Maine Medicine Weekly Update - April 15, 2020
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Maine Medical Association Zoom Meeting for Providers During COVID-19 Pandemic

In the interest of continuing to promote the health, well-being & effectiveness of physicians on the front line during the COVID-19 pandemic MMA will continue these weekly calls until they are no longer needed. We sincerely hope you can join us again, or for the first time.
 

We will again host a virtual discussion next Tuesday, the 27th, from 6-7:30 (or as along as it takes). You can Zoom or dial-in at any time during the meeting and leave when you want. The intent is not a clinical discussion but, if it goes that way, so be it. Instead, perhaps you want to simply commiserate and empathize with your fellow physicians during this difficult and trying time

There were a few logistical things to consider from our first experience. Due to the proliferation of what is called, “Zoom bombing” Zoom has instituted a password mechanism for meeting security. While we didn’t have an intent to put up additional barriers to joining the call, we need to add this extra step. Please email, or text/call Dan Morin at dmorin@mainemed.com or (207) 838-8613 anytime day or night for a password.

COVID-19 Provider Meeting:

Next Meeting Apr 14, 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

        

 

Federal Enforcement Against COVID-19 Fraud, Hoarding and Price Gouging

U.S. Attorney, District of Maine, Halsey Frank is seeking the help of the MMA and MHA in identifying individuals and companies engaged in hoarding and price gouging of scarce medical supplies.

 

Maine Medical Association
Maine Hospital Association
 

Re: Federal Enforcement Against COVID-19 Fraud. Hoarding and Price Gouging

 
Dear Colleague:
 
As a resident of Maine, I want to thank you and your staff for all that you are
doing to combat the COVID-19 virus and maintain the health and well-being of our fellow Mainers. As the United States Attorney for the District of Maine, I am responsible for enforcing federal law on behalf of the citizens of this state. In response to the pandemic, my office is prioritizing the investigation and prosecution of those who try to use it to take advantage of others. That includes those who hoard and price-gouge essential medical supplies. That kind of conduct is not only morally repugnant but, if left unchecked, will inhibit hospitals, physicians, other health care professionals, and government agencies from fully implementing measures designed to save lives and mitigate the spread of the COVID-19 virus.
 
By Executive Order dated March 23, 2020, President Trump delegated to the·Secretary of Health and Human Services (HHS) the authority to designate materials critical to our the fight against COVID-19 as "scarce". On March 25, 2020, the HHS Secretary designated 15 categories of health and medical supplies as "scarce," thus triggering criminal and civil enforcement remedies that my office can pursue. Those categories currently include:
 
• N-95 Filtering Facepiece Respirators;
• Other Filtering Facepiece Respirators (e.g., those designated as N99, NlOO, R95, R99, RlOO, or P95, P99, PlOO);
• Elastomeric, air-purifying respirators and appropriate particulate filters/ cartridges;
• Powered Air Purifying Respirator;
• Portable Ventilators;
• Chloroquine phosphate or hydroxychloroquine HCl;
• Sterilization services for certain medical devices and certain sterilizers;
• Disinfecting devices and other sanitizing and disinfecting products suitable for use in a clinical setting;
• Medical gowns or apparel, e.g., surgical gowns or isolation gowns;
• Personal protective equipment (PPE) coveralls, e.g., Tyvek Suits;
• PPE face masks;
• PPE surgical masks;
• PPE face shields;
• PPE gloves or surgical gloves; and
• Ventilators, anesthesia gas machines modified for use as ventilators, and positive pressure breathing devices modified for use as ventilators, ventilator tubing connectors, and ventilator accessories.
 
Please alert my office if you are aware of individuals and/or companies that may have acquired these kinds of vital medical supplies in excess of what they could reasonably use, or for the purpose of charging exorbitant prices. I have designated a COVID-19 coordinator, Assistant United States Attorney Dan Perry, to investigate and prosecute these crimes, as well as any other fraudulent conduct designed to benefit from the pandemic (e.g., false treatments, tests, and/or vaccinations for COVID-19). If you have relevant information, I encourage you to contact Mr. Perry at 207-771-3228 or dan.perry@usdoj.gov.
 
With help from institutions like yours, the Department of Justice can use all available measures to ensure that these scarce materials are available to safely and effectively treat those affected by the COVID-19 virus. Again, I am grateful for the vital work that you do on a daily basis and for you institution's commitment to the people of Maine. I look forward to collaborating with you to protect the people of Maine and enforce the laws of the United States during this time of national emergency.
 
Sincerely,
Halsey B. Frank
United States Attorney
District of Maine

HHS has Modified Emergency Fund Grant Language to Make its Meaning More Clear

Concerns were raised when the initial HHS Emergency Fund grants were released that, in agreeing to the terms and conditions of the grants, physicians were being required to attest that they diagnose, treat, or test patients for COVID-19. HHS has now modified some of the language to make its meaning more clear.

 

[From AMA 04/14/20]

As you know, concerns were raised when the initial HHS Emergency Fund grants were released that, in agreeing to the terms and conditions of the grants, physicians were being required to attest that they diagnose, treat, or test patients for COVID-19. The AMA brought these concerns to the Secretary’s office and HHS committed to posting some clarifying language. HHS has now modified some of the language to make its meaning more clear, as follows, stating that every patient is a possible case of COVID-19.

The website at https://www.hhs.gov/provider-relief/index.html now includes the following statement:

If you ceased operation as a result of the COVID-19 pandemic, you are still eligible to receive funds so long as you provided diagnoses, testing, or care for individuals with possible or actual cases of COVID-19. Care does not have to be specific to treating COVID-19. HHS broadly views every patient as a possible case of COVID-19.

​Also, the second provision of the Terms and Conditions has been changed to no longer say providers attest to "currently" taking care of patients, just that they did so after 1/31/2020:

The Recipient certifies that it billed Medicare in 2019; provides or provided after January 31, 2020 diagnoses, testing, or care for individuals with possible or actual cases of COVID-19; is not currently terminated from participation in Medicare; is not currently excluded from participation in Medicare, Medicaid, and other Federal health care programs; and does not currently have Medicare billing privileges revoked. 

 

 

 

WHO COVID-19 Strategic Preparedness and Response Update

This strategic preparedness and response plan outlines the public health measures that the international community stands ready to provide to support all countries to prepare for and respond to COVID-19.

 

[From WHO 04/14/20]

This strategic preparedness and response plan outlines the public health measures that the international community stands ready to provide to support all countries to prepare for and respond to COVID-19. The document takes what we have learned so far about the virus and translates that knowledge into strategic action that can guide the efforts of all national and international partners when developing context-specific national and regional operational plans.

COVID‑19 Strategy update 14 April 2020

Supporting documents

Draft operational planning guidance for UN country teams to support national preparedness and response for COVID-19. The purpose of the document is to provide a practical guide for the UNCTs and partners to develop a country level operational plan to support national governments to prepare for and respond to COVID‑19 in line with the Strategic preparedness and response plan.

Updated Country Preparedness and Response Status for COVID-19

 

Obtaining Unaffordable Medicines: A Challenge for Many Patients

By Martha Morrison, MedHelp Maine, 207-793-4462 or medhelpmaine@gmail.com
While attention is currently focused on infectious disease and social isolation, please also remember the enhanced risks to your financially vulnerable patients who need ongoing access to medications for management of their chronic diseases.

 

While attention is currently focused on infectious disease and social isolation, please also remember the enhanced risks to your financially vulnerable patients who need ongoing access to medications for management of their chronic diseases.

Even in the best of times, 30% of prescriptions are never filled, and 50% of medications prescribed for chronic disease are not taken as prescribed.  Medication non-adherence in the U.S. is estimated to result in 10% of all hospitalizations and 125,000 deaths each year, far more than from liver and kidney disease, influenza or pneumonia, diabetes, or opioid drug overdose.

So that medication non-adherence does not contribute to their increased risk of coronavirus infection, please continue to help your vulnerable patients maintain access to the drugs you prescribe.  With many social service organizations short-staffed or overwhelmed, you might even consider asking your prescription assistance personnel to reach out to these patients to help facilitate any needed referrals for housing, food, heat, transportation, or other needs that impact heath.

Responses from those physicians who participated in the survey about unaffordable medications distributed by the Maine Medical Association this past summer showed that:     

  • 57% estimated that more than 25% of their patients do not take their medications as prescribed because of cost;
  • 70% have had patients hospitalized because their medications were unaffordable;
  • 0% said hospital discharge instructions include prescription assistance information;
  • 0% said their hospitals’ prescription assistance programs provide them with utilization reports;
  • Not all practitioners know about their own hospitals’ medication access programs.

To remove the burden of time-consuming medication access work from individual practices, 15 Maine hospitals (including all MaineHealth facilities) have now established efficient and cost-effective centralized prescription assistance programs to which area clinicians can refer patients who cannot afford their medications.  Do you know about and take advantage of this medical staff benefit? 

Non-profit MedHelp Maine (medhelpmaine@gmail.com or (207) 793-4462) has helped develop seven hospital-based prescription assistance programs.  It is available to provide free start-up guidance to those Maine hospitals still without such resources, or to offer suggestions to practitioners who still prefer to do this work themselves.


Retirement Planning - Topics To Consider During Your Retirement Transition Years

By: Jeff Dunkle, CFP, CDFA, UBS Financial Services, Inc., Portland, Maine
The goal of this article is to identify what some of the key retirement planning topics are so that you can better prepare yourself for the important decisions that you will need to make during your retirement transition years.

 

The goal of this article is to identify what some of the key retirement planning topics are so that you can better prepare yourself for the important decisions that you will need to make during your retirement transition years. 

Employer Benefits
The last thing you want to do is to leave money on the table.  So make sure that you take the time to review the financial benefits that you have through your employer such as, pension claiming options, vesting schedules for bonuses, life insurance, as well as what to do with your 401k or other retirement plans once you're no longer an employee. 

Health Care
Having an understanding of what your health insurance options are and how they work is extremely important.  You want to make sure that you don't have any lapses in health care coverage during your retirement transition period.

Take the time to learn how Medicare works, what the costs are, and when you need to apply by in order to avoid the lifetime penalties.  If you retire before the age of 65, and are not able to stay on your employer plan or go to a spousal plan, you will most likely need to get COBRA or a private insurance plan until you qualify for Medicare, which can be expensive. 

Social Security
If you haven’t already done so, sign-up for an online account on the Social Security website to get a projection of your benefit.  Your benefit will be based off of your highest 35 years of earnings. 

Before taking you're Social Security benefits, which for most is between the ages of 62-70, you should really take the time to consider all of your claiming options.  Making an uninformed claiming decision could end up costing you or you and your spouse thousands or potentially hundreds of thousands of dollars over your lifetime(s).

Generating Income Without A Paycheck
Have you considered how you're going to generate consistent income now that you're no longer receiving a regular paycheck?  Do you know how much you should be spending from your accounts every year? Have you coordinated your account withdrawals in a way that that maximizes tax efficiency?  Have you considered the impacts of inflation on your spending power over time? Are your accounts properly allocated and diversified in order to be able to fund your short, intermediate, and long-term spending needs? 

Organize Your Accounts
Consider simplifying and consolidating your different bank, brokerage, and retirement accounts to one or just a few trusted banks or brokerage firms.  This can really simplify things as you begin coordinating withdrawals from all of your accounts in retirement.  It can also potentially cut down on paperwork and fees.  Not only that, if something were to happen to you, it would be much easier for someone to step in and manage your accounts.

A well thought-out retirement plan will put you in a much better position to be able to make informed decisions regarding these important topics.  Not only that, a retirement plan helps to give you and your family on-going peace of mind and financial clarity that you deserve during your retirement years.

© UBS 2019. The key symbol and UBS are among the registered and unregistered trademarks of UBS. All rights reserved. UBS Financial Services Inc. is a subsidiary of UBS AG. Member of FINRA and SIPC.

Wealth management services in the United States are provided by UBS Financial Services, Inc., a registered broker/dealer offering securities, trading, brokerage and related products and services.

UBS Financial Services Inc., its affiliates, and its employees are not in the business of providing tax or legal advice. Clients should seek advice based on their particular circumstances from an independent tax advisor.

Certified Financial Planner Board of Standards Inc. owns the certification marks CFP®, Certified Financial Planner ™ and federally registered CFP in the U.S., which it awards to individuals who successfully complete CFP

Board's initial and ongoing certification requirements.


MMA Joins the Medical Society Consortium on Climate and Health

The MMA Board of Directors has approved becoming an affiliate member of the Medical Society Consortium on Climate and Health.

The mission of the Consortium is to organize, empower and amplify the voice of America's doctors to convey how climate change is harming our health and how climate solutions will improve it.

 

The Maine Medical Association has joined other medical societies and health organizations as an Affiliate of the Medical Society Consortium on Climate and Health. 

The mission of the Consortium is to organize, empower and amplify the voice of America's doctors to convey how climate change is harming our health and how climate solutions will improve it. 

Read more about the Consortium and the Consortium's mission and Consensus Statement.  

 

 

 


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

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

Information 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.

 

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.

Invitations to respond to the 2020 Census were delivered in March.  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.  

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

 2020 Census Important Dates

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.

 

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  

 

 

 

 

  


 

FREE WEBINAR - Risk Management & Ethics: COVID-19 Rationing - Thursday, April16th - 2-3pm

Rationing tests and medical treatment is a worst-case scenario for everyone involved and is the living embodiment of a real “Catch-22” situation. This presentation will explore the types of rationing of healthcare testing and treatment, who should be the decision-maker, frameworks of decision-making used by states, clinical risk considerations, communication strategies, risks of liability, and some important takeaways for risk managers and providers. Ethical and operational support, structure, and consistency  are the keys to moving forward in these trying times.

 

Complimentary Live Webinar Risk Management & Ethics: COVID-19 Rationing

Thursday, April 16

2:00 p.m. to 3:00 p.m. EDT

Rationing tests and medical treatment is a worst-case scenario for everyone involved and is the living embodiment of a real “Catch-22” situation. This presentation will explore the types of rationing of healthcare testing and treatment, who should be the decision-maker, frameworks of decision-making used by states, clinical risk considerations, communication strategies, risks of liability, and some important takeaways for risk managers and providers. Ethical and operational support, structure, and consistency  are the keys to moving forward in these trying times. Upon completion, participants should be able to:

  • Define where healthcare rationing and the role of the risk manager overlap.
  • Analyze the types and elements of healthcare rationing.
  • Identify and evaluate key approaches for the healthcare risk manager when faced with the  rationing of healthcare.

Speaker:
Josh Hyatt, DHSc, DFASHRM Dr. Hyatt is a healthcare risk manager, bioethicist, lecturer, and professor. He has been in healthcare and risk management for more than 25 years and has achieved the designation of certified professional in healthcare risk management (CPHRM). His academic interests include the relationships between health law and bioethics, risk management, and ethical and legal considerations in LGBT healthcare. Dr. Hyatt works as an adjunct and visiting professor with several universities, teaching on topics such as health law, bioethics, health leadership, health policy and analysis, health informatics, and strategic management. He has written and published on topics of LGBT healthcare disparities and workplace issues, social media in healthcare, and bioethics. Questions? Call (toll-free) 866.858.7434 or email info@med-iq.com.

For more information and to register CLICK HERE

Provided by Med-IQ a Coverys company

Med-IQ is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians

Med-IQ is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. © 2020 Med-IQ, Inc

Webinar tomorrow April 16th at 6pm: Managing Student Debt

Plan to attend this informative financial education session on Thursday April 16 at 6pm, 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

Webinar April 20 12:30pm: Tele-Tech 101-Lay Of the Land

This presentation aims to give attendees a starter kit of knowledge regarding tele-health technology to take back to their organizations and practices. Presented by Northeast Telehealth Resource Center and administered by AdCare Educational Institute of Maine, Inc.

 

Tele-Tech 101 - Lay Of the Land

Live Webinar, presented by Northeast Telehealth Resource Center

Monday, April 20, 2020 at 12:30pm  Register Here
Presenter: Reid Plimpton, Project Manager for Northeast Telehealth Resource Center (NETRC)

This presentation aims to give attendees a starter kit of knowledge regarding tele-health technology to take back to their organizations and practices.  We will share a brief background on the National Consortium of Tele-health Resouce Centers (NCTRC), highlighting the Northeast Tele-Health Resource Center (NETRC) and how we can help with tele-health planning and implementation, along with an introduction to tele-health technology, including common uses, utilization and terminology.

This presentation is designed for healthcare professionals across the care continuum, and is aimed at providing any interested provider the tools and information they need to feel comfortable providing care through live video interactions.  The case examples will be wide ranging but will include: Primary Care Utilization, Chronic Care Management and Telebehavioral Health Interactions.  Successful participants of this webinar will:

  1. Understand several commonly used examples of beneficial telehealth technology
  2. Identify key factors and considerations for telehealth technology planning and implementation
Click here for additional information and to register.

Administered by Adcare Educational Institute of Maine, Inc.

April 29 webinar: MAT in a Time of Public Health Emergency & Social Distancing

Webinar presented by Qualidigm, in partnership with Maine Care, on Wednesday April 29, 2020 at 12pm.

 

MAT in a Time of Public Health Emergency & Social Distancing

Webinar
Wednesday, April 29, 2020
12:00-1:00pm

Join Qualidigm, in partnership with MaineCare, on April 29, 2020 at 12:00pm for a webinar presented by Elisabeth Fowlie Mock, MD, MPH and Alane O'Connor, DNP.  During this webinar we will highlight timely information on providing Medication-Assisted Treatment (MAT) during a time of Public Health Emergency.

By attending this webinar, participants will learn:

  • How to implement changes to prescribing, screening and MAT workflows to accommodate social distancing
  • How to best support persons in recovery (especially early recovery)
  • About available resources/services for MAT/telehealth support
This event is an online webinar.  Session details will be emailed upon successful registration.
Click here for more information and to register.

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 Suicide Prevention Program Training for Clinicians

MMA partners with the Maine Suicide Prevention Program to offer training for clinicians, including Suicide Prevention and Management Training for Healthcare Professionals.

 

Suicide Prevention and Management Training for Healthcare Professionals
Available through a collaboration with the Maine Suicide Prevention Program, NAMI Maine and the Maine Medical Association. Topics include:

  • Suicide Prevention and Management Lunch & Learn for Healthcare
  • Clinical Assessment Trainings
  • Use of Collaborative Safety Planning in Healthcare Settings
  • Ethical Considerations in Managing Suicide Risk: From Death With Dignity to Involuntary Hospitalization

For more information, contact Suicide Prevention Coordinator Gretchen Swain at mspp@namimaine.org or (800) 464-5767 x2318


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

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 May 29, 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

5/27/20

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 May 29, 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

5/27/20

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 May 29, 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

5/27/20

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/