Maine Medicine Weekly Update - March 12, 2021
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The Year a Global Pandemic Changed Our Lives; Thank You Maine Physicians

It has now been a full year since Maine’s physicians and other frontline health care workers have risked their health, their safety, and their lives to treat their patients and defeat a deadly virus.

 

    

It has now been a full year since Maine’s physicians and other frontline health care workers have risked their health, their safety, and their lives to treat their patients and defeat a deadly virus.

Nearly 47,000 Mainers have contracted SARS-CoV-2 since March 2020; almost equal to the entire populations of Bangor and Waterville combined. 

Sadly, 724 Mainers have died with COVID-19 since the pandemic began; equal to two full Boeing 747 commercial airliners. 

Many see a light at the end of the tunnel through ongoing immunization efforts toward herd immunity. You will now be asked to not only address vaccine hesitancy, but vaccine complacency as well. It is important to clearly message that vaccination can be the ticket back to pre-pandemic life. 

Eventually, COVID-19 will be brought under control, but the impacts will remain. The issues of institutional and governmental interference in the physician-patient relationship will continue. Due to COVID-19, patients have skipped other scheduled immunizations and regular appointments for care of chronic conditions such as diabetes. The post-pandemic surge will be an unseen stress on the health care system for years. 

Many people who otherwise sought routine care, cancer screenings or care for chronic conditions stayed home. While it is hard to say exactly how much health care was missed or delayed, the initial assessment does not look good. The question for the medical community is, what will be the health cost of that missing months of care? Although telehealth visits offered and alternative way to care and communicate with patients, it is not a full substitute for necessary face-to-face visits. 

Maine’s physicians and staff have sacrificed their own safety, and that of their families, while treating and saving patients the pandemic for over a year. Although words could never express the gratitude for all you do and continue to do for our state, you are each truly amazing and compassionate human beings. We admire you all for your commitment to all the patients and families you touch every day. 

Thank you. We are always here to proudly support you and your efforts to keep your patients healthy. 

—MMA Staff 

APRN Training & Supervision: “Laws are Like Sausages. Better Not to See Them Being Made”

This Thursday, March 18 will be the second work session on LD 295, the, “Act To Repeal Restrictions That Prohibit Certain Advanced Practice Registered Nurses from Providing Essential Health Care Services.”

 

MMA PRIORITY LEGISLATIVE ISSUE: 

Contentious and complicated bills oftentimes have multiple committee work sessions before potential amendments are finalized, or votes are taken. This Thursday, March 18 will be the second work session on LD 295, the so-called, “Act To Repeal Restrictions That Prohibit Certain Advanced Practice Registered Nurses from Providing Essential Health Care Services.” Bill titles often redirect members of the public from the real intent, contents, and potentially dangerous pitfalls of a bill. 

Simply, the bill is a move by the Maine Nurse Practitioners Association to remove any legal requirement that newly graduated nurse practitioners complete any training or have any supervision after graduating NP school. Maine law will still require residency requirements for physicians before receiving a license to practice medicine even though under Maine law—the two professions are deemed functionally equivalent to provide independent patient care. 

New laws, or changes in law, should be reserved to resolve an issue of public concern. Proponents have completely failed to identify the reason for changing the law with any factual data or evidence to back claims. The bill is a threat to public safety. 

Nurse practitioners claim the current 24-month training and supervisory period is an impediment for APRNs to practice independently in rural Maine, despite the fact they have been able, under Maine law, to do so for over 20 years after the two-year training period. 

Lead testimony from a member of the American Association of Nurse Practitioners (AANP) claim NPs who desire to practice in rural and underserved areas do not establish practices in rural areas and leave the state. This, despite the fact, Maine is considered a “full practice state” by the very organization she represents.

The Journal for Nurse Practitioners, the peer-reviewed nursing journal of the same American Association of Nurse Practitioners published a feature article in its November 2020 issue, Nurse Practitioner Post-Graduate Residency Program: Best Practice.  The article reveals a “major problem is the shortage of NPs in primary care. This is related to high turnover due to the difficult transition from expert RN to novice NP. The authors determine the importance of residency programs, something not required, nor completed by a vast majority of currently graduating NPS. One other key point from the article: 

“Several qualitative studies examined the role transition from student to novice NP; it was concluded that anxiety, stress, role confusion, self-doubt, and isolation were common characteristics found among novice NPs. This can result in professional identity confusion, loss of confidence, and impaired role development. Moreover, NPs report feeling underprepared, and find themselves relying on their prior nursing experience, rather than their NP education and training.” 

Proponent claims included, “eliminating this unnecessary barrier will make Maine more competitive in recruiting nurse practitioners to meet our state's needs,” and “Maine has a dire shortage of both RN and APRN providers.” 

· Maine already has one of the highest supply of NPs in the country per capita. Data show Maine ranked sixth in the supply of nurse practitioners per 100,000 residents in the country and the highest ratio of advanced practice psychiatric nurses in the country. 

Legislators on the committee and bill proponents claim experienced RNs do not need additional training and supervision after completing a nursing practice educational program. Only one—yes, you read that correctly—ONE newly graduated nurse practitioner or nursing practice student formally submitted testimony on the bill. It urged the committee to vote against LD 295. They wrote, “As a new NP I must say that I personally felt that throughout my education to obtain my masters and certification, our curriculum is weak . . . I found myself lacking basic concepts and foundation, that made me fear entering practice . . . I passed my program in the top 10th of my graduating class.” 

American Medical Association research finds “a widening gap in the level of experience of recent nurse practitioner graduates compared to former graduates. In 2008, an RN typically had 8.2 years of experience before entering a nurse practitioner program. Today, nurse practitioner programs enroll RNs more quickly after completing their RN training, with many programs transitioning students straight from an RN to NP degree.  This widening gap in experiential training is further exacerbated by an increase in the number of partial or fully online-only nurse practitioner programs, as well as the lack of standardization in clinical training.” 

Simply put, the reasons put forth by LD 295 proponents and supportive legislators are not backed by data or evidence. However, one measure used by committee members in discussions with MMA government affairs staff was the number of contacts and comments they have received on the bill. Some have stated, “we’ve heard from more of them so I’m probably going to vote for the bill.” Whether crediting John Godfrey Saxe or Otto von Bismarck for the aphorism, “Laws are Like Sausages. Better Not to See Them Being Made” seemingly was made for LD 295. The public hearing and initial work session web links below will be real eye openers on state legislative process. 

The bill text can be found here 

The public hearing from Feb 18 can be watched here 

All written testimony can be read here 

The work session from Mar 04 can be seen here 

The bill was covered in a recent Maine Medicine Weekly Update E-newsletters:

Urge Your State Legislators To Oppose The Elimination of Training for Nurse Practitioners (Feb 19) 

Committee Delays Debate on Bill to Eliminate Nurse Practitioner Training (Feb 26) 

CALL TO ACTION: Committee Strongly Considering Elimination of Nurse Practitioner Training (Mar 5) 

While many members have already submitted comments of concern with passing LD 295 into law, it continues to be critically important for patient safety that as many MMA members as possible reach out to your own legislators and legislators on the committee to express your opposition to the bill. 

Here are the members of the committee voting on the bill: 

CHAIR: Senator Heather.Sanborn@legislature.maine.gov 

Westbrook and part of Portland 

CHAIR: Representative Denise.Tepler@legislature.maine.gov 

Topsham 

Senator Stacy.Brenner@legislature.maine.gov 

Scarborough/Gorham 

Senator  Trey.Stewart@Legislature.maine.gov 

Numerous towns in Aroostook County 

Representative  Poppy.Arford@legislature.maine.gov 

Brunswick 

Representative Mark.Blier@legislature.maine.gov 

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

Representative Heidi.Brooks@legislature.maine.gov 

Lewiston 

Representative Jonathan.Connor@legislature.maine.gov 

Lewiston 

Representative Richard.Evans@legislature.maine.gov 

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

Representative Kristi.Mathieson@legislature.maine.gov 

Kittery 

Representative Gina.Melaragno@legislature.maine.gov 

Auburn 

Representative Joshua.Morris@legislature.maine.gov 

Leeds/ Turner/ Livermore (Part) 

Representative Tracy.Quint@legislature.maine.gov 

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 your respective Maine state legislators and committee legislators in opposition of the bill. 

Regular legislative updates on MMA issues of importance can also be found Facebook and Twitter

 

Governor Amends Vaccination Timeline; All Adults Eligible for COVID-19 Vaccine by May 1

Governor Janet Mills announced a change this week in Maine’s vaccination plan to make all Maine adults eligible for a COVID-19 vaccine by May 1, in line with a federal directive.

 

Governor Janet Mills announced a change this week in Maine’s vaccination plan to make all Maine adults eligible for a COVID-19 vaccine by May 1, in line with a federal directive. During a Thursday address to the nation, President Joe Biden said he would be directing all states to make all American adults eligible for the COVID-19 vaccine by May 1. 

Governor Mills announced an age-based vaccination approach two weeks ago, and following the President’s directive, the planned vaccine schedule is now as follows: 

· March 3: Age 60 and older 

· April 1: Age 50 and older 

· May 1: All adults 

As the supply of vaccines increases in Maine, it is our hope that Maine DHHS and Maine CDC will soon to include community physicians in its COVID-19 vaccination plans. The MMA Executive Committee and staff plan to meet soon with state leaders. 

Medical practices have the detailed records needed—whether it be age, preexisting conditions, or other risk factors as well as already established trust with patients. 

We are encouraging patients to continue trying to get vaccinated elsewhere for now, however, without community physicians working alongside current plans, high-risk patients will be left behind. The revised state guidelines direct any remaining or newly employed eligible Health Care Personnel to seek vaccination at one of the more than 60 provider-based vaccination sites listed on the Gov’s website. 

Age-eligible Maine residents are encouraged to make an appointment at a local vaccination site as soon as possible. Maine residents age 60 and over are now eligible for vaccination.  Find a vaccination site now. 

The Maine COVID-19 Community Vaccination Line helps Maine people get information about vaccine clinics. 

Community Vaccination Line: 1-888-445-4111; Monday -Friday, 7 a.m. to 7 p.m., or Saturday-Sunday: 8 a.m.- 2 p.m. 

For more information about updates to Maine’s COVID vaccination plan, please check for updates on the Governor’s COVID vaccine webpage

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 

How Do COVID-19 Vaccines Compare

 

Covid-19: Both Vaccinations Now Done and Done: Richard A. Evans MD

MMA Past-President, AMA Delegate, and current Maine State Representative, Rich Evans posted the following to his Facebook page this week.

 


MMA Past-President, AMA Delegate, and current Maine State Representative, Rich Evans posted the following to his Facebook page this week. 

It is perfectly understandable that some, for a variety of reasons, may be reluctant to get vaccinated for Covid-19. Obviously our dark past as a nation, especially in regards to our history of systemic racism towards Blacks and other people of color, has played a strong part in this reluctance. Still others may have had adverse reactions from vaccines made using live viruses. 

Today however, we are in a different time and a different place. This time around, the coronavirus is calling the shots and knows no limits of gender, race, ethnicity, or nationality. Because of our nation’s past, we cannot afford to or allow any perception of misinformation or any erosion of trust between our citizens and our state and federal governments. 

The vaccines today are safe and effective and have undergone intense scrutiny and transparency for Emergency use Authorization and subsequent FDA approval. No shortcuts in the development of these vaccines has occurred. None of the vaccines in use today contain any live viruses. It is very important that we understand this, take it to heart, and do the right thing for ourselves, our families, and our friends. 

I follow and trust the science that led to the development of these vaccines. If I didn't, I guarantee that you would not see me in the picture below! Even after getting your vaccine, continue to mask up, as there still remains many unknowns on the road ahead, especially with emerging variants of this virus. As a result, it is imperative that we remain vigilant and informed. 

So, do your part, for yourself, for your family, your friends, and our communities. When it's your turn, get your vaccine with whichever vaccine is available, and stay safe! 

—Richard Evans, M.D. 

Maine DHHS: Strategies for Addressing Disparate Impacts of COVID-19

The Maine Department of Health and Human Services (DHHS) presents the next webinar in the series focused on sharing insights, creative approaches, and best practices for working with Black, Indigenous, Latinx and Asian people to promote health equity in the time of COVID 19.

 

The Maine Department of Health and Human Services (DHHS) presents the next webinar in the series focused on sharing insights, creative approaches, and best practices for working with Black, Indigenous, Latinx and Asian people to promote health equity in the time of COVID 19.  Please join us for the next webinar on Wednesday, March 17 for a continued conversation with ME DHHS staff and clinical and community leaders to explore issues related to improving the confidence in and uptake of COVID-19 vaccines in diverse communities. 

Wednesday, March 17, 2021: 7:30 a.m. – 8:30 a.m. 

Improving COVID-19 Vaccine Equity: Best Practices for Increasing Equitable Vaccine Distribution & Uptake in Diverse Communities 

Please join Maine DHHS or a conversation with ME DHHS staff and several clinical and community leaders to learn more about strategies for improving equitable distribution & uptake of COVID vaccines, including best practices for providing outreach and education in diverse and hard-to-reach communities to increase equitable vaccine uptake. 

This conversation will feature clinicians and community partners from B St Clinic in Lewiston, and Penobscot Community Health Care in the Bangor area. 

Please note that attendees can either… 

· Register in advance for this and additional webinars in this monthly series: 

https://zoom.us/meeting/register/tJcsfuGvpj0jGdaRiW5Y15qnYa2AMVriHgaI 

OR 

· Log on at the time of the webinar using the following link: 

https://zoom.us/j/93198786932?pwd=MXdJN3RnbDhzSVZGUEdRcmJXTkhGQT09 

Meeting ID: 931 9878 6932 

Passcode: 4FrT7H 

One tap mobile: +13126266799,,93198786932#,,,,,,0#,,416363# 

Also, please note that video recordings of the previous ME DHHS Health Equity webinars are posted on the ME CDC website: 

www.maine.gov/dhhs/mecdc/infectious-disease/epi/airborne/coronavirus  

(scroll down to “Health Equity webinars”)

 

US FDA: Coronavirus (COVID-19) Update: March 12, 2021

The U.S. Food and Drug Administration (FDA) continued to act in the ongoing response to the COVID-19 pandemic.

 

The U.S. Food and Drug Administration (FDA) continued to act in the ongoing response to the COVID-19 pandemic: 

As part of the FDA’s effort to protect consumers, the agency issued a warning letter to Cannafyl for selling unapproved products with fraudulent COVID-19 claims. The company sells CBD-containing products, including “Balance CBD Drops,” “Relief CBD Drops,” “Relax CBD Drops” and “Relief CBD Salve,” and misleadingly represents the products can mitigate, prevent, treat, diagnose or cure COVID-19 in people. The FDA requested that Cannafyl take immediate action to cease the sale of any unapproved and unauthorized products for the treatment or prevention of COVID-19. Consumers concerned about COVID-19 should consult with their health care provider. 

Today, the FDA issued a Letter to Clinical Laboratory Staff, Point-of-Care Facility Staff and Health Care Providers to alert them that false positive results can occur with the Roche Molecular Systems, Inc. cobas SARS-CoV-2 & Influenza A/B Nucleic Acid Test for use on the cobas Liat System. 

Today, the FDA issued an Emergency Use Authorization (EUA) for Propofol-Lipuro 1% injectable emulsion for infusion to maintain sedation via continuous infusion in patients greater than 16 years old who require mechanical ventilation in an intensive care unit setting during the COVID-19 public health emergency. Propofol-Lipuro 1% injectable emulsion for infusion is not FDA-approved and has important differences in its formulation compared to FDA-approved propofol drugs; providers should consult the Health Care Provider Fact Sheet for more information before administering it. 

Testing updates: 

As of today, 341 tests and sample collection devices are authorized by the FDA under EUAs. These include 254 molecular tests and sample collection devices, 72 antibody and other immune response tests and 15 antigen tests. There are 38 molecular authorizations that can be used with home-collected samples. There is one molecular prescription at-home test, two antigen prescription at-home test, one OTC at-home antigen test and one OTC molecular test. 

More FDA COVID-19 updates can be found here.

Abyde joins with Maine Medical Association as a new Corporate Affiliate

New Corporate Affiliate

Abyde joins with Maine Medical Association as a new Corporate Affiliate to deliver HIPAA compliance solutions to independent medical practice


Abyde joins with Maine Medical Association as a new Corporate Affiliate to deliver HIPAA compliance solutions to independent medical practice

March,  2021, Tampa, FL – Abyde, a user-friendly HIPAA compliance software solution for independent practices, today announced it has teamed up with Maine Medical Association (MMA) to deliver comprehensive HIPAA compliance solutions and education to MMA members.

In light of the continued Office for Civil Rights (OCR) enforcement efforts seen over the recent months in addition to proposed HIPAA changes, there is no better time for practices to ensure they have a complete HIPAA program in place. Abyde’s collaboration with Maine Medical Association showcases efforts to help MMA practices meet this need and will provide MMA members with all the necessary tools and support to manage HIPAA compliance on an ongoing basis.

Abyde’s software solution is the easiest way for any sized medical practice to implement and sustain comprehensive HIPAA compliance programs. Abyde’s revolutionary approach guides providers through mandatory HIPAA requirements such as the Security Risk Analysis, HIPAA training for doctors and staff, managing Business Associate Agreements, customized policies and more.

“Our collaboration with Maine Medical Association emphasizes the value and peace of mind providers have found with Abyde’s comprehensive solution,” said Matt DiBlasi, President of Abyde. “We understand the difficulty for practices to keep HIPAA compliance a priority especially as regulations are constantly changing, and we couldn’t be more excited to help alleviate the HIPAA-stress from even more independent providers.”

We are looking forward to working with Abyde to deliver providers with a comprehensive solution that makes keeping up with government requirements simple so that they can keep their focus on patient care.

About Abyde

Abyde (Tampa, FL) is a technology company dedicated to revolutionizing HIPAA compliance for medical professionals. Launched in January 2017, Abyde was formed with the idea that there could exist an easier, more cost-effective way for healthcare providers to comply with government-mandated HIPAA regulations. For more information on Abyde visit abyde.com.

 

Next MMA Legislative Call Will Be Wednesday, March 17th

MMA Legislative Committee Chairs, Jay Mullen, M.D. and Samuela Manages, MD welcome you to participate in the weekly conference calls of the MMA Legislative Committee.

 

MMA Legislative Committee Chairs, Jay Mullen, M.D. and Samuela Manages, MD welcome 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, March 17th, 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 Mar 17, 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

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 9 Update

The following is a summary of happenings during week 9 of the Maine Legislature.

 

Committee on Health and Human Services

Three work sessions of interest occurred this week within the Health and Human Services Committee: LD 121, LD 265, and LD 372. The first, LD 121, An Act To Require a Background Check for High-risk Health Care Providers under the MaineCare Program, passed unanimously with the one change of wording from “may” to “shall”. The bill requires MaineCare provider applicants who are in high-risk providers categories to undergo criminal background checks. “High-Risk” is determined by technical rules, alongside the ACA’s fingerprint criminal background checks for high-risk Medicaid Providers.

LD 265 and LD 372 proved to be contentious in committee and both resulted in divided reports. LD 265, An Act To Provide Women Access to Affordable Postpartum Care, would extend from 60 days to 12 months the period of time following delivery of a baby that a woman may be eligible for services. The Department of Health and Human Services would be required to submit a waiver of state plan amendment request to the CMS and if the waiver or state plan is not granted then the Department is to implement coverage under the General Fund. MMA’s Dr. Addler testified in support of this bill. The point of concern was the length of coverage, implementation date, and waiver piece. The length of coverage was recommended to be shortened to 6 months by Rep. Javner, this was to lessen the fiscal amount. It was noted that this period was agreed upon in the previous session for this bill. The fiscal note for the bill from the 129th Legislature was presented, the fiscal amount was about $600,000. The fiscal impact for the 12-month period is about $500,000. This discrepancy is due to the Medicaid expansion, there was a decrease in eligible persons under this coverage. Currently, there are about 250 people who would be impacted by this coverage. The new COVID-19 Relief Bill would provide coverage for this program, this is the reasoning for changing the implementation date. The committee thought it best to align the date with the Relief Bill effect date. This same reasoning was responsible for the questioning of keeping the waiver in the bill. The concern was whether the waiver would be unnecessary given the coverage the Relief bill would provide. It was ultimately decided that the waiver provision should remain in the case of a future date where the COVID relief is not in effect. The committee motioned out-to-pass as amended (different effect date), the decision was split (7 yes, 5 no), and a divided report made.

LD 372, An Act To Provide Maine Children Access to Affordable Health Care, would expand CUB care by raising the eligibility threshold from 200% of the FPL to 300% and established that people 19 and younger and immigrants 21 and younger who fall into this range are covered. A fiscal note has not been made yet, but this was a concern. The other concern was that raising the eligibility to 300% of the FPL would include a large portion of Maine residents. Rep. Lemelin did not agree with adding the immigrant eligibility portion of the bill. After a long discussion/debate the bill ended with a divided report (7 yes, 5 no).

Committee on Health Coverage, Insurance and Financial Services

On Tuesday, the HCIFS Committee held public hearings on two bills of interest: LD 541 and LD 617. LD 617 was paired with LD 523, as they are essentially the same bill (An Act Concerning Prior Authorizations for Prescription Drugs).  Senator Claxton and Representative Brooks, the two sponsors, explained that the bill would establish a real-time communication between providers and carriers, leading to better health care. Dr. Geoff Gratwick was in full support, along with Maine Association of Health Plans, Northern Light Health, Maine Health, and Maine Medical Association. Read Dan Morin’s testimony in support here, in which he noted that 28% of doctors believe prior authorization causes adverse events for patients.

LD 541 is a new version of one of the many bills that died with the onset of the pandemic during the 129th Legislature. It would designate Maine Health Data Organization as the holder of data and the overseer of the reporting of public health activities. The bill was met with support from MHDO, no opposition, and Maine DHHS came out neither for nor against. MMA did not testify on this bill.

Senate and House Sessions

Because of the House and Senate meeting as their full bodies on Wednesday and Thursday, there were only two days of public hearings and work sessions.  Next week promises to be a busy and productive week, as hundreds of bills were ordered to be printed. 

Maine Legislature: Public Hearings, Work Sessions, New Bills

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

Public Hearings & Work Sessions

Week of March 15 – March 19

 

Monday, March 15, 2021 10:00 AM

Energy, Utilities and Technology

PH—LD 226—An Act To Limit the Use of Hydrofluorocarbons To Fight Climate Change—ENR

 

 

Tuesday, March 16, 2021 9:00 AM

Agriculture, Conservation and Forestry

WS—LD 316, An Act To Prohibit the Use of Chlorpyrifos

 

Tuesday, March 16, 2021 9:30 AM

IDEA and Business

PH—LD 612—An Act To Recognize Occupational Licenses and Certifications from Other States To Attract New Residents and Businesses to Maine

 

Tuesday, March 16, 2021 10:00 AM/11:00AM

Health Coverage, Insurance and Financial Services

PH—LD 615—An Act To Remove the Advanced Cardiac Life Support Certification Requirement for Dental Therapists

PH—LD 653—An Act To Provide Maine Residents Losing Employer-based Health Coverage with Information about Other Coverage

PH—LD 631—An Act To Provide Funding for Maine's Health Insurance Consumer Assistance Program

 

WS—LD 523, An Act Regarding Prior Authorizations for Prescription Drugs—MMA Support

WS—LD 617, An Act Concerning Prior Authorizations for Prescription Drugs—MMA Support

WS—LD 541 - An Act To Improve Health Care Data Analysis

 

Tuesday, March 16, 2021 1:00 PM

Health and Human Services

PH—LD 559—An Act To Improve the Rights and Basic Protections of Persons with Acquired Brain Injuries

PH—LD 590—An Act To Require MaineCare Coverage for Ostomy Equipment

PH—LD 624, An Act To Amend the Laws Governing Tobacco Specialty Stores

 

  

Wednesday, March 17, 2021 10:00 AM

Health and Human Services

PH—LD 529—An Act To Restore the Maine Center for Disease Control and Prevention Cystic Fibrosis Assistance Program

 

Wednesday, March 17, 2021 10:00 AM

Judiciary

PH—LD 627, An Act Relating to the Statute of Limitations for Injuries or Harm Resulting from Perfluoroalkyl and Polyfluoroalkyl Substances

 

Wednesday, March 17, 2021 1:00 PM

Health and Human Services

PH—LD 578 - Resolve, Regarding Legislative Review of Portions of Chapter 113: Regulations Governing the Licensing and Functioning of Assisted Housing Programs: Infection Prevention and Control, a Major Substantive Rule of the Department of Health and Human Services, Division of Licensing and Certification

 

 

Thursday, March 18, 2021 9:30 AM

IDEA and Business

WS—LD 374—An Act To Allow Veterans, Active Duty Service Members and Their Spouses To Apply for Temporary Occupational Licenses and Certifications

 

Thursday, March 18, 2021 10:00 AM

Health Coverage, Insurance and Financial Services

PH—LD 665—An Act To Promote Better Dental Care for Cancer Survivors

PH—LD 441—An Act To Expand Adult Dental Health Insurance Coverage

PH—LD 599—An Act To Require Coverage for Certain Ultrasound Exams

PH—LD 600, An Act To Require Insurance Coverage for Certified Midwife Services

 

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

 

Thursday, March 18, 2021 10:00 AM

Health and Human Services

WS—LD 206, Resolve, Regarding Legislative Review of Portions of Chapter 234: Lead Testing in School Drinking Water Rule, a Major Substantive Rule of the Department of Health and Human Services, Maine Center for Disease Control and Prevention

WS—LD 269 An Act to Prohibit Smoking in Bus Shelters

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

Thursday, March 18, 2021 11:00 AM

Health Coverage, Insurance and Financial Services

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

Thursday, March 18, 2021 1:00 PM

Health and Human Services

PH—LD 577 - Resolve, Regarding Legislative Review of Chapter 6: Crisis Prevention and Intervention Services, a Major Substantive Rule of the Department of Health and Human Services, Office of Aging and Disability Services

 

Week of March 22 – March 26

 

Monday, March 22, 2021 9:00 AM

Veterans and Legal Affairs

PH—LD 693 - An Act to Make the Pilot Program Providing Mental Health Case Management Services to Veterans a Permanent Program

 

Monday, March 22, 2021 1:00 PM

Education and Cultural Affairs

PH—LD 639 An Act To Improve Professional Training for School Counselors

 

 

Tuesday, March 23, 2021 9:00 AM

Health and Human Services

PH—LD 629, Resolve, To Establish the Task Force To Study Improving Safety and Provide Protection from Violence for Health Care Workers in Hospitals and Mental Health Care Providers

PH—LD 716 An Act To Enhance and Improve the Maine Developmental Services Oversight and Advisory Board and To Establish the Aging and Disability Mortality Review Panel

 

Tuesday, March 23, 2021 9:30 AM

IDEA & Business

PH—LD 149 An Act To Facilitate Licensure for Credentialed Individuals from Other Jurisdictions

 

Tuesday, March 23, 2021 10:00 AM

Energy & Utilities

PH—LD83An Act To Clarify the Meaning of "Unserved Area" within the State's Broadband Service Laws—MMA Support

 

Tuesday, March 23, 2021 10:00 AM

Health Coverage, Insurance and Financial Services

PH—LD 713 An Act to Allow the Purchase of Health Insurance across State Lines.

 

Wednesday, March 24, 2021 10:00 AM

CJPS

PH—LD 476 An Act To Provide Licensed Assisted Living and Nursing Facilities Levels of Care for Incarcerated Persons

PH—LD 491 An Act To Create the Crime of Hate Crime False Public Alarm or Report             

 

Wednesday, March 24, 2021 1:00 PM

Judiciary

PH—LD 642 An Act To Ensure That Children Receive Behavioral Health Services

 

 

Thursday, March 25, 2021 9:00 AM

Agriculture, Conservation and Forestry

PH—LD 519 An Act To Protect Children from Exposure to Toxic Chemicals    

 

Thursday, March 25, 2021 9:30 AM

IDEA and Business

WS—LD 612, An Act To Recognize Occupational Licenses and Certifications from Other States To Attract New Residents and Businesses to Maine

 

Thursday, March 25, 2021 10:00 AM

Health and Human Services

PH—LD 512 An Act To Provide Intensive Case Managers to Counties That Do Not Have County Jails or Regional Jails          

PH—LD 595, Resolve, To Ensure That Access to Oral and Facial Ambulatory Surgical Centers in Maine Remains Viable

PH—LD 674 - An Act to Support Early Intervention and Treatment of Psychotic Disorders (HHS)

 

Recently 'Printed' Bills of Interest

 

LD 901 An Act To Assist Maine Residents Negatively Affected by Climate Change

CONCEPT DRAFT: This bill proposes to enact measures designed to protect those Maine residents who are disproportionately negatively affected by climate change and to ensure that their safety is prioritized in the development of environmental policies.

LD 915 An Act To Conform State Funding to the Federal Hyde Amendment Limiting Funding for Some Abortion Services

This bill repeals 22 MRS §3196, removing the requirement that DHHS provide abortion services to MaineCare members and removing the requirement that the State pay when the abortion services are not covered by Medicaid.

LD 918 An Act To Transition from a Fossil Fuel-based to an Electrical Energy Economy

CONCEPT DRAFT. Rep. Warren

LD 922 An Act To Help Cancer Patients with Fertility Preservation

Requires insurance carriers offering health plans in this State to provide coverage for fertility preservation services when necessary cancer treatment may directly or indirectly cause infertility.

LD 927 An Act To Increase the Availability of Health Care Services by Eliminating the Certificate of Need for All Health Care Services

Repeals the requirements for a certificate of need issued by the Department of Health and Human Services for the offering of new health care services by a health care facility.

LD 931 An Act To Increase Hospital Bed Capacity by Eliminating the Certificate of Need for Outside Hospital Beds

Repeals the requirements for a certificate of need issued by the DHHS for adding new licenses beds or increasing beds in a health care facility other than a hospital

LD 932 An Act To Increase Hospital Capacity by Eliminating the Certificate of Need for Hospital Beds

CONCEPT DRAFT: Rep. Libby

LD 933 An Act To Facilitate the Expansion of Broadband to Unserved Areas of the State

Authorizes the Public Utilities Commission to adopt rules establishing a mechanism or process by which utility pole joint use rates in unserved areas of the State are required to be reduced or capped, and requires the Commission to study methods of promoting broadband expansion in unserved areas of the State through a limited-period reduction in utility pole attachment rates for broadband providers that agree to deliver new high-speed Internet services in those underserved areas.

LD 935 An Act To Increase the Ability of Health Care Facilities To Respond to Health Needs by Eliminating the Certificate of Need for Health Care Facilities

CONCEPT DRAFT. Rep. Libby

LD 942 An Act To Waive Professional and Occupational Licensing Fees for Calendar Year 2020

Waives all licensing and certification fees for calender year 2020 that are imposed pursuant of the Maine Revised Statutes, Title 32, which governs professions and occupations (a person who has paid must be reimbursed)

LD 951 An Act To Improve Transparency of Medical Billing

1. A health care practitioner or laboratory providing health care or laboratory services in a medical office or laboratory must inform patients of the cost of such care or services prior to provision of that care or those services; 2. a health care entity may not bill a responsible party for the first time for a medical service that occurred more than one year earlier.

LD 957 An Act To Reform Alternative Sentencing Programs

Allows the court to sentence to an alternative sentencing program a person who is eligible for a deferred disposition and authorizes a sheriff in charge of a county jail or in a county that shares a regional jail with other counties to permit an inmate who has been sentences to an alternative sentencing program to participate in that program.

LD 964 An Act To Expand Access to Certified Substance Use Disorder Recovery Residence Services

Requires recovery residences to be certified according to the standards set by a nationally recognized organization that supports persons recovering from substance use disorder in order to receive contracts from the department or receive housing vouchers or municipal general assistance housing assistance from a person living in a recovery residence.

LD 967 An Act To Make Possession of Scheduled Drugs for Personal Use a Civil Penalty

Changes the unlawful possession of scheduled drugs fom a crime to a civil violation for which a fine of not more than $100 may be adjudged, or if the defendant is unable to pay the fine the court can refer the person to a provider for evidence-based assesment for proposed treatment fo substance use disorder.

LD 968 Resolve, To Expand Mental Health Crisis Intervention Mobile Response Services

Requires the DHHS to expand mental health crisis intervention mobile response services to provide services 24 hours/day, 7 days a week to the entire state.

LD 972 An Act To Establish the Rare Disease Advisory Council

Creares the Rare Disease Advisory Council to advise the DHHS and the public on issues regarding rare disease, this bill also defines a rare deisease as a disease that affects fewer than 200,000 persons in the US

LD 976 An Act To Amend the Definition of "Machine Gun" To Include Bump Stock Devices

Amends the definition of "machine gun" to include a weapon to which a bump stock devise is affixed; possession of a machine gun is a Class D crime.

LD 979 An Act To Expand Maine's School-based Health Centers

Provides ongoing funding for the DHHS to distribute through a request for proposals process to expand the number of school-based health center sites.

LD 992 An Act To Prevent the Denial or Revocation of a Professional or Business License for a Violation Not Related to That Profession or Business

Bill prohibits any licensing board from denying or revoking a professional or occupational license if the denial or revocation is for a violation unrelated to the practice of the licensed profession or occupation.

Requires the department to submit a report identifying existing statutes that allow for such denial or revocation and gives committees of jurisdiction authority to propose legislation to repeal.

LD 993 An Act To Prevent the Spread of Infectious Disease in Schools

Requires the school administrative unite to provide a total of 80 hours of paid sick leave per academic year for public school employees affected by COVID-19 and establishes criteria for rate of pay during the leave period and provides that part-time employees are eligible for leave based on the average number of hours worked.

LD 994 An Act To Promote Public Health by Eliminating Criminal Penalties for Possession of Hypodermic Apparatuses

Amends the provisions regarding hypodermic apparatuses in the following ways. 1. it allows a person to possess a residual amount of scheduled drug that is contained in one or more hypodermic apparatuses without committing the crime of unlawful possession of a scheduled drug; 2. repeals law governing the crimes of trafficking in or furnishing hypodermic apparatuses; 4. removes from the definition of drug paraphernalia under the Maine Revised Statutes items used for testing, analyzing, injecting, ingesting, inhaling or otherwise introducing into the human body scheduled drugs; 5. removes similar provisions in the food and drug safety provision of the Maine Revised Statutes and in the Maine Pharmacy Act.

LD 996 An Act To Improve Dental Health Access for Maine Children and Adults with Low Incomes

Bill adds comprehensive preventive, diagnostic and restorative dental services to the limited dental services currently available to MaineCare members 21 years of age and over. 

Requires DHHS to convene a stakeholder group no later than October 1, 2021 to assist in creating a plan and requires the department to work with providers of oral health care and dental services to encourage participation in the MaineCare program.  It requires the department to develop public education materials and strategies.

LD 998 An Act To Amend the Continuing Education Requirement for Pharmacists

Amends the law governing continuing pharmacy education by providing that only pharmacists authorized to administer drugs and immunizations are required to complete at least 2 hours in board-approved course on drug administration.

LD 999 An Act Regarding Background Checks for the Sale of Firearms

Requires background checks of purchasers of firearms for private sales at gun shows or private sales resulting from advertising or marketing subject to certain exceptions.  The bill provides that the first offense for knowingly transferring or selling a firearm in violation of the background check required by this bill is a civil violation for which the penalty is a fine of up to $1,000.  The bill designates subsequent offenses as Class D crimes.

LD 1004 An Act To Ensure Access to Health Care Equipment by Eliminating the Certificate of Need for Major Medical Equipment

Repeals the requirements for a certificate of need issued by the DHHS for the acquisition of major medical equipment.

LD 1007 An Act To Increase Availability of Health Care through Telehealth

Makes permanent the Governor's Executive Order #35 (4/6/2020) which allows certain licensed or registered professionals under Title 32 to provide necessary health care or other services to the extend practicable through the use of all modes of telehealth, including visual and audio-only or other electronic media.

LD 1009 Resolve, To Create a Health Care Ombudsman Position To Serve in Maine's County Jails

Directs the DHHS to designate an intensive case manager working in the county jails to serve as a health care ombudsman to oversee county jail inmates with medical and mental health care needs and connect them to the health care services for which they qualify.

LD 1034 An Act To Provide Funding To Support the Permanent Commission on the Status of Racial, Indigenous and Maine Tribal Populations

Provides funding for staff to support the Permanent Commission on the Status of Racial, Indigenous and Maine Tribal Populations.

LD 1040 An Act To Require Diversity, Equity and Inclusion Training or Implicit Bias Training for School Resource Officers

This bill requires a school resource officer to complete diversity, equity and inclusion training or implicit bias training at least once during that officer's first year of employment as a school resource officer.

LD 1045 An Act To Support Universal Health Care

Establishes the Maine Health Care Plan to provide universal health care coverage to all residents of this State and is modeled on proposed legislation considered in Minnesota

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

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 - 12:30pm - 4:00pm
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 Lung Cancer Coalition Webinar March 24, 2021

The Maine Medical Association-Center for Quality Improvement, formerly Qualidigm/Maine Quality Counts, is excited to offer its second Maine Lung Cancer Coalition (MLCC) webinar of 2021: “Destigmatizing Lung Cancer: A Theory Based Approach to Public Health Messaging”

 


“Destigmatizing Lung Cancer: A Theory Based Approach to Public Health Messaging”

Join the Maine Lung Cancer Coalition, in partnership with the Maine Medical Association-Center for Quality Improvement (MMA-CQI), on March 24, 2021, from 12 – 1 p.m. and learn how stigma and implicit bias impact individuals with lung cancer and how to motivate individuals to engage in risk-reducing behaviors by applying social psychological theory to public health messaging. Learn how to translate this knowledge into positive, non-blaming social media messaging with the goal of influencing and thus changing behaviors to decrease lung cancer risk factors in the populations you serve. Register Here.

We hope you can join us! 

After attending this webinar, participants will: 

1. Understand stigma as a psychological concept 

2. Understand ways in which stigma and implicit bias impact individuals with lung cancer 

3. Understand how social psychological theory can be applied to public health messaging to motivate the general public to engage in risk-reducing behaviors.

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.


 

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!

Nurse Practitioner

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 April 23, 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

4/23/21

Physician

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 April 23, 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

4/23/21

Psychiatric Nurse Practitioner

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 April 23, 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

4/23/21

Belgrade Regional Health Center Seeks a Physician (BC/BE in Family Medicine)

Belgrade Regional Health Center, (Belgrade, 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.

Belgrade Regional Health Center, (Belgrade, 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. The selected candidate will receive a $10,000 sign-on bonus, competitive salary and benefits, malpractice coverage, pension plan with employer match, loan repayment opportunities. EOE.

Founded in 1977, the health center serves over 2,100 residents and travelers each year. We reside in the peaceful, picturesque, and welcoming Belgrade Lakes region in the heart of Central Maine, renowned for its chain of seven sparkling lakes and abundant streams.

Belgrade 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 46-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 healthcare 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.BelgradeCHC.org

4/2/21