Maine Medicine Weekly Update - April 1, 2020
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Maine Medical Association Zoom Meeting for Providers During COVID-19 Pandemic

The Maine Medical Association is focused on promoting the health, well-being & effectiveness of physicians on the front line during the COVID-19 pandemic. 

 

The Maine Medical Association is focused on promoting the health, well-being & effectiveness of physicians on the front line during the COVID-19 pandemic. There so much concern and anxiety right now in the general physician community relating to the pandemic, the availability of supplies and front line provider safety. Not to mention the fear of taking anything home to your families.

Therefore, we will start hosting virtual discussions every Tuesday from 6-8 p.m. starting next week. The intent is not a clinical discussion but, instead, to simply empathize and commiserate with your fellow physicians during this difficult and trying time for medical providers working under such difficult conditions. We sincerely hope you can join.

 
COVID-19 Provider Meeting
 
First Meeting Apr 7, 2020 06:00 PM Eastern Time (US and Canada)
       
Join Zoom Meeting: https://zoom.us/j/111313123
 
Meeting ID: 111 313 123
 
Dial by your location: 1-646-876-9923 
 
Meeting ID: 111 313 123
        
 
Depending on interest, we may add another day/time including  a morning option.
 
 

 


 

Governor Mills Issues Stay Healthy at Home Mandate

Governor Janet Mills has issued a series of substantial new mandates to protect public health and safety in the face of COVID-19, including a Stay Healthy at Home directive that requires people living in Maine to stay at home at all times unless for an essential job or an essential personal reason, such as obtaining food, medicine, health care, or other necessary purposes

 

[From the website of Governor Mills 03/31/2020]

Governor Mills issues stay healthy at home mandate, also orders a series of additional requirements to protect public health and safety in the face of COVID-19

For an excellent Q&A overview of what the Executive Order covers and does not cover click here courtesy of the Portland Press Herald.

Governor Janet Mills today issued a series of substantial new mandates to protect public health and safety in the face of COVID-19, including a Stay Healthy at Home directive that requires people living in Maine to stay at home at all times unless for an essential job or an essential personal reason, such as obtaining food, medicine, health care, or other necessary purposes.

The Governor also mandated a series of other new restrictions, including:

  • For essential businesses and operations that remain open, limiting the number of customers in their buildings at any one time, implementing curb-side pickup and delivery options as much as possible, and enforcing U.S. CDC-recommended physical distancing requirements for their customers and employees in and around their facilities.
  • Prohibiting the use of public transportation unless for an essential reason or job that cannot be done from home and limiting the number of people traveling in private vehicles to persons within the immediate household unless transporting for essential activities.
  • Mandating the continued termination of classroom or other in-person instruction until at least May 1, 2020.
  • Mandating that, when out of the home or when at work at an essential business, individuals shall maintain a minimum distance of six feet from other persons.

The Executive Order takes effect at 12:01 a.m. on April 2, 2020 and will last until at least April 30, 2020. The Governor may amend, rescind, or renew this timeline at her discretion. The Governor also extended the closure of restaurants and bars statewide for dine-in customers until at least April 30, 2020 to align with today’s Executive Order.

“We are in the midst of one of the greatest public health crises this world has seen in more than a century. This virus will continue to sicken people across our state; our cases will only grow, and more people will die. I say this to be direct, to be as honest with you as I can. Because saving lives will depend on us,” said Governor Mills. “I implore you – look to yourself, your family, your friends, your loved ones, your neighbors on the front lines, first responders and health care workers fighting the virus, those who can’t stay home; the children who live around the corner, the farmer who grows your food, the grocer and the pharmacist who sell you goods, the teachers who are missing their kids; the fisherman, the sailor, the truck driver, the janitor, the waitress at your favorite diner; these are the people you are protecting by staying home. This is who you are saving.”                

The Governor’s Executive Order enacts the following:

Stay Healthy at Home Directive

Governor Mills’ “Stay Healthy at Home” Executive Order requires that Maine people remain at home unless to leave for an essential job or an essential activity. 

Essential jobs are defined under Governor Mills’ March 24 Executive Order outlining essential businesses and operations. 

Essential personal activities include the following with relation to an individual, their family, household members, pets, or livestock:

  1. Obtaining necessary supplies for household consumption or use, such as groceries, and supplies and equipment needed to work from home, laundry, and products needed to maintain safety, sanitation, and essential maintenance of the home or residence.
  2. Obtaining medication or medical supplies and seeking medical or behavioral health or emergency services.
  3. Providing care, including transportation, of oneself, a family member, friend, pet or livestock in another household or location for essential health and safety activities and to obtain necessary supplies and services. 
  4. Traveling to and from an educational institution for purposes of receiving meals or instructional materials for distance learning.
  5. Engaging in outdoor exercise activities, such as walking, hiking, running, or biking, but, only in compliance with the social gathering restriction in Executive Order 14 and all applicable social distancing guidance published by the U.S. and Maine Centers for Disease Control and Prevention.
  6. Travel required by a law enforcement officer or court order; and
  7. Traveling to and from a federal, State, or local government building for a necessary purpose.

Travel Restrictions

The Order prohibits the use of public transportation unless for an essential reason or job that cannot be done from home and limits the number of people traveling in private vehicles to persons within the immediate household unless transporting for essential personal activities.

Termination of In-Person Instruction at Schools

Public and private schools and higher education institutions statewide have terminated in-classroom instruction in accordance with the Governor’s March 15 recommendation. The Governor today ordered that all such schools shall continue to cease classroom or other in-person instruction until at least May 1, 2020, or until further Order.

Restricting Number of People in Essential Stores

Governor Mills’ Executive Order restricts the number of people allowed at essential businesses at any one time, mandates that they conduct as much business as possible by curbside order and pick up or delivery to limit in-person contact, and enforce physical distancing in and around their facilities by prominently posting signs at public entrances and on the floor to notify customers to stay six-feet apart. It also requires that they disinfect the handles of every cart and basket between uses, minimize customer handling of unpurchased merchandise and offer separate operating hours for Maine people over the age of 60 and those with underlying medical conditions.

Under the Executive order, essential stores with retail spaces of:

  • Less than 7,500 square feet limit the number of customers in the store at one time to 5. Examples of such stores include gas stations and convenience and specialty food stores.
  • More than 7,500 and less than 25,000 square feet limit the number of customers in the store at one time to 15. Examples of such stores include stand-alone pharmacies and certain hardware stores.
  • More than 25,000 and less than 50,000 square feet limit the number of customers in the store at one time to 50.  Examples of such stores include mid-sized and locally owned grocery stores. 
  • More than 50,000 and less than 75,000 square feet limit the number of customers in the store at one time to 75.  Examples of such stores include chain grocery stores.
  • More than 75,000 square feet limit the number of customers in the store at one time to 100 and install protective shields between customers and checkout clerks as soon as practicable. Examples of such stores include Lowe’s, Wal-Mart, Target and Home Depot.

Retailers must enforce these limits and a six-foot separation between any customers waiting in lines. Any essential business which violates this Order will be subject to further on-site restrictions or closure until those violations are addressed. These new requirements adjust and mandate prior recommendations from the Governor regarding essential businesses and operations.

Preemption

The Order preempts any local ordinance or emergency order of the same subject matter that is less restrictive than or otherwise inconsistent with this Order.

Enforcement

This Order shall be enforced by law enforcement as necessary and violations are a class E crime subject to up to six months in jail and a $1000 fine. In addition, compliance with Section IV of this Order may also be enforced by government officials who regulate licenses, permits or any other authorization to operate a business or occupy a building. It is the Governor’s hope that compliance will be voluntary, and that formal enforcement will not be necessary. 


CORRECTION: Governorís Executive Order on Physician License Renewal

Last week, the MMA’s e-newsletter erred when outlining Governor Mills’ Executive Order outlining the renewal of licenses by physicians. The Board of Osteopathic Licensure and the Board of Licensure in Medicine will NOT be renewing medical licenses automatically during the COVID-19 emergency. Licenses will be partially EXTENDED – not renewed.

 

 Last week, the MMA’s e-newsletter erred when outlining Governor Mills’ Executive Order outlining the renewal of licenses by physicians. The Board of Osteopathic Licensure and the Board of Licensure in Medicine will NOT be renewing medical licenses automatically during the COVID-19 emergency. Licenses will be partially EXTENDED – not renewed.

The Executive Order does the following:

***** Keep licenses from expiring or needing to be renewed for 30 days after the declaration of the emergency (including CME requirements) *****;

Allows the expedited licensure (at no cost) of qualified retired physicians and physician assistants to provide assistance for the duration of the emergency;

Allows the expedited licensure (at no cost) of qualified physicians and physician assistants licensed in other jurisdictions to provide assistance for the duration of the emergency;

Suspends the requirement of supervision or collaboration for nurses and physician assistants for the duration of the emergency;

Maximizes the use of telemedicine and telehealth and eliminates the need for some in-person patient visits for the duration of the emergency by:

Allowing voice-only technology to be used; and

Suspending any laws or rules related to state medical record privacy and HIPAA that would interfere with the use of telemedicine and telehealth technology.

We apologize to staff at The Board of Osteopathic Licensure and the Board of Licensure in Medicine. It is extremely important to get this correct information out, which could set both boards up for complaints when physicians and physician assistants need to file renewal applications when the COVID-19 pandemic is over.  Both boards provide an essential service for the safety of all Mainers and operates solely on the funds provided by licensing fees – including renewals. Thank you. We’ll keep trying to do better in providing you information.


CMS Announces Major New Flexibilities for Physicians During COVID-19 Emergency

The Centers for Medicare & Medicaid Services have announced a number of new policies to help physicians and hospitals during the COVID-19 pandemic.

 

The Centers for Medicare & Medicaid Services have announced a number of new policies to help physicians and hospitals during the COVID-19 pandemic. The AMA released a statement applauding these actions, which include Medicare coverage for telephone services, significant additions to the list of covered telehealth services such as emergency visits, and greater clarity on the use of remote patient monitoring for acute conditions like the novel coronavirus. Below are links to a CMS fact sheet on the new policies and a CMS press release:

https://www.cms.gov/files/document/covid-19-physicians-and-practitioners.pdf

https://www.cms.gov/newsroom/press-releases/trump-administration-makes-sweeping-regulatory-changes-help-us-healthcare-system-address-covid-19

 

Administration Provides Financial Relief for Medicare Providers

The Centers for Medicare & Medicaid Services (CMS) have announced an expansion of its accelerated and advance payment program for Medicare participating health care providers and suppliers, to ensure they have the resources needed to combat the 2019 Novel Coronavirus.

 

Administration Provides Financial Relief for Medicare Providers

Action comes to aid providers and suppliers facing challenges in responding to COVID-19 pandemic

Under the President’s leadership, the Centers for Medicare & Medicaid Services (CMS) is announcing an expansion of its accelerated and advance payment program for Medicare participating health care providers and suppliers, to ensure they have the resources needed to combat the 2019 Novel Coronavirus (COVID-19). This program expansion, which includes changes from the recently enacted Coronavirus Aid, Relief, and Economic Security (CARES) Act, is one way that CMS is working to lessen the financial hardships of providers facing extraordinary challenges related to the COVID-19 pandemic, and ensures the nation’s providers can focus on patient care. There has been significant disruption to the healthcare industry, with providers being asked to delay non-essential surgeries and procedures, other healthcare staff unable to work due to childcare demands, and disruption to billing, among the challenges related to the pandemic.

“With our nation’s health care providers on the front lines in the fight against COVID-19, dollars and cents shouldn’t be adding to their worries,” said CMS Administrator Seema Verma. “Unfortunately, the major disruptions to the healthcare system caused by COVID-19 are a significant financial burden on providers. Today’s action will ensure that they have the resources they need to maintain their all-important focus on patient care during the pandemic.”

Medicare provides coverage for 37.4 million beneficiaries in its Fee for Service (FFS) program, and made $414.7 billion in direct payments to providers during 2019.  This effort is part of the Trump Administration’s White House Coronavirus Task Force effort to combat the spread of COVID-19 through a whole-of-America approach, with a focus on strengthening and leveraging public-private relationships.

Accelerated and advance Medicare payments provide emergency funding and addresses cash flow issues based on historical payments when there is disruption in claims submission and/or claims processing. These expedited payments are typically offered in natural disasters to accelerate cash flow to the impacted health care providers and suppliers. In this situation, CMS is expanding the program for all Medicare providers throughout the country during the public health emergency related to COVID-19.  The payments can be requested by hospitals, doctors, durable medical equipment suppliers and other Medicare Part A and Part B providers and suppliers.

To qualify for accelerated or advance payments, the provider or supplier must:

  • Have billed Medicare for claims within 180 days immediately prior to the date of signature on the provider’s/ supplier’s request form,
  • Not be in bankruptcy,
  • Not be under active medical review or program integrity investigation, and
  • Not have any outstanding delinquent Medicare overpayments.

Medicare will start accepting and processing the Accelerated/Advance Payment Requests immediately. CMS anticipates that the payments will be issued within seven days of the provider’s request.   

An informational fact sheet on the accelerated/advance payment process and how to submit a request can be found here: www.cms.gov/files/document/Accelerated-and-Advanced-Payments-Fact-Sheet.pdf

This action, and earlier CMS actions in response to COVID-19, are part of the ongoing White House Coronavirus Task Force efforts. To keep up with the important work the Task Force is doing in response to COVID-19, visit www.coronavirus.gov. For a complete and updated list of CMS actions, and other information specific to CMS, please visit the Current Emergencies Website.

 

Maine CDC Encourages Vaccine Emergency Back-Up Planning

In the event of temporary office closures at provider facilities, the Maine CDC is asking that providers ensure proper storage and handling of state supplied vaccines

 

[From Maine CDC 04/01/2020]

In the event of temporary office closures at provider facilities, we are asking that providers ensure proper storage and handling of state supplied vaccines by following the guidance below:

Review back-up emergency plans and have your protocols in place

  • Vaccine should be transported to an alternate location where temperatures can be monitored regularly using a portable vaccine refrigerator/freezer or a qualified container and packouts.
  • If transport is not feasible and a digital data logger (DDL) is present that can store sufficient data for the closure, leave vaccine in current unit and mark "DO NOT USE".
  • Upon reopening, review all DDL data and take action on any temperature excursion, if any, before administering vaccine.
  • When reviewing DDL data, it is important to check that complete data are available for all dates and times.
  • If the DDL ultimately did not have enough capacity to record during the period of closure or experienced failures, you will need to consult with the vaccine manufacturer to determine if the vaccine can be used or should be discarded.
  • For school clinics, if there is an end of school year or holiday protocol in place, please utilize it in the event of extended closure.

Prepare for Emergency Vaccine Transport 

 

A Message from Maine Responds

We appreciate all of the offers coming in to assist in Maine CDC's COVID-19 response.  By registering with Maine Responds, you will join our listing of volunteers against which we search for any emergent volunteer workforce needs. Read on for the details of joining both Maine Responds, and our more involved volunteer opportunities through Maine Medical Reserve Corps - members of both start with the same first step: register at maineresponds.org.

 

A Message from Maine Responds:

We appreciate all of the offers coming in to assist in Maine CDC's COVID-19 response.  By registering with Maine Responds at maineresponds.org, you will join our listing of volunteers against which we search for any emergent volunteer workforce needs. Read on for the details of joining both Maine Responds, and our more involved volunteer opportunities through Maine Medical Reserve Corps - members of both start with the same first step: register at maineresponds.org.

The Maine Responds Emergency Health Volunteer System is the online registration system for public health, healthcare and emergency response volunteers for the State of Maine.

Maine Responds is a partnership that integrates local, regional, and statewide volunteer resources to assist our public health and healthcare systems. It is part of a national initiative to train, coordinate, and mobilize volunteers during an emergency. Maine Responds coordinates verified, pre-credentialed public health, healthcare and emergency response volunteers into a single database that can coordinate the need for volunteers across county, regional and state lines if needed.

Maine Medical Reserve Corps (MRC) volunteer programs reinforce our state's public health infrastructure and support low stress/no-fault exercise environments that test critical response capabilities.  Members of both Maine Responds and MRC start with the same first step: register at maineresponds.org.You will be able to select your local MRC unit in the drop-down menu under the "Organizations" section of the registration - refer to this link to determine your Public Health District(s).  Maine Responds ESAR-VHP is our volunteer communication and activation system.

Contact: Edward Molleo  edward.f.molleo@maine.gov

Public Health Emergency Preparedness
Department of Health and Human Services
Maine Center for Disease Control and Prevention

2020-2021 MMA Medical Student Section General Council

Announcing new leadership of the Maine Medical Association Medical Student Section for 2020-2021

Announcing new leadership of the Maine Medical Association Medical Student Section (MMA MSS) for 2020-2021

Membership in the MMA MSS is open to all medical student members of the Maine Medical Association who are enrolled at Tufts University School of Medicine-Maine Track or University of New England College of Osteopathic Medicine. 

MSS Co-Chairs: UNECOM Co-Chair: Joanna Sajdlowska OMS-2; Maine Track Co-Chair: Tyler Lang M22

Legislative Chair: Nathaniel Meyer, Maine Track M22

Community Service Chair: Tad Olsen, Maine Track M21

Membership Chair: Laura Knapik, UNECOM OMS-2

UNECOM At-large Voting Members: Ellen Reidy OMS-2, Riley Heroux OMS-1, Arjun Mann OMS-1, Brigita Ulevicius OMS-1  UNECOM Voting Alternate At-large Member: Abigail Hatch OMS-2

Tufts Maine Track At-large Voting Members: Austin Brown M23, Hannah Martin M21, Alison Omsberg M23, Katie Stevenson M22

Maine Medical Association Board of Directors Medical Students
Jennifer Marsidi, UNECOM OMS-3
Taylor Ouellete, UNECOM OMS-3

For more information: https://www.mainemed.com/mss

 

 

 

Nominations for the MMA 2020 Mary Cushman Award for Humanitarian Service

Presented each year by the Maine Medical Association to recognize the humanitarian service of medical volunteers who serve in Maine, the US or abroad.

 

The Maine Medical Association presents the Mary F. Cushman, MD Award for Exceptional Humanitarian Service as a Medical Volunteer each year. The award was established in 2003 in recognition of the MMA's 150th anniversary.

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 2020 Mary Cushman Award are due by July 31, 2020. The award is announced at the MMA's Annual Session in September and includes a $1,000 donation to the institution or organization of the recipient's choice.

2020 Mary Cushman Award Nomination Form

2020 Census: April 1 is Census Day

April 1 is Census Day, a key reference date for the 2020 Census - not a deadline.  April 1 is used to determine who is counted and where in the 2020 Census.

April 1 is Census Day, a key reference date for the 2020 Census - not a deadline.  April 1 is used to determine who is counted and where in the 2020 Census.   2020 Census Important Dates

Invitations to respond to the 2020 Census were delivered between March 12-20.  Once you receive the invitation, you can respond online, by phone or by mail.   

The public is encouraged to respond to the 2020 Census online at my2020census.gov, over the phone or by paper form, if they receive one.  

About the 2020 Census: The census is a count of every person who lives in the US and its territories, and it happens every 10 years. In 2020 every household in America will receive a notice to complete the census to count everyone who lives in your home as of April 1, 2020.

Health care providers have a unique opportunity to remind their patients about the importance of the census.  All responses will inform where funding is distributed each year to communities nationwide for clinics, schools, roads and more.  In 2016 $4.1 billion of federal funding was allocated to Maine based on census data.  Each person not counted is a loss of $15,000-$20,000 of federal funds lost to Maine over the course of 10 years.  Children under the age of 5 are the group most commonly undercounted.

Responses to the 2020 Census are safe, secure, protected by federal law, and answers can only be used to produce statistics.  For more information, visit 2020CENSUS.GOV

 

New Law Takes Effect Concerning Physician Assistant Scope of Practice

LD 1660, An Act To Improve Access to Physician Assistant Care, was signed into law by Governor Mills on March 18. Because it was amended by the Legislature as an emergency law consistent with legislative rules in response to the COVID-19 pandemic, the law was effective the day it was signed.

 


MMA CEO Andrew MacLean expresses strong reservations about an increase in physician assistant scope of practice before a state legislative committee

New Law Takes Effect Concerning Physician Assistant Scope of Practice

LD 1660, An Act To Improve Access to Physician Assistant Care, was signed into law by Governor Mills on March 18. Because it was amended by the Legislature as an emergency law consistent with legislative rules in response to the COVID-19 pandemic, the law was effective the day it was signed.

What The New Law Does

Eliminates the requirement that physician assistants render care under the supervision and control of a physician and by extension any ‘plan of supervision.’

Eliminates the requirement that physician assistants complete a training program approved by the licensing board(s)

While physician assistants will still be required to be licensed, the new law eliminates the registration requirement. Licensure can still be obtained by the physician assistants’ choice of licensing boards.

Allows physician assistants to delegate “certain activities relating to medical care and treatment” to the “physician assistants employees, support staff or members of the health care team” and accepts liability for delegation.

The Board of Osteopathic Licensure and the Board of Licensure in Medicine will jointly adopt rules for the licensure and practice of physician assistants. Rules may include but are not limited to:

Education requirements

Requirement for collaborative agreements and practice agreements (*replaces a written plans of supervision)

Scope of Practice

Physician assistants “may provide any medical service” as “prepared by their education, training and experience and is competent to perform.” The scope is to be determined by practice setting  and includes hospitals, physician employers “or an independent practice setting” among others with a system of credentialing and granting of privileges.

Collaborative Agreements

For physician assistants with LESS than 4,000 hours of documented clinical practice

Collaborative agreement is defined as a document agreed to by a physician assistant and a physician that describes the scope of practice as determined by the practice setting and describes the decision-making process for a health care team including communication and consultation among health care team members. A “health care team” and ‘may’ include a physician. Other professions listed are, APRN, physical therapist, occupational therapist, speech therapist, social worker, nutritionist, psychotherapist, counselor, or other licensed professional.

Physician assistants with less than 4,000 hours of practice must work under a collaborative agreement. They may, however, used a system of credentialing and granting of privileges and scope of practice agreement from a health care facility in place of a formal individual collaborative agreement.

The collaborative agreement, or scope of practice agreement must be sent to the Board of Osteopathic Medicine or Board of Licensure in Medicine for approval.

(Note: while the agreement needs to be between the PA and physician, there’s no requirement that the decision-making process, communication or consultation needs to be with a physician, although the physician has ultimate control over that process through development of the collaborative agreement).

Practice Agreement

For physician assistants with MORE than 4,000 hours of documented clinical practice

Defined as, “a document agreed to by a physician assistant who is the principal clinical provider in a practice and a physician that states the physician will be available for collaboration or consultation.” (emphasis MMA).

Physician assistants may be the principal clinical provider in a practice without a physician partner but must have a practice agreement with a physician, “and other health professionals as necessary,” that describes the physician assistant’s scope of practice. The practice agreement must be approved by the Board of Osteopathic Medicine or Board of Licensure in Medicine. (emphasis MMA).

A special paragraph in the law states the sections covering scope of practice, consultation, collaborative agreements and practice agreements “must be liberally construed to authorize physician assistants to work at the full extent of their education, training and experience in accordance with their scope of practice as determined by their practice setting. (emphasis MMA).

Consultation

A physician assistant SHALL consult, with, collaborate with, or refer the patient to an appropriate physician or ‘other health care professional’  when indicated by consideration of a patient’s condition along with the education, competencies and experience of the physician assistant, and standard of care. The level of consultation will be determined by the practice setting. The law does require that a physician must always be available to a physician assistant  for consultation.

(Note: According to this definition the consult could be with another physician assistant as defined by ‘health care professional’ and ‘practice setting’ includes ‘private practice.’ The law does not prohibit physician assistants from opening their own private practice.)

Prescriptive Authority

Allows physician assistants to prescribe schedule II through schedule V and will be allowed to dispense prescription or legend drugs only when a pharmacy service isn’t available, it’s in the best interests of the patient or in an emergency.

Miscellaneous Provisons

Physician assistants are considered primary care providers and/or medical practitioners and/or health care professionals under:

managed care health insurance plans,

laws concerning drawing blood specimens to determine OUI,

probate court guardianship matters,

expediated partner therapy,

minors and abortions,

employee substance use testing,

provision of care concurrent with emergency medical services

One physician assistant will be added to the Board of Osteopathic Licensure AND the Board of Licensure in Medicine.

Do not hesitate to contact Dan Morin at dmorin@mainemed.com or (207) 838-8613 with any questions, comments or concerns with this or any other issue related to government affairs. Thank you.

 

MMA Legislative Calls are POSTPONED

The Tuesday evening Legislative Calls hosted by MMA will be postponed until further notice.

 

In response to the rapidly changing health crisis the Presiding Officers of the Maine Legislature late last week cancelled all committee meetings, including public hearings, work sessions and confirmation hearings for the rest of the session. The one exception was the Appropriations Committee, for various budgetary matters and work related to the Governor’s Supplemental Budget. It was also announced the Legislature would meet one more day to consider bills “directly related to coronavirus response and other critical services, then adjourn.” The Capitol was then closed to the public, with only legislators, staff and media members allowed in the building while lawmakers worked. All bills still not acted upon or under consideration will remain active until the Legislature reconvenes. 

Governor Janet Mills issued a proclamation of civil emergency  Sunday to help the state cope with the growing outbreak of COVID-19 just days after the Legislature’s announcement.  

 

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

July 31 - August 2, 2020 (Rescheduled from May, 2020)
Maine Chapter, American College of Surgeons Annual Conference
Sugarloaf Mountain Hotel, Carrabassett Valley, ME
Contact:  Cathy Stratton at 207-592-5725 or cstratton@mainemed.com

August 29 - September 1, 2020 (Rescheduled from April 1-4, 2020)
Maine Academy of Family Physicians 28th Annual Family Medicine Update

DoubleTree by Hilton Portland, South Portland, ME
Updated schedule and online registration available at http://www.maineafp.org/cme/mafp-cme-meeting
Contact Deborah Halbach at 207-938-5005 or maineafp@tdstelme.net

September 19, 2020
Maine Society of Anesthesiologists Business Meeting
Stave Island Room in Pool House 2:00pm-5:00pm
Harborside Hotel – Bar Harbor, ME
Contact:  Lisa Montagna at 207-620-4015 or mesahq@gmail.com

 September 26-27, 2020 (Rescheduled from May 2-3, 2020)
American Academy of Pediatrics, Maine Chapter Annual Meeting
Hilton Garden Inn and Conference Center – Freeport, ME
Contact:  Dee Kerry 207-480-4185 or dakerry@aap.net

October 2, 2020
Maine Society of Eye Physicians and Surgeons Fall Business Meeting

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

October 2-4, 2020
19th 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

 October 8-9, 2020 (Rescheduled from April 16-17, 2020)
Maine Association of Psychiatric Physicians, 14th Annual Program

Sexual Health in Psychiatric and Medical Practice

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

 

 

 

 

  


 

Building Hope Across Populations-Beyond the Basics in Suicide Prevention POSTPONED

Conference Postponed until Thursday, October 1st.

 

The Building Hope Across Populations 2020 - Beyond the Basics in Suicide Prevention conference at the Augusta Civic Center scheduled for April 10th has been postponed to Thursday, October 1, 2020.

Presented by NAMI Maine

Since its inception in 2003, Maine's annual Beyond the Basics in Suicide Prevention Conference has provided Maine health professionals, educators, clinicians, first responders, and community members with best practice information, guidance and resources in suicide prevention and management efforts.  The conference is designed for an adult audience that has attained basic training and knowledge in suicide and suicide prevention, and wishes to deepen their understanding of prevention and expand their skills set.

Our theme for the 2020 conference is Building Hope Across Populations, and will include a range of informative breakout sessions centered on how to serve Maine's at-risk, diverse, and growing populations.

This year's conference features national experts on inclusive suicide prevention strategies, as well as local community members, professionals, and clinicians who will address suicide prevention, intervention, and post-vention issues.  The program will offer messages of hope and recognize caring citizens who have made a difference in the lives of at-risk Mainers.  Featuring keynote speaker Anneliese Singh.

Registration, conference agenda and additional information is available here.

Maine Suicide Prevention Program 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, offers the following suicide prevention, assessment and management trainings.  MMA works closely with NAMI-Maine to provide educational opportunities for Maine physicians and other clinical providers.

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 Gretchen, NAMI Maine Suicide Prevention Coordinator, to discuss a customized training program. 

The Maine CDC and Sweetser are offering free online Suicide Prevention Training Modules!

Enrolling is easy. There are 12+ courses available at no charge. Download the flyer with enrollment info here.

Sample modules:

· Columbia Suicide Severity Rating Scale (C-SSRS)

· Depressive Disorders in Children and Adolescents

· Counseling on Access to Lethal Means (CALM)

· Collaborative Assessment & Management of Suicidality (CAMS)

· Safety Planning Intervention for Suicide Prevention

· Suicide Risk Factors, Screening and Assessment

Webinar on April 16th 6-7pm: Managing Student Debt

Plan to attend this informative financial education session, presented by Baystate Financial.

Managing Student Debt
Webinar presented by Baystate Financial

Thursday, April 16, 2020 - 6:00 - 7:00pm  RSVP here

It's important to take control of your student loan debt - your future well-being likely depends on it. 
This session will help you:

  • Classify and prioritize your existing loans
  • Understand federal student loan repayment options
  • Consider how to create a debt management plan

RSVP by April 15th to (207) 770-2028 or vmichaud@BaystateFinancial.com

For more information, contact Robert Larochelle
(207) 770-2012  RLarochelle@BaystateFinancial.com

Hosted by Christopher Perry, Robert Larochelle and Larry Perry
Baystate Financial
75 Leighton Road, Building 3
Falmouth, ME 04105

Successful Opiate Recovery Strategies - June 3 at 2pm, Augusta Civic Center

A doctor's personal story of substance use and recovery, with Dr. Stephen Loyd

Successful Opiate Recovery Strategies
with Dr. Stephen Loyd
A doctor's personal story of substance use and recovery

Postponed until Wednesday, June 3rd at 2pm
Augusta Civic Center
75 Community Drive, Augusta ME

Presented by NAMI Maine Register Here

Join us for an afternoon with Dr. Stephen Loyd, a medical practitioner who brings his own personal experiences with addiction to opioids and benzodiazepines to the conversation on substance use and recovery.  This event is free and open to the public and is presented in partnership with the City of Augusta.

While there is no charge to attend, please register to reserve your seat.  Register Here

 

Maine Chapter ACS Annual Conference RESCHEDULED

The Maine Chapter ACS board has decided to postpone the Maine Chapter ACS Annual Conference that was originally scheduled for the end of May 2020


The Maine Chapter ACS board has decided to postpone the Maine Chapter ACS Annual Conference that was originally scheduled for the end of May 2020. It is clear that we are several months from being able to gather safely so we are rescheduling the event to July 31 – August 2, 2020 at the Sugarloaf Mountain Hotel. 

The program committee has been working with surgeons in other New England states to assemble a first rate program. We hope you will make plans to join us! Visit the MEACS Website for meeting and COVID-19 updates and resources.

Registrations and reservations already made can be transferred to the new date or, if preferred, full refunds will be issued. Contact Cathy Stratton at cstratton@mainemed.com or (207) 592-5725 for more information.

 

BC/BE Family Medicine Physician - Lovejoy Health Center

Lovejoy Health Center, Albion, Maine seeks a BC/BE Family Medicine Physician to provide primary care to patients of all ages.

Lovejoy Health Center, Albion, Maine seeks a BC/BE Family Medicine Physician to provide primary care to patients of all ages. One of 11 practices of HealthReach Community Health Centers, Lovejoy serves 4,000 area residents and travelers each year. The clinician will provide outpatient medical care with integrated behavioral health services to individuals and families in our NCQA certified PCMH outpatient practice.

The selected candidate will receive competitive salary and benefits, malpractice coverage, pension plan with employer match, relocation, and loan repayment opportunities. EOE.

Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901 | (207) 660-9913 | Fax: (207) 660-9901 | Communications@HealthReach.org | www.LovejoyCHC.org.

About Lovejoy: Located in Central Maine, Lovejoy Health Center resides in Albion, east of Waterville and west of Belfast, a coastal town. Locals and travelers alike value our farming community, which is home to some of Maine’s largest dairy herds. The community is known for its scenic rolling hills and wide-open fields. A short commute provides residents with job opportunities, shopping centers, four-season outdoor recreational adventures and cultural activities.

4/8/20

Family Medicine Outpatient Physician

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

Maine Medical Partners Westbrook Primary Care is seeking a BC/BE Family Medicine physician for their well-established outpatient practice located in the greater Portland, Maine area.  The selected candidate will join 3 family medicine physicians, 4 internal medicine physicians, 4 pediatricians, 4 advanced practice professionals, a pharmacist, behavioral health provider and a geriatrician.

Maine Medical Partners is a division of Maine Medical Center and is Maine's largest multi-specialty medical group serving the healthcare needs of patients locally and throughout northern New England.  This high quality team of nearly 600 physicians and 300 advanced practice professionals provides a wide range of hospital based, primary, specialty, and sub-specialty adult and pediatric care delivered throughout a network of 30 locations across the State and acts as a regional referral network.

Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital and Level I Trauma Center, with a full complement of residencies and fellowships and is an integral part of Tufts University Medical School. 

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

4/29/20

Medical Director, Primary Care Physician

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.

The Physician Director of Primary Care will collaborate with the Practice Director for Primary Care to form a dyad partnership in leading our primary care team, as well as provider peripheral oversight for our Walk-In Care and university health center locations.

Northern Light Sebasticook Valley Health is a 25-bed, regional, Critical Access Hospital for the more than 30,000 residents living in our footprint. Our neighbors count on us as a resource for healthcare and health information.

For confidential consideration, please contact:
Sherry Tardy, Physician recruiter
Northern Light Health -Provider Recruitment
PRoviderjobs@NorthernLight.org 207-973-5358 (Office)

4/22/20

Physician - Nasson Health Care

Nasson Health Care is seeking a qualified clinical leader to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery. 

Nasson Health Care is seeking a qualified clinical leader to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery.  The Physician provides direct clinical services and works in partnership with members of the practice team to manage the care of patients, assuring a high standard of medical care.   

Applicants must have a degree from an accredited medical school in the U.S., Board certification in Family or Internal Medicine, an unrestricted Maine license to practice medicine, as well as a U.S. Drug Enforcement Agency license.  Qualifications include:

  •  A minimum of three years’ experience in a primary care medical practice; 
  • Demonstrated respect for cultural diversity in serving patients and families;
  • Working knowledge of the core concepts of evidence-based practice, social and behavioral determinants of health, population-based care, integration of medical, behavioral health and dental care, and Meaningful Use of health information technology;

Springvale is an iconic New England village located in western York County, Maine, less than an hour’s drive from Portland, Maine and Portsmouth, New Hampshire

Visitwww.nassonhealthcare.org for an application. Completed cover letter, resume, and YCCAC employment application will be accepted until March 27, 2020.

York County Community Action Corp.
6 Spruce Street, P.O. Box 72
Sanford, ME 04073      
(207)324-5762 or 1-800-965-5762
Fax (207)459-2811
apply@yccac.org

EOE

4/29/20

Nurse Practitioner - Nasson Health Care

Nasson Health Care is seeking a qualified Nurse Practitioner to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery. 

Nasson Health Care is seeking a qualified Nurse Practitioner to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery. 

  • Provides direct clinical services in accordance with the highest standards of medical and nursing practices and in full accordance with health center policies and protocols.
  • Fully embraces and carries out all applicable NCQA Patient Centered Medical Home standards and Federally Qualified Health Center requirements.

Applicants must have a Master’s degree in nursing, an unrestricted Maine license to practice as an adult, family or pediatric nurse practitioner, as well as a U.S. Drug Enforcement Agency license.  Qualifications include:

  •  A minimum of three years’ experience in a primary care medical practice required.
  •  A working knowledge of the core concepts of evidence-based practice, social and behavioral determinants of health, population-based care, integration of medical, behavioral health and dental care, and Meaningful Use of health information technology.

Visit www.yccac.org for an application. Completed cover letter, resume, and YCCAC employment application will be accepted until March 27, 2020.

York County Community Action Corp.
6 Spruce Street, P.O. Box 72
Sanford, ME 04073
(207)324-5762 or 1-800-965-5762
Fax (207)459-2811
apply@yccac.org

EOE

4/29/20

Psychiatric Nurse Practitioner - Nasson Health Care

Nasson Health Care is seeking a qualified Nurse Practitioner to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery. 

Nasson Health Care is seeking a qualified Nurse Practitioner to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery. 

  •  Provides diagnoses, conducts therapy and prescribes medication for patients with substance use disorder, psychiatric disorders and medical organic brain disorders.
  • Fully embraces and carries out all applicable NCQA Patient Centered Medical Home standards and Federally Qualified Health Center requirements.

Applicants must have a Master’s degree in nursing, an unrestricted Maine license to practice as an adult, family or pediatric nurse practitioner, as well as a U.S. Drug Enforcement Agency license.  Qualifications include:

  •  A minimum of three years’ experience in a psychiatric or primary care medical practice required.
  • A working knowledge of the core concepts of evidence-based practice, social and behavioral determinants of health, population-based care, integration of medical, behavioral health and dental care, and Meaningful Use of health information technology.

Visit www.yccac.org for an application. Completed cover letter, resume, and YCCAC employment application will be accepted until March 27, 2020.

York County Community Action Corp.
6 Spruce Street, P.O. Box 72
Sanford, ME 04073
(207)324-5762 or 1-800-965-5762
Fax (207)459-2811
apply@yccac.org

EOE

4/29/20

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.

4/15/20

Orthopedic Surgeon Opportunity in Beautiful New England

Our Northern Light Inland Hospital and Northern Light Sebasticook Valley Hospital Network seeks a BC/BE General or Hand Orthopedic Surgeon to join our Orthopedic Specialist team. 

Our Northern Light Inland Hospital and Northern Light Sebasticook Valley Hospital Network seeks a BC/BE General or Hand Orthopedic Surgeon to join our Orthopedic Specialist team.  This position will be split between the two hospitals and the scope of practice will primarily focus on hand and upper extremity surgery, while also including a component of general orthopedics.  Extensive hand surgery experience is a must!  The ideal candidate will have a desire for community outreach and promoting collaborative relationships with other physicians in the community.  The preferred candidate will also have the interest to live within the hospital service area.

For confidential consideration, please contact:
Nick Huff, DASPR, CST
Provider Recruiter
Email: providerjobs@northernlight.org
Phone:207-973-5358
Or apply directly to: https://northernlighthealth.org/Careers/Position/60311/Orthopedic%20Surgeon

6/24/20

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 - Portland, ME

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.

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/