Maine Medicine Weekly Update - Maine Medicine Weekly Update
August 06, 2021
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New Maine Immunization Law for Schools Takes Effect Sep 1

This is a reminder that a new law removing religious and philosophical exemptions for childhood immunizations to attend school in Maine is set to be implemented this school year, on September 1, 2021.

  • Overview of the New Law
  • Maine DHHS Memo: Preparing Students for the 2021-2022 School Year
  • Vax To School Maine Resources
  • ACIP & AAP Childhood Immunization Links and Resources

This is a reminder that a new law removing religious and philosophical exemptions for childhood immunizations to attend school in Maine is set to be implemented this school year, on September 1, 2021.

Students enrolled in grades PreK through 12 are required to be immunized against:

  • Diphtheria
  • Tetanus
  • Pertussis
  • Measles
  • Mumps
  • Rubella
  • Polio
  • Varicella

* Immunization requirements for preschool students: 4 DTap, 3 Polio, 1 MMR, 1 Varicella

All students enrolled in grades 7-12 also must be immunized against meningococcal disease.

Beginning September 1, 2021, philosophical exemptions and religious exemptions will no longer be allowed as exceptions from immunization requirements.

Medical exemptions are still allowed and are to be provided by the parent/student and in the form of a written statement from a licensed physician, nurse practitioner or physician assistant.

Those with an IEP who elected a philosophical or religious exemption prior to Sept 01, 2021, may continue to attend school under an existing exemption with a statement from a licensed physician, nurse practitioner or physician assistant confirming consultation that the parent or guardian has been made aware of the risks and benefits associated with the choice to immunize.

Individualized Education Plans (IEP)

Individualized Education Plans are covered by the Individuals with Disabilities Education Act (IDEA). Federal laws take priority over any conflicting rules of state law.

Students’ rights under IDEA supersede state law, local school board and school district policies. States cannot enact laws that provide less protection than guaranteed by federal law. Federal IDEA, the Office of Administrative Hearings (OAH or special education court) and the 9th District Circuit Court explicitly provide for children with IEP’s to be excluded from school immunization requirements.

***Important Note: 504 plans are not covered by IDEA and are therefore not exempt.

According to a Maine DOE sample letter to parents/guardians, “Beginning September 1, 2021 no child will be permitted to attend school without evidence of immunization or proof of immunity against disease.”

However, the Maine Department of Health and Human Services and Maine Centers for Disease Control and Prevention released the following memo this week.

Preparing Students for 2021-2022 School Year (PDF)

The document lists the various circumstances where exceptions apply, including a one-time written assurance from a parent or guardian that the child will be immunized by private effort within 90 days of enrollment (officially registering) in school or of the child first attending, whichever date is the earliest.

Vax to School Maine

Vax to School Maine is a partnership between the Maine Chapter of the American Academy of Pediatrics, the Maine Immunization Coalition, and Maine Families for Vaccines. The website includes public service announcements on the new law and the following information to help Mainers learn more.

  • Required Vaccines
  • Immunization Schedules for Providers
  • Immunization Schedules for Parents
  • A link to read the new law
  • An FAQ page

More Helpful Links

Registration Open for MMA’s 168th Annual Membership Meeting (Sep 10-12)

When the COVID-19 pandemic stalled travel and eliminated in person meetings, MMA leaders quickly adjusted and took the 2020 meeting online. The 2020 MMA Virtual General Membership Meeting took place in mid-October.

 

When the COVID-19 pandemic stalled travel and eliminated in person meetings, MMA leaders quickly adjusted and took the 2020 meeting online. The 2020 MMA Virtual General Membership Meeting took place in mid-October.

The 2021 Annual Membership Meeting will be hybrid model at the Jordan Hotel and Conference Center in Newry, Maine (Sunday River) on Friday, September 10, through September 12.

Register here.

We know many members are ready to gather in person for timely and useful information from experts and participate in discussions that allow for detailed questions, informal learning from colleagues and peers in a social setting, and generally catching up with friends or making new ones.

MMA leadership and staff continue to work with resort staff to ensure a safe experience in accordance with current pandemic guidelines. For those who are not comfortable gathering for meetings, we will make key portions of the meeting available remotely.

The theme of the Annual Session is, “Equality, Equity, and Our Evolving Health Care System” and the CME Program will focus on this theme with a keynote presentation by “Bowtie” Todd Jenkins, Ph.D. entitled, Moving from Diversity to Inclusion. You can learn more about “Bowtie” Todd’s life and work at www.bowtieleadership.com.

Register here.

What we’re looking forward to:

·       The meeting will open on Friday evening with a casual reception and BBQ dinner followed by ‘smores around the fire pits.

·       The General Membership meeting and CME Program will take place through early afternoon on Saturday.

·       Saturday afternoon activities also will include an optional MICIS opioid prescribing presentation and a meeting of the Maine Society of Anesthesiologists.

·       MMA Past Presidents will have a reception in their honor on Saturday afternoon and all attendees will gather for a reception and Awards Dinner on Saturday evening.

·       The Awards Dinner will feature presentation of the President’s Award for Distinguished Service and the Mary Floyd Cushman, M.D. Award for Distinguished Humanitarian Service, and the inauguration of the 169th President of the Maine Medical Association. President Karen Saylor, M.D. will pass the gavel and present the Presidential Medal to Jeffrey Barkin, M.D., President-Elect.

·       Following a family breakfast on Sunday morning, the closing CME session will be an open forum for discussion of the issues and ideas raised during the presentations on Saturday.

·       Recreational opportunities include yoga on both Saturday and Sunday mornings, a group hike and wine tasting on Saturday afternoon, and spa treatments available throughout the weekend.

Register here.

 

Resources & News: COVID Vaccination Mandates Dominate Recent Pandemic Discussion

  • US CDC: COVID Vax Doubled Protection for the Previously Infected
  • AAP: Pediatric COVID-19 cases up 84%
  • 'Never Seen Anything Like It': Delta Is Making A Growing Number Of Kids Very Sick
  • Coronavirus Booster Shots for the Immunocompromised Expected To Be Authorized Soon
  • Moderna Says Booster Likely Needed Before Winter
  • Should You Recommend a COVID Booster to Patients?
  • Half of total US population fully vaccinated; 65+ Percent of Mainers
  • Poll Finds Most Unvaccinated Americans Believe Coronavirus Vaccine Poses Greater Health Risk Than the Disease
  • Delta Variant Q&A with Associate Professor in Epidemiology at The Johns Hopkins Bloomberg School of Public Health
  • Northern Light, MaineHealth, University of Maine Mandate Vaccinations
  • Are Vaccine Mandates Legal? Maine Labor Attorney Says Yes
  • National Mandate News:
  • Houston-Area Hospitals Suspend Elective Surgeries as Delta Variant Rages, Hospitalizations Increase
  • Florida Hospitals Suspending Elective Surgeries and Putting Beds In Conference Rooms, Auditorium and a Cafeteria
  • Yelp Announced It Is Adding COVID-19 Guidelines to Its Business Listings

  • US CDC: COVID Vax Doubled Protection for the Previously Infected
  • AAP: Pediatric COVID-19 cases up 84%
  • 'Never Seen Anything Like It': Delta Is Making A Growing Number Of Kids Very Sick
  • Coronavirus Booster Shots for the Immunocompromised Expected To Be Authorized Soon
  • Moderna Says Booster Likely Needed Before Winter
  • Should You Recommend a COVID Booster to Patients?
  • Half of total US population fully vaccinated; 65+ Percent of Mainers
  • Poll Finds Most Unvaccinated Americans Believe Coronavirus Vaccine Poses Greater Health Risk Than the Disease
  • Delta Variant Q&A with Associate Professor in Epidemiology at The Johns Hopkins Bloomberg School of Public Health
  • Northern Light, MaineHealth, University of Maine Mandate Vaccinations
  • Are Vaccine Mandates Legal? Maine Labor Attorney Says Yes
  • National Mandate News:
  • Houston-Area Hospitals Suspend Elective Surgeries as Delta Variant Rages, Hospitalizations Increase
  • Florida Hospitals Suspending Elective Surgeries and Putting Beds In Conference Rooms, Auditorium and a Cafeteria
  • Yelp Announced It Is Adding COVID-19 Guidelines to Its Business Listings

US CDC: COVID Vax Doubled Protection for the Previously Infected

Unvaccinated people are more than twice as likely than the fully vaccinated to get reinfected with COVID-19, according to a Centers for Disease Control and Prevention (CDC) study, supporting the agency’s recommendation that people previously infected with COVID-19 get vaccinated for more protection.

The CDC's Morbidity and Mortality Weekly Report counters the argument that people previously infected with the coronavirus don’t need the vaccine because natural immunity offers enough protection.

Important Note: Thedata were from May to June 2021, prior to reports of the Delta variant becoming the predominant strain in the U.S.

AAP: Pediatric COVID-19 cases up 84%

About 72,000 children in the U.S. tested positive for COVID-19 in the week ending July 29, up 84 percent from the week prior, according to an August 4 report  from the American Academy of Pediatrics.  After declining in early summer, child cases have steadily increased in July.

“At this time, it appears that severe illness due to COVID-19 is uncommon among children. However, there is an urgent need to collect more data on longer-term impacts of the pandemic on children, including ways the virus may harm the long-term physical health of infected children, as well as its emotional and mental health effects.”

US CDC: COVID-19 Vaccines for Children and Teens

'Never Seen Anything Like It': Delta Is Making A Growing Number Of Kids Very Sick

A Yahoo News article opens with the following, “The number of very sick children admitted to Children's Hospital New Orleans with Covid-19 has exploded over the past two weeks — from zero to 20.”

"I've never seen anything like it," said Dr. Mark Kline, the hospital's physician-in-chief. "We are seeing children fall ill that we just simply didn't see in the first year of the pandemic, before the delta variant came along."

“Despite the dramatic increase in cases, Laham and other pediatric infectious disease experts nationwide tell NBC News that there is no hard evidence yet that the delta variant has transformed the virus into something more dangerous in kids.”

Coronavirus Booster Shots for the Immunocompromised Expected To Be Authorized Soon

A Washington Post article (subscription required) claims federal officials could act within days or weeks, according to federal officials who spoke on the condition of anonymity because the plan has not been announced.

Moderna Says Booster Likely Needed Before Winter

Moderna this week reported that its COVID-19 vaccine maintained 93 percent efficacy six months after the second dose but added that a booster shot will likely still be needed before the winter. the data was collected before the delta variant became prevalent in the United States. Read more from The Hill.

 

Should You Recommend a COVID Booster to Patients?

In this MedPage Today opinion piece, internist and nephrologist Robert Colton, MD, reviews the current booster landscape and who should get a booster now.

Spoiler: people with cancer organ or stem cell transplants, HIV, severe primary immunodeficiencies,

asplenia, advanced chronic kidney disease, and conditions requiring immunosuppressive medications such as chemotherapy, tumor necrosis factor (TNF) blockers, certain biologics such as rituximab, and high-dose corticosteroids

 

Half of total US population fully vaccinated; 65+ Percent of Mainers

The White House reported Friday that half of the total U.S. population has been fully vaccinated against COVID-19. The seven-day average of newly vaccinated people is up 11% from last week and 44% over past two weeks. (Yahoo News)

*The percentage includes all ages, including those younger than 12 who are not yet eligible to get the vaccine. CDC data shows that 58.5 percent of the eligible population is fully vaccinated against the virus.

The State of Maine CDC COVID-19 Vaccination Dashboard shows 69.2 percent (819,000) of Mainers are fully vaccinated as of Thursday, August 5.

Poll Finds Most Unvaccinated Americans Believe Coronavirus Vaccine Poses Greater Health Risk Than the Disease

A Kaiser Family Foundation report released this week found that “unvaccinated adults, especially those who say they will “definitely not” get a vaccine, are much less worried about the coronavirus, the Delta variant, and have less confidence in the safety and effectiveness of the vaccines compared to those who are vaccinated.”

Also revealing was, “more than half (including 75% of “definitely not”) say getting vaccinated is a bigger risk to their health than getting infected with coronavirus.”

Delta Variant Q&A with Associate Professor in Epidemiology at The Johns Hopkins Bloomberg School of Public Health

David Dowdy, MD, PhD, of The Johns Hopkins Bloomberg School of Public Health explains what Delta means for vaccine effectiveness, who should be most concerned, and the best way to protect yourself.

Northern Light, MaineHealth, University of Maine Mandate Vaccinations

Northern Light Health on Monday announced will require its staff members to be vaccinated against COVID-19 vaccine once the U.S. Food and Drug Administration fully approves one of the vaccines.

·      With few exceptions, vaccination will be required within six weeks of full FDA approval, and will be a condition of employment.

·      About 20 percent of Northern Light employees were unvaccinated as of July 19.

On Tuesday, MaineHealth released a statement that they too will require employees to be vaccinated as condition of employment by October 1. The release stated  that “as of late July, 83.8 percent of all MaineHealth care team members were fully vaccinated.”

The only exceptions for hospital employees and University students will be medical and religious exemptions in compliance with federal law.

The University of Maine System will require COVID-19 vaccination of all students engaged in an on-campus experience this fall. According to the UMaine website, “all members of the UMaine and UMaine Machias communities, including incoming new employees and undergraduate, transfer and graduate students, should upload their vaccination information via our secure campus portal. University leaders also indicated that discussions are underway with labor leaders for a similar policy for university faculty and staff.”

While Maine is instituting a verification process, a Washington Post article reveals Some colleges and universities are recommending vaccines for students, but not keeping track.

National Mandate News:

US To Require Foreign Travelers to Be Vaccinated When Restrictions Lift (The Hill)

The California Department of Public Health issued an order on Thursday mandating workers in health care settings be fully inoculated or receive their second dose of a coronavirus vaccine by Sept. 30.

United Airlines Mandates Covid-19 Vaccines for All US Employees (CNN)

The California Department of Public Health issued an order on Thursday mandating workers in health care settings be fully inoculated or receive their second dose of a coronavirus vaccine by Sept. 30.

United Airlines Mandates Covid-19 Vaccines for All US Employees (CNN)

Are Vaccine Mandates Legal? Maine Labor Attorney Says Yes

In a WMTW-TV interview, Maine labor attorney Peter Lowe, who represents many Maine companies and municipalities says yes.

·      Employers do have to provide accommodations for employees with bona fide medical restrictions and those with genuine religious objections.

·      The mandates are on solid legal ground and judges in two states have already shot down arguments.

 

Houston-Area Hospitals Suspend Elective Surgeries as Delta Variant Rages, Hospitalizations Increase (Houston Chronicle)

·      The State of Texas reported 8,522 patients hospitalized for COVID on this week — a 46 percent increase over the week before, and more than four times as many as a month before.

·      At Texas Medical Center hospitals, 336 patients were admitted for COVID-19.

·      COVID-19 patients currently occupy about a quarter of the Texas Medical Center’s ICU beds.

·      The hospital has 1,330 ICU beds.

·      The hospital’s CEO was quoted as saying, ““If unvaccinated people could know what medical people see every day,” he said, “they’d surely be vaccinated.”

Florida Hospitals Suspending Elective Surgeries and Putting Beds In Conference Rooms, Auditorium and a Cafeteria (Associated Press)

·      Florida is averaging nearly 18,000 newly confirmed infections per day, up from fewer than 2,000 a month ago.

·      Florida, Georgia, Louisiana, and Mississippi alone account for more than 40% of all hospitalizations in the country.

·      Mississippi had just six open intensive care beds in the entire state.

·      Georgia medical centers are also turning people away.

·      The vast majority of those now hospitalized are unvaccinated.

Yelp Announced It Is Adding COVID-19 Guidelines to Its Business Listings

The platform said in a blog post that users will be allowed to filter businesses based on whether they require proof of vaccination and whether staff are fully vaccinated.

 

Connecting Providers and Schools for COVID-19 Administration

If you are a school nurse and interested in supplying COVID-19 vaccine to your students or are a provider interested in partnering with a local school to provide the COVID-19 vaccination, please join the Maine Immunization Program for a virtual meeting to discuss plans for the fall.

As the 2021-22 school year quickly approaches, Maine is focusing efforts on promoting COVID-19 vaccination for adolescents within schools and community settings. COVID-19 vaccination is available for all children 12 years of age and older and will be the key to keeping Maine’s COVID-19 cases down throughout the school year.

If you are a school nurse and interested in supplying COVID-19 vaccine to your students or are a provider interested in partnering with a local school to provide the COVID-19 vaccination, please join the Maine Immunization Program for a virtual meeting to discuss plans for the fall.

Zoom Meeting:

https://us06web.zoom.us/j/2072873746?pwd=QVQwVVVoYlFua2UwTXRzNm96dTcrdz09

Date/Time: Thursday, August 12 @ 12:00 PM

Meeting ID: 207 287 3746

Passcode: vaccine

Maine CDC Investigates Four Recent Cases of Legionella in Bangor Area

The Maine Center for Disease Control and Prevention (Maine CDC) has confirmed four recent cases of Legionella in the Bangor area. Maine CDC is actively investigating whether the cases are coincidental or if there is a common exposure among them. All four individuals were hospitalized.

The Maine Center for Disease Control and Prevention (Maine CDC) has confirmed four recent cases of Legionella in the Bangor area. Maine CDC is actively investigating whether the cases are coincidental or if there is a common exposure among them. All four individuals were hospitalized.

Maine CDC is alerting health care providers so they can consider testing for the illness, which could lead to the identification of additional cases. All cases must be reported to Maine CDC.

According to the Maine CDC, “most healthy people exposed to Legionella do not get sick. Those at increased risk of getting sick are people age 50 years and older; current or former smokers; people with a chronic lung disease, weak immune systems, or cancer; and people with underlying illnesses such as diabetes, kidney failure, or liver failure.”

“Doctors use chest x-rays or physical exams to check for pneumonia and may also order tests on a sample of urine and sputum (phlegm) to determine if a lung infection is caused by Legionella. Legionnaires' disease is treated with antibiotics. Most people who get sick need care in a hospital but make a full recovery. However, about 1 out of 10 people who get Legionnaires' disease will die from the infection.”

Read the full Maine CDC advisory here.

For more information on Legionella, visit:

Maine CDC's webpage: www.maine.gov/dhhs/mecdc/infectious-disease/epi/airborne/legionellosis.shtml

Federal CDC's webpage: www.cdc.gov/legionella/about/index.html

Maine CDC Health Alert Network: Varicella (Chickenpox)

Maine CDC is seeing a rise in the number of reported cases of varicella (chickenpox). Varicella is a notifiable condition in Maine, and all confirmed or suspect cases of varicella should be reported to Maine CDC.

Maine CDC is seeing a rise in the number of reported cases of varicella (chickenpox). Varicella is a notifiable condition in Maine, and all confirmed or suspect cases of varicella should be reported to Maine CDC.

The number of reported cases of varicella decreased in 2020, likely due to reduced person-to-person transmission because of COVID-19 restrictions. Since January 1, 2021, Maine has identified 46 cases of varicella from all 16 counties (data as of 07/29/2021), including two outbreaks in childcare facilities.

Read the full Maine CDC advisory here.

Maine CDC Makes New Vaccine Products Available Through Maine Immunization Program (MIP)

The Maine Vaccine Board voted to include two new vaccine products to the approved list of

available vaccines supplied through the Maine Immunization Program (MIP).

 

The newly approved vaccines are:

  • The meningococcal quadrivalent conjugate vaccine (MenACWY) vaccine formulation, MenQuadfi™ (Sanofi).
  • VAXELIS™ (Sanofi and Merck), the new hexavalent vaccine indicated for protection against diphtheria, tetanus, pertussis, polio, hepatitis B, and Haemophilus influenzae type B (Hib)

The Maine Vaccine Board voted to include two new vaccine products to the approved list of available vaccines supplied through the Maine Immunization Program (MIP).

The newly approved vaccines are:

  • The meningococcal quadrivalent conjugate vaccine (MenACWY) vaccine formulation, MenQuadfi™ (Sanofi).
  • VAXELIS™ (Sanofi and Merck), the new hexavalent vaccine indicated for protection against diphtheria, tetanus, pertussis, polio, hepatitis B, and Haemophilus influenzae type B (Hib)

Both vaccines are now available to order to all enrolled VFC Providers. Click here for more information on the vaccines.

For questions on any immunization-related issue, please call (207) 287-3746 or email

ImmunizeME.DHHS@maine.gov. Thank you for all that you do to keep Maine children safe from vaccine-preventable diseases

Maine CDC Vaccine Provider Training

The Maine Immunization Program isbe hosting twice weekly trainings for all VFC provider sites. These trainings will serve as a refresher of VFC requirements and will continue each Tuesday and Wednesday throughout the months of August and September. Maine CDC will re-evaluate the need to continue trainings for October at the end of September.

 

All provider staff are welcome and encouraged to join.

The Maine Immunization Program isbe hosting twice weekly trainings for all VFC provider sites. These trainings will serve as a refresher of VFC requirements and will continue each Tuesday and Wednesday throughout the months of August and September. Maine CDC will re-evaluate the need to continue trainings for October at the end of September.

All provider staff are welcome and encouraged to join.

Where: Zoom Meeting https://zoom.us/j/92080721290?

When: Tuesdays and Wednesdays at 12:00 PM

Meeting ID: 920 8072 1290

Passcode: cMnCc6

JAMA: The Increasing Role of Physician Practices as Bill Collectors—Destined for Failure

Through increasing deductibles, coinsurance, and co-payments, the privately insured population in the US is responsible for a larger share of health care out-of-pocket costs. Although many studies have examined the effects on patients, the implications for physicians have received less attention. The increase in cost sharing is forcing many physicians and health systems to take on the role of bill collectors. It is a task for which physician practices are unsuited. The result is a system with substantial administrative burden, frustrated patients struggling with confusing bills, and physicians receiving less compensation.

Through increasing deductibles, coinsurance, and co-payments, the privately insured population in the US is responsible for a larger share of health care out-of-pocket costs. Although many studies have examined the effects on patients, the implications for physicians have received less attention. The increase in cost sharing is forcing many physicians and health systems to take on the role of bill collectors. It is a task for which physician practices are unsuited. The result is a system with substantial administrative burden, frustrated patients struggling with confusing bills, and physicians receiving less compensation.

Conclusion

The growth of cost sharing and HDHPs has resulted in patients’ taking on more of the cost of their own care and in physicians’ holding the risk and responsibility of collecting large dollar amounts. Physician offices are poorly suited to the task, exacerbating a complex and confusing system for patients and clinicians alike. New private firms have developed products to simplify, consolidate, and improve billing. However, these private-sector solutions may help ameliorate the problem but will not solve it. Only larger shifts in how out-of-pocket costs are envisioned will meaningfully address the burden of high out-of-pocket spending on both patients and physicians.

Read the full article here.

AMA Drafts CY 2022 Physician Fee Schedule Proposed Rule Summary

The American Medical Association (AMA) has drafted a summary of the CY 2022 Physician Fee Schedule (PFS) proposed rule released by the Centers for Medicare and Medicaid Services (CMS) on July 13, 2021. The proposed rule covers diverse topics, including the CY 2022 Rate Setting and Medicare Conversion Factor, Evaluation/Management (E/M) office visit services, telehealth and other services involving communications technology, and updates to the Quality Payment Program (QPP) through Merit-based Incentive Payment System (MIPS) activities, methodology, payment adjustments, and the Promoting Interoperability performance category, amongst other provisions.

Medical Association (AMA) has drafted a summary of the CY 2022 Physician Fee Schedule (PFS) proposed rule released by the Centers for Medicare and Medicaid Services (CMS) on July 13, 2021. The proposed rule covers diverse topics, including the CY 2022 Rate Setting and Medicare Conversion Factor, Evaluation/Management (E/M) office visit services, telehealth and other services involving communications technology, and updates to the Quality Payment Program (QPP) through Merit-based Incentive Payment System (MIPS) activities, methodology, payment adjustments, and the Promoting Interoperability performance category, amongst other provisions.

CMS is requesting that comments be submitted no later than September 13, 2021. The AMA will share a draft comment letter in response to the proposed rule prior to this submission deadline.

If you would like a copy of the AMA’s Physician Fee Schedule proposed rules summary please contact MMA Director of Communications and Government Affairs, Dan Morin at dmorin@mainemed.com

This Week’s Top Articles from JAMA Network

  • Safety of Second Dose mRNA COVID-19 Vaccines After First-Dose Allergic Reactions Research Letter
  • Changes in Disparities in Access to Care, Health After Medicare Eligibility Study
  • Analysis of SARS-CoV-2 Infection Among Hospital Health Care Workers Study  

  • Safety of Second Dose mRNA COVID-19 Vaccines After First-Dose Allergic Reactions Research Letter
  • Changes in Disparities in Access to Care, Health After Medicare Eligibility Study
  • Analysis of SARS-CoV-2 Infection Among Hospital Health Care Workers Study  

Click here for all JAMA Updates on COVID-19 diagnosis and treatment.

AMA: What Doctors Wish Patients Knew Series

When it comes to effective doctor-patient communication, it's important that both parties are speaking from a base of shared knowledge. The American Medical Association provides a space where physicians share what they want patients to understand about today's health care headlines.

  • What doctors wish patients knew about the dangerous Delta variant
  • What doctors wish patients knew about summer skin safety
  • What doctors wish patients knew about healthy eating
  • What doctors wish parents knew about keeping unvaccinated kids safe
  • What doctors wish patients knew about post-COVID anxiety
  • What doctors wish patients knew about home BP measurement

When it comes to effective doctor-patient communication, it's important that both parties are speaking from a base of shared knowledge. The American Medical Association provides a space where physicians share what they want patients to understand about today's health care headlines.

What Doctors Wish Patients Knew About the Dangerous Delta Variant

What Doctors Wish Patients Knew About Summer Skin Safety

What Doctors Wish Patients Knew About Healthy Eating

What Doctors Wish Parents Knew About Keeping Unvaccinated Kids Safe

What Doctors Wish Patients Knew About Post-COVID Anxiety

What Doctors Wish Patients Knew About Home BP Measurement

The full AMA Series can be found here.

 

SUPPORT for ME: Strengthening Substance Use Disorder Treatment and Recovery Services for MaineCare Members

SUPPORT for ME is a statewide effort to improve SUD treatment and recovery services for all Mainers.

 

SUPPORT for ME is a statewide effort to improve SUD treatment and recovery services for all Mainers, with a particular focus on the following: 

• Adolescents and youth (12-21) 

• Individuals transitioning from care settings (e.g., leaving incarceration) 

• American Indian / Alaska Native Nations 

• Rural populations 

PROJECT GOAL: 

This planning grant aims to increase MaineCare providers’ capacity to deliver Substance Use Disorder (SUD) treatment and recovery services. 

WHY? 

Maine has one of the top 10 highest drug overdose rates in the country. In 2019, there were 380 drug overdose deaths, with over 80% due to opioids, nearly always in combination with other drugs or alcohol. 

For more information, visit: https://www.maine.gov/dhhs/oms/about-us/projects-initiatives/support-for-me 

or contact Joanie Klayman (joan.klayman@maine.gov

 

 

 

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

Enrollment is now open! ONLY A DOZEN SPOTS LEFT for Cohort VII Commencing September 2021. Enroll today and strengthen and extend your leadership skills by learning about the key intersections in the science of management and the business of medicine.


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

ONLY A DOZEN SPOTS LEFT for Cohort VII Commencing September 2021. Enroll today and strengthen and extend your leadership skills by learning about the key intersections in the science of management and the business of medicine. Network enabling, the rare opportunity for self-reflective time and space, and rebuilding your resiliency and passion for your medical career are key to the full course experience. 

Enrollment is now open! Be sure to save your seat in the next cohort as we will only accept the first 35 physician enrollments! And this course will not again until 2023! 

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's 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.” 

Over the past 9 years, nearly 200 physicians have participated in the Advanced Course. Our 7th cohort will begin September 23, 2021 and continue through June 4, 2022.  There are six two-day sessions, each running from Thursday evening through late Saturday morning. The Hanley Center is planning for the class to include 30-35 physician leaders. 

A distinguished five-member faculty team from the Heller School for Social Policy & Management 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 learn more about sessions, faculty, logistics & tuition, including a link to the enrollment form, go to:  https://tinyurl.com/PELIADV7 

Please feel free to contact Judiann Smith, Executive Director, at:  judiannsmith@hanleyleadership.org (207-615-6253) with any questions.

 

Maine Community Action Partnership: Did You Know?

Did you know that almost half of parents surveyed say they are more concerned about the COVID-19 vaccine than they are of the vaccine itself?  That’s an alarming statistic, but a full 71% of all parents said they would be more likely to get their child vaccinated if in-person school could be “normal”.

 


Did you know that almost half of parents surveyed say they are more concerned about the COVID-19 vaccine than they are of the vaccine itself?  That’s an alarming statistic, but a full 71% of all parents said they would be more likely to get their child vaccinated if in-person school could be “normal”.

This information offers us opportunities to educate parents and their kids about the benefits of the vaccine. A study by the de Beaumont Foundation has found the most effective messaging when addressing these concerns:

Vaccinating children can help the country reach herd immunity and can protect children from the mental and physical effects of lockdowns and other restrictions.

Parents can protect their children from needing hospitalization or have lasting COVID-19 symptoms. There are documented deaths in children due to COVID-19, and the long-term impact of the virus remains unknown.

Medical science has proven that other vaccines keep dangerous diseases and viruses away from our children. The COVID-19 vaccine is no different.

Vaccinated children can go back to school – in person and without masks – to get the education they want, need, and deserve.

We hope you find this information helpful when speaking to your patients.

For more information visit https://debeaumont.org/changing-the-covid-conversation/poll-vaccine-perceptions-among-parents-of-teenagers/   

Or contact me at mleary@mecap.org

 

MMA Mary Cushman, MD Award for Humanitarian Service - 7/30 Nomination Deadline

Nominations for the 2021 award are due by next Friday, July 30, 2021.

The Mary Cushman, MD Award is presented each year by the Maine Medical Association to recognize the humanitarian service of medical volunteers who serve in Maine, the US or abroad. 

 

Nominations for the 2021 Mary Cushman Award for Humanitarian Service are due by next Friday, July 30, 2021.

2021 Mary Cushman, MD Award Nomination Form

The Maine Medical Association presents the Mary F. Cushman, MD Award for Exceptional Humanitarian Service as a Medical Volunteer each year to recognize the service of medical volunteers who serve in Maine, the US or abroad. Priority consideration is given to:

  • the nomination of a Maine physician who is a member of the Maine Medical Association
  • nominations submitted by members of the Maine Medical Association
  • nominations that, for international volunteering, include training people in other countries to provide care in their own communities.

The award is announced at the MMA Annual Session in September and includes a $1,000 donation to the institution or organization of the recipient's choice.  The award was established in 2003.

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

September 11, 2021
Maine Society of Anesthesiologists Fall Business Meeting

(Held in conjunction with the Maine Medical Association’s Annual Meeting)

The Jordon Hotel, Sunday River Resort, Newry, ME from 2:00pm – 5:00pm
Contact: Lisa Montagna 207-620-4015 or mesahq@gmail.com

September 17-18, 2021
Maine Chapter ACP Annual Scientific Meeting

(Presented by Maine Chapter of ACP)
Virtual Meeting (Half Days)
Contact: Warene Eldridge 207-215-7118 or mainechapteracp@gmail.com

September 24, 2021
Maine Society of Eye Physicians and Surgeons Fall Business Meeting
(Held in conjunction with the 20th Annual Downeast Ophthalmology Symposium)
Harborside Hotel & Marina – Bar Harbor, ME from 10:30am – 11:45am
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

September 24-26, 2021
20th Annual Downeast Ophthalmology Symposium
(Presented by the Maine Society of Eye Physicians and Surgeons)
Harborside Hotel & Marina – Bar Harbor, ME
Contact:  Shirley Goggin 207-445-2260 or sgoggin@mainemed.com

October 21-22, 2021
Sleep, Health, and Cognition - A Lifecycle Perspective

(Presented by the Maine Association of Psychiatric Physicians)
 Hilton Garden Inn – Freeport, Maine
Contact: Dianna Poulin 207-622-7743 or dpoulin@mainemed.com

March 18-20, 2022
Northern New England Urological Symposium

(Presented by the Maine Urological Association)
Grand Summit Resort Hotel & Conference Center – Newry, Maine
Contact: Dianna Poulin 207-480-4194 or dpoulin@mainemed.com

April 6-9, 2022
30th Annual Family Medicine Update & Annual Meeting
(Presented by the Maine Academy of Family Physicians)
DoubleTree by Hilton Portland – South Portland, Maine
Contact:
Deborah Halbach 207-938-5005 or maineafp@tdstelme.net

 

 

 

 

 

  


 

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!

SUPPORT for ME Training and Technical Assistance Initiative

The Maine Medical Association- Center for Quality Improvement, in partnership with the Maine Department of Health and Human Services, launched the SUPPORT for ME Training and Technical Assistance initiative.

 


The Maine Medical Association- Center for Quality Improvement, in partnership with the Maine Department of Health and Human Services, launched the SUPPORT for ME Training and Technical Assistance initiative. 

This initiative is funded by the Centers for Medicare and Medicaid Services (CMS) and is designed to support the Department’s goals to enhance Maine’s response to the opioid epidemic through increased access to vital treatment and services for substance use disorder (SUD), including opioid use disorder (OUD). 

Navigate to this link for more details: SUPPORT for ME TA 

or email either skring@mainemed.com,kcole@mainemed.com 

 

 

Working with Children & Adolescents? Maine Pediatric & Behavioral Health Partnership (MPBHP) Webinar Series (August thru December 2nd Wednesday of month)

The Maine Pediatric & Behavioral Health Partnership (MPBHP) is a partnership between Maine Centers for Disease Control (CDC), Northern Light Acadia Hospital, and MaineHealth. MPBHP is offering a webinar series for medical providers who work with children and adolescents and you will earn Continuing Medical Education (CME) credit.

 

The Maine Pediatric & Behavioral Health Partnership (MPBHP) is a partnership between Maine Centers for Disease Control (CDC), Northern Light Acadia Hospital, and MaineHealth. MPBHP is offering a webinar series for medical providers who work with children and adolescents and you will earn Continuing Medical Education (CME) credit. 

The 2021 Learning Series schedule will include webinars on the 2nd  Wednesday of each month from 7:30 – 8:30 AM. For more information, please see the topics offered in the list below and how to register for the sessions.

ADHD – August 11, 2021 

Register in advance for this webinar: 

https://mainestate.zoom.us/webinar/register/WN_1IgwbEdSS8mrceGhLyTCxw 

Depression – September 8, 2021 Register in advance for this webinar: 

https://mainestate.zoom.us/webinar/register/WN_I7m60qy4Q4O-budFnkVEdw 

Eating Disorders – October 14, 2021 

Register in advance for this webinar: 

https://mainestate.zoom.us/webinar/register/WN_J7oOGRT1QVS1wPv3gxwtxA 

Psychosis – November 10, 2021 

Register in advance for this webinar: 

https://mainestate.zoom.us/webinar/register/WN_Ip8s_YGpS2iJkVHJ6vVn4w 

Trauma – December 8, 2021 

Register in advance for this webinar: 

https://mainestate.zoom.us/webinar/register/WN_9DAt1INbTy2n5s5uscTnXw  

See the flyer below for details about the Autism webinar on June 2nd: 

Training Invite Flyer Autism Spectrum Disorder June 2 2021docx.pdf 

Maine Pediatric & Behavioral Health Partnership (MPBHP) Training Videos MPBHP is also offering on-demand trainings for CME credit. You simply click on the training link, watch the training video, and complete the evaluation. See the below for details about training topics offered, links to the training videos, and details about how to earn CME credit. 

Approaching Psychiatric Issues in Primary Care  

On Demand Link: 

https://mainestate.zoom.us/rec/share/JDVV3FdbQC5NcNsKomvmmX-hQvNJQSEzE7kmvdO26-ow_UK0a_-IbEDRVGcy208.aCtp2L7gTx9V7NeO?startTime=1615379178000 

Post Training Evaluation: To log your attendance in CloudCME, please TEXT attendance code 75868 to 207-808-7704. Go to MaineHealth Continuing Education (cloud-cme.com). Sign in and complete the evaluation and receive your CME credit. 

Suicide Risk Management 

On Demand Link: 

https://mainestate.zoom.us/rec/share/DaFX8Z4sWnXxWDLpIOpO6hoHbzlKlfeB5rwtJFl_8r7YKmand5jGBkjYJ9icLpJt.YdpURvDhySVyllE2?startTime=1618399283000 

Post Training Evaluation: To log your attendance in CloudCME, please TEXT attendance code 75099 to 207-808-7704. Go to MaineHealth Continuing Education (cloud-cme.com). Sign in and complete the evaluation and receive your CME credit. 

Anxiety  

On Demand Link: 

https://mainestate.zoom.us/rec/share/xmkThwBZsn-piWjLe5HF1X6QY-Kf8TQ_dcJnczG5q156VnIW6BeWMP0wtITOuw07.atoGuge84OT5_BKb?startTime=1620818853000

Post Training Evaluation: To log your attendance in CloudCME, please text the attendance code 75919 to 207-808-7704. Go to MaineHealth Continuing Education (cloud-cme.com). Sign in and complete the evaluation and receive your CME credit. 

Additional Training Opportunities: 

MaineHealth is hosting a lunch and learn series. For session dates, topics, and to register, see Pediatric Psychiatry and Behavioral Health in Primary Care Learning Series webpage.

 

 

Nurse Practitioner

Nasson Health Care is seeking a qualified Nurse Practitioner to work collaboratively with a team of health and administrative professionals providing 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 providing comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery. The Nurse Practitioner 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.

Must have a Master’s degree in nursing; unrestricted Maine license to practice as an adult, family or pediatric nurse practitioner; a U.S. Drug Enforcement Agency license.

  • Minimum of three years’ experience in a primary care medical practice.
  • 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 September 3, 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)459-2838
apply@yccac.org

EOE

9/3/21

Physician

Nasson Health Care is seeking a qualified Physician to work collaboratively with a team of health professionals providing comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery.

Nasson Health Care is seeking a qualified Physician to work collaboratively with a team of health professionals providing 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.   

Must have a degree from an accredited medical school in the U.S., Board certification in Family or Internal Medicine; unrestricted Maine license to practice medicine; a U.S. Drug Enforcement Agency license.

  • Minimum of three years’ experience in a primary care medical practice.
  • 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 September 3, 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)459-2838
apply@yccac.org

EOE

9/3/21

Physician (BC/BE in Family Medicine) - Richmond Area Health Center

Richmond Area Health Center seeks a Physician (BC/BE in Family Medicine) with outstanding clinical and interpersonal skills. In addition, an X waver is desirable.

Richmond Area Health Center seeks a Physician (BC/BE in Family Medicine) with outstanding clinical and interpersonal skills. In addition, an X waver is desirable. The selected candidate will provide outpatient medical care to individuals and families of all ages in our NCQA certified Patient-Centered Medical Home with integrated behavioral health services. The health center, which was established in 1977, offers care of chronic and acute illnesses, physicals, laboratory services, substance use and mental health counseling, and community resource referrals.

Each year, over 2,000 patients of all ages access health center services. They come from Richmond, Gardiner, Litchfield, Dresden, Bowdoinham, as well as Augusta and surrounding communities. The selected candidate will receive a SIGN-ON BONUS, competitive salary and benefits, malpractice coverage, pension plan with employer match, relocation, and loan repayment opportunities. EOE.

Richmond Area Health Center is part of HealthReach Community Health Centers, a system of 11 Federally Qualified Health Center