Maine Medicine Weekly Update - August 26, 2019
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MMA Annual Session in Bar Harbor September 6-8

The Maine Medical Association will hold its 166th Annual Session in Bar Harbor on September 6-8, 2019. This year's session marks significant changes in MMA staff leadership and presentations from a number of health leaders in Maine government.

 

The Maine Medical Association commences this year’s Annual Session on Friday, September 6th with an opening reception at 5:30 p.m. with our exhibitors.

This two-day event continues the time honored tradition of Maine physicians coming together as colleagues to discuss the status of the medical profession, to network, and to engage in the many recreational activities offered including whale watching, hiking, biking, shopping, and golfing. The meeting is family friendly with time to relax and enjoy the many attributes that only Mount Desert Island and Acadia National Park can offer. We have a full agenda. You can register online by clicking here.

Features of the program, include Opening Remarks on Friday evening with the Honorable Angus King (invited). The weekend will feature the presentation of 50 year pins to members who graduated from medical school in 1969 and presentation of the Mary Cushman Award for Humanitarian Service, and the President's Award for Distinguished Service. On Saturday morning, MMA will hold its annual governance meeting, which will also include an update from Medical Mutual Insurance Company of Maine and will feature The Honorable Janet T. Mills, Governor of Maine (invited) and her team of health leaders to present the outline of actions addressing Maine's health needs. Sunday morning a panel discussion will feature How Physicians Can Take a Leadership Role. 

A rare event occurs this year: the torch of MMA staff leadership is being passed from Gordon Smith, Esq., who has been the MMA's executive director since 1993, to Andy MacLean, Esq. Don't miss this chance to bid Gordon adieu and welcome Andy to his new role! This will also be the last annual session for General Counsel Peter Michaud, JD, RN, who has served the MMA for five years.

We hope that you will join your colleagues from around the state as well as the MMA staff for an interactive and fun meeting at one of Maine's most beautiful locations at a great time of year!

MaineHealth & Anthem to Form Joint Insurance Venture

MaineHealth and Anthem Blue Cross and Blue Shield have decided to join forces in a joint venture to provide Medicare Advantage (Part C) health insurance in 2020.

 

MaineHealth and Anthem Blue Cross and Blue Shield have decided to join forces in a joint venture to provide Medicare Advantage (Part C) health insurance in 2020. The state's largest hospital system and one of the largest health insurers in the nation issued a statement last Monday saying their intent is to help make Mainers among the healthiest people in the country.

The venture will be called AMH Health LLC. It will offer coverage similar to that offered by Martin's Point's "Generations Advantage" plan and other Part C Advantage plans, which cover hospital and medical costs and prescription drugs.

The event is covered in more detail in a Portland Press Herald article, here.

Celebrate 65 Years of MMA Executive Leadership on Oct. 26. Tickets Available Now

Please join us this fall as the Maine Medical Association celebrates the past 65 years of consecutive leadership and accomplishments! Brick South, the event center at Thompson's Point in South Portland, will be the site of an MMA Gala Celebration on Saturday evening, Oct. 26. We will celebrate the executive leadership of Dan Hanley, M.D., Frank Stred and Gordon Smith who sequentially led MMA for sixty-five years from 1955 into 2019.

 

Please join us this fall as the Maine Medical Association celebrates the past 65 years of consecutive leadership and accomplishments!

Brick South, the event center at Thompson's Point in South Portland, will be the site of an MMA Gala Celebration on Saturday evening, Oct. 26. We will celebrate the executive leadership of Dan Hanley, M.D., Frank Stred and Gordon Smith who sequentially led MMA for sixty-five years from 1955 into 2019. An elegant evening of wonderful memories is planned, including dinner and dancing to the band Plush.

The Oct. 26 event will begin with a reception from 5:00 to 6:30pm. The program will include a video tribute and a roast with invited roasters including Senator Angus King, Governor Janet Mills, MHA President Steven Michaud, MMA's Andy MacLean, and former Ohio State Medical Association Executive Director D. Brent Mulgrew.  

Sponsorships are available and anyone wishing to sponsor or purchase an ad in the program should contact Andy MacLean at MMA (amaclean@mainemed.com) or Sam Surprise (sam@surpriseadvertising.com).

Online registration is now open at: https://www.eventbrite.com/e/celebrating-65-years-of-mma-leadership-tickets-66193569749Early Bird ticket prices are available through September 8, so act now!

 

CDC: Many Adults Skip Diabetes Meds Due to Cost

According to data released by the US CDC, almost one in seven adults with diabetes did not take their medication as prescribed because of the high cost.

 

[from AMA Morning Rounds]

 

The Hill (8/21, Sullivan) reports that “almost one in seven adults with diabetes did not take their medication as prescribed because of its cost, according to new data released by the Centers for Disease Control and Prevention.” According to the CDC, “13.2 percent of adults with diabetes either skipped a dose, took less medicine, or delayed filling a prescription because of cost.”

Medscape (8/21, Busko, Subscription Publication) reports that “roughly one in four adults with diabetes asked their physician for a cheaper prescription drug and 13% of patients took less medicine than prescribed to try to lower their drug costs,” according to the CDC.

 

Home Health Changes in CMS Rules: Implications for Primary Diagnosis

The Home Health industry is looking toward significant changes on January 1, 2020 related to the Medicare reimbursement and payment. The industry will transition to a Patient Driven Grouper Model (PDGM) which will require a greater focus and importance on the Primary Diagnosis. The Primary Diagnosis will be a key factor in determining home health reimbursement as well as patient care and services.  

 

The Home Health industry is looking toward significant changes on January 1, 2020 related to the Medicare reimbursement and payment. The industry will transition to a Patient Driven Grouper Model (PDGM) which will require a greater focus and importance on the Primary Diagnosis. The Primary Diagnosis will be a key factor in determining home health reimbursement as well as patient care and services.  

Starting in 2020 this model of payment will not accept 40% of the Diagnoses that are currently being used as the Primary diagnosis. These are mainly symptom codes that do not give enough specificity as to the reason for the need for home health services. Studies show that 15% of current home health claims will not be in compliance in 2020 due to unacceptable Primary diagnoses, the number one Diagnosis used being Weakness M62.81.

Examples of these diagnoses that will not be accepted as the primary diagnosis include:

M62.81 Muscle Weakness

R26.89 Other abnormality of gait

R26.81 Unsteadiness of feet

R29.6 Repeated falls

R53.1 Weakness

R33.9 Retention of urine

Dysphagia, unspec.

M25.561/M25.562 Pain in right/left knee

M25.551/M25.552 Pain in right/left hip

M54.9 Dorsalgia, unspec.

M25.511/M25.512 Pain in right/left shoulder

M54.5 Low back pain

M19.90 Unspecified Osteoarthritis, unspecified site

M19.91 Primary Osteoarthritis, unspecified site

S72.001D Fracture of unspecified part of Rt femur

S72.002D Fracture of unspecified part of Left femur

In an effort to make sure all of our patients have Primary diagnoses that are acceptable to this new payment model by 2020, the Home Care & Hospice Alliance of Maine is sharing this information to alert Physicians and referral sources of this significant change.  Please assist home care and hospice providers transition to this new model by starting now to make sure all patients needing home health will have a specific Diagnosis rather than one that only identifies a symptom.

The care of our patients is always our top priority and we hope the implementation of this new model will only help us improve the services that we provide.

Thank you for your referrals to home care and hospice. 

Laurie Belden, Executive Director

Home Care & Hospice Alliance of Maine

 

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.]

 

Study suggests “red flag” laws may play a role in efforts to prevent mass shootings

CNN (8/19, Howard) reports that preliminary research suggests the “‘urgent’ and ‘individualized’ intervention” of “extreme risk protection order laws, colloquially known as ‘red flag’ or ERPO laws,” may “play a role in efforts to prevent mass shootings.” Among “21 cases that involved someone who had or soon would have access to firearms and ‘made a clear declaration of intent to commit a mass shooting’ or exhibited behavior suggesting such an intent,” researchers found that the “orders ‘allowed for immediate intervention to reduce firearm access, in most instances because of timely reports from threatened parties and members of the public,’ the researchers wrote.” Researchers in the study, published in Annals of Internal Medicine, “added that they ‘make no claim of a causal relationship’ and that ‘further evaluation of the implementation and effectiveness of ERPO policies in California and other jurisdictions where they have been enacted would be helpful.’”

The Washington Post (8/19, Jamison) reports, “The findings arrive amid a national debate on the most effective – and politically feasible – measures to avert acts of large-scale gun violence.”

Resurgence of measles raises fears that polio could make a comeback too

STAT (8/19, Branswell) reports that “for the people who have long worked to eradicate” polio, “the resurgence of measles has become a cautionary tale – both useful and unsettling – of why the polio campaign must push on across the finish line. Failure to do so could have dire consequences.” The article says, “The effort to eradicate polio is nearly two decades past its original target date for completion, and there are concerns about what could happen if funding dries up or the political will to persevere towards the elusive goal erodes.”

 

Health officials announce first death linked to unknown vaping product

The New York Times (8/23, Richtel) reported public health officials announced that “a person in Illinois has died from a mysterious lung illness apparently associated with an unknown vaping product.” The article said “this is the first death of someone whose symptoms have been linked in the last two months to vaping.” The article added that there have been “about 190 cases of vaping-related sicknesses, some resulting in severe lung damage” in 22 states. During a joint news conference, the FDA, CDC, and Illinois state government did not disclose the identity of the deceased.

The Washington Post (8/23, Sun) reported the person who died “had recently used an e-cigarette and was hospitalized with severe lung illness.” The article said, “The death appears to be the first among a spate of mysterious lung illnesses now under investigation by state and federal health officials in connection to vaping – at least 193 cases in 22 states, many in teens and young adults, according to the Centers for Disease Control and Prevention.”

Reuters (8/23, Lavietes) reported health officials are trying to identify the products used by the sick people to see if they can find a common cause.

Women with type 2 diabetes may face more sleep problems during menopause, study suggests

Reuters (8/23, Crist) reported a small study suggests that “women with type 2 diabetes may face more sleep issues and more severe sleep troubles during menopause than peers without diabetes.” In a group of “164 middle-aged women who completed a survey, those with diabetes averaged 10 sleep-related symptoms while those without diabetes averaged about 7 – and symptoms were rated as more severe by women with diabetes.” Overall, Reuters added, “About half of menopausal women with type 2 diabetes report sleep-related symptoms, compared to a quarter of midlife women without diabetes, [one researcher said].” The findings were published in Menopause.

Diabetes may increase cancer risk through its effect on DNA, study suggests

Newsweek (8/25, Gander) reports a study in mice by researchers at City of Hope National Medical Center suggests that “people with diabetes could be more likely to develop cancer because of how high blood sugar levels affect DNA.” Study authors think that “a higher level of blood glucose appears to spike how much damage DNA suffers,” and that “too much glucose in the blood also made DNA strands more prone to breaking, and stood in the way of it being repaired.” The findings were presented at the American Chemical Society Fall 2019 National Meeting & Exposition.

Antibiotic-resistant salmonella strain confirmed in U.S., Mexico products

USA Today (8/24, Hines) reported, “A strain of Salmonella Newport in some beef in the United States and in some soft cheeses in Mexico has been found to be resistant to antibiotic treatment, according to a release from the Centers for Disease Control and Prevention published Friday.” The CDC had “reported the results of a study conducted on Salmonella Newport that was not responding to two oral agents that are frequently recommended to treat Salmonella infections.” Since first being discovered, the strain has “been detected on multiple occasions in cecal and beef samples along with a mix of queso fresco and Oaxaca cheese in the United States and Mexico.”

Research links physical activity in middle-age with lower mortality risk

CNN (8/22, Kim) reports a study “links a lower risk of early death to higher levels of physical activity at any intensity in middle-aged and older people.” The research shows “the risk of death for participants was approximately five times higher for those who were inactive compared to those who were the most active.” The findings were published in BMJ.

HealthDay (8/22, Preidt) reports the researchers “analyzed data from eight studies that included more than 36,000 adults, aged 40 and older, who were followed for an average of almost six years.” Moreover, “the researchers also found that spending 9.5 hours or more each day sitting was associated with a statistically significant increased risk of early death.”

Research finds pill containing combination of heart meds can decrease heart attack rates

The New York Times (8/22, McNeil) reports that researchers have found that “giving people an inexpensive pill containing generic drugs that prevent heart attacks – an idea first proposed 20 years ago but rarely tested – worked quite well in a new study” published in The Lancet, “slashing the rate of heart attacks by more than half among those who regularly took the pills.” According to the Times, “The pill in the study, which involved the participation of 6,800 rural villagers aged 50 to 75 in Iran, contained a cholesterol-lowering statin, two blood-pressure drugs and a low-dose aspirin.”

The AP (8/22) reports that all participants “got advice on healthy lifestyles and half also were given polypills.” Researchers found that “after five years, 6% of those in the pill group had suffered a heart attack, stroke or heart failure versus 9% of the others,” which “worked out to a 34% lower risk with the polypill, and a 22% lower risk after researchers took into account other heart drugs that participants were taking.” Participants “who took the polypill most faithfully, at least 70% of the time, had even bigger reductions in heart risks.”

 


USPSTF Updates Recommendations for Breast, Ovarian Cancer Gene Screening

The U.S. Preventive Services Task Force (USPSTF) “recommends genetic testing if a woman’s history suggests a potential for inherited cancer risk, but even then, only if the test results will help her make decisions about further evaluation and treatment.”

 

 [from AMA Morning Rounds]

Reuters (8/20, Boggs) reports, “Mutations in the BRCA1 and BRCA2 genes are associated with increased risks for breast, ovarian, and other cancers, but only certain women stand to benefit from genetic testing, according to updated recommendations from the U.S. Preventive Services Task Force (USPSTF).” The task force “recommends genetic testing if a woman’s history suggests a potential for inherited cancer risk, but even then, only if the test results will help her make decisions about further evaluation and treatment.”

The AP (8/20, Neergaard) reports on Tuesday, USPSTF expanded recommendations for who should get screened for BRCA mutations. Previously, the task force recommended screening for “women who have relatives with BRCA-related cancers and refer those who might benefit from gene testing to a genetic counselor to help them decide.” The new recommendations, published in JAMA, now suggest primary care physicians should assess risk for women “previously...treated for breast or other BRCA-related cancers,” and whose “ancestry is prone to BRCA mutations, such as Ashkenazi Jewish women.”

MedPage Today (8/20, Ingram) reports the task force members “recommend a three-step process: a brief risk assessment with a validated tool, referral to genetic counseling if positive, and then BRCA1/2 mutation testing if indicated.” Meanwhile, the group “did not recommend multigene panel testing, omitting other genes linked to increased cancer risk, and instead focused on BRCA1/2 mutations specifically, citing the available evidence on and prevalence of these mutations, and their clinical actionability.”

 

CDC Videos on Discussing Vaccines With Parents, Patients

August is Vaccine Awareness Month, and the US CDC has developed a series of videos to help pediatricians and others talk about vaccines with their patients.

 

The US CDC has developed a series of videos to help pediatricians and other health care professionals talk with their patients about vaccines. The series is called "How I Recommend Vaccination" and has different videos appropriate to various ages. They address such issues as safety, side effects, and how to deal with vaccine hesitancy.

August is Vaccine Awareness Month...and in Maine, signature gatherers are hitting fairs, festivals, farmers' markets, and other public gatherings trying to collect enough signatures for a "People's Veto" vote next spring. They claim it's a vote for "medical freedom," and they argue that people should sign the petitions even if they believe in vaccination. Supporters of Maine's new immunization exemption law have been engaging the collectors in conversation about the issue and the referendum.

 Meanwhile, in New York, Robert F. Kennedy, Jr. and attorney Michael Sussman are in court (with vaccine skeptic supporters outside) arguing that the recently passed New York law (similar to Maine's LD 798) eliminating non-medical exemptions is unconstitutional, an argument most constitutional scholars believe was put to rest in the 1905 U.S. Supreme Court case of Jacobson v. Massachusetts. The State of New York has issued new emergency immunization regulations seeking to prevent a flood of "bogus" medical exemption claims as happened in California. You can read more about that story here.

 

AMA Urges CMS to Reduce Administrative Burden on Physicians

The AMA recently submitted comments in response to the Centers for Medicare & Medicaid Services' (CMS) Request for Information on "Reducing Administrative Burden to Put Patients Over Paperwork."  

 

[from AMA Advocacy Update]

 

The AMA recently submitted comments in response to the Centers for Medicare & Medicaid Services' (CMS) Request for Information on "Reducing Administrative Burden to Put Patients Over Paperwork." The AMA continues to support this initiative and the agency's goal of alleviating the administrative burden federal programs place on physician practices. The increasing amount of administrative responsibility forced upon physicians adds unnecessary costs to practices and the Medicare program—and also negatively impacts patient care. The AMA argued that by reducing administrative burden, CMS can support the patient-physician relationship and let physicians focus on an individual patient's welfare and, more broadly, on protecting public health.

The AMA made recommendations on a variety of topics including addressing prior authorization, simplifying the Quality Payment Program (QPP), eliminating observation status, reforming open payments, streamlining appropriate use criteria and many more. Specifically, with prior authorization, the AMA urged CMS to take a leadership role and develop a comprehensive strategy to address concerns that includes all areas of the AMA Prior Authorization Consensus Statement:

  • Selective application of prior authorization (CMS should continue the successful Targeted Probe and Educate program; the AMA supports identification of outliers and education as needed.)
  • Review/adjustment of services/drugs that require prior authorization to eliminate low-value prior authorization (Applying prior authorization to services with high approval rates is costly for plans and providers.)
  • Improved communication of prior authorization requirements to patients and health care professionals (including CMS encouraging plans to disclose the clinical basis for their prior authorization requirements)
  • Protections of patient continuity of care, particularly when patients enroll in new plans or plans change prior authorization requirements
  • Automation to improve prior authorization transparency and process efficiency while maintaining physician oversight of payer access to electronic health record (EHR) data

 

MMA Legislative Calls Finished for the Session

Now that the Maine Legislature has adjourned sine die, our MMA legislative calls are on hold. Watch this space in late autumn for information about an in-person meeting to prepare for the Second Regular Session (2020) of the 129th Maine Legislature.

 

MMA Legislative Committee Chairs Jay Mullen, M.D. and Lindsey Tweed, M.D. thank you for participating in the weekly conference calls of the MMA Legislative Committee. It was a busy session for health care and health legislation, and the legislative calls were essential in giving MMA advocacy staff the guidance we needed to support or oppose significant legislation.

Preparation for the 2020 Second Regular Session of the 129th Maine Legislature will begin with an in-person meeting sometime in late fall, and regular legislative calls will resume the first week of January. In the meantime, enjoy your summer and fall, and don't forget to cultivate your relationships with your representative and senator. They appreciate hearing from you, not just on health issues but on any matters in which you have an interest.

Legislature Returns to Augusta for a Day August 26th

The Maine Legislature returns to Augusta today (Monday) for a day to consider a group of bond bills proposed by the Governor.

 

The Maine Legislature returns to Augusta today (Monday) for a day to consider a group of bond bills proposed by the Governor. Only one bill, pending on the "Special Study" table, relates directly to medicine: a bill to study guardianships as they relate to the delay of patient discharges from hospitals.

They may also consider a bill that calls for ranked choice voting in next spring's presidential primary...assuming that the effort for a people's veto of the primary bill fails to garner the necessary 63,067 signatures. If enough signatures are gathered on the people's veto of the primary, then no other people's veto measures (including the vaccine bill) would be voted on until June.

Legislators are not expected to take up any other matters in this brief session.

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

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
1:00pm - 2:00pm - Ironbound Room in the Pool House
REGISTER TODAY

Contact: Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

Maine Chapter, American College of Emergency Physicians
  3:00pm - 4:00pm - Ironbound Room in the Pool House
REGISTER TODAY
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
View Brochure or Register Online
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

October 24, 2019
Maine Association of Psychiatric Physicians, Fall Members Meeting/Program

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

November 9, 2019
Maine Neurological Society

  9:00am - 12:00pm - Maine Medical Association – Manchester, ME
REGISTER TODAY
Contact: Cathy Stratton at 207-592-5725 or cstratton@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 16-17, 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

May 1, 2020
Maine Society of Eye Physicians and Surgeons Spring Meeting

Harraseeket Inn – Freeport, ME 11:30am - 5:00pm
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

May 1-3, 2020
Maine Chapter, American Academy of Pediatrics Spring CME Conference

Hilton Garden Inn – Freeport, ME
Contact:  Dee Kerry 207-480-4185 or dkerry@mainemed.com

 

 

 

 

  


 

MICIS Individual Academic Detailing Sessions on Opioid Topics

The Maine Independent Clinical Information Service (MICIS) is offering 1-hour individual Academic Detailing sessions on two topics: Treating Complex Patients with Chronic Pain who Are Prescribed Opioids and Overview of Office-Based Buprenorphine Prescribing.  www.micismaine.org

 

2019 Opioid Academic Detailing Sessions
Maine Independent Clinical Information Service (MICIS)

Academic Detailing is peer-to-peer educational outreach which is designed to improve prescribing practices.  It is useful for improving quality of care and identifying priorities for change.

MICIS is scheduling individual 1-hour Academic Detailing sessions on these topics:

  • Treating Complex Patients with Chronic Pain Who Are Prescribed Opioids
  • Overview of Office-Based Buprenorphine Prescribing
Prescribers of opioids (physicians, nurse practitioners and physician assistants) and Medical Directors may request a 1-hour Academic Detailing session at their practice location.  This direct learning session can be scheduled for any time of day, and sessions can be scheduled on the same day for mutliple prescribers in the same or nearby practices.  The sessions are provided free of charge.

Visit www.micismaine.org for information on MICIS education outreach and academic detailing and to request an Academic Detailing session at your medical practice or hospital.

MICIS has provided evidence-based prescribing education since 2008, and is a program of the Maine Medical Association.

 

2019 Clinical & Legal Opioid Update: September 10th at the Augusta Civic Center

Presented by the Maine Independent Clinical Information Service (MICIS) from 5-8:30pm.  Free presentation, registration required.

2019 Clinical and Legal Opioid Update
Tuesday, September 10 2019
Augusta Civic Center  REGISTER HERE
5:00-8:30pm

The topics covered at this session will be:

  • 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: Peter Michaud, JD, RN

FREE - Advanced registration is required
REGISTER HERE
Light snacks will be provided

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.

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 opioid drug use.

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

2019 Clinical & Legal Opioid Update: MICIS Fall Presentations

Fall dates announced for the MICIS presentation of 2019 Clinical & Legal Opioid Update.

2019 Clinical & Legal Opioid Update
Presented by the Maine Independent Clinical Information Service (MICIS)
Free - Advanced registration is required
5:00-8:30 pm

Augusta: Tuesday, September 10 at the Augusta Civic Center Register for 9/10 Augusta

Online registration will open for these dates in early September:

  • Wells: Tuesday, October 8 at Village By The Sea
  • Dedham/Ellsworth: Thursday, October 24 at The Lucerne Inn
  • Portland: Wednesday, October 30 at Fireside Inn and Suites
  • Auburn: Tuesday, November 19 at Hilton Garden Inn Riverwatch
  • Brewer: Wednesday, November 20 at Jeff's Catering
  • Belfast: Thursday, November 21 at the Hutchinson Center
The topics presented at this session will be:
  • 2019 Clinical Opioid Update
  • 2019 Legal Opioid Update
  • Co-Prescribing Benzodiazepines & Opioids: The Black Box of Increased Overdose Risk
Presenters: Elisabeth Fowlie Mock, MD, MPH; Peter Michaud, JD, RN
Light snacks will be provided.

The Maine Medical Education Trust designates this live activity for a maximum of 3 AMA PRA Category 1Credit(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 to physicians.

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 opioid drug use.

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

VA Maine Healthcare System to Host Community Mental Health Summit on MAT September 11th

The VA Maine Healthcare System will be hosting a community mental health summit focused on Medication assisted Treatment for substance use disorder September 11, 2019, at the Togus VA Center.

 

VA MAINE HEALTHCARE SYSTEM

H o s t s

Community Mental Health Summit

Medication Assisted Treatment

        -M.A.T. Saves Lives-

 

 

By attending this Summit, you will learn about:

  • VA’s response to the Opioid Crisis
  • How Veterans with Opioid Dependence can access care
  • VA Veterans Justice Outreach Program

  • Current research on Substance Dependence and Suicide

    

      Wednesday, September 11, 2019

8:30 a.m. - 4:00 p.m.

                1 VA Center, Augusta, ME             

  Building 210, Theater (Togus)

 

Limited Seating. Register Early

https://www.eventbrite.com/e/mh-summit-2019-registration-67038898149

 

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

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 is offering 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.

As part of our project RISE educational programming, we are offering a four-month ECHO program that will convene a "hub" of faculty experts and clinicians.  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. The final date is on August 28, 2019 from 12:00-1:00 PM.

If you have questions or would like more information please contact Kayla Cole at kcole@mainequalitycounts.org or tel. 207-620-8526 ext. 1027. 

Obesity Medicine: There is no 'one size fits all' - Monthly Lecture Series Beginning September 18th

Obesity continues to skyrocket and most patients are not getting the help they desperately need.  Join us for one lecture or all 12 lectures (monthly) and learn the science behind obesity and current clinical guidelines in treating it. 

What: Monthly Lecture Series (1.25 AMA PRA category one CME credits per lecture for 12 months for a total of 15 CME credits) 

When: Lecture #1- Wednesday, September 18 from  6:00pm - 7:15pm

Where: 66 Leighton Rd, Falmouth, ME 04105

Who: Catherine Krouse, DO 

Why: Obesity continues to skyrocket and most patients are not getting the help they desperately need.  Join us and learn the science behind obesity and current clinical guidelines in treating it.  Understanding the physiology of weight regulation will help open lines of communication with your patients in unexpected ways, and help guide patients towards treatment options with the best evidence for long term success.

COST: $40 per lecture OR $360 for the entire series (15 CME)

RSVP: info@empoweredmaine.com

 

Maine Concussion Management Initiative (MCMI) Training Program - October 9

The Maine Concussion Management Initiative (MCMI) has its final training program for 2019 on October 9 at the annual conference of the Brain Injury Association of America-Maine Chapter. MCMI training will be listed as the Youth Concussion Track.

The Maine Concussion Management Initiative (MCMI) has its final training program for 2019 on October 9 at the annual conference of the Brain Injury Association of America-Maine Chapter. MCMI training will be listed as the Youth Concussion Track.

The BIAA-Maine Chapter conference will be held at the Abromson Community Education Center on the campus of the University of Southern Maine. The conference runs from 8:00am to 4:30pm. The MCMI Youth Concussion Track will have Level 1 from 9:30am to 1:00pm and Level 2 from 1:30pm to 4:30pm.

Registration will be online at the BIAA-Maine Chapter website www.biausa.org and should be available by August.

Level 1 is the Introduction to Concussions and Concussion Management. Level 2 is Advance Concussion Management that includes interpreting neurocognitive tests. Level 1 is a prerequisite for Level 2. MCMI training is appropriate for physicians, nurse practitioners, physician assistants, neuropsychologists, school nurses, athletic trainers, physical therapists, occupational therapists, athletic directors, and coaches.

For any questions – please contact: Jan Salis, PT, ATC, at jsalis@aol.com or 207-577-2018.

 

MMA partners with the Maine Suicide Prevention Program to offer training for clinicians.

MMA continues to partner with the Maine Suicide Prevention Program to offer training for clinicians.

The Maine Suicide Prevention Program, administered by NAMI-Maine, is excited to announce their Fall schedule.   The following suicide prevention, assessment and management trainings are open for registration.  MMA works closely with NAMI-Maine to provide educational opportunities for Maine physicians and other clinical providers. CMEs and contact hours for licensure are offered as appropriate. 

Suicide Prevention Gatekeeper Training

Suicide Prevention Training of the Trainers

Suicide Assessment for Clinicians Training

Non-Suicidal Self Injury Training

Suicide Prevention Protocol Development Training

Suicide Prevention Curriculum Training

If you have needs not identified in the above list, please contact Nicole, Suicide Prevention Coordinator, to discuss the possibility of a customized training program.  

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

9/9/19

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

9/16/19

Northern Light Sebasticook Valley Hospital seeks a BC/BE General Surgeon

Bread and butter surgery, with high volume elective surgery and low volume emergency surgery. Upper and lower endoscopy ability required. Breast surgery preferred, but not required.

Northern Light Sebasticook Valley Hospital seeks a BC/BE General Surgeon. Bread and butter surgery, with high volume elective surgery and low volume emergency surgery. Upper and lower endoscopy ability required. Breast surgery preferred, but not required.

Northern Light Sebasticook Valley Hospital is a progressive, Joint Commission accredited, 25-bed Critical Access Hospital in Pittsfield, Maine that serves an area encompassing 40,000 people throughout the central region. Northern Light Sebasticook Valley Hospital is a member of Northern Light Health, an integrated statewide health delivery system that is raising the bar with no-nonsense solutions that are leading the way to a healthier future for our state.

Why Northern Light Health?

  • Robust compensation and benefits package  
  • Student Loan Reimbursement Programs 
  • Relocation Bonus  
  • Sign on Bonus  
  • Flexible schedules and exceptional work/life balance  
  • Generous PTO benefits   

For confidential consideration, please submit CV to: Providerjobs@northernlight.org

10/7/19


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.

9/16/19

Physician Director of Primary Care

Northern Light Sebasticook Valley Health has an exciting physician leadership opportunity for a Board Certified/Board Eligible MD/DO Family Medicine or Internal Medicine Physician to lead our primary care network of three family medicine practices.

Northern Light Sebasticook Valley Health has an exciting physician leadership opportunity for a Board Certified/Board Eligible MD/DO Family Medicine or Internal Medicine Physician to lead our primary care network of three family medicine practices. This is an excellent opportunity to lead a group of well established, quality driven, outpatient practices serving the greater Pittsfield community. Our team of physicians and NP/MHNP providers are committed to providing excellent medical care, exceptional service and a satisfying relationship between patient and provider. We do this by blending the latest technology with old-fashioned care and customer service. Our skilled office staff and providers work as integrated care teams to provide our patients with a full spectrum of family care. This role will be 20% administrative and 80% clinical practice.
 
For confidential consideration, please contact: providerjobs@northernlight.org
 
9/30/19

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, 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.

9/16/19

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/