Maine Medicine Weekly Update - June 10, 2019
(Print All Articles)

Governor Signs Bill Enacting "Prudent Layperson" Standard

Last Friday Governor Janet Mills signed LD 1155 into law. It enacts a "prudent layperson" standard for determining when an insurance carrier may not deny or reduce benefits for a patient presenting to an emergency department on the grounds that the patient's condition turned out not to be an emergency.

 

Last Friday Governor Janet Mills signed LD 1155 into law. It enacts a "prudent layperson" standard for determining when an insurance carrier may not deny or reduce benefits for a patient presenting to an emergency department on the grounds that the patient's condition turned out not to be an emergency.

The law, now known as Public Law 2019 chapter 238, requires that the determination of the reasonableness of the patient's decision, and thus the coverage for the treatment, must be based on the standard of whether a prudent layperson, not a medical expert, would believe that the situation presented a medical emergency. Emergency services must be covered without prior authorization.

The law further provides that before a carrier determines the absence of an emergency, it must conduct a utilization review performed by a board certified emergency physician licensed in Maine.

A related bill, LD 249 (now PL 2019 c. 171), requires that an appeal of a carrier's adverse health care treatment decision must be conducted by a clinical peer, defined as a physician or other healthcare practitioner licensed in the U.S.  and board certified in the same or a similar specialty as typically manages the condition under review and whose compensation for the review does not depend on a history of approvals or denials.

Maine Public Health Association Awards to Dr. Lani Graham and Others

Dr. Lani Graham, a career-long advocate for public health and safety, was awarded the Ruth S. Shaper Memorial Award by the Maine Public Health Association.

 

Dr. Lani Graham, MD, MPH, was presented last Thursday with the Ruth S. Shaper Memorial Award by the Maine Public Health Association. The Shaper Award recognizes an individual who has made a significant contribution in the area of public health. The individual will have demonstrated a broad orientation to health promotion and disease prevention that extends beyond his/her specific profession or field of interest.
 
Dr. Graham was recognized for her career-long advocacy for public health and safety, going back to her work to have seat belt use required in automobiles. She is a board certified family practice physician with a masters degree in public health and tropical medicine. She served for six years as Director of the Maine Bureau of Health, and earlier she practiced medicine in the Massachusetts prison system and in Nicaragua, North Dakota, Mississippi, and Georgia (managing a migrant health services program). Dr. Graham is well known to the MMA, where she served as director of the Medical Professionals Health Program and as chair of the Public Health Committee. Lani, your MMA family congratulates you for this well-deserved honor!
 
Other awards were given as follows:
 
The MPHA President's Award: Maine Families for Vaccines, for their tireless work in educating legislators and the public about vaccines which led to the passage (by one vote in the Senate) of LD 798, repealing the philosophical and religious exemptions to the school and healthcare employment immunization requirements.

The Public Health Program of Excellence Award: Meg Lane and the Maine Department of Transportation for their "My Maine Sign" contest, which collects traffic safety quips from the general public and posts them on electronic highway message boards on Maine's interstate highways and the turnpike.

The Phebe Conrey King Access to Healthcare Award: Carol Zechman of MaineHealth, for her leadership abilities in promoting increased access to healthcare by all Maine residents, and will have made a significant contribution toward meeting the needs of the uninsured and medically under-served.
 
The Pamela M. B. Studwell Tobacco Policy Award: Becky Smith, recently governmental affairs director for the Maine chapter of the American Heart Association, for her dedication, persistence, and passion for improving lives has significantly advanced best practice tobacco policies in Maine.
 
The Public Health Policy Champion Award: Senator Rebecca Millett, for her work in the Maine Senate on topics too numerous to mention which has made a significant contribution to public health in Maine by the establishment of sound public policy.
 
The Public Health Journalism Award: Joe Lawlor of the Portland Press Herald, for his coverage of immunizations and other public health topics which has made a significant contribution to public health in Maine.

The Public Health Business Champion Award: Margo Walsh and MaineWorks. The company provide jobs in the fields of construction, carpentry, masonry, roadwork, bridges, demolition, landscaping, and much more. MaineWorks is not just a staffing company – it has provided quality, long term employment for hundreds of men and women since opening in 2010. Along with meaningful job placement, MaineWorks’ employees participate in a comprehensive social needs evaluation through the Maine Recovery Fund so that they can be directed to the appropriate local resources.

The Public Health Rising Star Award: Emma Bond, Esq., from ACLU Maine, for her innovative and dedicated work as a young professional in achieving through litigation the right of persons incarcerated in the Maine correctional systems to receive treatment, including medication assisted treatment (MAT) for substance use disorder. Her work, through the successful defense of an appeal in the U.S. Court of Appeals for the First Circuit, established that right for all incarcerated persons throughout most of New England and Puerto Rico.
 
The Unsung Hero Award: The Maine Center for Disease Control. The new award recognizes an individual, department or organization who has positively influenced PH in Maine from behind the scenes. Maine CDC staff have been selected to be the inaugural recipients of this award for their commitment to protecting PH, even in the face of cuts, criticism, and a generally difficult environment. The recognition is for their commitment to the mission of the organization and to the field of PH, and for their dedication to their work.


Maine Medical Center Wins $14 Million Grant from AMA

MMC is one of 8 winners around the nation of the AMA's grants which are designed to transform residency to meet the changing workforce needs of the country's healthcare systems.

 

MMC is one of 8 winners around the nation of the AMA's grants which are designed to transform residency to meet the changing workforce needs of the country's healthcare systems. Its "Reimagining Residency" program was described in the AMA's press release as follows: "Maine Medical Center will enhance residency training and ensure readiness for practice by redesigning the clinical learning environment to prepare residents for interprofessional, team-based care. The project will build on a previous pilot that emphasized learning at the bedside, team involvement in care planning, patient and care-team cohorting, team members working at the top of their licenses, and rapid-cycle quality improvement."

The Maine Medical Association congratulates MMC and its parent corporation, MaineHealth, for this impressive achievement and its continuing work in training top quality physicians for Maine and elsewhere.

Women Officers Highlight 2019 AMA Annual Meeting

The Maine delegation is in Chicago with physician representatives from all state and national specialty society delegations for the 2019 AMA Annual Meeting from June 8-12, 2019.

 

 The 2019 Annual Meeting of the American Medical Association is underway at the Hyatt Regency in Chicago.  The meeting opened on Saturday, June 8th and will conclude on Wednesday, June 12th.  You can follow the proceedings of the AMA House of Delegates and the educational sessions on the AMA web site here

Maine representatives at the meeting include AMA and MMA Past President Robert McAfee, M.D.; Delegates Richard Evans, M.D. and Maroulla Gleaton, M.D. (both MMA Past Presidents); Alternate Delegate Charles Pattavina, M.D. (also MMA Immediate Past President); and medical students Rushi Shah (UNECOM) and Sophia Kamilah Salas (Tufts - Maine Track).  MMA Interim CEO Andrew MacLean also has accompanied the Maine delegation.

This year is the 100th anniversary of the first woman member of the AMA and it is noteworthy that on Tuesday, June 11th when Patrice Harris, M.D. is inaugurated as the next President of the organization, the three top officer positions all will be occupied by women.  Barbara McAneny, M.D. will become the Immediate Past President and Susan Bailey, M.D. will become the President-Elect.  Dr. Harris will be the first African-American woman to serve as AMA President.

 

CVS-Aetna Merger Hearing Concludes

A federal court hearing on the proposed merger of CVS and Aetna concluded last week with testimony from witnesses favoring the merger and asserting that it does not pose a threat to competition in the healthcare marketplace.

 

 
[from AMA Morning Rounds]

Modern Healthcare (6/5, Luthi, Subscription Publication) reports that “witnesses in favor of the CVS-Aetna merger appeared to make headway on Wednesday in convincing a federal judge that at least one concern raised about the $70 billion deal doesn’t pose an anticompetitive threat.” Although “U.S. District Judge Richard Leon still voiced concerns that the merger could bring anticompetitive advantages for CVS Health, he appeared sympathetic to the testimony from company witnesses about the likely effect on insurer WellCare’s Medicare prescription drug business.” Even though “Aetna divested its Medicare Part D business to WellCare to alleviate Justice Department competition concerns...CVS still serves as WellCare’s pharmacy benefit manager and could have an incentive to undermine the insurer because it owns its competitor.” The piece adds that “the AMA in a statement pushed back on ‘attempts to mischaracterize the AMA as a competitor to CVS’s retail health clinics.’”

 

This Week's Public Health Updates from the AMA

Click through for a brief update on recent public health issues, provided by the American Medical Association's electronic publication, Morning Rounds. [This article is updated weekly.]

 

Older patients fare worse than younger patients after surgery, studies say

The New York Times (6/7, Span) reported that “perhaps unsurprisingly, older surgical patients often fare worse than younger ones” following surgical procedures. One study published in the Journal of the American Geriatrics Society analyzing “major, nonemergency surgery in 165,600 adults over 65 found that mortality and complications increased with age; hospital stays often lengthened.” Patients in their 80s who undergo “major surgery for lung, esophageal and pancreatic cancer have substantially higher mortality rates than those aged 65 to 69, another study [published in the Journal of the American College of Surgeons] found; they’re also more likely to go to nursing homes afterward.” This is because “older patients often have chronic health problems...and take long lists of drugs.” Furthermore, “the hospital itself, where they risk acquiring infections or losing mobility after days in bed, can endanger them.”

Vitamin D appears not to prevent T2D, researchers say

Reuters (6/7, Emery) reported researchers have “found that taking 4000 international units (IU)” of vitamin D “per day, which is on the upper limit of the recommended intake, may double the amount of vitamin D in the blood but it gives most people roughly the same chance of developing” type 2 diabetes (T2D) “as people who don’t take the vitamin.” Included in the study were “2,423 volunteers who were at high risk for developing the adult-onset version” of diabetes. The findings were published online in the New England Journal of Medicine and presented at a medical conference.

Growing number of people convinced smartphones accelerate student anxiety

The AP (6/7, Thompson) reported that “a growing number of teachers, parents, medical professionals and researchers [are] convinced that smartphones are now playing a major role in accelerating student anxiety.” In 2018, “an editorial in the American Academy of Pediatrics’ flagship journal recommended that doctors ask adolescent patients about their social media use as part of routine screening, alongside older questions about home life and drug and sexual activity.” The editorialists wrote, “Aberrant and/or excessive social media usage may contribute to the development of mental health disturbance in at-risk teenagers, such as feelings of isolation, depressive symptoms, and anxiety.”

Chickenpox vaccine may reduce child’s risk of shingles years later, study suggests

The New York Times (6/10, Bakalar) reports a new study found children who were “vaccinated against chickenpox had a 78 percent lower rate of shingles than their unvaccinated peers.” The study, published in Pediatrics, “included 6.4 million children under 18, half of whom had the chickenpox vaccine.” The Times adds that the CDC “recommends two doses of the vaccine, at age 1 year and then between 4 and 6.”

Device helps insulin-dependent patients with T2D see decline in blood sugar levels

Reuters (6/8, Joseph) reported, “Insulin-dependent patients with type 2 diabetes [T2D] saw a significant drop in their blood sugar levels after wearing Abbott Laboratories Inc.’s continuous glucose monitoring system for three months compared with those who use routine fingerstick testing,” researchers concluded after assessing “the medical records of 363 type 2 diabetics in France, Germany and Austria between three and six months.” The findings were presented at a medical conference.

New HIPAA Guidelines for Business Associates

A new fact sheet from the US DHHS Office of Civil Rights sets out HIPAA requirements for business associates.


[from Maine Hospital Association Friday Report]

The US Department of Health & Human Services Office of Civil Rights (OCR) has issued a fact sheet on the Health Insurance Portability and Accountability Act (HIPAA) requirements for business associates under the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH).

OCR’s rule relating to the HITECH act identifies provisions of the HIPAA rules that apply directly to business associates and for which business associates are directly liable.

As set forth in the HITECH Act and OCR’s 2013 final rule, OCR has authority to take enforcement action against business associates only for those requirements and prohibitions of the HIPAA rules as set forth below.

Business associates are directly liable for HIPAA violations as follows: 

1.    Failure to provide the Secretary with records and compliance reports; cooperate with complaint investigations and compliance reviews; and permit access by the Secretary to information, including protected health information (PHI), pertinent to determining compliance;

2.    Taking any retaliatory action against any individual for filing a HIPAA complaint, participating in an investigation or other enforcement process, or opposing an act or practice that is unlawful under the HIPAA Rules;

3.    Failure to comply with the requirements of the Security Rule;

4.    Failure to provide breach notification to a covered entity or another business associate;

5.    Impermissible uses and disclosures of PHI;

6.    Failure to disclose a copy of electronic PHI to either the covered entity, the individual, or the individual’s designee (whichever is specified in the business associate agreement) to satisfy a covered entity’s obligations regarding the form and format, and the time and manner of access under 45 C.F.R. §§ 164.524(c)(2)(ii) and 3(ii), respectively;

7.    Failure to make reasonable efforts to limit PHI to the minimum necessary to accomplish the intended purpose of the use, disclosure or request;

8.    Failure, in certain circumstances, to provide an accounting of disclosures;

9.    Failure to enter into business associate agreements with subcontractors that create or receive PHI on their behalf, and failure to comply with the implementation specifications for such agreements; and

10. Failure to take reasonable steps to address a material breach or violation of the subcontractor’s business associate agreement.

More details can be found at the link above. 

Legal Brief is a regularly recurring section of the MHA Friday Report that highlights new statutes, rules, judicial opinions or other legal news of interest to hospitals.

MHA Contact:  Sandra Parker

 

MedHelp Maine Seeks Data on Unaffordable Medicines

Do you have patients who can't afford to fill their prescriptions or who skip doses or split tablets to save money? Does this medication nonadherence result in avoidable hospitalizations and compromised health?

 

Unaffordable Medicines?

Do you have patients who can't afford to fill their prescriptions or who skip doses or split tablets to save money? Does this medication nonadherence result in avoidable hospitalizations and compromised health?

As many as 30% of prescriptions are never filled and 50% of medications for chronic diseases are still not taken as prescribed.  This medication nonadherence is not only a problem for the low-income uninsured, but increasingly also a concern for Medicare beneficiaries and other insured individuals with high deductibles and copays.  It results in at least 10% of all hospitalizations and more deaths than from opioid overdose, diabetes, influenza and pneumonia, or kidney disease.

If you are a regular prescriber of medicines for adult outpatients, please help develop solutions by completing this brief survey.  https://www.surveymonkey.com/r/CWTXZM8

To offer comments or to speak with surveyor MedHelp Maine, contact Martha Morrisson at medhelpmaine@gmail.com or (207) 793-4462.

MMA Legislative Call Tuesday, June 11th

The Maine Legislature is in full swing, with over 1760 bills printed. As we approach statutory adjournment date (June 19th), public hearings and work sessions are beginning to tail off while voting on bills increases. There's still work to do on the MMA Legislative Calls. The next call will be Tuesday, June 11th, at 8 p.m.

 

MMA Legislative Committee Chairs Jay Mullen, M.D. and Lindsey Tweed, M.D. welcome you to participate in the weekly conference calls of the MMA Legislative Committee.

The last MMA Legislative Committee weekly conference call for the First Regular Session of the 129th Maine Legislature will take place Tuesday, June 11th, 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. To date the Legislature has printed approximately 1700 bills, and as the deadline for committee consideration is approaching the number of bills printed each week is beginning to dwindle. While that makes the work of the legislative call shorter, it also allows for more in-depth discussion of significant matters.

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

Conference call number: 1-603-766-5646

Participant ID - 699139#

The purpose of the weekly conference calls is to discuss 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 following are bills of interest to the physician community printed last week. (For those not familiar with the term, a "concept draft" is a bill that contains only a title and a brief description of what it is intended to do. It does not contain the actual bill text.) We will discuss the priority bills marked with an asterisk (*) first.


Following are the bills of the week: 

June 11, 2019

LD 1837,  Resolve, Regarding Legislative Review of Chapter 1: Adult Use Marijuana, a Late-filed Major Substantive Rule of the Department of Administrative and Financial Services, Office of Marijuana Policy. Provides for legislative review of the rules being drafted by the Department of Administrative & Financial Services.

LD 1838,  Resolve, Requiring the Department of Health and Human Services To Examine Options for Upper Payment Limit Adjustments for MaineCare Services. Review of rate limits for MaineCare payments, with instruction to negotiate with federal government. Passed unanimously out of committee.

LD 1839,  Resolve, To Provide Sustainable Funding for Assisted Living Facilities. $570K per year to increase DHHS payments to assisted living facilities under contract, increase number of med passes per day from 3 to 6.

Firearm Safe Storage Bill Fails in House, and Other State House Highlights of the Week

A summary of the MMA's legislative advocacy at the Maine State House last week.

 

LD 1313, the "Death With Dignity" bill, has finally passed both House and Senate and is now on the Governor's desk for signature. The final votes were 73-72 in the House and 19-16 in the Senate.

LD 379, the safe firearm storage bill, failed by three votes in the House last week. There were two members excused and one seat is vacant, but 17 members were listed as "absent" and did not vote on the bill. It now goes to the Senate, but passage is highly unlikely at this point. LD 85, which provides tax incentive for the purchase of gun safes and other locking mechanisms, has passed both chambers and is on the Special Appropriations Table, where its future will be determined by the Appropriations Committee when it decides where the money will be spent after the budget is decided.

That leaves LD 1811, the so-called "yellow paper" bill, as the only remaining firearm safety bill. It would provide for a medical assessment of any person placed into protective custody by law enforcement due to a concern over the person's risk of harm to self or others with a dangerous weapon. The assessment would determine whether there is a "likelihood of serious harm," after which the person's firearms and other dangerous weapons could be removed from his control. The MMA, Maine Hospital Association, and others are working closely with the Governor's Chief Legal Counsel and members of the Judiciary Committee to craft a bill acceptable to all. It has the support of both the Sportsman's Alliance of Maine and the Maine Gun Safety Coalition. A public hearing was held on the bill, and the work session was adjourned without vote after several hours of discussion. A Committee vote is expected this Tuesday.

The legislature's committee work is almost finished. On June 3rd the Legislature moved to a 5-day-per-week schedule of full sessions in the House and Senate, where members will debate divided committee reports and process unanimous reports through the consent calendar with a goal of meeting the June 19th statutory adjournment deadline.

Governor Mills has already signed into law over 250 bills this session. In the coming weeks we will feature a discussion of some of those bills relating particularly to health care and the medical profession. Watch this space.

 

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

June 27, 2019
Maine Chapter, American College of Emergency Physicians Chapter Meeting

Cabbage Island Clam Bake – Boothbay Harbor, ME
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

September 7, 2019
The following Specialty Society Meetings are being held in conjunction with MMA’s 166th Annual Session taking place September 6-8, 2019 at the Harborside Hotel & Marina in Bar Harbor, ME

Maine Chapter, American College of Surgeons
Time TBA
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

Maine Chapter, American College of Emergency Physicians
Time TBA - Ironbound Room in the Pool House
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

Maine Society of Anesthesiologists
2:00pm – 5:00pm – Stave Island Room in the Pool House
Contact:  Lisa Montagna at 207-620-4015 or mesahq@gmail.com

September 20, 2019
Maine Society of Eye Physicians and Surgeons Fall Business Meeting

(Held in conjunction with the 17th Annual Downeast Ophthalmology Symposium)

Harborside Hotel & Marina – Bar Harbor, ME from 10:30am – 11:45am
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

September 20-22, 2019
18th Annual Downeast Ophthalmology Symposium

(Presented by the Maine Society of Eye Physicians and Surgeons)

Harborside Hotel & Marina – Bar Harbor, ME
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

December 11, 2019
Maine Chapter, American College of Emergency Physicians Chapter Meeting

Portland Regency Hotel – Portland, ME
Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

February 7-9, 2020
Maine Urological Association & Rhode Island Urological Society’s
2020 Winter Program
Sugarloaf Mountain Hotel & Conference Center – Carrabassett Valley, ME
Contact: Dianna Poulin at 207-480-4194 or dpoulin@mainemed.com

April 23-24, 2020
Maine Association of Psychiatric Physicians, 14th Annual Spring Program

Hilton Garden Inn, Freeport, ME
Contact Dianna Poulin at 207-480-4194 or dpoulin@mainemed.com

 

 

 

 

  


 

Quality Counts: Rapid Induction Starting in the ED (RISE) Training, Webinars, ECHO Program

Quality Counts is hosting an education program for hospital Emergency Departments (EDs) with training and technical assistance on initiating buprenorphine in the ED.

 

Quality Counts (QC), in collaboration with BlueWater Emergency Partners and several other partners (MMA and ACEP) is working under a contract with the state of Maine to host an education program for interested hospital Emergency Departments (EDs) focusing on how to initiate buprenorphine in the ED.  During the Rapid Induction Starting in the ED (RISE) project, QC plans to offer a range of learning methods, including both in-person and virtual events, to provide education and assistance on best practices for initiating buprenorphine in hospital EDs for individuals with Substance Use Disorder (SUD) who are willing to engage in treatment during an ED visit.

If your ED is interested in receiving training or technical assistance on initiating buprenorphine in the ED from peer coaches in the field please contact Kayla Cole at kcole@mainequalitycounts.org or tel. 207-620-8526 ext. 1027.

Additionally, as part of our project RISE educational programming, we will offer a four-month ECHO program that will convene a "hub" of faculty experts and clinicians as well as three one-hour webinars.  Our team will engage clinicians and teams from hospital EDs that have and/or are planning to implement MAT in the ED to serve as "spokes", giving them the opportunity to learn together and discuss specific questions and challenging issues through case discussions.  Content for the ED MAT didactic sessions in the ECHO program will reflect key educational topics related to initiating MAT in the ED, with specific content to be developed with input from ED and addiction medicine expert consultants, as well as from targeted ED clinicians and staff around the state.  If you are interested in these educational opportunities please hold the following dates.  If you have questions or would like more information please contact Kayla Cole at kcole@mainequalitycounts.org or tel. 207-620-8526 ext. 1027.

ECHO Dates:

  • May 22, 2019 from 12:00-1:00 PM
  • June 26, 2019 from 12:00-1:00 PM
  • July 24, 2019 from 12:00-1:00 PM
  • August 28, 2019 from 12:00-1:00 PM
Webinar Dates:
  • June 5, 2019 from 12:00-1:00 PM
  • June 12, 2019 from 12:00-1:00 PM
  • June 19, 2019 from 12:00-1:00 PM

 

MICIS 2019 Clinical and Legal Opioid Update - June 5 in Augusta

Join us for this three-hour presentation by the Maine Independent Clinical Information Service (MICIS): Wednesday, June 5 at the Augusta Civic Center.

 

2019 Clinical and Legal Opioid Update

Augusta: Wednesday, June 5, 2019 at the Augusta Civic Center  Register for June 5 in Augusta

5:00 PM -8:30 PM
Check-in begins at 4:30 PM

Free - advance registration is required
Light snacks will be provided

Topics:

  • 2019 Clinical Opioid Update
  • 2019 Legal Opioid Update
  • Co-Prescribing Benzodiazepines and Opioids: The Black Box of Increased Overdose Risk

Presenters: Elisabeth Fowlie Mock, MD, MPH and Peter Michaud, JD, RN

The Maine Medical Education Trust designates this live activity for a maximum of 3 AMA PRA Category 1 CreditsTM. 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.

The Maine Independent Clinical Information Service is a program of the Maine Medical Association. For information about MICIS, visit www.micismaine.org

This activity qualifies for a maximum of 3 credits of the 3 CME credit requirement for opioid medication education found in P.L. 2015, Chapter 488, Maine's legislation to address the opioid drug crisis.

 

Maine Professionals Health Program 1-day wellness conference June 13, 2019 - Augusta Civic Center

The MPHP is inviting all interested to join us for a comprehensive 1-day wellness conference on Thursday, June 13th, 2019

The MPHP is inviting all interested to join us for a comprehensive 1-day wellness conference on Thursday, June 13th, 2019 at the Augusta Civic Center, Augusta, Maine. Designed to help gain a better understanding of the varying factors affecting Maine’s medical professionals, a variety of topics will be covered. Including, but not limited to; medication assisted treatment and recovery considerations, opioid prescribing practices for the treatment of chronic pain, and self-care methods and earlier intervention in addressing these issues. Notably, MPHP participants will speak on their experiences with addiction, recovery, and wellness.

This conference has been approved for 6 CMEs and 6 CEUs

Join us for our biennial conference on Professional’s Health and Wellness at the Augusta Civic Center on Thursday, June 13th, 2019. 

Brochure 

 

 

2019 Jurisdiction K Listening Tour - June 18 - South Portland

National Government Services, serving as your Medicare Administrative Contractor (MAC), is dedicated to providing superior customer service and is committed to finding new ways to improve upon that service. We appreciate your commitment to excellence, your efforts in working with us and in serving our beneficiary community. As a result, we are inviting you to participate in the annual ‘National Government Services Listening Tour’. Meeting sites have been set up by state and you are invited to attend the location nearest you.

National Government Services, serving as your Medicare Administrative Contractor (MAC), is dedicated to providing superior customer service and is committed to finding new ways to improve upon that service. We appreciate your commitment to excellence, your efforts in working with us and in serving our beneficiary community. As a result, we are inviting you to participate in the annual ‘National Government Services Listening Tour’. Meeting sites have been set up by state and you are invited to attend the location nearest you.

2019 Jurisdiction K Listening Tour

South Portland, ME
Tuesday, June 18, 2019
11:00 p.m. - 3:00 p.m.
Anthem Building, 2 Gannett Drive (See 1st Floor - Security)
                                                                    

What to Expect:

During this event, we will sit down with you and listen to your ideas about how we can improve in areas such as:

  • Initiatives to reduce provider burden, rural provider issues and patients over paperwork
  • Customer service you receive when contacting our call center
  • Training you receive during our webinars and in-person events
  • Ease of use of our website, www.NGSMedicare.com and Internet portal, www.NGSConnex.com
  • Our provider enrollment and provider revalidation processes
  • Timeliness and accuracy of our claims processing and payments
  • Claim denials and appeals
  • Processes where you find it difficult to do business with us
  • Actions we could take to help make your job easier

Please RSVP with your attendance to Lori Langevin at lori.langevin@anthem.com no later than two weeks prior to the meeting date to let us know you can attend. We look forward to partnering with you and discussing your ideas for future improvements. If you have suggestions, but are unable to attend in person, please send your suggestions to lori.langevin@anthem.com.


 

Assessing and Managing Non-Suicidal Self-Injury and Suicide Risk in Healthcare Settings - 3 Hour CME Training for Healthcare Professionals at MMA on Friday, June 21, 2019

Assessing and Managing Non-Suicidal Self-Injury and Suicide Risk in Healthcare Settings -  3 Hour CME Training for Healthcare Professionals at MMA on Friday, June 21, 2019.

Assessing and Managing Non-Suicidal Self-Injury and Suicide Risk in Healthcare Settings -  3 Hour CME Training for Healthcare  Professionals

Friday, June 21, 2019

Maine Medical Association – 30 Association Drive, Manchester

8:30 am – Welcome/Continental Breakfast,   9:00 am – Program begins

Suicide is the 9th leading cause of death in Maine and the incidence of suicide in Maine has increased almost 25% in the last decade.   Non-suicidal self injury, most frequently intentional cutting or self-burning has also increased markedly over the past decade.  These behaviors are increasingly being identified, assessed and managed within healthcare settings. 

This professional training offers an opportunity to learn valuable knowledge and skills in the function, assessment and management of non-suicidal self injury.  The second part of the training will address suicide prevention and management within the framework of Suicide Safe Care, a systemic approach that increases safety and support for someone at risk.  This evidence-based approach includes screening and assessment of risk, intervention, Collaborative Safety Planning and assured follow-up with anyone at risk for suicide. 

Presented by: Greg A Marley, LCSW, Clinical Director, NAMI Maine - Greg Marley has practiced in the field of community mental health and prevention in Maine for over 30 years. 

 REGISTER HERE


Sponsored by the CDC Maine Suicide Prevention Program,
NAMI Maine, and the Maine Medical Association

 

The Maine Concussion Management Initiative Will Be Offering Training Programs June 21 and October 29

The Maine Concussion Management Initiative will be offering two training programs in 2019. The first will be June 21 in Waterville at Colby College. And the second on October 29 in South Portland at the Double Tree hotel as the Youth Concussion track at the annual conference of the Brain Injury Association of America-Maine Chapter.

The Maine Concussion Management Initiative will be offering two training programs in 2019. The first will be June 21 in Waterville at Colby College. And the second on October 29 in South Portland at the Double Tree hotel as the Youth Concussion track at the annual conference of the Brain Injury Association of America-Maine Chapter. Online registration will be available in September.

Level 1 is the Introduction to Concussions and Concussion Management. Level 2 is Advance Concussion Management that includes interpreting neurocognitive tests. Level 1 will be held in the morning and Level 2 will be held in the afternoon. Level 1 is a prerequisite for Level 2.

MCMI training is appropriate for physicians, nurse practitioners, physician assistants, neuro-psychologists, school nurses, athletic trainers, physical therapists, occupational therapists, athletic administrators/directors, and coaches.

For more information or to register:

2019 General Information sheet

2019 Registration form

At this time online registration through the MCMI website is not available – you will need to mail in your registration and payment. For any questions – please contact: Jan Salis, PT, ATC, at jsalis@aol.com or 207-577-2018.

 

2019 Mary Cushman, MD Award for Exceptional Humanitarian Service as a Medical Volunteer

The Maine Medical Association presents the Mary F. Cushman Award each year to recognize the humanitarian service of Maine medical volunteers.  Nominations for the 2019 award are due by July 31.

 

Nominations for the 2018 Mary Cushman, MD Award for Exceptional Humanitarian Service as a Medical Volunteer

The Maine Medical Association presents the Mary F. Cushman Award each year to recognize the humanitarian service of Maine medical volunteers who serve many hours in Maine, throughout the United States, or abroad.  The award is announced at the Association’s Annual Session, and includes a $1,000 donation to the institution or organization of the recipient’s choice.  Priority consideration is given to:

  • the nomination of a Maine physician who is a member of the Maine Medical Association.
  • nominations submitted by members of the Maine Medical Association.
  • nominations that, for international volunteering, include training people in other countries to provide care in their own communities.

Nominations for the 2019 award are due by July 31 and should describe the volunteer’s activities and contributions to the profession.

The nomination form is available at https://www.mainemed.com/cme-education-info/2019-annual-session.

Maine Independent Clinical Information Service 2019 Presentations

2019 MICIS learning objectives and descriptions are available at www.micismaine.org.

 

MICIS, the Maine Independent Clinical Information Service, has been providing evidence-based prescribing education since 2008.  In 2019, MICIS is offering presentations on the following topics:

  • Clinical Opioid Update 2019
  • Legal Opioid Update 2019
  • Co-prescribing Benzodiazepines & Opioids: The Black Box of Increased Opioid Risk
  • Opioid Use Disorder & Medication-Assisted Recovery: Caring For Our Communities (presented in 2018)
  • Managing Depression in Older Patients (Note: this is not an opioid topic.)
A 3-hour presentation including Clinical Opioid Update 2019, Legal Opioid Update 2019, and Co-prescribing Benzodiazepines & Opioids is available.

In addition, individual academic detailing sessions are available to prescribers of opioids on these topics:

  • Treating Complex Patients with Chronic Pain who are Prescribed Opioids
  • Overview of Office-Based Buprenorphine Prescribing

Visit www.micismaine.org for information about MICIS education outreach and academic detailing, and to request a presentation at your medical practice, hospital or conference.

Family Medicine Specialist or an Internist

Northern Light AR Gould Hospital is seeking an additional Family Medicine Specialist or an Internist for its outpatient health facility in Presque Isle.  This is an outpatient only position with 24/7 Hospitalist support for all admissions.

Northern Light AR Gould Hospital is seeking an additional Family Medicine Specialist or an Internist for its outpatient health facility in Presque Isle.  This is an outpatient only position with 24/7 Hospitalist support for all admissions.

AR Gould Hospital features 89 acute care beds and a 72 bed facility and serves all of Aroostook County with a broad array of primary and specialty care, acute inpatient, diagnostic and surgical services.

Northern Light AR Gould Hospital in Presque Isle, Maine is the county seat of Aroostook County, which is known for its beautiful lakes, rivers, and forests.  When you’re not enjoying year round outdoor activities, you will be working with supportive colleagues in a modern facility that is well-integrated into a cutting-edge health care syste

For confidential consideration, please contact: Monica Hewitt, Physician Recruiter ProviderJobs@NorthernLight.org or 207.973.5358.

8/12/19

Physician (BC/BE in Family Medicine)

Belgrade Regional Health Center seeks a Physician (BC/BE in Family Medicine) to provide primary care to people of all ages. As a NCQA-Patient-Centered Medical Home, the health center offers accessible, high quality healthcare with integrated behavioral health services.

Belgrade Regional Health Center seeks a Physician (BC/BE in Family Medicine) to provide primary care to people of all ages. As a NCQA-Patient-Centered Medical Home, the health center offers accessible, high quality healthcare with integrated behavioral health services.

Founded in 1977, we serve over 2,300 residents and travelers each year. We reside in the peaceful, picturesque, and welcoming Belgrade Lakes region in the heart of central Maine, renowned for its chain of seven sparkling lakes and abundant streams. Belgrade is part of HealthReach Community Health Centers, a group of eleven Federally Qualified Health Centers in Central and Western Maine serving 28,000 residents in 80 Maine towns.

We offer competitive salary and benefits, pension plan with employer match, malpractice coverage, and loan repayment options. EOE. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901 | (207) 660-9913 | Fax: (207) 660-9901 | Communications@HealthReach.org | www.BelgradeCHC.org

6/17/19

BC/BE Family Medicine or Internal Medicine Physician

Northern Light Eastern Maine Medical Center has an exciting leadership opportunity for a BC/BE Family Medicine or Internal Medicine Physician to lead our primary care network of five well-established, quality-driven, outpatient practices serving the greater Bangor community.

Northern Light Eastern Maine Medical Center has an exciting leadership opportunity for a BC/BE Family Medicine or Internal Medicine Physician to lead our primary care network of five well-established, quality-driven, outpatient practices serving the greater Bangor community.

The Physician Director, Primary Care will collaborate with the Practice Director, Primary Care to form a dyad partnership in leading our primary care team, as well as provide peripheral oversight for our Walk In Care and university health center locations. The Physician Director of Primary Care will have clinical, operational, financial and strategic duties. This role is 80% administrative and 20% clinical practice.

Why Northern Light Health? We offer a robust compensation and benefits package, generous PTO benefits, loan repayment program, and an exceptional work/life balance.

For confidential consideration, please contact:
Amanda Klausing, FASPR, Physician Recruiter
ProviderJobs@NorthernLight.org

207.973.5358

7/8/19

Family Medicine Opportunity in Beautiful Western Maine

Western Maine Primary Care, a department of Stephens Memorial Hospital, is currently seeking a BC/BE family medicine physician to join our exceptional team of providers.

Western Maine Primary Care, a department of Stephens Memorial Hospital, is currently seeking a BC/BE family medicine physician to join our exceptional team of providers. Western Maine Primary Care is committed to providing high quality care. Now is a great time to join our team as we recently relocated our practice to our brand new, state-of-the-art medical office building.

Stephens Memorial Hospital, a 25-bed critical access hospital, is a part of the MaineHealth family, the premier healthcare system in Maine, and is nationally renowned for its innovative programs in rural healthcare. This position offers teaching opportunities of medical students, as Stephens Memorial Hospital is one of the teaching sites for the Maine Medical Center – Tufts University Medical School program. Come be a part of our dynamic team of providers and exceptional support staff and experience the warmth of a small town combined with a medical community working closely with colleagues throughout the MaineHealth system.

Competitive salary and benefits, including student loan repayment and relocation assistance. FMI please contact Abbie Graiver, Director of Physician Recruitment at (207) 744-6049 or graiverab@wmhcc.org.

6/17/19

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

7/1/19

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.

Volunteer Opportunity with Partners for World Health

Partners for World Health has a great need for advice from certain medical professionals on how to sort and package the vast amount of supplies received, for shipping and use in destination countries.

Volunteer Opportunity with Partners for World Health - Portland, ME

Partners for World Health (PWH) is a non-profit 501(c)3 based in Portland, Maine committed to reducing medical waste, improving the quality of healthcare in underserved countries, and educating our local community about global healthcare issues.

Our mission is to collect unused/discarded medical supplies from local medical facilities and to distribute those medical supplies to international communities in need. This work limits the negative impact we have on the environment and provides much-needed resources to the developing world. To support our work in improving health conditions around the world, we send local medical personnel on medical missions to developing countries, and we educate our local Maine community about global health issues. 

PWH has a great need for advice from certain medical professionals on how to sort and package the vast amount of supplies received, for shipping and use in destination countries, specifically, in the areas of:

  • Surgery: all aspects of OR medical supplies and equipment
  • Respiratory: any and all aspects
  • Anesthesia
  • Laparoscopic surgery: advice on the proper components of a “tower”
  • Cardiology

Please note: this request is not for ongoing time commitment but rather for a few hours of a professional’s time to help organize certain supplies appropriately.

While PWH receives tens of thousands of pounds of equipment/supplies from hospitals and clinics, there are certain critical items always in short supply.

For more information, contact volunteer Rita Zanichkowsky at rznct@maine.rr.com or 207-232-3264, or contact Partners directly at 774-5555.  Thank you! 
https://www.partnersforworldhealth.org/