Maine Medicine Weekly Update - July 1, 2020
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Testing Increases; DHHS Standing Order; MMA Continues to Seek State Assistance

To safely reopen the economy, Maine has been a leader in expanding its capacity to produce test results at levels recommended by leading national public health experts. As Maine continues to  embark on its ambitious plan for widespread testing we hope to work closer with DHHS to maximize the benefits while keeping long-term public health in mind.

 

To safely reopen the economy, Maine has been a leader in expanding its capacity to produce test results at levels recommended by leading national public health experts. As Maine continues to  embark on its ambitious plan for widespread testing we hope to work closer with DHHS to maximize the benefits while keeping long-term public health in mind. The strategy to identify as many people as possible, including asymptomatic people that may have the virus, and then using the results to isolate positive cases and quarantine contacts of those cases to try to slow the spread of the virus is certainly sound for us to keep numbers down and contain any current or future spread. Widespread testing, however, requires the availability of testing resources at the practice level - both the test kits themselves (swabs and viral transport media) and personal protective equipment (PPE) for health workers, who are required to wear these in order to take the sample from patients. 

The State is also attempting to make testing available to more people by providing a standing order allowing individuals at elevated risk to get tested without an order from a health care provider. It is important to note the intent of the standing order as outlined this week by DHHS Commissioner Jeanne Lambrew is for broader testing of people within the three categories outlined in the order. First, those with symptoms or those who may have been exposed to someone with ‘laboratory confirmed” COVID-19. Second, members of groups at elevated risk “as determined by DHHS” and outlined in the order. Third, “populations identified by the Department for COVID-19 testing as part of a population based sentinel testing program.” It’s important to note the Commissioner stated that she, “ would discourage people who are simply curious as the test will not tell you much if you’re not in one of those categories.” Numerous public health experts warn a potentially false negative result can be more consequential than the benefit of positive tests, because infected persons — who might be asymptomatic — may not be isolated and can infect others. In addition, widespread testing requires systems and personnel to manage reporting the results, whether positive or negative which may adversely affect health care capacity. Also, as of June 1, assessment of clinical sensitivity in asymptomatic people had not been reported for any commercial test. 

While many health care facilities across the state are conducting on-site testing, the MMA continues to seek personal protective equipment and testing materials for smaller primary care physician practices and specialty physicians. To date, those practices have received no assistance from the State related to PPE or testing supplies. Widespread testing and contact tracing requires ample supplies of PPE and testing materials at the practice level. Smaller independent physician practices have been left out of the current supply chain in their attempt to keep their patients, staff and communities moving toward a safer and healthier future. 

There are, however, resources to find testing locations throughout Maine. One is Get Tested COVID-19 which uses zip code information to find your nearest location. We are working hard to find a supply chain and distribution solution for many practices. In the meantime, it is important to the public health mission of the State that patients who need testing have access to care and aren’t turned away by their physician because of a lack of testing supplies. 

Please reach out to Director of Communications and Government Affairs, Dan Morin at (207) 838-8613 call/text or at dmorin@mainemed.com with any questions or requests for more information.

Maine One of Only 14 States Testing Enough to Mitigate the Spread of COVID-19

The Hill this week reported on Harvard Global Health Institute research showing Maine as one of only 17 states meeting COVID-19 testing targets, and one of only 14 doing enough to “mitigate the spread” of COVID-19.

 

The Hill this week reported on Harvard Global Health Institute research showing Maine as one of only 17 states meeting COVID-19 testing targets, and one of only 14 doing enough to “mitigate the spread” of COVID-19. The report goes on to say that three states are also meeting the higher goal of suppression-level testing. 

"The surges we're seeing in large parts of the country are due in part because those states opened up too quickly and they relaxed way too much given how much virus they had in their community — and they lacked testing," Ashish Jha, director of the Harvard Global Health Institute, told NPR. "These two things really go hand in hand."

 

Maine CDC Thursday Clinical Call Canceled

The Maine CDC Coronavirus Update for Clinicians with Dr. Sears, normally scheduled for every Thursday at 12:30 has been canceled for this week.

 

The Maine CDC Coronavirus Update for Clinicians with Dr. Sears, normally scheduled for every Thursday at 12:30 has been canceled for this week. We will update you again next week. Updates on this call and other important issues can always be found by following the MMA on Twitter, Facebook or LinkedIn

Please reach out to Director of Communications and Government Affairs, Dan Morin at (207) 838-8613 call/text or at dmorin@mainemed.com with any questions or requests for more information.

 

Maine CDC Issues Maine Health Alert Network (HAN) for COVID-19 Testing Specimens

The Maine CDC Health and Environmental Testing Laboratory (“HETL”) has received several specimens for COVID-19 testing that do not have the appropriate paperwork attached. Federal rules under CLIA require HETL to only run tests that are accompanied by complete paperwork.

 

The Maine CDC Health and Environmental Testing Laboratory (“HETL”) has received several specimens for COVID-19 testing that do not have the appropriate paperwork attached. Federal rules under CLIA require HETL to only run tests that are accompanied by complete paperwork. Items most commonly missing are: 

• Name of ordering physician 

• Patient date of birth 

• Specimen source (e.g., NP, OP, nasal mid-turbinate, anterior nares) 

Please make sure that the submission forms sent in with specimens contain all required information. 

If forms are incomplete, specimens will not be tested. 

HETL is also rejecting several specimens because of leakage. In many instances, HETL has found that the swab shaft has not been broken properly or cut to allow it to fit into the tube with the Viral Transport Media (VTM). HETL also asks that collection sites place absorbent material in and around the tube prior to packaging to prevent potential biosafety hazards. Specimens that leak allow for contamination so they will be rejected and not tested. Please make sure that swab shafts are broken or cut properly to allow them to fit inside the vials. 

This complete HAN advisory can be found here. All HAN alerts can be found here

To sign up for future HAN alerts, register here.

 

Updated Paycheck Protection Program (PPP) Information

Information on PPP loans for practices that applied can be found on the Small Business Administration’s website, including frequently updated FAQs for Lenders and Borrowers. Federal rules concerning the PPP can be found here.

 

The federal CARES Act—a big coronavirus relief bill aimed at supporting small businesses through the current pandemic – was signed into law in March. One section of the law is the Paycheck Protection Program (PPP). The PPP is a loan, potentially forgivable, designed to provide a direct incentive for small businesses, including physician practices, to keep their employees on the payroll. The program was then expanded in April to include more funding. *Note: The deadline to apply for the PPP passed on June 30 at 11:59pm. 

Information on PPP loans for practices that applied can be found on the Small Business Administration’s website, including frequently updated FAQs for Lenders and Borrowers. Federal rules concerning the PPP can be found here. The Small Business Administration will forgive loans if all employee retention criteria are met, and the funds are used for eligible expenses. Click here to read more about PPP loan details, including amendments to eligibility provisions, application forms for loan forgiveness and loan forgiveness rules

Please reach out to Director of Communications and Government Affairs, Dan Morin at (207) 838-8613 call/text or at dmorin@mainemed.com with any questions or requests for more information.

 

CARES Act Provider Relief Fund Medicaid Payments Information

The United States Department of Health and Human Services is currently distributing CARES Act Provider Relief Fund Payments to Medicaid and CHIP providers and safety net hospitals. This funding comes from the CARES Act and the Paycheck Protection Program and Health Care Enhancement Act.

 

The United States Department of Health and Human Services is currently distributing CARES Act Provider Relief Fund Payments to Medicaid and CHIP providers and safety net hospitals. This funding comes from the CARES Act and the Paycheck Protection Program and Health Care Enhancement Act, which together allocated $175 billion in relief funds to hospitals and other healthcare providers. The funding is intended to assist providers in responding to the medical and economic consequences of the COVID-19 pandemic. 

U.S. DHHS CARES Act Provider Relief Fund main webpage

General information on the Fund, including, distribution dates, amounts, eligibility & methodology, etc 

You can access CARES Act Provider Relief Fund Frequently Asked Questions here

The CARES Act Provider Relief Fund application form can be found here

Instructions for the application form are here

Please reach out to Director of Communications and Government Affairs, Dan Morin at (207) 838-8613 call/text or at dmorin@mainemed.com with any questions or requests for more information.

 

Prior Authorization Survey Findings Underscore Need for Legislative Action

Nearly a quarter of physicians (24%) say that the prior authorization (PA) process has led to a serious adverse event for a patient in their care, according to an AMA survey of 1,000 practicing physicians.

 

[From AMA Advocacy Update 06/26/20]

Nearly a quarter of physicians (24%) say that the prior authorization (PA) process has led to a serious adverse event for a patient in their care, according to an AMA survey of 1,000 practicing physicians.

Additionally, 16% of the physicians surveyed report that PA has led to the hospitalization of a patient. Other adverse events include disability or permanent bodily damage, other life-threatening events and in some cases death.

"These new survey results highlight that practices continue to devote significant time—an average of nearly two business day per week per physician—navigating prior authorization's administrative obstacles," said AMA President Susan R. Bailey, MD. "Even more concerning, this process can harm our patients."

PA is a health plan utilization-management or cost-control process that requires physicians to obtain approval before a prescribed treatment, test or medical service qualifies for payment. The AMA offers prior authorization resources to support reform, improve practice efficiency and provide data to highlight the need for change.

Get Out The Vote, Physicians & Get Your Colleagues and Staff To Do The Same!

There are less than 3 weeks (July 14) until Maine’s State Primary Election (for offices other than President) and Special Referendum Election. The original date of June 9 was postponed by Executive Order from Governor Mills.

 

There are less than 3 weeks (July 14) until Maine’s State Primary Election (for offices other than President) and Special Referendum Election. The original date of June 9 was postponed by Executive Order from Governor Mills. 
 
It’s no surprise that the low voting rates are common, especially during this time of political vitriol and when too many people follow the siren call of the angriest voices. Historically, the voting rates of physicians in the United States have shown that physicians vote less often than the general population. However, you have a unique and specialized perspective in one of the most important professions nationwide, especially now. The need to express that perspective should take place where it matters most: the ballot box. Nearly every decision you and your colleagues make on a daily basis is governed by a law or regulation developed and implemented by elected officials. Many of whom have no, or limited knowledge of medicine. 
 
If you have not yet registered to vote, or moved to another town you can find a fillable PDF voter registration form here and instructions here. A guide to absentee voting is available as well as an online absentee voting request application. Mainers who are registered to vote may use this free service to request an absentee ballot for the July 14, 2020 State Primary Election. Ballots must be received no later than 8:00 pm on Election Day. 
 
There are also only 132 days until the 2020 General Election, including for President of the United States. There are 6 active or retired physicians either running for reelection, or election to the Maine Legislature.
  • Senator Ned Claxton (D), Senate District 20, Androscoggin County *incumbent
  • Representative Patty Hymanson (D), House District 4, Ogunquit and parts of York, Wells, and Sanford *incumbent
  • Representative Heidi Brooks (D), House District 61, part of Lewiston
  • Richard Evans, M.D., House District 120, Dover-Foxcroft area
  • Charles Pattavina, M.D., Senate District 11, Waldo County
  • Sam Zager, M.D., House District 41, part of Portland

More information on each of your colleagues running for office can be found here.

Maine Secretary of State, Matthew Dunlap produced an informational video on the new election date and COVID-19 safety measures on voting procedures. Always feel free to reach out to Dan Morin at (207) 838-8613 text/mobile, or at dmorin@mainemed.com for any election information, background or feedback on candidates and issues.

 

 

"Disease’s in the District of Maine 1772-1820, the Unpublished Work of Jeremiah Barker, a Rural Physician in New England"

Dr. Richie Kahn’s book “Disease’s in the District of Maine 1772-1820, the Unpublished Work of Jeremiah Barker, a Rural Physician in New England” is to be released by Oxford University Press on July 30th. A rare and unpublished manuscript from 200 years ago with a full description of a rural medical practice, with emphasis on mental illness, epidemic disease, consumption, and more.

 

Dr. Richie Kahn’s book “Disease’s in the District of Maine 1772-1820, the Unpublished Work of Jeremiah Barker, a Rural Physician in New England” is to be released by Oxford University Press on July 30th
This engaging and insightful publication allows modern readers to reimagine medicine as practiced by a rural physician in New England. We know much about how elite physicians practiced 200 years ago, but very little about the daily practice of an ordinary rural doctor, attending the ordinary rural patient. 

• A rare and unpublished manuscript from 200 years ago with a full description of a rural medical practice, with emphasis on mental illness, epidemic disease, consumption, and more.

• Insight into the life of a rural physician, the diseases encountered, and the treatments that were available.
 
• Emphasis on medical literature: an unusual account of the difficulty of obtaining current medical literature, particularly of US origin, and of the importance of adding to it during a period of change.

The Maine Medical Association supplied a subvention allowing a lower cost for the book which is 30% off with code AMPROMD9 and below is the hyperlink to order. All royalties are going directly to the Maine Historical Society. 

https://global.oup.com/academic/product/diseases-in-the-district-of-maine-1772---1820-9780190053253?cc=us&lang=en&

Richie Kahn, MD, MACP will be at the Maine Medical Association’s Annual Meeting on September 18th at 4PM at the Harborside Inn and Marina, Bar Harbor, Maine. Dr. Kahn will present "Double Bicentennial: the Bicentennial of Maine Statehood", focusing on a physician practicing in Maine 200 years ago, and the bicentennial of the women’s suffrage movement and passage of the 19th Amendment giving women the right to vote (ratified 18 August 1920).
 

MMA Mary Cushman Award for Humanitarian Service

Nominations for the 2020 award are due by July 31.  The award is 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

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

The 2020 Census Is Happening Now

Responses to the 2020 Census will inform funding for clinics, Medicare, the Children's Health Insurance Program, and other health care assistance programs.

 

The 2020 Census is happening now. Responses to the 2020 Census will inform funding for clinics, Medicare, the Children's Health Insurance Program,  and other health care assistance programs.

Health care providers have a unique opportunity to remind their patients about the importance of the census.  Children under the age of 5 are the group most commonly undercounted. 

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.

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.  

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.

Opportunities to Support Physician Candidates for the 130th Maine Legislature

State legislators have historically given great weight to physician opinions in Augusta, and certainly appreciate the work you do to keep their constituents healthy. However, the voice of physicians is being diluted in many debates. At this time, we are aware of 6 active or retired physician candidates for the 130th Maine Legislature and we wanted to make you aware of their candidacies and of opportunities to provide financial support for the campaigns if you are so inclined. 

 

Our lives have been all COVID, all the time, for many weeks. However, this still remains a critical election year. Elections have occurred during the 1918 pandemic, through economic catastrophes like the Great Depression, during both world wars and even in the midst of the Civil War.  

State legislators have historically given great weight to physician opinions in Augusta, and certainly appreciate the work you do to keep their constituents healthy. However, the voice of physicians is being diluted in many debates. Nearly every profession and well organized advocacy group now has a solid presence at the Capitol. The vocal diversity of interests can positively or negatively sway opinions, such as the immunization debate and the physician assistant scope bill respectively. Therefore, any time we can have more physicians involved in the debate and in the seats making decisions, the better.

At this time, we are aware of 6 active or retired physician candidates for the 130th Maine Legislature and we wanted to make you aware of their candidacies and of opportunities to provide financial support for the campaigns if you are so inclined. 

  • Charles Pattavina, M.D., Senate District 11, Waldo County. Dr. Pattavina is an emergency physician, Past President, and current Board member. He running as a Democrat for this seat in his first run for the legislature. He does have a primary race with other Democrats. He is running under the Maine Clean Elections Act (MCEA) and is collecting seed money contributions which is the initial step in qualifying under the MCEA. He could really use help in raising 30 contributions of $100 for this purpose. Seed money cannot exceed $100 per contribution. Please note that you DO NOT need to live in the district in order to contribute seed money. You can contribute to his campaign by going to this link: https://secure.actblue.com/donate/charles-pattavina-1. If you prefer to write a check, you can make it payable to “Pattavina for Senate” and send it to his home address: 709 N. Main St., Winterport, ME 04496.
  • Richard Evans, M.D., House District 120, Dover-Foxcroft area. Dr. Evans is a general surgeon who is a Past President and current AMA delegate. He is running as a Democrat for this seat for the third time and he is running as a traditional candidate, meaning that he can accept campaign contributions up to a limit of $400, per election. This means that you could make a contribution during the primary election period between now and the primary election on July 15th and another during the general election period between July 16th and November 3rd. You can make a contribution to the campaign by going to this link: https://secure.actblue.com/donate/drevansmaine. If you prefer to write a check, you can make it payable to “Evans for House” and send it to his home address: 14 Winter St., Dover-Foxcroft, ME 04426.
  • Sam Zager, M.D., House District 41, part of Portland. Dr. Zager is a family physician with Martin’s Point and is running as a Democrat for this seat in his first campaign for the legislature. He is on the Board of the MAFP and has been very active in statewide advocacy on matters of health policy. He has already qualified as a Maine Clean Elections Act candidate, and if you live in the district, you can make a $5 contribution to his campaign by going to this link: https://apps1.web.maine.gov/cgi-bin/online/ethics/cleanelection/home.pl

There are also three incumbents running for reelection:

  • Senator Ned Claxton (D), Senate District 20, Androscoggin County. Dr. Claxton is a retired family physician and faculty member of the CMMC family medicine residency program. He serves as the Senate Chair of the State & Local Government Committee and as a member of the Health & Human Services Committee. He is running for his second term in the Senate under the Maine Clean Elections Act (MCEA). If you live in the district, you can make a $5 contribution to his campaign by going to this link: https://apps1.web.maine.gov/cgi-bin/online/ethics/cleanelection/home.pl
  • Representative Patty Hymanson (D), House District 4, Ogunquit and parts of York, Wells, and Sanford. Dr. Hymanson is a retired neurologist who serves as House Chair of the Health & Human Services Committee in the current legislature. She is running for her fourth and final term in the House under the Maine Clean Elections Act (MCEA). If you live in the district, you can make a $5 contribution to her campaign by going to this link: https://apps1.web.maine.gov/cgi-bin/online/ethics/cleanelection/home.pl
  • Representative Heidi Brooks (D), House District 61, part of Lewiston. Heidi trained in family medicine. She serves on the Insurance & Financial Services Committee in the current legislature. She is running for her fourth and final term in the House as a traditionally funded candidate, meaning her campaign can accept contributions up to a limit of $400, per election. This means that you could make a contribution during the primary election period between now and the primary election on July 15th and another during the general election period between July 16th and November 3rd. You can make a contribution to Heidi’s campaign by writing a check, payable to “Heidi for State House” and send it her home address: 1 Pleasant St., Apt #2, Lewiston ME 04240.

 

 

 

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
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

September 18-19, 2020
Maine Academy of Family Physicians 28th Annual Family Medicine Update

Virtual Meeting
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
American Academy of Pediatrics, Maine Chapter Annual Meeting
Virtual Meeting
Contact:  Dee Kerry 207-480-4185 or dakerry@aap.net

October 2-4, 2020
19th Annual Downeast Ophthalmology Symposium

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

Virtual Meeting (More details to come)
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

 October 8-9, 2020
Maine Association of Psychiatric Physicians, 14th Annual Program

Sexual Health in Psychiatric and Medical Practice

Virtual Meeting
Contact Dianna Poulin at 207-480-4194 or dpoulin@mainemed.com  

November 11, 2020
Maine Gastroenterology Society: Topics in Gastroenterology 2020 Update

Hilton Garden Inn, Freeport, ME
Contact Gail Begin at 207-485-1341 or gbegin@mainemed.com

 

 

 

 

  


 

MPHA COVID-19 Coffee Conversations Fridays from 10am-11am

Join MPHA every Friday from 10am - 11am for their COVID-19 Coffee Conversations. Each week they will be joined by a guest speaker who will share their experiences and expertise.


MPHA hopes you will join them every Friday for their COVID-19 Coffee Conversations. These are weekly, informal gatherings, with guest speakers who will share information about a wide array of COVID-19-related topics, with ample time for question and answers. Please register in advance

Additional speakers and their speaking dates are below:

  • Tribal Populations - with Kristi Ricker (7/10)
  • Messaging and Framing - with Dr. Laura Rickard (7/17)
  • Community Coronavirus Task Forces - with Kate Bourne & Margot Kelley (7/24)
  • New Mainers - with Erin Guay & Hibo Omer (8/7)
  • Surveillance - with Kate Colby (8/14).
(You only need to register once to be signed up for the series!)








NGS Webinar on 7/16

Visit www.ngsmedicare.com for information about these upcoming NGS Medicare Part B webinars.

July 16: COVID-19 Medicare Part B Advanced Payment, Repayment and Recoupment Process

Upcoming Medicare Part B webinars presented by National Government Services
Visit www.ngsmedicare.com Webinars for more information.

COVID-19 Medicare Part B Advanced Payment, Repayment and Recoupment Process
July 16, 2020 10:30am - 11:30am ET
If you requested and received accelerated or advanced payments from Medicare due to the COVID-19 public health emergency, this learning session is for you.  CMS expanded the accelerated and advance payment program for financial hardship relief during the COVID-19 public health emergency.  Accelerated or advanced payments need to be repaid to the Medicare Trust Fund.  During this webinar, we will review the repayment and recoupment process.

Maine Suicide Prevention Program Training Opportunities

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

Physician – MD/DO - Islands Community Medical Services, Inc. - Vinalhaven, Maine

Practice medicine the way you always imagined, seeing to the needs of your patients, friends and neighbors from the age of a few days old to over 100 years old. Are you comfortable with Pediatrics, Family Medicine, Urgent and Emergent Care in a somewhat remote setting? We would like to talk to you.

Practice medicine the way you always imagined, seeing to the needs of your patients, friends and neighbors from the age of a few days old to over 100 years old. Are you comfortable with Pediatrics, Family Medicine, Urgent and Emergent Care in a somewhat remote setting? We would like to talk to you.

We offer you a truly unique experience - living on a scenic island off the coast of Maine and practicing the full spectrum of family medicine with the support of strong leadership and experienced clinicians. We balance the demands of practicing medicine on the island with an exceptional clinician rotation schedule. Our scheduling provides ample time for family and friends and all that Maine has to offer.

  • You are board certified in Family Practice and possess a valid license to practice medicine from the State of Maine with current BLS, ACLS and ATLS certifications.
  • You have experience with the treatment of Substance Use Disorders - preferred.
  • You work effectively and collaboratively in a fast-paced health care setting and prioritize competing job demands.

Islands Community Medical Services is a well-established FQHC, located in beautiful Penobscot Bay off the coast of Rockland. For moreinformation, contact Susan Hurst at ICMS, ph (207)596-3566 or HumanResources@icmsvh.org. Website: www.icmsvh.org

7/29/20

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.            

8/5/20

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 August 7, 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

7/29/20

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  August 7, 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

7/29/20

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 August 7, 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

7/29/20

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/