Maine Medicine Weekly Update - March 26, 2021
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Committee Holds Vote on Nursing Practice Bill

A state legislative committee held a vote last week on a bill that would allow nurse practitioners in Maine to practice the functional, and legal equivalent of medicine immediately after graduating from nurse practitioner school.

 

A state legislative committee held a vote last week on a bill that would allow nurse practitioners in Maine to practice the functional and legal equivalent of medicine immediately after graduating from nurse practitioner school.

The Joint Committee on Health Coverage, Insurance and Financial Services held a second work session (i.e, debate) on LD 295, the so-called “Act To Repeal Restrictions That Prohibit Certain Advanced Practice Registered Nurses from Providing Essential Health Care Services.”

The bill, proposed by Maine Nurse Practitioner Association would eliminate the following language from Maine’s Nursing Practice Act:

“A certified nurse practitioner who qualifies as an advanced practice registered nurse must practice, for at least 24 months, under the supervision of a licensed physician or a supervising nurse practitioner or must be employed by a clinic or hospital that has a medical director who is a licensed physician.  The certified nurse practitioner shall submit written evidence to the board upon completion of the required clinical experience.”

The bill has been covered in a number of 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) 

APRN Training & Supervision: “Laws are Like Sausages. Better Not to See Them Being Made” (Mar 12)

The advocacy response and outreach by countless MMA members proved effective as a majority of the committee voted against the original bill. The in person vote on the bill was 6-5 against passing the bill with 2 absent, however, those two votes were filed shortly after the meeting with the final vote being 7-6 against LD 295.

Legislators that voted along with the Maine Medical Association position AGAINST the bill:

Representative Poppy.Arford@legislature.maine.gov

Brunswick

Representative Mark.Blier@legislature.maine.gov

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

Representative Jonathan.Connor@legislature.maine.gov 

Lewiston

Representative Richard.Evans@legislature.maine.gov

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

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

Committee members who voted to remove any supervision and training for newly graduated nurse practitioners:

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

Westbrook and part of Portland

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

Topsham

Senator Trey.Stewart@Legislature.maine.gov

Numerous towns in Aroostook County

Senator Stacy.Brenner@legislature.maine.gov

Scarborough (Part)/Gorham

Representative Heidi.Brooks@legislature.maine.gov 

Lewiston 

Representative Kristi.Mathieson@legislature.maine.gov 

Kittery 

We try to only to identify party affiliation on legislative policy matters (as with budget discussions) when there is an obvious split whether it be completely partisan or if only one party is unified. In this case, the Democrats on the committee split their vote with five voting to completely remove the supervision along with one Republican senator to allow newly graduated NPs to practice independently immediately upon graduating NP school without any supervision or additional training. Three Democrats voted with the four other Republicans on the committee to oppose the dangerous bill.

We urge members to reach out to legislators on the committee to either thank them for their vote to ensure effective and safe patient care in Maine or reach out to legislators that supported the bill to thank them for their consideration of a very contentious issue and urge them to reconsider their vote on the original bill when it goes to the state House or state Senate for a full vote.

Regardless of committee votes each bill moves for consideration by the full House and Senate in Maine.

Unlike many other states where a vote to kill a bill in committee normally ends the process, in Maine, bills are voted on the motions “Ought to Pass,” “Ought Not to Pass,” “Ought to Pass as Amended,” etc… The final vote on LD 295 was 7-6 against “Ought to Pass.”

We are uncertain when the bill will be released from committee and sent for floor votes. It will go first to the House. We are quite confident it will not be done soon, practically and procedurally; however we will keep a close eye and send out an urgent member wide call to action should we hear differently.

While many MMA members directly contacted their  legislators as constituents and reached out to members of the committee regardless of whether you were their constituent, the following MMA members submitted formal online testimony opposed to the bill. Their comments can be read by clicking on each name:

Adele Carroll, D.O.

Senator Ned Claxton

Norma Dreyfus M.D.

Gregory Feero M.D.

Renee Faye-LeBlanc, M.D.

Lesley M. Fernow M.D.

Kevin Fickenscher M.D.

Brandon Giberson, D.O.

Maroulla Gleaton, M.D.

Deborah Hagler, M.D.

James L Madara, M.D. (AMA)

Representative Patricia Hymanson

Phyllidia Ku-Ruth, M.D.

Amy Madden, M.D.

David McDermott, M.D.

Jay Mullen, M.D.

Saul Levin, M.D. (American Psychiatric Association)

David Schenk, M.D.

Kristin N. Smith, M.D.

Elisabeth Wilson, M.D.

As is the case with many bills before the Maine Legislature, for some reason not all formal testimony submissions make it online. To those that also submitted formal testimony that have reached out to us, thank you! Please let us know if we missed recognizing you or if you know of a colleague that submitted formal testimony. MMA leadership greatly appreciates your steadfast advocacy and urges you to stay on guard with us as we keep a close eye, and both ears open on the progress of this important legislation moving forward.

For more detailed information on the bill, the process, the votes, or any other questions, comments, or concerns on this or any other legislative matter please reach out directly to MMA Director of Communications and Government Affairs, Dan Morin at dmorin@mainemed.com or by phone at 207-480-4199

 

Maine’s Vaccination Supply Increases; Community Practices Wait; CDC Announces ‘Pop-Up Clinics’

While the state announced it would be receiving a 28 percent increase in vaccine doses next week, with more than 6,000 of the Johnson & Johnson one-dose shot, Maine’s smaller independent physician practices continue waiting for doses to vaccinate their most high-risk patients.

 

While the state announced it would be receiving a 28 percent increase in vaccine doses next week, with more than 6,000 of the Johnson & Johnson one-dose shot, Maine’s smaller independent physician practices continue waiting for doses to vaccinate their most high-risk patients. 

Dr. Nirav Shah, head of Maine's Center for Disease Control and Prevention hopes the increase in one-shot vaccines will open up more flexible options for Mainers looking to get vaccinated. He also said the state may see a steady increase in Johnson & Johnson doses in April. 

This recent announcement on the expected increase in vaccine supply and the expansion of the Maine’s vaccination eligibility schedule is hopefully another positive step for smaller community based independent physicians.  While we appreciate the administration’s efforts on high throughput sites, we continue asking Maine CDC to directly include community physicians in its COVID-19 vaccination plans to ensure high-risk patients at smaller practices are not left behind and provide them the opportunity to be safe from serious illness and death in their familiar clinic. 

The MMA remains committed to working with the Governor’s office, Maine DHHS, and Maine CDC to improve equitable access to vaccines for all member patients as they continue flooding medical practice phone lines asking why their physicians cannot or will not vaccinate them. 

The state did make an announcement this week that they will start ‘health equity pop-up clinics’ which allow community-based organizations to sponsor vaccination clinics at a site of their choosing and receive vaccine and clinical support from Maine CDC Maine Immunization Program (MIP)-approved COVID-19 vaccine providers. The application can be found here

Eligibility: 

Community-based organization, faith-based organization, or employers representing vulnerable groups, including, but not limited to, the following: 

· underserved communities, including racial and ethnic minority groups, LGBTIQ+, individuals with disabilities, rural and/or homeless populations. 

· communities with low vaccine confidence 

· communities requiring specific transportation, or cultural and linguistic services. 

· communities needing COVID-19 vaccination services at irregular hours. 

All pop-up clinics would agree to register and vaccinate only those eligible under the current phase of the Governor’s vaccination plan.  

Roles and Responsibilities: 

Community sponsors will: 

· Select a physical site location for the pop-up clinic that meets Maine CDC requirements 

· Complete the an application 

· Communicate promptly with the assigned COVID-19 vaccine provider. 

· Pre-register community members for vaccination using the assigned provider’s registration process 

· Staff the site with greeters, cultural brokers, and interpreters, as appropriate 

Maine Immunization Program at the Maine CDC will: 

· Approve applications on a weekly basis dependent upon vaccine availability 

· Identify one or more MIP-approved COVID-19 vaccination providers to serve the approved pop-up clinic(s) 

· Connect the community sponsor to the identified COVID-19 vaccine provider to schedule the pop-up clinics 

· Allocate sufficient vaccine for approved pop-up clinics 

Selected COVID-19 Vaccine Providers will:

Work with identified community sponsors to identify dates/times to schedule one or more pop-up clinics, ideally within 1-3 weeks of being selected for this role

Provide state-supplied COVID-19 vaccine, vaccination clinical and support staff, and other staff as needed to support the pop-up clinic(s)

Ensure appropriate data entry and completion of all other administrative follow-up as required in compliance with MIP policies.

On Thursday, the Maine Department of Health and Human Services (DHHS) and Maine Center for Disease Control and Prevention (Maine CDC) placed another order of COVID-19 vaccines for 45,200 people, to the U.S. Centers for Disease Control and Prevention and Operation Warp Speed. This is an increase of 10,010 doses over the order last week.

The following outpatient groups are expected to receive doses next week as part of the current vaccination plan:

Martin's Point Health Care

InterMed PA

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

Greater Portland Health

B-Street Health Center

Sacopee Valley Health Center

Bucksport Regional Health Center

Fish River Rural Health- Fort Kent

Harrington Family Health Center

Hometown Health Center-Newport

Caribou Health Center

York County Community Action Corporation/Nasson Health Care

KVHC-Brownville

Regional Medical Center at Lubec

St. Croix Family Health Center

East Grand Health Center-Danforth

Eastport Health Care Inc.

 

COVID-19: Federal Updates and News

 You can find the latest federal updates and news here.

 

· White House to spend $10 billion to bolster vaccine effort 

· President Biden sets new goal of administering 200 million SARS-CoV-2 vaccine doses in first 100 days in office 

· CDC says three feet of distance safe in schools 

· Infections are trending upward in most states  

White House to spend $10 billion to bolster vaccine effort (Associated Press) 

The White House announced Thursday that it is dedicating another $10 billion to try to drive up vaccination rates in low-income, minority and rural enclaves throughout the country. 

Full Story 

President Biden sets new goal of administering 200 million SARS-CoV-2 vaccine doses in first 100 days in office (Reuters) 

The White House has set a new goal of administering 200 million doses of COVID-19 vaccine in the United States in his first 100 days in office. The U.S. would need to give nearly 70 million vaccine doses in the next 35 days to meet the target. The U.S. currently has a seven-day average of about 2.5 million doses per day, which would allow the country to reach 200 million by April 23 — a week before the 100-day deadline — according to CNBC. 

Full Story 

CDC says three feet of distance safe in schools (US CDC) 

The Centers for Disease Control and Prevention (CDC) announced last week that students need only be three feet apart in school, rather than six, so long as there is universal masking. The change is aimed at speeding the return to in-person learning. 

In a media release distributed shortly after the US CDC announcement, the Maine Department of Education provided a clarifying message stressing, “The U.S. CDC’s announcement today affirms safety protocols that have been part of Maine’s framework since last year,” 

The updated Operational Strategy for K-12 Schools through Phased Prevention is part of CDC’s existing resources for K12 schools to open and remain open for in-person instruction during the COVID-19 pandemic. 

The updated guidance complements CDC’s existing guidance, resources, and tools for K12 schools. 

Infections are trending upward in most states (Washington Post) 

Cases rose by 4 percent nationwide in the past week as Michigan, Colorado, Connecticut, South Dakota and Hawaii reported increases of more than 30 percent, according to data tracked by The Washington Post. 

On Wednesday, 32 states had a higher seven-day average number of cases than a week earlier. The rest of the world is seeing a similar rise in infections that experts say is caused by the spread of new variants.

 

COVID-19: State Data, Updates, & News

 You can find the latest state updates and news here.

 

· Maine Announces Pre-Registration & Appointment System Website: VaccinateME

· Details of Governor Mills’ announcement of an accelerated COVID-19 vaccination timeline for Maine.

· Maine’s COVID-19 Online Vaccination Dashboard

· Maine Bureau of Insurance Emergency Response Order Regarding Roster Billing 

Maine Announces Pre-Registration & Appointment System Website: VaccinateME 

If your patients are eligible or awaiting eligibility for vaccination in Maine, they may now pre-register to be notified when appointments are available at VaccinateME.Maine.gov.   

They will be prompted to fill out a form with basic personal information (name, date of birth, county of residence) and they will need an email address.

When a vaccination appointment becomes available, they will receive an email with a personal access code that allows them to look for available openings across a number of sites and schedule an appointment. 

Many vaccination sites, however, are still allowing patients to pre-register with them directly. For those patients without online access, or an email address, that need help getting information about pre-registering or scheduling an appointment, they can call the Maine COVID-19 Community Vaccination Line at 1-888-445-4111. 

Details of Governor Mills’ announcement of an accelerated COVID-19 vaccination timeline for Maine. ·         

Tuesday, March 23, 2021, Maine residents age 50 were eligible for vaccination. 

Beginning Monday, April 19, 2021, all Maine residents age 16 and older will eligible for vaccination. 

The accelerated timeline is a result of the state reporting availability of appointments and the anticipation of an increase in vaccine supply from the Federal government. Vaccination for residents aged 50 and older was previously scheduled to begin on April 1, 2021, and for all adults on May 1, 2021. 

Additional information on vaccination for people in Maine is available at Maine’s COVID-19 vaccine website

Maine’s COVID-19 Online Vaccination Dashboard 

Summary (as of Friday, March 26, 2020): 

640,060 doses administered 

395, 533 first doses 

244, 527 final doses

29.42% of Mainers have received their first dose 

18.19% of Mainers have received their final dose 

The Vaccination dashboard further breaks down data by gender, age, and race and ethnicity. 

Maine Bureau of Insurance Emergency Response Order Regarding Roster Billing 

The Maine Bureau of Insurance (BOI) recently issued an Emergency Response Order on the issue of roster billing for immunizations. 

Maine’s health systems, hospitals, and other partners have opened mass throughput COVID vaccination clinics. The BOI missive outlines the importance and “successful implementation of these centers depends not only on moving large numbers of patients through them quickly but also on processing payments as efficiently as possible.  Filing individual claims at these centers requires significant labor and time by health care providers and carriers.  Maine Emergency Management Services (EMS) and the Maine health carriers have worked extensively on the data elements and processes needed to implement roster billing.” 

Superintendent, Eric Cioppa’s memo ordered the following additional emergency measures, effective immediately and until further notice, for all carriers issuing health plans in Maine’s individual, small group, and large group insurance markets: 

U. Health carriers shall implement processes to accept roster billing for COVID-19 vaccine administration on forms established with Maine EMS in lieu of the forms required under 24-A M.R.S. § 2436(2-A). Administration fees may not include facility costs. 

2. Carriers may reject roster claims for COVID-19 vaccine administration on a line-by-line basis if they do not have the information required by the roster claim forms, and may require providers that do not submit conforming roster claims to resubmit them. 

3. If carriers that participate in COVID-19 vaccine centers use their best efforts to comply with the prompt payment requirements of 24-A M.R.S. § 2436, they shall not be subject to the interest penalty in section 2436(3) if undisputed payment is made within 90 days after a roster claim is submitted. 

The full memorandum to carriers can be read here

Sample Bill to Insurance CSV 

Sample Bill Insurance Roster

 

 

Maine Attorney General Releases Drug Overdose Data for February 2021

The Office of the Attorney General (OAG) and the Office of Chief Medical Examiner have released drug overdose data for February 2021.

 

The Office of the Attorney General (OAG) and the Office of Chief Medical Examiner have released drug overdose data for February 2021 

The full report, compiled by Dr. Marcella Sorg of the University of Maine's Margaret Chase Smith Policy Center, showed that 45 deaths were caused by drugs in February of 2021. Of those, 27 are confirmed drug deaths and 18 are suspected drug deaths. The most frequent cause of death in these cases is non-pharmaceutical fentanyl. 

The full AG media release can be read here.

 

California Physicians Produce Pro-COVID Vaccine ‘My Shot’ Video Based on “Hamilton”

Despite the good safety and efficacy of Covid-19 vaccines, public skepticism about the vaccines persists. While vaccine opposition is not new, we cannot let misinformation and politics threaten to undermine the pandemic response.

 

Despite the good safety and efficacy of Covid-19 vaccines, public skepticism about the vaccines persists. While vaccine opposition is not new, we cannot let misinformation and politics threaten to undermine the pandemic response. Tailored national, state, and local strategies are, and will be necessary to combat vaccine hesitancy and complacency. 

A group of seven physicians from Vacaville CA, surely did their parts to encourage people to get the coronavirus vaccine by performing a rendition of "My Shot" from Lin-Manuel Miranda’s "Hamilton" posted earlier this month to YouTube.  Well done. Very well done. 

Watch full video here and share far and wide.

 

CNN, Sunday, 3/28, 9pm: "Autopsy of a Pandemic: 6 Doctors at the Center of the US Covid-19 Response"

CNN Chief Medical Correspondent, Dr. Sanjay Gupta, interviewed six of the physicians at the center of the Trump administration’s response to Covid-19. "COVID WAR: The Pandemic Doctors Speak Out," will air at 9 p.m. Sunday, March 28, on CNN.

 

CNN Chief Medical Correspondent, Dr. Sanjay Gupta, interviewed six of the physicians at the center of the Trump administration’s response to Covid-19. "COVID WAR: The Pandemic Doctors Speak Out," will air at 9 p.m. Sunday, March 28, on CNN.

The CNN teaser positions the broadcast as an opportunity to, “meticulously dissect and discuss how the United States became home to the worst Covid-19 outbreak on the planet.” Dr. Gupta spoke to: 

· Dr. Deborah Birx—White House coronavirus response coordinator under President Trump 

· Dr. Anthony Fauci—director of the U.S. National Institute of Allergy and Infectious Diseases 

· Dr. Brett Giroir—assistant secretary for Health under President Trump 

· Dr. Stephen Hahn—Commissioner of Food and Drugs, 2019-2021 

· Dr. Robert Kadlec— Assistant Secretary of Health and Human Services (Preparedness and Response), 2017-2021 

· Dr. Robert Redfield—director of the Centers for Disease Control and Prevention

 

U.S. Senate Votes to Delay Medicare Payment Cuts for Remainder of Year

According to the American Medical Association, the United States Senate voted 90-2 this week to pass an agreement to extend the 2 percent Medicare sequester moratorium that expires on April 1.

 

According to the American Medical Association, the United States Senate voted 90-2 this week to pass an agreement to extend the 2 percent Medicare sequester moratorium that expires on April 1. The bipartisan legislation, offered as an amendment by Senators Jeanne Shaheen (NH), and Senator Susan Collins, would provide a nine-month extension of the moratorium, through December 31. It also contains some technical corrections related to rural health clinics and disproportionate share hospitals. 

The House of Representatives passed different legislation earlier that would both extend the moratorium through the end of the pandemic and eliminate an additional 4 percent Medicare sequester scheduled to take effect on January 1, which was required by PayGo rules to offset part of the cost of passing the American Rescue Plan COVID-19/stimulus package. Consequently, the House will need to pass the Senate language when it returns from its Easter recess in mid-April. The House is expected to vote favorably, and the Centers for Medicare & Medicaid Services is expected to hold off on processing April claims until then to avoid making reduced payments. 

Physician and other stakeholder groups affected by the upcoming 4% sequester scheduled for January 1 expect legislation to be considered later in the year to waive those cuts.

 

 

AMA: This Week’s Top Articles from JAMA Network

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

 

• Trends in Health Care Worker Intentions to Receive COVID-19 Vaccine: Research Letter 

• Body Weight Changes During Pandemic-Related Shelter-in-Place: Research Letter 

• Hypertensive Disorders of Pregnancy, Neurodevelopmental Outcomes in Offspring: Study 

• Remdesivir and Clinical Improvement in Hospitalized Patients With COVID-19: Study

 

 

Maine Legislative Calendar In Flux

Things were virtually humming along smoothly in the Maine Legislature until this week.

 

Things were virtually humming along smoothly in the Maine Legislature until this week. Committee hearings were taking place with countless public policy discussions throughout numerous virtual meetings. That was the case until it was announced that the full Legislature would return virtually next week, possibly vote out a ‘baseline’ majority biennial state budget, and adjourn Sine Die. 

What is a baseline budget? 

A baseline budget uses current spending levels as the “baseline” to prepare the budget of the upcoming fiscal year(s). 

Why is this important? 

Balancing the state budget, as required by the Maine Constitution is a challenge, particularly during difficult economic times. In recent years, Democratic and Republicans legislators have been unable to agree on a bipartisan budget before April 1st

Why is April 1st important? 

Maine laws do not take effect until 90 days after the Legislature adjourns. The state fiscal year commences on July 1 each year. If no budget passes AND the Legislature doesn't then adjourn before April 1st, the budget bill would require a two-thirds vote to qualify as “emergency legislation.” Emergency legislation becomes effective immediately upon the Governor’s signature. In recent years, the Legislature has come dangerously close to the June 30th end of the fiscal year before passing a budget. In one recent case, the was a temporary state government shutdown.

Democrats have a 22-13 majority in the Senate and hold 80 seats in the 151-seat House. In order to pass a broadly supported bipartisan two-year state budget by April 1st, at least 2 Senate Republicans would have to vote in favor while more than 20 Republicans, Independents, or Unaffiliated House members would have to approve. Such budget bipartisanship has been a rarity for a number of years in the Maine Legislature. According the the Portland Press Herald, the last non-partisan majority budget was passed in 2005.

Republicans are not happy and that could have political consequences. 

Pushing through a budget without Republican support could have consequences later if they respond by withholding their support for future bond issues to be placed on the ballot for Maine voters. Bond issues require a two-thirds vote in both the state House and state Senate. Bond proposals that could be important to the Maine Medical Association’s Legislative Committee and Board of Directors include major investments in broadband expansion, climate change, and workforce development. 

What’s Governor Mills saying? 

Governor Mills penned a letter to state legislative leaders this week encouraging a bipartisan budget agreement. She has not responded to questions on whether she would support a majority budget or whether she would immediately call the Legislature back to special session were they to adjourn after enacting a majority two-year budget in April. 

Stay tuned. The Maine House of Representatives and Maine Senate are now respectively scheduled to meet Tuesday, March 30. Coming into this week there were no plans to meet before mid-April. 

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 on MMA advocacy efforts, public hearing schedules, or bills and public policy issues of interest to you or your organization. 

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

 

Next MMA Legislative Call Will Be Wednesday, March 31st

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. 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, March 31st, 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 31, 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

New Maine AAP Educational Webinar Series

The Maine AAP is launching an educational webinar series beginning at the end of March until the first of June.

 

The Maine AAP is launching an educational webinar series beginning at the end of March until the first of June. 

Sessions, which will be held on select Tuesday and Thursday evenings from 7 - 8pm, cover a wide variety of topics and feature speakers from Maine and beyond. Visit the Maine AAP's event page to view the topics. 

The cost for access to the series with 12 hours of CME included is $95.  

Details:  https://www.maineaap.org/news/2021/pediatrics-in-maine-spring-2021-educational-series

 

 

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 11 Update

The following is a summary of happenings during week 11 of the Maine Legislature.

 

Week 11 (3/22 - 3/26)

Veterans and Legal Affairs

LD 693 An Act to Make the Pilot Program Providing Mental Health Case Management Services to Veterans a Permanent Program had its public hearing on Monday. This bill seeks to make permanent the pilot program from 2018 that worked to assist veterans with health care services. The program is currently funded by the DHHS, which continued the program after state funding was cut. The pilot program had great success in providing needed mental health services to all veterans and cutting costs by preventing emergency room visits. The bill was met with large support and was voted OTP-AM on Wednesday, keeping the requirement that hospitals collect data on individuals who have served in the military or are seeking behavioral support through the emergency room.

Education and Cultural Affairs

On Monday, the Committee on Education and Cultural Affairs held a public hearing on LD 639. The bill requires school counselors to have six credit hours of training in the area of recognizing and reacting to domestic violence. The bill had some support, while counselors tended to oppose the mandate of extra training in an area that they are well-versed in.

Health and Human Services

Busy day on Tuesday for the Health and Human Services Committee with two public hearings and four work sessions of interest to MMA. The first, 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, would create a task force that enables healthcare workers to safely report violence and investigate. The bill’s sponsor Representative Riseman, suggested an amendment at some point to ensure the task force is inclusive. It was meet with all support, each noting how healthcare workers often do not report and this bill may enable support for reporting.

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 Pane, is in response to an independent report that found 133 deaths and critical incidents (rape, suicide, neglect, etc) that the DHHS failed to investigate. This bill would establish a review panel to investigate the deaths of individuals in living facilities. It would consist of up to 15 members with expertise regarding people with disabilities and our aging population. This bill was presented in the 129th Legislature but was cut from the budget, this year it is in the Governors’ Biennial budget, and with the support of those testifying they hope for it to be incorporated into law this session.

Works session for LD 529, An Act To Restore the Maine Center for Disease Control and Prevention Cystic Fibrosis Assistance Program, was voted unanimously ought-to-pass as amended; amendment changes bill to a resolve. 

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, requires the DHHS to remain sufficient capacity to offer state-wide in-home and out-of-home crisis prevention and intervention services for adults with intellectual disabilities, acquired brain injury and autism spectrum disorder. It was voted unanimously ought-to-pass. 

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, would require assisted housing programs to establish, implement, and maintain a prevention and control plan for infectious disease prevention. The training can come from various online resources. The important piece of this bill is that a risk assessment is done in the facility and a plan is made to address this risk. The DHHS will check this risk assessment and training plan during their surveys every 2 years. The bill was voted ought-to-pass.

LD 624,  An Act To Amend the Laws Governing Tobacco Specialty Stores, left in a divided report. Eight members voted ought-not-to-pass and five members created a minority report for ought-to-pass as amended (permitting only water)

On Thursday, the public hearing for LD 512, An Act To Provide Intensive Case Managers to Counties That Do Not Have County Jails or Regional Jails, received all support. Testimonies echoed the need for services provided by ICMs in reincorporating formed prisoners into the community and reducing recidivism.

LD 595, Resolve, To Ensure That Access to Oral and Facial Ambulatory Surgical Centers in Maine Remains Viable, also received only support at its public hearing. This resolve would increase the rate oral and facial ambulatory services can bill, which would allow the only ambulatory surgical center in Maine to continue operation. The current rate is $178.86, compared to the private insurance and VA’s rate of $810.

Public Hearing for LD 674 An Act to Support Early Intervention and Treatment of Psychotic Disorders, showed promise for expanding access to coordinated care. This bill would assist the PIER program funding; the program has helped many individuals with an early intervention using a coordinated approach. Many testified in support of this bill on Thursday.

LD 590, An Act To Require MaineCare Coverage for Ostomy Equipment, was voted ought-to-pass as amended, with the change that the rate be 85% of 2021 Medicare Rates.

IDEA & Business

LD 149, An Act to Facilitate Licensure for Credentialed Individuals from Other Jurisdictions, was met with broad support in its public hearing on Tuesday. Anne Head, Commissioner of the Office of Professional and Financial Regulation, worked with stakeholders to support this bill, which reduces barriers for individuals from out of state to begin working, especially if driven from their homes due to war or emergencies.

Environment and Natural Resources

LD 226, An Act To Limit the Use of Hydrofluorocarbons To Fight Climate Change, was tabled on Wednesday because of the concern that what would be required to reduce hydrofluorocarbons is a manufacturing requirement rather than a chemical problem. This is because the equipment used in supermarkets and elsewhere leaks and this is where hydrofluorocarbons enter into the environment. The committee spent a great deal of time on this bill and decided to have another work session to give time to process and work through the entirety of the bill.

Criminal Justice and Public Safety

Public Hearings for LD 476 and LD 491 were held on Wednesday. LD 476 An Act To Provide Licensed Assisted Living and Nursing Facilities Levels of Care for Incarcerated Persons, seeks to license assisted living facilities and nursing facilities to care for incarcerated persons. The bill was brought forth because of the growing aging population in prisons and their extensive healthcare needs. It is also in response to end-of-life care, which was the topic of discussion for those who testified. Colby College students testified on behalf of inmates who were volunteer hospice workers. These inmates spoke of how these dying inmates are often left to die alone as visitors often do not wish to come into a prison and sometimes visitation is not permitted. Others who testified noted how prison facilities do not have the staff or the training for providing the care needed to these inmates. 14 gave oral testimony in support, Commission of the Maine Department of Corrections testified neither for nor against, noting that the DOC already provides these services.

LD 491, An Act To Create the Crime of Hate Crime False Public Alarm or Report, was brought forth in response to the false reporting in NYC. The bill would make false reporting a class C crime. Five testified in support, some of which were personal accounts of being falsely identified or reported. The three in opposition were concerned with the length of the bill. Concerns such as the bill are not enough to solve the root cause, the crime should be lowered to Class D and be set to the discretion of the judge, and whether this legislation would blur the lines between hate crime and false reporting.

Judiciary

LD 642 had a public hearing on Wednesday in the Judiciary Committee. The Act to Ensure that Children Receive Behavioral Health Services was met with some procedural issue and will be revisited. The sponsor, Rep. Gramlich, bought forth an amendment that was drastically different from the original bill. This bill is likely to have another public hearing once the amendment is published.

On Thursday, the Committee held work sessions on LD 366 and LD 480, both having to do with guardianship. LD 366 passed by a narrow margin out of committee; if signed into law, it would allow emergency guardianships to assist patients moving from hospital care into more long-term care situations once medical treatment is finished. LD 480 passed; if it becomes law, it alters the probate code so that there would be a presumption that an attorney is appointed to one needing guardianship, rather than have to convince the court why a guardian should be appointed.

Agriculture, Conservation and Forestry

LD 519, An Act To Protect Children from Exposure to Toxic Chemicals, held its public hearing on Thursday. Many individuals from landscaping and farming backgrounds gave testimony in opposition. There was confusion on whether the common herbicide glyphosate was harmful. There was also concern that without the use of herbicides some noxious plants such as poison ivy would go untreated and pose a further health concern to children. Other concerns regarded the 75ft ban of herbicides from school bounds. Farmers echoed this may impact local agriculture. Victoria Wallack from the Maine School Management and Maine School Board testified that these chemicals are used infrequently but play an important role in the management of sports fields and regulating/enforcing this legislation on all school grounds may prove difficult. The committee questioned the testifiers for their associations with pesticide/ insecticide corporations like Bayer, which Robert Mann had of the National Association of Landscape Professionals had received support from for a convention. The bill provided highly contentious despite passing in committee in the 129th legislature but failing to be made into law due to the pandemic.

Health Coverage, Insurance, and Financial Affairs

The HCIFS Committee had a busy week of work sessions. 

On Tuesday, LD 631, An Act to Provide Funding for Maine's Health Insurance Consumer Assistance Program, was widely supported but only made it out of committee in a divided report, with Democrats wanting the funding to come from the Bureau of Insurance and Republicans wanting the funding to come from the General Fund. 

LD 653, An Act to Provide Maine Residents Losing Employer-based Health Coverage with Information About Other Coverage,  was voted Ought to Pass unanimously by those present. 

Senator Stewart, sponsor of LD 713, An Act to Allow the Purchase of Health Insurance Across State Lines, withdrew the bill and it was voted ONTP.

LD 441, n Act to Expand Adult Dental Health Insurance Coverage, and 665, An Act to Promote Better Dental Care for Cancer Survivors, were both tabled, as they are likely to require studies. The Committee will take these up closer to the end of the session to decide whether to move forward or not.

LD 599, a bill requiring coverage for certain ultrasound exams, was deemed to be redundant and unnecessary and was a unanimous Ought Not to Pass.  

LD 600, sponsored by Senator Brenner and supported by MMA member Dr. Evans, was a unanimous Ought to Pass vote. The bill would require insurance coverage by carriers to cover certified midwife services.

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 Provider Role in Mitigating Risk and Promoting Resilience in Youth
Contact:  Dee Kerry 207-620-0806 or dee.kerry@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 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

4/26/21

Medical Director - ME License Required

Responsible for the administration of medical management services for company health plans and ensures clinical integrity of broad and significant clinical programs, including the overall medical policies of the Commercial business unit. Will be reporting to the Director of Medical Operations.

 Responsible for the administration of medical management services for company health plans and ensures clinical integrity of broad and significant clinical programs, including the overall medical policies of the Commercial business unit. Will be reporting to the Director of Medical Operations.

Primary duties may include, but are not limited to:

  • Evaluates requests for service coverage for medical necessity.
  • Interprets existing policies and develops new policies based on changes in the healthcare or medical arena.
  • Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.

Qualifications:

  • M.D. or D.O. required,
  • An active unrestricted ME state license required.
  • ABMS Board certification required.
  • 5 years clinical experience or any combination of education and experience, which would provide an equivalent background.

For more information and to apply visit:  https://anthemcareers.ttcportals.com/jobs/6345868-medical-director-me-license-required

4/22/21

Practice Administrator

Kennebec Anesthesia Associates is looking for a practice administrator to perform business management tasks at our medical practice.

Kennebec Anesthesia Associates is looking for a practice administrator to perform business management tasks at our medical practice.

To ensure success as a practice administrator you should demonstrate knowledge of practice administration and, ideally, have experience in a similar medical facility.

Practice Administrator Responsibilities

  • Assist with business planning and the improvement of administrative processes.
  • Act as financial manager of the practice.
  • Supervise, hire and train administrative staff.
  • Work closely with the President to recruit and hire medical staff and lead the onboarding and training process.
  • Keep informed of trends in practice administration and healthcare regulations.
  • Perform other administrative tasks as required.

Practice Administrator Requirements

  • Prefer at least five years’ experience in practice administration and personnel management in a similar environment
  • Experience in financial management
  • Proficiency using Excel
  • Organizational and time-management skills
  • In-depth knowledge of applicable healthcare regulations
  • Excellent leadership, interpersonal, and communication skills

Please send resume to: kwheeler@kennebecanesthesia.com

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 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

4/26/21

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 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

4/26/21

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

4/9/21