural population and have a family practice focus serving pediatrics to geriatrics.

    Responsibilities: Assessment of mental health needs for children or adults; Diagnosing mental health/psychiatric conditions; Developing and executing treatment plans; Providing primary health care; Prescribing medication (Suboxone waiver, required); It is a full-time 4 days per week.

    This position combines making a difference in patients' lives with a family-friendly work life, please e-mail your resume to Laurie Kane-Lewis, CEO. (Laurie.Kane-Lewis@DFDRussell.org) EEO

    Requirements
    Current Maine License. Proficiency with electronic medical records.

    Benefits
    Excellent benefit package: medical, dental, life, 401(k), flexible spending accounts and a generous paid time-off plan. Salary is commensurate with experience; there is also an incentive plan and a CME reimbursement.

    12/31/18

     

     

    Psychiatric Nurse Practitioner - 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. 

    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 Psychiatric Nurse Practitioner:

    • Provides diagnoses, conducts therapy and prescribes medication for patients with substance use disorder, psychiatric disorders and medical organic brain disorders.
    • Assures access for continuity of care through appropriate referrals for sub-specialty and inpatient services and prompt follow-up of patients discharged from inpatient settings.

    Applicants must have a Master’s degree in nursing, an unrestricted Maine license to practice as an advance practice nurse practitioner, Board Certification as a Psychiatric-Mental Health Nurse Practitioner as well as a U.S. Drug Enforcement Agency license.  Qualifications include:

    • A minimum of three years’ experience in a psychiatric or primary care medical practice required.
    • A 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.
    • Willingness to work some non-traditional hours and ability to travel between YCCAC/Nasson Health Care clinical sites. 

    Visit www.yccac.org for an application. Completed cover letter, resume, and YCCAC employment application will be accepted until position is filled.  York County Community Action Corp., 6 Spruce Street, P.O. Box 72, Sanford, ME 04073 - (207)324-5762 or 1-800-965-5762 - Fax (207)459-2811 - apply@yccac.org - EOE

    11/26/18

    Primary Care Physician

    Hometown Health Center, Newport, ME, seeks a doctor to serve as a leader within its patient centered medical home model.

    Hometown Health Center, Newport, ME, seeks a doctor to serve as a leader within its patient centered medical home model. This physician provides the full scope of primary care services including diagnosis, treatment, coordination of care, preventative care and health maintenance to patients, and  work with the Suboxone program.

    HHC is an FQHC that fosters a strong comradery among all staff and is family oriented with a positive atmosphere and connectedness where support for each other and for the patients is the primary culture.

    Join the HHC team and experience rural living near larger cities, an encouraged work/life balance, and the ability to develop deep relationships with your patients.

    Hometown Health Center is more than a medical office. It’s a way of life.

    Send cover letter and CV to:

    Robin Winslow, CEO,
    Hometown Health Center,
    118 Moosehead Trail, Suite 5,
    Newport, ME 04953.
    Or email robin.winslow@hhcme.org
    www.hometownhealthcenter.org

    11/26/18

    PCHC wants to add more Family Physicians at Multiple Locations!

    PCHC is recruiting Family Medicine Physicians for locations in Belfast, Old Town, and Bangor.

    PCHC is recruiting Family Medicine Physicians for locations in Belfast, Old Town, and Bangor.  This is your chance to work for a nationally recognized FQHC that is a leader in integrated primary care!

    • Come and join our team at Seaport Community Health Center and become a part of a vibrant and active coastal community!
    • Work and play minutes away from the flagship university of the University of Maine System by working at our Helen Hunt Health Center!
    • Become a part of the health center where it all began, Penobscot Community Health Center located in the heart of Bangor, Maine!

    We are the largest and most comprehensive FQHC in Maine and the 2nd largest in New England. PCHC offers family medicine, psychiatry, mental health, pediatrics, specialty services, physical therapy, pharmacy, social work, lab, x-ray, and a large public health dental center -- all within our organization. If your passion is in community health, there is no place else to be. Questions? Contact Vanessa Sanderson, Recruitment Coordinator at (207)404-8015 or vsanderson@pchc.com.

    12/3/18

    Outpatient Internal Medicine Physician – Bangor, Maine

    Northern Light 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.

    Northern Light 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. Our practice is one of seven primary care practices operated by Northern Light 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.

    Northern Light 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. We also offer a relocation bonus and sign-on bonus in addition to our generous educational loan repayment program.

    Candidates in need of J-1 visa waivers welcome to apply.

    For confidential consideration, please contact:
    Amanda Klausing, AASPR, Physician Recruiter
    Northern Light Health
    Phone: 207-973-5358
    ProviderJobs@NorthernLight.org

    11/19/18

    OB/GYN Physician Opportunity

    Franklin Community Health Network is seeking a Board Certified/Board Eligible OB/GYN physician to join their hospital-employed practice located in Farmington, Maine. 

    Franklin Community Health Network is seeking a Board Certified/Board Eligible OB/GYN physician to join their hospital-employed practice located in Farmington, Maine. 

    The successful candidate will join a team of three physicians and a Certified Nurse Midwife, sharing a 1 in 4 call schedule.  This well-established practice offers a progressive laborist model.  Candidates will have the opportunity to work in a very collegial atmosphere at Franklin Health Women’s Care.  The practice has a 4 day work week with a mix of office and OR time in collaboration with an experienced team of physicians and highly skilled clinical staff.  The office is located on the Franklin Memorial Hospital campus, a 65-bed, acute care community hospital with a 40-member medical staff.  In addition to an annual base salary, physicians are offered significant additional income potential, as well as student loan repayment and relocation assistance.   

    Please contact Donna Lafean, Recruiter, MaineHealth/Franklin at (207) 779-2185 or dlafean@mmc.org.

    11/19/18

    Franklin Health Behavioral Services is seeking a BC/BE Psychiatrist/Medical Director

    Tucked in the beautiful western mountains of Farmington, Maine, this full-time position with have an average of 14 patients per day and call is provided by our own local Evergreen Crisis Team, providing 24 hour crisis service coverage. 

    Tucked in the beautiful western mountains of Farmington, Maine, this full-time position with have an average of 14 patients per day and call is provided by our own local Evergreen Crisis Team, providing 24 hour crisis service coverage. The candidate would be the Lead provider for the Practice, IOP Program Director, Medical Director/Board member of our Crisis program, and Suboxone prescriber.

    Patient volume draws from a wide geographic region with 40,000 people.  This evolving practice now offers ECT treatment and has a shared medical record with primary care practices in a patient centered medical home model. The provider would work with 2 Nurse Practitioners and a team of clinical professionals in our Medical Arts Building attached to Franklin Memorial Hospital, a 65-bed, acute care community hospital with a 40-member medical staff offering exceptional benefits and compensation packages.

    Contact Donna Lafean, Recruiter, MaineHealth/Franklin at dlafean@mmc.org.

    11/19/18

    Internal Medicine MD or DO (BE/BC)

    Franklin Health Internal Medicine is an office based Internal Medicine practice tucked in the beautiful western mountains of Maine, and owned by Franklin Memorial Hospital, a member of Maine Health.

    Franklin Health Internal Medicine is an office based Internal Medicine practice tucked in the beautiful western mountains of Maine, and owned by Franklin Memorial Hospital, a member of Maine Health. FH Internal Medicine provides office based adult medicine services and preventive and diagnostic cardiovascular services and serves a population of approximately 40,000.

    FHIM providers average 15 to 18 patients with ages ranging from 18 to end-of –life. Expectation is 36 hours a week with 32 patient contact hours. The office is located on the Franklin Memorial Hospital campus, a 65-bed, acute care community hospital with a 40-member medical staff.  In addition to an annual base salary, physicians are offered significant additional income potential, as well as student loan repayment and relocation assistance.   

    Please contact Donna Lafean, Recruiter, MaineHealth/Franklin at (207) 779-2185 or dlafean@mmc.org.

    11/19/18

    Internal Medicine Outpatient Physician

    Maine Medical Partners Internal Medicine Westbrook is seeking a BC/BE Internal Medicine physician for their well-established outpatient practice located in the greater Portland, Maine area.

    Maine Medical Partners Internal Medicine Westbrook is seeking a BC/BE Internal Medicine physician for their well-established outpatient practice located in the greater Portland, Maine area.  The selected candidate will join 4 internal medicine physicians, 4 family medicine physicians and a geriatrician.

    Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital and Level I Trauma Center, with a full complement of residencies and fellowships and an integral part of Tufts University Medical School.  The position involves teaching and mentoring residents and medical students from the Maine Medical Center-Tufts University School of Medicine Medical School Program.

    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. 

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

    12/3/18


    Internal Medicine Physician

    Maine Medical Partners Internal Medicine is seeking a FT Board Certified/Board Eligible Internal Medicine physician for their well-established outpatient practices located in the greater Portland area. 

    Maine Medical Partners Internal Medicine is seeking a FT BC/BE Internal Medicine physician for their well-established outpatient practices located in the greater Portland area.  This is an exciting opportunity involving the teaching of medical students and residents, and includes the option to continue hospital care if desired. 

    Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital and Level I Trauma Center, with a full complement of residencies and fellowships and an integral part of Tufts University Medical School.  The successful candidate will have an academic appointment at Tufts University School of Medicine, and the position involves teaching and mentoring residents and medical students from the Maine Medical Center-Tufts University School of Medicine Medical School Program.

    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. 

    For more information please contact Gina Mallozzi, Physician Recruiter at (207) 661-2092 or gmallozzi@mmc.org.

    11/12/18

    Opportunities at the VA for Volunteer Physicians

    Take advantage of this opportunity with the Veterans' Administration to thank our veterans in a concrete way for their service and their sacrifices.

    The Physician Ambassador Program was created by the Department of Veterans Affairs as a best practice recruitment and placement initiative seeking fully licensed physicians and clinicians to enhance health care services for Veterans.

    The Physician Ambassador Program is a without compensation program that provides civilian physicians and clinicians an opportunity to give back to the Veteran community by serving in a volunteer role to deliver health care services to Veterans. 

    If you are interested in participating in this program at VA Maine Healthcare System, please contact Jonathan Barczyk at (207) 621-4886.