Maine Medicine Weekly Update - February 19, 2021
(Print All Articles)

Urge Your State Legislators To Oppose The Elimination of Training for Nurse Practitioners

The Maine Legislature’s Joint Committee On Health Coverage, Insurance and Financial Services held a public hearing this week on a bill that would remove from law any post-graduate supervision and training requirements for newly licensed advanced practice registered nurses (APRN) and would leave the development of scope and standards of practice entirely under the purview of the Maine State Board of Nursing and national organizations with no accountability to Maine.

 

The Maine Legislature’s Joint Committee On Health Coverage, Insurance and Financial Services held a public hearing this week on a bill that would remove from law any post-graduate supervision and training requirements for newly licensed advanced practice registered nurses (APRN) and would leave the development of scope and standards of practice entirely under the purview of the Maine State Board of Nursing and national organizations with no accountability to Maine.

If the bill becomes law there will be no requirement for newly graduated advanced practice registered nurses to have any post graduate training upon graduating from an accredited nurse practice educational program, while keeping in place residency requirements for physicians.

You may recall last year the Legislature passed, and Governor Mills signed that legislation into law allowing a pathway for physician assistants to eventually have independent practice authority in Maine. However, the bill did include a provision requiring physician assistants with less than 4,000 hours of practice must experience to work under a collaborative agreement.

If the bill becomes law, physicians will still be required to complete residency, PAs will still need 4,000 hours of training and collaboration, but nurse practitioners will be allowed by state law to practice independently from day one after graduation. Do not be fooled by the argument that the NP is practicing "nursing" and not "medicine." Under Maine law it is a distinction without a difference. The scope of practice for advanced practice nursing in statute is the functional equivalent to that of a physician  in the field despite the training and educational differences.

The Committee has scheduled discussion, debate, and a potential vote on LD 295, removing any post graduate training for APRNs for this upcoming Thursday morning. It is critically important for patient safety that as many MMA members as possible reach out to legislators on the committee to express your opposition to the bill.

Our testimony in opposition to the bill can be found here, as well as testimony against the bill from the Maine Osteopathic Association and Spectrum Healthcare Partners.

You can watch/listen to the full hearing on the bill from the start by clicking here.

Dr. Hymanson’s verbal testimony can be found here.

MMA Director of Communications & Government Affairs, Dan Morin’s verbal testimony - written testimony

Maine Osteopathic Association verbal testimonywritten testimony

Committee Members and communities they represent are listed below. Click on their names for contact Information:

Senator Heather Sanborn

Westbrook and part of Portland – Chair

Senator Stacy Brenner

Scarborough/Gorham

Senator Trey Stewart

Numerous towns in Aroostook County

Representative Denise Tepler

Topsham – Chair

Representative Poppy Arford

Brunswick

Representative Mark Blier

Limington / Standish (Part) / Buxton (Part) / Limerick (Part)

Representative Heidi Brooks

Lewiston

Representative Jon Connor

Lewiston

Representative Richard Evans

Atkinson/ Brownville/ Dover-Foxcroft/ Lake View/ Medford/ Milo/ Orneville Township

Representative Kristi Mathieson

Kittery

Representative Gina Melaragno

Auburn

Representative Joshua Morris

Leeds/ Turner/ Livermore (Part)

Representative Tracy Quint

Amity/ Bancroft/ Benedicta Township/ Cary/ Glenwood/ Haynesville/ Hodgdon/ Houlton/ Macwahoc/ Orient/ Reed/ Weston/ Molunkus Township/ Silver Ridge Township/ South Aroostook

Please contact MMA Director of Communications and Government Affairs, Dan Morin at dmorin@mainemed.com or by phone at 207-480-4199 for more information or background on the bill or questions about contacting committee legislators in opposition of the bill.

 

 

 

 

 

Maine DHHS Releases “Community Based Collaboration” Vaccine Request Form

The Maine Department of Health and Human Services has posted an application online for physician’s offices to form “community-based collaboratives” for offering vaccines. It is a sure sign that the recent work by the Maine Medical Association’s Board of Directors and staff, and the Maine Osteopathic Association’s recent work with Maine DHHS & Maine CDC to ensure equitable access to potentially lifesaving COVID-19 vaccine doses is working.

 

The Maine Department of Health and Human Services has posted an application online for physician’s offices to form “community-based collaboratives” for offering vaccines. It is a sure sign that the recent work by the Maine Medical Association’s Board of Directors and staff, and the Maine Osteopathic Association’s recent work with Maine DHHS & Maine CDC to ensure equitable access to potentially lifesaving COVID-19 vaccine doses is working.

For over a year, Maine’s physicians have seen first-hand how COVID-19 affects our neighbors and community members. Too many Mainers have experienced the devastation of COVID-19 on a personal level, having lost friends, colleagues and loved ones, or become seriously ill. 

That is why we are excited to see this next step from Maine DHHS/CDC to incorporate community physicians in COVID-19 vaccination plans to protect your patients and help all of us move towards a new normal while ensuring that distribution be equitable and transparent. 

There are challenges with delivering vaccines to our communities. The infrastructure to bring vaccines directly to our communities and serve our high-risk patients where they are must be efficient and consistent. 

Physicians will inform their patients if, and when, their offices are able to begin administering vaccines. We extend our thanks to the public for their patience as we wait for the vaccines to arrive. 

Please contact MMA Director of Communications and Government Affairs, Dan Morin at dmorin@mainemed.com or by phone at 207-480-4199 for a copy, or more information about the medical practice vaccine collaboration template. The template should be used by potential community collaborations or “consortia” to propose alternative vaccine sites to the high throughput “mega-sites” if they can meet a 1000 dose/week threshold. 

The Week 11 order of vaccines for Maine will consist of 27,740 doses. An important note from Maine CDC: “This week and going forward, the extra sixth dose of vaccine in each vial of Pfizer vaccine will be included in the counts. As such, while it appears that the number of doses has increased by 5,265 over last week, the actual number of new doses is 3,510.” 

Only 11 sites are receiving only 100 doses, down from 37 last week. Twenty-three hospitals are scheduled to receive a total of 25,040 first and second doses (three hospitals fewer and but about 10,000 additional doses over last week for hospitals and systems). The following outpatient groups can expect a total of 3,500 doses (down 675 from last week): 

· Martin's Point Health Care 1000 

· InterMed PA 600 

· Penobscot Community Health Care -Bangor 200 

· VNA Home Health and Hospice d/b/a Northern Light Home Care and Hospice 400 

· HealthReach Community Health Centers - Belgrade Regional Health Center 100 

· Bucksport Regional Health Center 100 

· Harrington Family Health Center 100 

· Hometown Health Center-Newport 100 

· Islands Community Medical Services 100 

· Caribou Health Center 100 

· DFD Russell Medical Centers 100 

· St. Croix Family Health Center 100 

· Concentra Portland 500 

More local media stories and social media pleas from physician practices in other states appeared this week. 

Mass. Doctors Cut Off From State's Vaccine Supply Pushing for Change: ‘We're Very Disappointed'—NBC Boston 

The South Carolina Medical Association tweeted the same concerns this week, stating, “SC physicians are the same as MA. The need to vaccinate quickly sends supplies to hospitals and pharmacies. SCMA continues to ask that physicians receive vaccine as supplies increase. The physician-patient relationship can be the key for some to choose vaccination.” 

You may recall from our newsletter last week, The New York Times published a story outlining how primary care physicians have grown increasingly frustrated with their exclusion from the nation’s vaccine rollout, unable to find reliable supplies for even their eldest patients and lacking basic information about distribution planning for the shots. 

Additional Vaccine Resources: 

COVID-19 Vaccines 

Emergency Use Authorization for Vaccines Explained 

Emergency Use Authorization for Vaccines to Prevent COVID-19; Guidance for Industry 

Development and Licensure of Vaccines to Prevent COVID-19; Guidance for Industry 

 

Bangor Daily News: “Maine Docs Remind Parents to Catch Up Kids On Shots Amid Pandemic”

Pediatricians in Maine are reminding parents to get their children caught up on routine immunizations, which many students have missed during the coronavirus pandemic.

 

Pediatricians in Maine are reminding parents to get their children caught up on routine immunizations, which many students have missed during the coronavirus pandemic. 

The Maine Chapter of the American Academy of Pediatrics said Thursday a Blue Cross Blue Shield analysis found a 26 percent drop in vaccine doses last year. The analysis also found that 40 percent of parents surveyed said their children missed shots due to the pandemic. 

The chapter called on parents to get in touch with their pediatricians to schedule visits to keep their children up to date. Full story here.

 

Maine PMP to Stay with Appriss System

As reported in our newsletter last week, Maine has decided to retain the use of the Appriss Prescription Monitoring Program system rather than install and transition to a new system.

 

As reported in our newsletter last week, Maine has decided to retain the use of the Appriss Prescription Monitoring Program system rather than install and transition to a new system. 

Please see the message below being sent to all current PMP users (data submitters and clinicians)

from Rebecca Taylor, OBH Deputy Director for Research and Evaluation.

Please address any questions you may have to Ms. Taylor using contact information listed below.

Dear PMP User,

Thank you for your patience and assistance during the PMP system transition. We are writing to provide you with an important update regarding this transition.

As you know, in August 2019 Maine DHHS made the determination to transition from the Appriss PMP system to a new PMP product offered by NIC/InforME: RxGov. This decision was based upon multiple factors, including the opportunity to access enhanced federal funding and the desire to enhance PMP reporting functionality. The new NIC/RxGov PMP was subsequently offered to Maine prescribers in the fall of 2020, while the Appriss AWARxE PMP remained functional and available to prescribers.

After fully exploring this opportunity over the past several months and soliciting input from Maine clinicians,Maine DHHS has made the decision to retain the Appriss AWARxE PMP due to its superior performance, particularly related to issues of data validity, functionality, and reporting. Examples of the desired functionality that remain available from the Appriss AWARxE PMP include the following:

  • Printing of patient histories, both individual patients and groups of patients
  • Ability to automatically view the use of controlled drugs from prescribers in Maine and New Hampshire, our contiguous state
  • Robust patient matching to allow clinicians see all records associated with a single patient
  • Availability of NarxCare, a visual clinical decision support tool that allows prescribers to see overlapping prescriptions of controlled substances and assess patient risk

In making this decision, DHHS is acutely aware of the need to minimize the administrative burden to Maine prescribers. Because the Appriss PMP system has remained fully operational throughout the transition period, prescribers currently enrolled in the Appriss PMP system will not be required to make any changes in their enrollment or registration. Prescribers who are using the NIC/RxGov PMP system are encouraged to return to using the Appriss AWARxE PMP as soon as possible.

All Maine healthcare providers, whether enrolled in the Appriss system or not, will receive emails with detailed Appriss PMP login instructions beginning in the next few days. Please note that these emails will come from Appriss Health.

As part of the reversion to the Appriss AWARxE PMP system, Maine DHHS looks forward to upcoming opportunities to engage PMP users in stakeholder engagement sessions to gather feedback on potential additional needs for enhanced PMP functionality, share existing solutions offered by the Appriss, and offer information about planned enhancements for the Appriss system. More information on those opportunities will be forthcoming soon. Questions about this transition or other aspects of the Maine PMP program can be directed to the Office of Behavioral Health PMP Team at: email: PMP@maine.gov or Phone: (207) 287-2595 Option 2.

Thank you,

Rebecca A. Taylor, Deputy Director

Office of Behavioral Health

 


 

Medscape: Volunteer Vaccinators Run into Hurdles

Many healthcare workers who try to volunteer as vaccinators are running into an ad hoc system just as chaotic as the rollout of the vaccines. Without a streamlined, national system, the rules for eligibility aren't always easy to find and often vary from state to state.

 

Many healthcare workers who try to volunteer as vaccinators are running into an ad hoc system just as chaotic as the rollout of the vaccines. Without a streamlined, national system, the rules for eligibility aren't always easy to find and often vary from state to state. 

Many would-be vaccinators are told they need to buy medical liability insurance, and many states require background checks. Both the CARES Act and the PREP Act have eased the path for volunteers, but their impact is muted by lack of communication and understanding of the modifications, such as protection from liability. Even when there is a national volunteer system, such as the Medical Reserve Corps, not all states participate to the same extent. The stakes are high for getting it right: Volunteers will be increasingly crucial to staffing vaccination sites, especially as more Americans become eligible for the shots and mass, stadium-style sites become more prevalent. 

"We need to make sure...that we have commissioned health corps, medical military, retirees, medical students, and nursing students just about to graduate, dentists, and veterinarians in order to be out there to vaccinate the public," Centers for Disease Control and Prevention Director Rochelle Walensky said. In the meantime, there is little cohesion among states. In New York, podiatrists, dentists, and pharmacy students are giving shots. In Colorado, chiropractors and optometrists are allowed to sign up. A survey of state immunization managers shows that the only settings all states plan to tap for volunteers are medical, pharmacy, and nursing schools. 

Full story here (registration required)

 

 

CMS Special Enrollment Period for Marketplace Coverage 2021

The 2021 Special Enrollment Period for Marketplace Coverage began Monday, February 15.


The 2021 Special Enrollment Period for Marketplace Coverage began Monday, February 15 on HealthCare.gov

Due to an Executive Order recently signed by President Biden, the Centers for Medicare & Medicaid Services (CMS) announcing that the Special Enrollment Period (SEP) for the Health Insurance Marketplace is officially available to consumers in the 36 states that use the HealthCare.gov platform, and will continue through Saturday, May 15. 

 

AMA: This Week’s Top Articles from JAMA Network

Find this week's top articles from JAMA Network here.

 

Role of Diet in Colorectal Cancer Incidence Study 

Assessing Brain Capillaries in Coronavirus Disease 2019 Research Letter 

Trends in Low-Value Health Services, Spending in Medicare Fee-for-Service Program Study 

Individual Differences in Response to Antidepressants Study

 

AMA: Which Factors Do Applicants Weigh Most When Picking Residency Programs?

What factors do medical students consider most—and least—when choosing residency programs? Recent data released by the National Resident Matching Program (NRMP) shed some light on that question.

 

What factors do medical students consider most—and least—when choosing residency programs? Recent data released by the National Resident Matching Program (NRMP) shed some light on that question. Full story here.

 


York Hospital Announces Appointment of Patrick A. Taylor, MD, MBA, as President and CEO

York Hospital announced that its board of trustees has selected Patrick A. Taylor, MD, MBA, as the new president and CEO of York Hospital. Dr. Taylor will join the organization on April 4.

 

York Hospital announced that its board of trustees has selected Patrick A. Taylor, MD, MBA, as the new president and CEO of York Hospital. Dr. Taylor will join the organization on April 4. Full release here

According to the release, Dr. Taylor is an emergency physician and joins York Hospital directly from Catholic Health Services in South Florida, comprised of 38 facilities offering a continuum of services to over 7,500 older adults, where he provided senior administrative and medical leadership consulting as part of the Emergency Incident Command Team’s response to the Covid-19 pandemic.

 

 

Next MMA Legislative Call Will Be Wednesday, February 24th

MMA Legislative Committee Chair, Jay Mullen, M.D. welcomes you to participate in the weekly conference calls of the MMA Legislative Committee.

 

MMA Legislative Committee Chair, Jay Mullen, M.D. welcomes you to participate in the weekly conference calls of the MMA Legislative Committee. 

The purpose of the weekly conference calls is to discuss the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative actions of the week. The calls rarely last longer than an hour. 

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate. Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate. It is not necessary to RSVP for the calls. 

The next MMA Legislative Committee weekly conference call for the First Regular Session of the 130th Maine Legislature will take place Wednesday, February 24th, at 7:00 p.m. via Zoom. 

You may now join the meeting with your computer or continue to connect by phone only. Please use the following Zoom meeting information. This will remain the same for every weekly call during the session. 

Legislative Committee Weekly Update Feb 24, 2021 7:00 PM 

Join Zoom Meeting: https://zoom.us/j/92954551629?pwd=WUF1L3BkMHY5SW1iYzhGSjdscGN6dz09

Meeting ID: 929 5455 1629

Passcode: 2021 

Dial by your location: +1 646 876 9923 US (New York) 

Find your local number: https://zoom.us/u/adD6zd4sZG

A list of the bills to be discussed during the weekly call will be e-mailed to committee members and those interested early next week.  If you would like to be added to this e-mail list, please contact Sarah Lepoff at  slepoff@mainemed.com.

 

Next Maine CDC COVID-19 Update for Clinicians with Stephen Sears, MD scheduled for Feb 25

The calls are held bi-Weekly every 2nd and 4th Thursday of the month at 12:30 p.m., however, the meeting schedule for last week had been previously canceled. We apologize for not proving notice in advance.

 

The calls are held bi-Weekly every 2nd and 4th Thursday of the month at 12:30 p.m., however, the meeting schedule for last week had been previously canceled. We apologize for not proving notice in advance.

The next meeting is scheduled for February 25th at 12:30 p.m.

Join Zoom Meeting

https://zoom.us/j/98624137592?pwd=UG45YnlFSW5raVlNNEdzYmt3R0Jxdz09

Meeting ID: 986 2413 7592

Passcode: 375263

One tap mobile

+13126266799,,98624137592# US (Chicago)

+16465588656,,98624137592# US (New York)

 

 

FDA Health Equity and COVID-19 Webinar on 2/25 at 6:00 p.m. EST

Join the FDA's Office of Minority Health and Health Equity on February 25 from 6:00 p.m. - 7:00 p.m. EST for a conversation about health equity and COVID-19 with Dr. Peter Marks, the director of FDA's Center for Biologics Evaluation and Research, and RADM Richardae Araojo, the director of FDA's Office of Minority Health and Health Equity.

 

Join the FDA's Office of Minority Health and Health Equity on February 25 from 6:00 p.m. - 7:00 p.m. EST for a conversation about health equity and COVID-19 with Dr. Peter Marks, the director of FDA's Center for Biologics Evaluation and Research, and RADM Richardae Araojo, the director of FDA's Office of Minority Health and Health Equity. Learn about the latest COVID-19 updates, including information about vaccines and the FDA’s authorization process.  

You can register for this event on Zoom.

 

Daniel Hanley Center for Health Leadership’s Renowned Physician Executive Leadership Institute – The Advanced Course Enrollment is OPEN

Enrollment is now under way for the Daniel Hanley Center’s sixth annual Physician Executive Leadership Institute—Advanced Course. Be sure to save your seat in the next cohort as we can only accept the first 35 physician enrollments!

 

Daniel Hanley Center for Health Leadership’s Renowned Physician Executive Leadership Institute – The Advanced Course Enrollment is OPEN for Cohort VII Commencing May 2021 Nomination 

Deadline: February 10, 2021 

Enrollment Deadline:  March 1, 2021 

To learn more: https://www.hanleyleadership.org/leadership-courses/physician-executive-leadership-institute/peli-advanced-course/ 

To nominate yourself or a colleague:  https://tinyurl.com/PELINominate 

To enroll:  https://tinyurl.com/PELIADV7 

Enrollment is now under way for the Daniel Hanley Center’s sixth annual Physician Executive Leadership Institute—Advanced Course. Be sure to save your seat in the next cohort as we can only accept the first 35 physician enrollments! 

Physicians enrolling in the program are designated as McAfee Fellows, in honor of former AMA and MMA President Robert McAfee, MD. Participants gain knowledge, skills and tools in the core competency areas of: systems awareness; strategic focus; key management/business skills; self-awareness; healthcare trends and teamwork and collaboration, best enabling them to lead and transform our healthcare delivery system. 

Here is what a few recent McAfee Fellows have shared about their PELI Advanced experience: 

“I can tell you with great certainty that I feel a lot more confident about my group decision making, my influence on a group’s behavior and my strategic planning. My ability as a leader is significantly enhanced by the PELI program. That is a given.” 

“Having another avenue to apply my energies, new unchartered territory, it’s exciting in a different way and I think that gives satisfaction that mitigates against some burnout stuff that could potentially happen.” 

“It exposes participants to other leaders, ideas, approaches and efforts.” 

Here is what a few recent CEO’s have shared about the value of supporting their physicians in the Advanced Course: 

"Benefit to health system – implementation of a new medical staff meeting format that increased attendance and focused on provider wellness: reduced burnout; improved provider engagement.” 

“With more confidence in their skills: one physician is capably developing a new team-based model of care in his practice; several physicians have moved into leadership positions; one physician has become a mentor of physicians who need skill development.” 

Over the past 8 years, nearly 200 physicians have participated in the Advanced Course. Our 7th cohort will begin May 6, 2021 and continue through March 26, 2022.  There are six two-day residential sessions, each running from Thursday evening through late Saturday morning. The Hanley Center is planning for the class to include 30-35 physician leaders from Maine, New Hampshire, and beyond. 

A distinguished five-member faculty team from the Heller School at Brandeis University delivers much of the course content for the Advanced Course, joining with Maine-based subject matter experts and physician leaders.  McAfee Fellows receive 80 hours of Category One CME for their participation in the full course.

To nominate yourself or a colleague:  https://tinyurl.com/PELINominate

To enroll, go to:  https://tinyurl.com/PELIADV7

To learn more, please contact me at:  judiannsmith@hanleyleadership.org (207-615-6253) or Janet LaFlamme at jlaflamme@hanleyleadership.org (207-553-9854).

PPE Available Through the MMA & ActionPPE

The Maine Medical Association is teaming with ActionPPE.org for access to PPE SUPPLIES for the safety of your patients, your staff, and communities!!

 

The Maine Medical Association is teaming with ActionPPE.org for access to PPE SUPPLIES for the safety of your patients, your staff, and communities!! 

ActionPPE.org is a nationwide organization started by a South Carolina county medical society president to help his colleagues get access to critical PPE supplies. It’s a nationwide platform of pooled resources to directly help physicians meet the needs of their practices and patients. 

Most importantly, ActionPPe.org is not just a source for PPE contacts but an actual ordering site with current and active distribution lines. You can place orders online and have them shipped directly to your offices. 

Product details and certificates the masks, gowns, face shields etc. are provided on the site. ORDER NOW! https://actionppe.org/3/mainemed/ 

Do not hesitate to contact Director of Communications and Government Affairs, Dan Morin with any questions or more information at (207) 838-8613 call/text, or dmorin@mainemed.com

 

 

                                                                                                                                                                                                                                                                                                                             

A Message from Maine Responds: Volunteer Opportunity

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.

 

 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

Maine Legislature Week 6 Update

The following is a summary of happenings during week 6 of the Maine Legislature.

 

Health Coverage, Insurance, and Financial Affairs   

Nurse Practitioners are Seeking to Eliminate Post Graduate Training 

This week only two bills were heard from the Health Coverage, Insurance, and Financial Affairs due to the snow day on Tuesday. Both bills, LD 254 and LD 295, involved nurse practitioners. 

The more important of the two was LD 295, “An Act To Repeal Restrictions That Prohibit Certain Advanced Practice Registered Nurses from Providing Essential Health Care Services”.

Nurse Practitioners are seeking to eliminate post-graduate training. Specifically, the 24-month mandate of supervised training. The most common rhetoric on the support side was regarding the rural primary care shortage and the necessity of nurse practitioners. The support side commonly sourced a study stating the 24-month period of supervised training did not improve patient safety or lead to better patient outcomes. This statement is analogous to stating residency time does not add to better patient care, it is simply not the case.  

Other statements from proponents of the bill referred to other some other state laws which include no similar oversight The 24-month mandate is the only additional training piece for APRNs, no additional supervised postgraduate residency training is required should they seek licensure in Maine. The support, to which was primarily APRNs, stated many Nurse Practitioners are Registered Nurses prior to becoming a CNP and therefore would not need the additional training. Former Co-Chair of the Legislature’s Committee on Health and Human Services, Representative Patty Hymanson (a recently retired neurologist with experience working with APRNs) testified in opposition to the bill, and included with her comments, “The training as an ARNP differs from that of an RN as it requires independent decision-making.”

MMA Director of Communications and Government Affairs, Dan Morin gave testimony on behalf of MMA in opposition to LD 295; emphasizing that this bill would lower the threshold for qualifications for licensure of APRNs. There is a need for licensure consistency in Maine. Without this mandate, there will be no further post graduate training requirements in Maine state law for new APRN graduates, unlike for physicians or physician assistants. Lowering the qualification will not address the rural health crisis. The American Medical Association found that in states with no regulations there was no difference in where NPs practice. Dan closed by stating:  

“Maintaining the statutory requirement to work alongside an experienced physician or supervising nurse practitioner will better ensure potential APRN licensees can apply learned concepts in a patient-centered environment when responsible for making a diagnosis and developing treatment, not to mention maintain consistency in state law across professions.” 

On the question of how to address the nursing shortage and rural crisis James Bass, representing the Maine Osteopathic Association replied there are many other bills that would better address the issue.  

“LD 295 does not present an administrative change to existing practices. Instead, it proposes the elimination of substantive clinical training requirements that are necessary and important for ensuring quality patient care” – James Bass 

A minimum safety and quality requirement must be met, this cannot be disregarded. The MMA Board and staff urge you to reach out to Maine legislators and stop this bill to eliminate state requirements for post graduate training and supervision for nurse practitioners

LD254 “An Act To Allow Certified Registered Nurse Anesthetists To Bill for Their Services”, requires health insurance carriers to provide coverage for services provide by certified registered nurse anthesis’s. There were 11 testimonies for LD 254, 10 in support and 1 neither for nor against. Of the support, the most common sentiment was the concern for the surprise bill due to the inability of nurses to bill for anesthesia. Certified Register Nurse Anesthetist Paul Schneider stated the bill “would eliminate out of network or “surprise billing” and would level the playing field so that a surgical center could choose to utilize any qualified anesthesia professional without fear of unequal treatment by insurers and aggravation to their patients”. The one neither for nor against was on behalf of Anthem Blue Cross/Blue Shield. They stated they agreed with the bill as the language had not changed from the last session's bill that they agreed upon. MMA did not testify; the bill moves on to a work session on February 25. 

Committee on Labor and Housing

On Wednesday, the Committee on Labor and Housing held a public hearing on LD 213, sponsored by Representative Millett of Cape Elizabeth.  The bill would add gynecologic cancer to the list of other cancers with rebuttable presumptions that a firefighter contracting a cancer from the list contracted it as a result of the firefighter’s employment.  The bill was met with strong support, especially from the Professional Firefighters of Maine. The bill moves on a work session, which has not yet been scheduled.

Committee on State and Local Government

The Maine Medical Association recognizes its members’ roles in promoting racial and ethnic equality, along with the American Medical Association’s pledge to confront systemic racism, racial injustice, and police brutality. MMA’s Dan Morin had an opportunity to testify in support of LD 2, a bill requiring racial impact statements to be used in the legislative process. The bill was widely supported, with over 120 testimonies being offered.  A work session was held on February 10 and was continued to February 17 this week. During the second work session, and despite the overwhelming public support, the Committee voted Ought to Pass as Amended by a vote of 7-5 in a divided report.

Archives

Maine Legislature Week 5 Update

 

  

 

 

Upcoming Public Hearings & Work Sessions

The following bills of interest to MMA have been scheduled for public hearings and/or work sessions before legislative committees of policy jurisdiction.
 

The following bills of interest to MMA have been scheduled for public hearings and/or work sessions before legislative committees of policy jurisdiction.

Also listed below are new bills of interest printed this week being monitored and considered by the MMA Legislative Committee and MMA Board of Directors. They will potentially be reviewed and discussed during MMA’s weekly MMA Legislative Policy Feedback Call this Wednesday.

Week of February 22 – February 26

Monday, February 22

10:00 AM – State and Local Government

LD 315, Resolve, To Require State Departments To Report on Rule Changes within State Government since the Beginning of the COVID-19 Pandemic

Tuesday, February 23

 

9:30 AM – Innovation, Development, Economic Advancement and Business

LD 273 An Act To Sustain the Doctors for Maine's Future Scholarship Program—MMA Supports

10:00 AM – Health Coverage, Insurance and Financial Services

LD 274 Resolve, Directing the Maine Health Data Organization To Determine the Best Methods and Definitions To Use in Collecting Data To Better Understand Racial and Ethnic Disparities in the Provision of Health Care in Maine

 

11:00 AM – Health Coverage, Insurance and Financial Services

LD1 An Act To Establish the COVID-19 Patient Bill of Rights

LD172 An Act To Improve Prescription Information Access (Work Session)

LD178 An Act To Reduce Waste of Prescription Medications (Work Session)—MMA Opposed

Wednesday, February 24

 

1:00 PM – Health and Human Services

LD 265, An Act To Provide Women Access to Affordable Postpartum Care—MMA Supports

LD 372, An Act to Provide Maine Children Access to Affordable Health Care—MMA Supports

1:00 PM – Judiciary

LD 366, An Act Regarding Emergency Guardianship—MMA ‘Watch & Act’

 

Thursday, February 25,

 

10:00 AM – Health Coverage, Insurance and Financial Services

LD 295 An Act To Repeal Restrictions That Prohibit Certain Advanced Practice Registered Nurses from Providing Essential Health Care Services (Work Session) —MMA Opposed

11:00 AM – Health Coverage, Insurance and Financial Services

LD 352, An Act To Maintain the Integrity of the Individual and Small Group Health Insurance Markets

Tuesday, March 02

 

9:00 AM – Agriculture, Conservation and Forestry

LD 316, An Act To Prohibit the Use of Chlorpyrifos

1:00 PM – Health Coverage, Insurance and Financial Services

LD38 An Act To Clarify the Timing of an Appeal of a Finding Regarding Involuntary Mental Health Treatment at a Designated Nonstate Mental Health Institution

 

Thursday, March 04

1:00 PM – Health and Human Services

LD38 An Act To Clarify the Timing of an Appeal of a Finding Regarding Involuntary Mental Health Treatment at a Designated Nonstate Mental Health Institution

LD 269 An Act to Prohibit Smoking in Bus Shelters

LD 450 An Act To Promote the Education of Patients by Primary Care and Urgent Care Physicians Regarding the Bone Marrow Transplant List

Please contact MMA Director of Communications and Government Affairs, Dan Morin at dmorin@mainemed.com or by phone at 207-480-4199 for a copy of the amended bill, or more information on the bill, and potential comments and suggestions you may wish us to include with our public comments in support of the bill.

 

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

February 27, 2021
Maine Society of Anesthesiologists Business Meeting

Virtual Meeting - 2:00pm - 5:00pm
Contact:  Lisa Montagna 207-620-4015 or mesahq@gmail.com

April 15, 2021
Maine Association of Psychiatric Physicians Annual Meeting
Virtual Meeting - 6:00pm - 8:00pm
Contact: Dianna Poulin 207-622-7743 or dpoulin@mainemed.com

May 1-2, 2021
Maine Chapter, American Academy of Pediatrics Virtual CME Spring Conference

The Impact of Social Determinants of Health and ACE's:
The Provider Role in Mitigating Risk and Promoting Resilience in Youth

Contact:  Dee Kerry 207-620-0806 or dkerry@maineaap.org

May 7, 2021
Maine Society of Eye Physicians and Surgeons Spring Meeting

Virtual Meeting
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

May 21-22, 2021
29th Annual MAFP Family Medicine Update & Annual Meeting

Virtual Meeting
Full brochure and registration available after February 15, 2021 at www.maineafp.org
Contact: Deborah Halbach 207-938-5005 or maineafp@tdstelme.net

 

 

 

 

 

 

  


 

Maine CDC Physicians To Host Regular Clinician COVID Vaccine Info Sessions

CDC physicians, and MMA members, Stephen Sears, M.D, MPH, and Lisa Letourneau M.D., MPH will be hosting a series of 30-minute Clinician Info Sessions twice weekly (Tuesdays and Fridays) for the next couple of months to provide key information on the emerging COVID-19 vaccines & offer an opportunity for Q&A with clinicians statewide.

 

CDC physicians, and MMA members, Stephen Sears, M.D, MPH, and Lisa Letourneau M.D., MPH will be hosting a series of 30-minute Clinician Info Sessions twice weekly (Tuesdays and Fridays) for the next couple of months to provide key information on the emerging COVID-19 vaccines & offer an opportunity for Q&A with clinicians statewide. 

The sessions will start, Tuesday, December 15 and take place at 7:30 a.m., Tuesdays and 12 noon, Fridays until further notice. 

Dr. Sears is an epidemiologist & Maine CDC Clinical Advisor for the COVID-19 Response Team, while Dr. Letourneau is Senior Advisor for Delivery System Change at the Maine Department of Health and Human Services. We hope you’ will l take advantage of this opportunity to join these two well respected experts. 

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 

Join Zoom Meeting https://zoom.us/j/6218434986?pwd=dEJoNEVRSkVSN2dwZlJ5WEl3WjJsZz09 

Meeting ID: 621 843 4986 

Passcode: 338847 

One tap mobile: +13017158592,,6218434986#,,,,,,0#,,338847# 

AMA Designation Statement The Maine Medical Education Trust designates each Live Internet activity session for a maximum of .5 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. 

Joint Providership Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and the Maine Department of Health and Human Services. The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.

 

 

Suicide Prevention and Management in Healthcare Practice Settings: A Comprehensive Evidence-Based Approach

NAMI Maine is now scheduling this presentation for healthcare practice settings.

 

Suicide Prevention and Management in Healthcare Practice Settings: A Comprehensive Evidence-Based Approach
Presented by Greg Marley, LCSW - Director of Suicide Prevention, NAMI Maine

For more information and to schedule a presentation, contact the NAMI Maine Suicide Prevention Coordinator at mspp@namimaine.org or at (800) 464-5767 x2318.

A Maine citizen is 13.5 times more likely to die by suicide than by homicide (2016-2018), yet suicide is among the most preventable forms of death.  Healthcare practice settings provide an excellent venue for the identification and assessment of suicide risk and the provision of ongoing care to assist in the management of the drivers of suicide.

This 1-hour presentation will provide updated information on trends in suicidal behavior across the lifespan and an overview of the best-practice approach to suicide identification, assessment, and management of suicide within a practice or hospital setting.  Tools for practice will be offered to address assessment, Collaborative Safety Planning and coordinated follow-up.  This presentation is appropriate to any professional working in a medical, clinical or behavioral health role: medical providers, nurses, social workers and ancillary clinicians and support staff.

Attendees will leave able to

  • Articulate the rationale for a structured approach to suicide assessment and management in healthcare
  • Describe to elements of suicide assessment and Collaborative Safety Planning
  • Appreciate the recent trends in suicide across the lifespan in Maine

In collaboration with the Maine Suicide Prevention Program and NAMI Maine, the Maine Medical Association offers resources for physicians and medical practices at www.mainemed.com/suicide-prevention.


AMA Designation Statement: The Maine Medical Education Trust designates this live internet activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Joint Providership Statement: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and NAMI Maine.  The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide Continuing Medical Education (CME) for physicians.


 

Maine CDC Annual Prevention Professionals Conference - March 2nd-3rd

The health and safety of Maine prevention professionals is our first priority, for this reason the Prevention Professionals Conference planned for October 2020 has been rescheduled to March 2 & 3, 2021. The conference will be held virtually over two days.

 

Save the Dates: March 2 & 3 - The conference content will be delivered virtually over two days. 

The health and safety of Maine prevention professionals is our first priority, for this reason the Prevention Professionals Conference planned for October 2020 has been rescheduled to March 2 & 3, 2021. The conference will be held virtually over two days. 

The conference planning committee is working hard to reevaluate the needs of prevention professionals across the state. The committee is particularly interested in centering this event around exploring and addressing diversity, equity, and inclusion within public health prevention services in Maine. 

We would love to hear directly from you all what would be most helpful in this unpredictable time, please take a couple of minutes to let us know your thoughts: https://www.surveymonkey.com/r/PPCCOVID

Please be on the lookout for additional information and registration information. Thank you for your patience! Stay well!

 

AAP EQIPP Course: Immunizations - Strategies for Success (for RURAL Health Providers)

The recently revised EQIPP immunization course is designed to identify immunization rates in your practice, uncover barriers to immunization delivery systems, and provide techniques to overcome those barriers using clear aims that reflect expert principles and proven quality improvement methods and tools.

 

The recently revised EQIPP immunization course is designed to identify immunization rates in your practice, uncover barriers to immunization delivery systems, and provide techniques to overcome those barriers using clear aims that reflect expert principles and proven quality improvement methods and tools. 

The online course features two tracks; the 19–23-month-old track and the adolescent track with data collection activities specific to each population. The course is eligible for PI CME, NAPNAP, MOC Part 2, and MOC Part 4 credits. 

The course is free to AAP members - and for a limited time, is being offered free to ALL rural health clinicians in Maine (Pediatricians AND Family Practice) through an AAP initiative.  Additional course information is available here

For rural health care providers that are non-AAP members and interested in taking this immunization course, contact Melissa Ponce at mponce@aap.org for additional information and to have your course fee waived through the Supporting Pediatricians to Improve HPV and Pediatric Influenza Vaccination Rates Initiative - again, the EQIPP immunization course is open to all Maine physicians serving youth, and the course fee is being waived for ruralhealth clinicians!

Physician (BC/BE in Family Medicine)

Mt. Abram Regional Health Center, (Kingfield, Maine) seeks a Physician (BC/BE in Family Medicine) with outstanding clinical and interpersonal skills to provide primary care to patients of all ages in a family practice with integrated behavioral health services.

Mt. Abram Regional Health Center, (Kingfield, Maine) seeks a Physician (BC/BE in Family Medicine) with outstanding clinical and interpersonal skills to provide primary care to patients of all ages in a family practice with integrated behavioral health services. An X waver would be desirable. The selected candidate will receive a $5,000 sign-on bonus, competitive salary and benefits, malpractice coverage, pension plan with employer match, loan repayment opportunities. EOE.

Mt. Abram Regional Health Center resides in the welcoming community of Kingfield near Sugarloaf USA and the University of Maine (Farmington). It is part of HealthReach Community Health Centers, a system of eleven practices in central and western Maine. Medical clinicians at Mt. Abram benefit from collaborative relationships with HealthReach clinicians as well as colleagues at Franklin Memorial Hospital in Farmington.

Mt. Abram Regional Health Center is part of HealthReach Community Health Centers, a system of 11 Federally Qualified Health Centers in Central and Western Maine with a 45-year history offering accessible, high quality healthcare with integrated behavioral health, psychiatric medication management, and referrals. HealthReach accepts Medicare, MaineCare and major insurances and a sliding fee program is available to uninsured and underinsured residents as well as assistance with applications for programs that help with the cost of health care and medications including the Health Insurance Marketplace.

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

2/11/20

Nursing Director

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 Nursing Director:

  • Oversees clinical support services, including primary care support, care management and community health work.
  • Collaborates with members of the practice team to identify and manage the care of patients with high-risk and complex conditions utilizing established care management criteria.

Qualifications include:

  • A Master’s degree in nursing, health care management or related field required.
  • A Maine Registered Nurse license.
  • A minimum of three years’ supervisory experience in a health care delivery setting.

Visit www.yccac.org for an application. Completed cover letter, resume, and YCCAC employment application will be accepted until February 26, 2021.

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

3/4/21

Medical Director - Bucksport Regional Health Center

As an integrated center we are seeking a Medical Director to oversee the structure/scope of our clinical program, provide supervision to physicians, and other clinical providers, lead quality improvement activities and provide ambulatory/primary care for patients.

Enjoy the beautiful coast of Maine - Bucksport Regional Health Center – a  community health center serving Bucksport, Maine and the surrounding communities with two locations, Bucksport and Ellsworth, Maine.  We have 78 employees and 16 providers (varying hours).  As an integrated center we are seeking a Medical Director to oversee the structure/scope of our clinical program, provide supervision to physicians, and other clinical providers, lead quality improvement activities and provide ambulatory/primary care for patients.  WE OFFER A SALARY COMPETITIVE TO THE HOSPITAL SETTING!

  • Board Certified Physician (MD or DO)
  • Licensure in Maine preferred or willingness to become Maine licensed
  • 7-10 years family practice or internal medicine
  • 5 years experience direction medical services
  • Strong EMR background

Submit resume to dadams@brhcme.org

2/11/21

Rangeley Family Medicine seeks Physician

Rangeley Family Medicine seeks a Physician to:

  • Engage patients in improving their wellbeing.
  • Participate in a team of clinicians serving a network of 11 family practices.
  • Serve people of all ages and economic situations.
  • Develop a common treatment plan with behavioral clinicians to address physical/behavioral needs.
  • Live/work in spectacular setting with shimmering lakes, mountain views, verdant forests, abundant wildlife, 4-season family escapades.

Rangeley Family Medicine seeks a Physician to:

  • Engage patients in improving their wellbeing.
  • Participate in a team of clinicians serving a network of 11 family practices.
  • Serve people of all ages and economic situations.
  • Develop a common treatment plan with behavioral clinicians to address physical/behavioral needs.
  • Live/work in spectacular setting with shimmering lakes, mountain views, verdant forests, abundant wildlife, 4-season family escapades.

Compensation:

  • Competitive salary and benefit package
  • SIGN-ON BONUS - $10,000
  • Student loan repayment opportunities
  • Relocation ~ Malpractice coverage
  • Continuing education: $2,500 - 1 week per year
  • PTO - 272 hours annually
  • Retirement plan with employer match up to 2% of salary

Practice Details: 5-day week ~ 40 hours per week

Requirements: BC/BE in Family Medicine ~ Maine license

Contact: HealthReach Community Health Centers, 10 Water Street, Suite 305, Waterville, ME 04901 ~ (207) 660-9913 ~ Fax: (207) 660-9901 communications@HealthReach.org

HealthReach Community Health Centers is a group of eleven Federally Qualified Health Centers in Central and Western Maine. As NCQA certified Patient-Centered Medical Homes, we offer accessible, high quality healthcare with integrated behavioral health, psychiatric medication management, and referrals. To ensure access for everyone, HealthReach accepts Medicare, MaineCare and major insurances. In addition, a sliding fee program is available to uninsured and underinsured residents as well as assistance with applications for programs that help with the cost of health care and medications including the Health Insurance Marketplace. A private, non-profit with a 46-year history, HealthReach is funded by patient fees, grants, and individual donations.

2/25/21