The Maine Osteopathic Association's Weekly E-Newsbriefs:

Important Updates & News Sent Weekly to your inbox.

Contact Amanda Richards, arichards@mainedo.org to sign up now!

 

This Week's E-Newsbrief:     

Welcome to your MOA E-news Brief for August 17th, 2018!

Related imageThe HighlightsNew Online On-Demand CME!, Legislative Updates: ME Leg. Expected to Hold Special Session,  Trump Administration Continues to Push for Medicaid Work Requirements, Drug Overdose Deaths Reached A Record 72,000 Last Year, Participate in the Diversity Attitudes in Medicine Study, Patients Remain Confused about who is a doctor Truth in Advertising Study Finds, Tests for BRCA1 and BRCA2...are not always done in U.S. women who are eligible , Your Health: Imposter Syndrome, New Medical Fee Rule Effective Sept. 1st,  NEW Events: Osteopathic Cranial Academy CME, Importance of Age One Dental Visits, MPHA 34th Annual Conference & More, classified ads /job postings, professional opportunities & more! 


MOA News

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 MOA Summer Office Hours still in Effect

Monday-Thursday 8:30am-4:30pm

Friday 8:30am-12:00pm


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MOA Members: It's Time to Renew Your Membership!

Renewal invoices are now past due (as of June 1, 2018.)

We apologize to those members who have had difficulty renewing their membership online and have now made a "Members: Renew My Membership/Pay Dues" Link prominently available on our home page top navigation bar. If you have any further questions or issues, please contact us!

Please click here to Pay Your Dues & renew your benefits!

Please contact the MOA office at 207-623-1101 or office@mainedo.org to renew your membership.


 

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  • The MOA is dedicated to promoting our profession at the state level, educating patients about osteopathy, and providing high quality members services like CME programs. In fact, we are Maine’s only voice for osteopathic medicine. 
  • The MOA Payor/Payee Committee is the only one of its kind in the entire country and we have had major victory with National Government Services, a Medicare audit contractor and protecting reimbursement for OMT. Even if you don’t do a lot of OMT in your practice, this is important from a policy perspective because we were able to organize & successfully execute an advocacy campaign that impacted a policy decision at a federal level. 

Click here to download our member application


 

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MOA 2019 Events:

February 8-10th, 2018: MOA Midwinter Symposium at the Holiday Inn by the Bay, Portland, ME
June 7-9th, 2018: 108th MOA Annual Convention at the Samoset Resort in Rockport, ME

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2016-2018 CME Cycle is Coming to a Close: Still in Need of Credits?

NEW Program Available NOW!
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Over 150 Osteopathic Programs Available Online, On-Demand: Click Here!


Advocacy/ Legislative Update

Legislature Expected to Hold Special Session to Consider Governor's Bills on Child Abuse and Neglect 
Maine Medicine Weekly Update, Monday August 13th, 2018

The state's role in protecting children, particularly the role of HHS, has been the subject of much media attention and an OPEGA review which has been presented to the Legislature's Government Oversight Committee. Much of the attention came after two high profile deaths of children over the past two years. 

 
At least one of the Governor's bills is likely to focus on perceived under-reporting of abuse by health professionals, although there has been no suggestion that a lack of reporting was implicated in either of the two deaths. Within the past four years, the legislature has enacted at least three bills tightening up the reporting by mandated reporters.
 
Reminder to MOA members: Physicians are required to do either on-line education or attend a live course dealing with the obligations of mandated reporting every five years. HHS offers on its website a 15 minute video that meets the requirements of the law. There is no cost to access this on-line education. 

Trump Administration Continues Push For Medicaid Work Requirements.
AOA Morning Brief, August 13th, 2018

The New York Times (8/11) reported Trump Administration officials say they have found a way around a ruling by US District Court Judge James E. Boasberg halting a Kentucky plan to introduce Medicaid work requirements. The Times explained that the officials “have a narrow reading of Judge Boasberg’s decision, saying he faulted them for failing to follow proper procedure,” which they can satisfy “by compiling a fuller record and showing that they have thoroughly reviewed the evidence.” HHS Secretary Alex Azar said, “We are fully committed to work requirements and community participation requirements in the Medicaid program.”

 


More on Hospital Price Transparency from CMS 

[from the Maine Hospital Association Friday Report: (8/10/2018)]

Under current law, hospitals are required to establish and make public a list of their standard charges. Effective calendar year 2019, CMS specifically requires hospitals to make public a list of their standard charges via the Internet in a machine-readable format, and to update this information at least annually, or more often as appropriate. CMS believes that the information contained in the chargemaster will be useful to patients, but encouraged hospitals to provide context surrounding the chargemaster information. CMS noted that they are not requiring at this time that any information be published in a payer-specific manner.
 
Additionally, CMS is concerned that patients still can't tell in advance how much care will cost, including patients being surprised by out-of-network bills for physicians, such as anesthesiologists and radiologists, who provide services at in-network hospitals, and by facility fees and physician fees for emergency room visits. And CMS acknowledged that chargemaster data are not helpful to patients for determining what they are likely to pay for a particular service or hospital stay. In order to promote greater price transparency for patients, CMS is considering ways to improve the accessibility and usability of the charge information that hospitals are required to disclose under section 2718(e) of the Public Health Service Act.
 

CMS Releases Proposed 2019 Medicare Payment Rule 
 

On July 12, the Centers for Medicare & Medicaid Services (CMS) released a 1,500-page proposed regulation pertaining to the 2019 Medicare Physician Fee Schedule and Quality Payment Program. CMS also issued Quality Payment Program (QPP) and Physician Fee Schedule (PFS) fact sheets on the proposed rule.

The proposed policies are open for public comment until Sept. 10.


 

From The DO: Proposed CMS Physician Fee Schedule Could Cut Paperwork And Payments. CMS presents a single payment rate for Level 2-5 office visits with reduced documentation requirements. 

Read the full summary here.


 

Related imageYou Spoke. We Listened.

Maine Osteopathic Association submits letter commenting on Title X Proposed Rulemaking RE: Family Planning Read it here.

 


News to Use 

Drug Overdose Deaths Reached A Record 72,000 Last Year, CDC Says.

AOA Morning Brief, August 17th. 2018
 

In a front-page story, the New York Times (8/15) reports that drug overdoses killed more than 72,000 Americans in 2017, a rise of about 10 percent from the year prior, according to new preliminary estimates from the Centers for Disease Control. The rising death toll “reflects two major factors: A growing number of Americans are using opioids, and those drugs are becoming more deadly.” Experts who are monitoring the epidemic point to the increase in synthetic opioids like fentanyl “most likely explains the bulk of the increased number of overdoses last year.” According to the CDC estimates, “overdose deaths involving synthetic opioids rose sharply, while deaths from heroin, prescription opioid pills and methadone fell.”

        The Washington Post (8/15) reports the CDC “cautions that these figures are early estimates based on monthly death records processed by the agency.” The deaths are geographically distributed similarly to how they have been in past years, with Appalachia and New England showing the highest mortality rates. The highest rates were “seen in West Virginia, with 58.7 overdose deaths for every 100,000 residents. The District of Columbia (50.4), Pennsylvania (44.1), Ohio (44.0) and Maryland (37.9) rounded out the top five.” The CDC data also show, despite the nationwide increase, “overdose rates fell in a number of states, including North Dakota and Wyoming, compared with the prior year. Particularly significant were the decreases in Vermont and Massachusetts, two states with relatively high rates of overdose mortality.”

        Fortune (8/15) reports the nearly 72,000 overdose deaths “outpaced fatalities from suicide, or from influenza and pneumonia, which claimed about 44,000 and 57,000 lives, respectively, in 2016.”

Los Angeles Times: Coroner's Letter to Prescribers Lead to Practice Change

http://www.latimes.com/science/sciencenow/la-sci-sn-opioid-overdose-letter-20180809-story.html?outputType=amp&__twitter_impression=true


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AOA settles class-action lawsuit: Board certification to be uncoupled from membership; four original plaintiffs receive $15,000 each. 
Read More Here.

 


Tests For BRCA1, BRCA2 Not Always Done In Women Eligible To Get Them, Research Suggests.
AOA Morning Brief, August 175h. 2018

Reuters (8/14) reports that research suggests that “tests for BRCA1 and BRCA2...are not always done in U.S. women who are eligible to get them.” Investigators found that “women diagnosed with breast cancer who were covered by Medicare but lived in areas with poor access to medical care appeared to have a hard time getting tested for the so-called breast cancer genes.” The findings were published in the Journal of the American Medical Association.


Truth in Advertising Survey Results Released

The AMA Truth in Advertising Campaign is designed to ensure health care providers clearly and honestly state their level of training, education and licensing. Patients deserve to have this information when in face-to-face encounters as well as when they read health care providers’ advertising, marketing and other communications materials.

Patients are confused about the qualifications of different health care professionals. Many non-physicians earn advanced degrees, and many of those degree programs now confer the title “doctor.” As a result, patients often mistakenly believe they are meeting with physicians (medical doctors or doctors of osteopathic medicine) when they are not.

The new TIA survey results confirm that patients:

  • Remain confused about who is a medical doctor or doctor of osteopathic medicine

  • Strongly prefer that a physician perform certain medical procedures

  • Overwhelmingly support legislation to ensure clarity and transparency in health care advertising

  • Agree that only licensed medical doctors or doctors of osteopathic medicine should be able to use the title “physician”

Full survey results are available for download at www.ama-assn.org/truth-advertising.


Image result for university of new england college of osteopathic medicine

Image result for bored doctorAre you sitting around with nothing to do?  Are you looking for a little excitement and a way to give back to your profession? Have you ever wondered about getting involved with the next generation of aspiring osteopathic physicians? If so, we have a few opportunities for you as an MOA member!

UNECOM Mentoring

Have you ever thought about mentoring an aspiring student physician? Would you be willing to give time to meet a first year student and mentor that person over time? For more information contact Marlana Solebello at msolebello@une.edu or 207-602-2482.

Prospective UNECOM Medical Student Interviewing: Help Select the Next Class of Osteopathic Medical Students!

Have you ever wondered about getting involved as an interviewer and helping to select the next class of osteopathic medical students? If so, the University of New England College of Osteopathic Medicine is looking for physicians who are interested in giving some time to select the Class of 2023.

Interviews generally take place on Tuesday, Wednesday and Thursdays; morning and afternoon sessions. Individuals who opt to become involved with this process will need to access application file materials and assessment forms electronically; we no longer do paper files. If interested in learning more, follow this link https://goo.gl/forms/9kPNYc8OOIOJQVqQ2. Questions about the form or interviewing processes may be directed to Elise Murphy, Staff Assistant in the Office of Recruitment, Student & Alumni Services, at emurphy15@une.edu or 207-602-2506.


MMA Letter Prompts Licensing Boards to Discuss Exceptions to Opioid Requirements 

At issue are the significant and, some would say, burdensome rules governing opioid prescribing which require treatment agreements and extensive risk assessment and informed consent procedures. The rule modification, if approved by the three licensing boards, will exempt from all Chapter 21 requirements patients in in-patient facilities and residents of nursing homes, assisted living, and similar facilities if their medications are administered by a licensed, certified, or registered health care professional. The reasoning behind the proposed change is that there is no real risk of patient diversion or misuse of opioids when those drugs are not in the patient’s possession at any time and are administered by a nurse, medical technician, or similar professional.


 UNE COM Student Requesting your participation in an IRB approved Student run survey study

William Ciurylo is a second year osteopathic medical student at the University of New England College of Osteopathic Medicine. He and a team of fellow medical students are working with Dr. Victoria Thieme, DO to conduct a qualitative research study over the spring and summer months of 2018.  The aim of this study is to gather information about health care practitioners’ perspectives on patients considered to be racial minorities. We hope the results can be used to improve the care model for both healthcare professionals and patients.  Participation in this study involves completing a 10-minute online survey of 24 multiple choice questions. This survey will be completely anonymous. Your confidentiality will be protected by having no identifying information on your survey responses. These will be stored in a password protected online database only accessed by members of the research team. There will be no cost to participate. Risks of this study include only the time lost to complete the survey. Some of the questions may make you uncomfortable. Your participation will help us better understand and improve the physician-patient relationship.
 
Please feel free to contact myself, William Ciurylo, at wciurylo@une.edu or at 860-933- 2549 with any questions that you may have. Please click the link below (or copy and paste it into your browser) to access the survey. Thank you for your time and participation.
 
If you choose to participate in this research study and believe you may have suffered a research related injury, please contact Faculty Advisor: Victoria Thieme DO, vthieme@une.edu (Please Include Reference to Study Title: Physician Beliefs About Racism in Healthcare). If you have any questions or concerns about your rights as a research subject, you may call Olgun Guvench, M.D. Ph.D., Chair of the UNE Institutional Review Board at (207) 221-4171 or irb@une.edu.

Calling all Residents, Fellows, and Physicians: Participate in The Diversity Attitudes in Medicine Study

The Diversity Attitudes in Medicine Study is designed to investigate ideas and attitudes related to diverse individuals among physicians, fellows, and residents.This study has been deemed exempt by the Yale University IRB.

 

Participation in this study will involve completing an anonymous online survey, which includes implicit association tasks and measures of explicit belief. Involvement will require approximately 15 minutes. Participants will be eligible to enter a raffle for one of ten $50.00 Amazon gift cards following completion of the survey.

 

 

Take the Survey Now!

 

https://yalesurvey.ca1.qualtrics.com/jfe/form/SV_3Db2iMaaOsH0h6Z 

 

Please note that this survey must be taken on a computer, as it does not function properly on mobile devices.

 

If you have any questions about this study, please e-mail Dr. Nix Zelin (nix.zelin@yale.edunzelin@stanford.edu) and Dr. Michael Bloch (michael.bloch@yale.edu). All inquiries sent to brain.diversitylab@yale.edu will be triaged to a member of the study team and passed on to Dr. Zelin and Dr. Bloch as needed.


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OMED 2018: Digital Program Now Available-- Click Here!
Register now for OMED 2018, Oct. 5-9 in sunny San Diego, and save $200 off the on-site registration priceRegister Here.

The theme of this year’s OMED is Come Together: join thousands of DOs, medical students and innovators in osteopathic medicine for the opportunity to learn, connect and grow at the premier osteopathic medical event of the year. OMED facilitates a gathering of the entire osteopathic family in one place every year to collaborate and celebrate.
 

News from the AOA:SAVE THE DATE for DO Day 2019: March 20, 2019. Details here.


 

PSR Maine
*The MOA is a Sponsor of this event.

SAVE THE DATE – Join us for an extraordinary opportunity to hear from someone who has shaped public health policy and saved the lives of children around the world.

Dr. Philip Landrigan is coming to Maine for a special event about pesticides and his new book – Children and Environmental Toxins: What Everyone Needs to Know. 

 

Friday, October 19, 2018

5:30PM reception, 6:30PM talk (followed by Q&A)

Innovation Hall, UNE Portland campus

Pre-registration HERE

 

Dr. Landrigan is an international leader in public health and preventive medicine. He is a pediatrician and epidemiologist and his pioneering research on the effects of lead poisoning in children led the US government to mandate removal of lead from gasoline. His leadership of a National Academy of Sciences Committee on pesticides in children’s diets resulted in the passage of the Food Quality Protection Act in 1996, a major US federal pesticide law and the first environmental statute to contain specific protections for infants and children.

 

Public Health

About A Quarter Of US Adults Have A Disability, CDC Says.
AOA Morning Brief, August 17th. 2018

CBS News (8/16) reports on its website that 61 million adults in the US, about a quarter of US adults, “have a disability that impacts a major part of their life,” according to the Centers for Disease Control and Prevention. The article adds that “the most common disability type, mobility, affects 1 in 7 adults,” according to the CDC.

        HealthDay (8/16) reports “disability is more common among women, American Indians/Alaska Natives, adults with lower incomes, and adults living in the South,” according to the CDC.

 

 


ME Public Hlth Assoc
MPHA 34th Annual Conference: Addiction & the State of Public Health in Maine @ Augusta Civic Center
 
Oct 16 @ 8:00 am – 5:00 pm

Please join us for the Maine Public Health Association’s 2018 Annual Conference, “Addiction and the State of Public Health in Maine.” MPHA’s annual conference is the largest statewide meeting dedicated to public health in Maine. We attract 300+ public health professionals from across the state, and feature the latest science, policy, and programming related to public health in Maine.
 


Regular Exercise May Help Improve Self-Reported Mental Health, Research Suggests.
AOA Morning Brief, Friday August 10th 2018

Reuters (8/8) reports research reveals that “people who exercise several times a week report having better mental health than those who take no exercise, with team sports and those involving social groups having the most positive effect.” What’s more, “exercising for around 45 minutes three to five times a week was associated with the biggest benefits,” researchers concluded after using “data from 1.2 million adults across all 50 U.S. states who had been asked to estimate how often in the past 30 days they would rate their mental health as ‘not good’ based on stress, depression and emotional problems.”

        MedPage Today (8/8) reports, “This positive association between exercise and improved mental health was even more pronounced in those who had a previous diagnosis of depression, marked by an average of 3.75 fewer days of poor mental health per month,” the study revealed. The findings were published online Aug. 8 in The Lancet Psychiatry. The author of an accompanying editorial “highlighted that one major drawback to this analysis was the placement of ‘mental health’ into one category.”


YOUR Health

 

Imposter Syndrome: preventing it, overcoming it and the link to burnout
The DO. By ASHLEY ALTUS Email, WEDNESDAY, AUG. 15, 2018

Angela Carrick, DO, didn’t think she measured up as an emergency medicine resident, not even after she scored in the top percentile for her board exams and got the highest score in her class.

“I thought I must have just gotten lucky because there was no way that was a true assessment of my knowledge,” says Dr. Carrick, an emergency medicine associate program director at Norman Regional Hospital in Oklahoma. “Looking back on it, I didn’t have the confidence to say, ‘I did deserve that,’ and give myself credit.”

Feeling less intelligent and competent than others think you are is a symptom of imposter syndrome. Often people who have imposter syndrome have extensive feelings of self-doubt or insecurity, despite their successes. These high achievers have difficulty internalizing a sense of accomplishment, expertise or skill.

How imposter syndrome affects the care you provide

In an International Journal of Medical Education study, 49% of female medical students experienced imposter syndrome in contrast to 24% of male medical students. Imposter syndrome was also associated with characteristics of burnout such as cynicism, emotional exhaustion and depersonalization, the study found.

One of the major symptoms of burnout is the inability to internalize your own accomplishments, according to Gail Singer-Chang, PsyD, senior executive director of the Office of Multi-Disciplinary Collaboration at Western University of Health Sciences College of Osteopathic Medicine of the Pacific.

“If you don’t have a sense of self-worth, how is empathy going to follow if you think your empathy wouldn’t be worth anything?” Dr. Singer-Chang asks. “It’ll be difficult to connect with others, which could lead you on a path towards burnout.”

When imposter syndrome is unaddressed, it can limit a person’s drive to pursue residencies, fellowships or promotions, because they might think they wouldn’t be selected, says Roozehra Khan, DO, an assistant professor of clinical medicine at Keck School of Medicine of the University of Southern California and an attending critical care physician.

“You’ll cut your potential to be the best physician you can be because if you think you’re an imposter, then subconsciously you’re going to behave that way too,” Dr. Khan says.

Preventing imposter syndrome 

1. Establish your personal and professional identity
Medical school is a transformational process that lays the foundation of what it means to be a physician. Imposter syndrome may manifest during this time because students haven’t yet developed the coping skills they need for this new environment, Dr. Singer-Chang says.

She suggests completing strength, emotional intelligence and learning style assessments, such as Gallup’s CliftonStrengths, to affirm your identity. Discuss and reflect on identity-developing questions with peers and mentors, such as:

What brought you to medicine?
What does it mean to be a healer?
What is your vision for medical school?

2. Check your expectations
Dr. Lederer felt ready for medical school, but after starting classes, she began to doubt her abilities.

“It’s a shock to be a high achiever and then you’re in medical school and you’re just average,” Dr. Lederer says.

She took active steps to address her insecurities, which she documented on her blog. Dr. Singer-Chang says some students hit a wall of dissonance when becoming a physician isn’t what they expected. Before entering a new environment, she suggests assessing your expectations to ensure they are balanced.

“Students will come in with a white-knight mentality, ready to save the world, but when the rubber hits the road, there can be a lot of tension and discomfort,” Dr. Singer-Chang says. “The expectations are so high and you’ve always been told you can do anything you want.”

3. Commit to a wellness plan
“When you have a bad day, it’s a snowball of negative thoughts,” Dr. Khan says. “A wellness plan in place really helps pull you out of all that self-doubt.”

Positive affirmations are a part of Dr. Khan’s wellness plan. She will remind herself of the difference she is making in the lives of her patients and students, and that she has worked hard to earn her role as a physician.

More from The DO.

 


Practice Management​

New Medical Fee Rule Effective September 1, 2018 There is a new Medical Fee Rule effective September 1, 2018. There are several significant changes that providers must be aware of for dates of service on or after September 1, 2018. Several of these are highlighted below. The complete rule and appendices are available on the Board’s website. Any questions or concerns should be directed to Kimberlee Barriere via email at Kimberlee.Barriere@Maine.Gov. 


MaineGeneral Offers X-waiver Training

Free and open to all medical staff. Register (as well as get on the waitlist for the next training) by emailing Shane Gallagher at Shane.Gallagher@mainegeneral.org .


ICD-10 coding for patients with hypertension and heart failure
If your patient’s heart failure is not due to his or her hypertension, report separate codes for hypertension (I10) and heart failure (e.g., I50.-, I51.4-I51.9) and document accordingly. Heart failure is assumed to be due to hypertension when coded using I11.0, “Hypertensive heart disease with heart failure.” In ICD-10, the word “with” presumes a causal relationship between the two conditions linked by this term.

Read answers to readers’ Coding & Documentation questions in every issue of FPM.

Teach-back: A simple way to enhance patients' understanding
Evidence shows that the teach-back technique benefits patient outcomes, but time constraints, fear that the patient will take offense, and a lack of training keep some physicians from using it. Here’s how to use teach-back quickly and sensitively:

1. Focusing on an important detail of your care plan, ask the patient to repeat your recommendations in his or her own words. For example, you could ask, “Just to be sure I was clear, how will you take your new medicine?”

2. Emphasize to the patient that you are not testing his or her knowledge but whether you did a good job explaining the information.

3. If the patient’s explanation is not correct, repeat the recommendation and then ask him or her to explain it again.

4. Use teach-back with one or two patients a day until you become comfortable enough with the technique to expand it to additional patients.

FPM Practice Improvement Award Call for Entries
Proud of recent improvements in your practice? Want to win $500? Competition for the 2018 FPM Award for Practice Improvement is open. Enter here.


From The DO: Proposed CMS Physician Fee Schedule Could Cut Paperwork And Payments. CMS presents a single payment rate for Level 2-5 office visits with reduced documentation requirements. 

Read the full summary here.


Electronic Death Certificates: Are You Registered to File Them?

The Office of Data, Research and Vital Statistics maintains a portal for medical certifiers here: https://www.maine.gov/dhhs/mecdc/public-health-systems/data-research/vital-records/edrs/medicalcertifiers.html .

At that site you can gain access to the reporting portal, and you can also register with the Electronic Death Registration System. Tutorials are available for training in how to use the system, which is also known as "DAVE", the Database Application for Vital Events.

We hear that it takes some time to achieve registration as a medical certifier, so we suggest that you take care of this as soon as possible if you're not already registered. You don't want to wait until you need to use the system.


Prescription Monitoring Program User Survey 

As you know, the misuse of prescription drugs in Maine has become a substantial problem in need of immediate attention.  Public Law Chapter 488 and subsequent rules address one aspect of the problem through prescribing and dispensing regulations under the auspices of the Prescription Drug Monitoring Program (PDMP).

In order to determine the strengths and weaknesses of regulations surround the PDMP, the Department of Health and Human Services' Department of Substance Abuse and Mental Health Services (SAMHS) has contracted with Hornby Zeller Associates, Inc., a Public Consulting Group Company (PCG) to conduct a comprehensive analysis of Maine's PDMP.  As part of the study, PCG is gathering and analyzing data related to utilization of the PDMP across the state.

Your responses will be crucial to recommendations aimed at improving the system.  Please use the link below to access and complete the survey.  The survey should take about 15 minutes to complete and is confidential.  Data from the survey will be reported in aggregate only.  In the event you are unable to complete the survey in one session, you can "save" and reopen the survey later.  When the survey is complete, please click on the "submit" button.  

Survey Link:  https://surveys.hornbyzeller.com/Maine-PMP.aspx

If there are technical problems with the survey itself, please contact Matt Powers mpowers@pcgus.com or Tim Reed treed@pcgus.com

Thank you for your time and commitment to helping DHHS address Maine's opioid problem.

Sincerely,

Megan Hawkes, MPH

Research Supervisor, Hornby Zeller Associates, a Public Consulting Group company

773-9529  mhawkes@pcgus.com 

 


Image result for medical mutual insurance company    Practice Tip!

Environmental Safety in the Physician Office Practice

Proactive safety management helps to ensure a safe environment in the physician office practice. Use the following recommendations as a guide in the development of an environmental safety program.

Provider Recommendations Tip Sheet HERE.

**Medical Mutual Insurance Company of Maine's "Practice Tips" are offered as reference information only and are not intended to establish practice standards or serve as legal advice. MMIC recommends you obtain a legal opinion from a qualified attorney for any specific application to your practice.


Upcoming Events​

 

 

 

2018 MOA Programs Available Online On-Demand NOW!
 

New Programs Added Daily! Including MOA Content from the Annual Convention.

To View & purchase these and other osteopathic CME programs, visit DOcme!
Do CME Banner

 


Caring for ME Upcoming Events:

  • August 21, 2018, 12-1 pm, Broadening Behavioral Health Integration around Substance Use Disorder, Jesse Higgins NP, Zoom Registration
  • September 18, 2018, 12-1 pm, Parallels between Opioid Overdose and Suicide: Engaging the Conversation, Greg Marley NAMI, Zoom Registration

 


 OSTEOPATHIC CRANIAL ACADEMY CME OFFERINGS
 

September 2018 The Next Step Course

Course Director: Eric J. Dolgin DO FCA

Associate Director: Daniel A. Shadoan DO

Indianapolis, Indiana

 

February 16-20, 2019 Midwinter Introductory Course in

Osteopathy in the Cranial Field

Course Director: Zina Pelkey DO FCA

Associate Director: Daniel A. Shadoan DO

Crowne Plaza Astor

New Orleans, Louisiana

 

February 22-24, 2019 Pediatric Course

Course Director: Margaret A. Sorrel DO FCA

Associate Director: Mary Anne Morelli-Haskell DO FACOP

Crowne Plaza Astor

New Orleans, Louisiana

 

April 12-142019 The Cortex – Exploring the CNS

Course Director: Maurice Bensoussan MD DO FCA

Eastern Sector

 

June15-19, 2019 June Introductory Course in

Osteopathy in the Cranial Field

Course Director: Richard F. Smith DO

Marriott La Jolla Hotel

La Jolla, California

 

June 20-23, 2019 Annual Conference

“The Second Brain: An Exploration of The Gut-Brain Axis”

Conference Director: Michael Kurisu, DO

Assistant Director: Ali Carine, DO

Marriott La Jolla Hotel

La Jolla, California

 

September 2019 Dental Course

Course Director: TBD

 

The Osteopathic Cranial Academy

3535 E. 96th Street, Suite 101    Indianapolis, IN 46240

(317) 581-0411    FAX: (317) 580-9299

E-mail: info@cranialacademy.org   

Web site: www.cranialacademy.org


AUGUST 2018

MICIS 3-hour Opioid CME Presentations - registration open for August 21 in Brewer 

Improving Opioid Prescribing and Patient Safety

This 3-hour presentation is an updated version of the broad clinical and legal review of opioid prescribing in Maine first presented by MICIS in 2017.

The Maine Board of Licensure in Medicine has established a new CME rule which is currently effective. All its licensees, whether MDs or Physician Assistants, must take 3 hours of CME on opioid prescribing every two years whether they prescribe opioids or not. No BOLIM licensee is exempt from this requirement.  

MICIS, a program of the Maine Medical Association, is scheduling five 3-hour presentations on opioid prescribing in different regions of the state which are designed to fulfill this requirement.  

Registration open - BREWER: Tuesday, August 21 at Jeff's Catering  Register Here   

For registration information on upcoming dates, check the MMA Weekly Update or www.micismaine.org.

AUBURN: Wednesday, September 12 at the Hilton Garden Inn Auburn Riverwatch

AUGUSTA: Tuesday, October 16 at the Augusta Civic Center

Two additional sessions will be held this fall in York and Cumberland Counties.

Importance of Age One Dental Visits, How Medical Providers and Dental Providers Can Work Together!
 
Rachel King, DDS, MPH and Jeff Stone, DO
August 14, 2018 - Noon to 1 p.m.
 
This webinar will specifically feature information on Age One Dental Visits and the integration/promotion within FM, pediatrics and the dental community. 
 
 OBJECTIVES
1. Explain the From The First Tooth Age One Campaign
2. Review data and information on importance of the age one dental visit
3. Provide examples on how to integrate age one messaging into pediatric and family medicine practices

ACOFP Intensive Update & Board Review in
Osteopathic Family Medicine

August 24 - 26  |  Rosemont, IL

Join us at the ACOFP Intensive Update & Board Review in Osteopathic Family Medicine, taking place August 24-26 at the Loews Chicago O’Hare Hotel. 32 Category 1-A CME credits are anticipated, including 9.5 extra credits beginning on August 23.

This course is designed for practicing osteopathic family physicians who want to update their skills and knowledge, as well as those preparing to take the recertification examination given by the American Osteopathic Board of Family Physicians (AOBFP).

The following OMT Breakout Sessions are open to all attendees and included in the registration fee:
 

OMT for Extremity Complaints
In a combined didactic and hands-on approach, this session will deliver osteopathic diagnosis and treatment options for commonly seen issues in the upper and lower extremities. It will help prepare for the board examination, as well as enhance osteopathic clinical skills and manipulative techniques.

OMT for the Thoracic & Cervical Spine
This session will provide an overview of clinical anatomy and osteopathic evaluation of the thoracic and cervical spine. Following a brief didactic review, the session will consist of a hands-on demonstration of basic OMT techniques geared toward the performance exam.

Viscerosomatic OPP: Common Cases
Similar to what may be seen in an office or on an OMT performance examination, this session will present clinical situations (migraines, asthma, sinusitis, etc.) while providing didactic and hands-on demonstrations of the appropriate therapeutic OMT options for treating them.

OMT for the Lumbar Spine & Sacrum
This session will offer a brief didactic review of the evaluation and application of OMT in the lumbar spine, pelvis and sacral regions, followed by clinical scenarios anticipated in the performance portion of the board examination.


View the preliminary schedule, make your hotel reservation and register onlinetoday.


SEPTEMBER 2018

17th Annual Downeast Ophthalmology Symposium - September 21-23, 2018 

Registration is now open for the 17th Annual Downeast Ophthalmology Symposium taking place September 21-23, 2018 at the Harborside Hotel & Marina in Bar Harbor, Maine presented by the Maine Society of Eye Physicians and Surgeons. The Symposium will offer 15 AMA PRA Category 1 CME Credits, 

The Symposium is open to ophthalmologists across the country, so please feel free to share.

Click here for more information.  You can also register online easily and securely.


 

Rediscovering Meaning in Our Work--a conference for physicians
September 28 - 29, 2018
JUMP Contemporary Conference Center, Boise, Idaho

National studies highlight a significant and increasing decline in physician health, well-being and enthusiasm for professional work - largely in response to increased healthcare system restraints and demands. Most physicians deal with professional frustrations and challenges on their own, but research has shown distinct benefits when physicians:
Connect with peers
​Explore ways to cultivate well being
Advocate for healthcare system change
Engage in meaningful work   

At this year's conference, we have included opportunities for physicians and senior healthcare system executives to meet and explore ways to work together to transform our healthcare system so physicians can provide high quality, compassionate medical care with vitality and enthusiasm.

An unique opportunity to work closely with clinicians and researchers who are recognized internationally for their work:

Dr. Colin West - Professor of Medicine, Medical Education, and Biostatistics, Mayo Clinic

Dr. Mick Krasner - Professor of Clinical Medicine, Co-Director, Mindful Practice Programs, University of Rochester School of Medicine and Dentistry

Dr. Emiliana Simon-Thomas - Science Director of Greater Good Science Center, University of California, Berkeley

  • Small group discussions, workshops and interactive presentations 

  • Ample opportunities for relaxed conversation

  • Time to explore movement, music and art

  • Forums for discussion with healthcare system executives

Registration:     Please print and mail a registration form or register online

Hotel Specials:   

Grove Hotel:  Please click here for conference special 

Inn at 500:  Please click here for conference special

CME / Cost:      up to 15 Category 1A CME credits awarded to D.O. & M.D. physicians

                              physicians:     $600 before 7/15      ($700 after 7/15)  residents:        $400 before 7/15      ($500 after 7/15)

                              students:         $200 before 7/15      ($300 after 7/15)

                              group registration: reduced rates for groups of 5 or more - please contact Deb Roman

*If you have financial limitations, but would like to join us, please contact Deb at drdebroman@finding-health.com for custom registration options*

Flyer: please click here

Questions:        Please contact Deb Roman, Director of Physician Wellness and Chair of CME for the Idaho Osteopathic Physicians Association, Founder of Rediscovering Meaning In Our Work, and Conference Director


OCTOBER 2018
 
ME Public Hlth Assoc
MPHA 34th Annual Conference: Addiction & the State of Public Health in Maine @ Augusta Civic Center
Oct 16 @ 8:00 am – 5:00 pm

Please join us for the Maine Public Health Association’s 2018 Annual Conference, “Addiction and the State of Public Health in Maine.” MPHA’s annual conference is the largest statewide meeting dedicated to public health in Maine. We attract 300+ public health professionals from across the state, and feature the latest science, policy, and programming related to public health in Maine.


 

W3Schools

The Anatomy, Diagnosis, and Treatment of Chronic Myofascial Pain with Prolotherapy
Upcoming Events:
Research Symposium: October 17, 2018
Clinical Conference: October 18 - 20, 2018

Honduras Prolotherapy Service-Learning Trip
March 1 - 15, 2019

Cost. Please contact us (http://hhpfoundation.org/) to learn more about special rates available for residents and fellows.

Prolotherapy Booklet

Event Information Packet


PSR Maine
*The MOA is a Sponsor of this event.

SAVE THE DATE – Join us for an extraordinary opportunity to hear from someone who has shaped public health policy and saved the lives of children around the world.

Dr. Philip Landrigan is coming to Maine for a special event about pesticides and his new book – Children and Environmental Toxins: What Everyone Needs to Know. 

 

Friday, October 19, 2018

5:30PM reception, 6:30PM talk (followed by Q&A)

Innovation Hall, UNE Portland campus

Pre-registration HERE

 

Dr. Landrigan is an international leader in public health and preventive medicine. He is a pediatrician and epidemiologist and his pioneering research on the effects of lead poisoning in children led the US government to mandate removal of lead from gasoline. His leadership of a National Academy of Sciences Committee on pesticides in children’s diets resulted in the passage of the Food Quality Protection Act in 1996, a major US federal pesticide law and the first environmental statute to contain specific protections for infants and children.

COM CME 2018


 

NOVEMBER 2018

Northern New England Society of Addiction Medicine 2018 Annual Conference & Meeting - Nov 2-3 

SAVE THE DATE: Northern New England Society of Addiction Medicine

2018 Annual Conference & Meeting

November 2 & 3, 2018 (Friday evening, all day Saturday)

Conference registration forms will be available later

Trapp Family Lodge, Stowe, Vermont, www.trappfamily.com – please contact the Lodge for reservations

Conference rate:  $187, rate available for 11/4 and 11/5
 

Please request conference rate for NNESAM



​RowanSOM 3 Day CME Conference
November 15-17, 2018
Kalahari Resorts and Convention Center
Pocono Manor, PA
15 Category 1-A CME Credits
14 AMA PRA Category 1 Credits

Topics includes:  Prevention & OMM / Business / Psych
To register or for more information, please visit:  www.rowan.edu/som/cme


Questions, please contact: Tara Shontz, CME Coordinator at 856-566-6358 / 856-272-2617 or by email at cme@rowan.edu.



Need a Change of Scenery? Find Osteopathic CME Live Programs All Over the US!

Download NOW! Android Users: Google Play Store      Apple Users: Apple Store


Professional Opportunities

 
Daniel Hanley Center for Health Leadership logo
Hanley Center Offers Next Level Leadership Seminar Series and Advanced Practice Provider Leadership Institute 
 
Have you Enrolled Yet? DEADLINE APPROACHING!
 
Innovation & Strategy in Health Care: Leading Change
NEXT LEVEL LEADERSHIP SEMINAR SERIES
Carefully Created Exclusively for Hanley Alumni
 
If you’re ready for more depth in your Leadership Development, we hope you’ll be as excited as we are that we are partnering with Jon Chilingerian, PhD, Academic Director of Hanley’s PELI Advanced Course, and a few of his hand-picked faculty from Brandeis University’s Heller School to Launch our First Ever Leadership Seminar Series
 
Enrollment is limited to the first 45 ALUMNI.
Enroll here:  https://hanleycenter.wufoo.com/forms/z1qv3tf40njjnvu/
 
Seminar Dates:  Friday, September 21, 2018
 
                                Friday, October 19, 2018
 
                                Friday, November 9, 2018
 
LOCATION:  The Daniel, Brunswick, Maine, 8:00-5:00 with lunch and networking time provided 12:00-1:00 each day.
 
We anticipate awarding up to 24 Category One CME credits.
 
Enrollment DEADLINE is Wednesday, August 1, 2018.
 
Participants will analyze the principles of leadership that they can apply both within and outside of established organizations, as well as develop an appreciation of the complex issues related to founding, launching, and financing new service ideas, process improvements, and entrepreneurial ventures.
 
Session Content Includes:
The Courage to Listen:  Leading Innovative and Transformative Culture Change in Complex Health Care Organizations
Developing a Strategic Service Visions & Design Thinking
Stakeholder Alignment and Innovation Systems
Entrepreneurial Leadership and Innovation
 
For more detailed curriculum information, go to:  https://www.hanleyleadership.org/news/69/122/Seminar-Series/
 
Each learning sessions will enable participants to analyze principles of strategic thinking to innovative ideas in healthcare management; analyze how to move innovative ideas from concept to implementation; and develop skills for leading change.        
 
COST:  $1600 for the SERIES with payment due upon receipt of invoice in early August 2018. 
 
To enable a true cohort experience, enrollment must be for the full seminar series.  Thus, enrollment in individual sessions is not an option.
 
 Advance Practice Professional-- Enrollment Open
Provider Executive Leadership Institute (PELI)
Course Begins Fall 2018 in Lewiston, ME
Enrollment Limited to 20 APPs
 
We are delighted to announce that enrollment is now underway for the Daniel Hanley Center for Health Leadership's inaugural Provider Executive Leadership Institute (PELI) specifically for Advanced Practice Professionals.
 
The role of Advanced Practice Professionals in the delivery of healthcare services has never been more important. APPs are a vital and precious resource in every corner of our state and their integral inclusion in care teams requires them to pull upon leadership and management skills often not covered in their training.
 
The Hanley Center has heard loud and clear the desire and need for a leadership development course specifically for APPs across Maine.  We have tailored our well-respected physician PELI Foundational Course to suit the leadership development challenges that Advanced Practice Professionals face. Participants will gain knowledge, skills, and tools in the following core competency areas, empowering them to lead and transform our healthcare delivery system.
 
·         Systems awareness
 
·         Strategic focus
 
·         Management/business skills
 
·         Self-awareness
 
·         Interpersonal skills
 
·         Healthcare trends
 
·         Teamwork and collaboration
 
The Course consists of six two-evening sessions and four 90-minute intersessions taking place over one year. The two-evening sessions take place on consecutive evenings once every other month, with the intersessions scheduled on the off-months.
 
Any questions, contact:
 
Judiann Smith, Executive Director
judiannsmith@hanleyleadership.org
207-615-6253
 
Kathy Vezina, Associate Executive Director
kathrynvezina@hanleyleadership.org
207-553-9854

Classified Ads

Behavioral Health Consultant 

Sacopee Valley Health Center is seeking a full time LCSW/LCPC to join our Medical Team as a Behavioral Health Consultant. This position involves working with patients in a busy integrated primary care setting to more effectively manage the behavioral aspects of their physical/mental illnesses and/or chronic medical conditions. The individual holding this position needs to possess a high degree of flexibility and consultative/collaborative skills, while providing short, solution-focused assessments & intervention to a general patient population. 

Applicant must possess a valid State of Maine licensed or be license eligible. Experience in a health care setting is preferred.

Send resume to lwatson@svhc.org or mail to:

Director of operations, Sacopee Valley Health Center, 70 Main Street, Porter, ME 04068

Sacopee Valley Health Center is an equal opportunity provider and employer organization.

7/23/18


Clinical Cardiology Opportunity 

Maine Medical Partners MaineHealth Cardiology is seeking an invasive clinical cardiologist (non-interventional) for their practice located in their Augusta and Waterville, Maine locations.  Selected candidates will join a growing team of over 50 cardiologists who provide inpatient, outpatient and consultative services. 

Maine Medical Partners MaineHealth Cardiology is a growing practice, with office locations in Augusta, Waterville, Lewiston, Rockport, and Scarborough, and is affiliated with the nationally recognized cardiac services at Maine Medical Center and its parent organization MaineHealth. 

This integrated practice includes Maine General Health, Maine’s third largest health care system.  The Alfond Center for Health, MaineGeneral Medical Center’s state-of-the art, 192-bed regional hospital, has a cardiac catheterization lab and full on site imaging, including echocardiography and nuclear testing.  The Augusta/Waterville practice consists of 9 cardiologists and 2 advanced practice providers.

For more information please contact Alison C. Nathanson, Director, MaineHealth Physician Recruitment Center at (207) 661-7383 or nathaa@mainehealth.org.

7/30/18


Medical Director/Family Practice Physician - Relocate to Beautiful Southwestern Maine

Sacopee Valley Health Center has a position available for a Medical Director/Family Practice Physician for our multi-service, progressive, rural federally qualified community health center located in a medically underserved area. This position allows for the medical director to apply leadership skills while partnering with health center staff and colleagues to provide optimal health care for our patients on a daily basis. Services on site include integrated primary care, dental services, family planning, mental health counseling, psychiatry, nutritionist, optometry, podiatry, social services support, sliding fee coverage, care management, radiology and lab services. NextGen EMR. Practice is outpatient only with no OB. On-call rotation is 4-5 times per month. NCQA Level III PCMH. Competitive salary and benefits package; physicians are eligible to apply for NHSC loan repayment. We are located in Porter, ME, between Portland and the White Mountains. Area is known for terrific four season recreational activities. Just two and one-half hours from Boston. Submit CV to: Linda Watson, Director of Operations or, (lwatson@svhc.org), Sacopee Valley Health Center, 70 Main Street, Porter, ME 04068. EOE. www.svhc.org Sacopee Valley Health Center is an equal opportunity provider and employer.

10/8/18


Internal Medicine Outpatient Physician Opportunity 
 

Western Maine Primary Care is seeking a BC/BE Internist for their well-established outpatient practice located in the Norway, Maine.  Experience the warmth of a small town combined with a medical community working closely with colleagues throughout the MaineHealth system to ensure the healthcare needs of patients are delivered with the highest level of quality.

Come be a part of our dynamic team of providers, which includes seven internal medicine physicians and five nurse practitioners, working with exceptional support staff.

Stephens Memorial Hospital is a 25-bed critical access hospital. The position involves teaching and mentoring residents and medical students from the Maine Medical Center-Tufts University School of Medicine Medical School Program.

Norway is a scenic affordable community in the heart of a four-season recreational area. Surrounded by more than ten lakes and ponds, Norway is a haven for boating, swimming, and fishing. The nearby mountains provide hiking with vista views of Mount Washington and the Presidential Range.

Competitive salary and benefits, including student loan repayment. FMI contact Abbie Graiver, Director of Physician Recruitment (207) 744-6049 or graiverab@wmhcc.org.

6/4/18


Outpatient Internal Medicine Physician – Bangor, Maine 

Eastern Maine Medical Center seeks a primary care physician, board-certified/board-eligible in internal medicine, to join our well-established, quality-driven, outpatient practice. Husson Internal Medicine is one of seven primary care practices operated by Eastern Maine Medical Center. Our practice was the second in the nation to achieve “Patient-Centered Medical Home” status with NCQA. All physicians are NCQA-certified in diabetes and cardiac care. Our primary care network, largest in our area, has adopted a new practice model to include teams of one physician, one nurse practitioner, two registered nurses, and two medical assistants.

Eastern Maine Medical Center is a 411-bed, regional, tertiary care and level II trauma center serving the more than 500,000 residents living in central, eastern, and northern Maine We offer a collegial atmosphere, cutting-edge EMR, generous vacation and CME benefit, flexible work schedule, and reasonable call schedule. No hospital call required. We also offer a relocation bonus and sign-on bonus in addition to our generous educational loan repayment program.

Candidates in need of J-1 visa waivers welcome to apply.

For confidential consideration, please contact:

Amanda Klausing, AASPR, Physician Recruiter

Eastern Maine Medical Center

Phone: 207-973-5358

ProviderJobs@emhs.org

 7/2/18


Maine's Largest FQHC in need of Physician for Geriatric Program 

PCHC in Bangor, Maine is seeking Board-Eligible Internal Medicine or Family Med Physician to join our team of doctors and advanced practice providers in our Community Care and Geriatrics department!

  • Provide care to seniors in post-acute care settings and in area long-term care facilities and serve as Medical Director in those facilities.
  • No call, no holidays, no nights or weekends.
  • Opportunity to mentor PA, NP, and DO students through partnerships with multiple university programs.

Penobscot Community Health Care is a nationally recognized FQHC that focuses on patient-centered care, innovation and collaboration. For you, for your family, for our community. For more information, please contact Vanessa Sanderson, Recruitment Coordinator at (207)404-8015 or vsanderson@pchc.com.

04/18


 Medical Office Space Available April 2018, Falmouth, ME

Two Doctors of Osteopathy are looking for a third practitioner to share their office suite. We have up to 3-4 offices available including two exam rooms, a lab, and an office. The building is a small, two suite, single story, Class A, Energy Star rated facility in West Falmouth just off exit 53 of the Maine Turnpike (I95). Amenities include a shared kitchen/lunchroom, staff bathroom, bright waiting room with skylights, beautiful landscaping, outdoor lunch area, and 25 dedicated parking spaces. Ideally we'd like to find a family practice doc who is an osteopath or a nutritionist/life coach type of practitioner. There may be an opportunity to purchase equipment and furnishings from the outgoing doctor. The lease is triple net and includes operating expenses which we expect to decrease in years to come as we make energy efficiency improvements over time. Rent for all four offices would be $2025/month. Three offices would be $1561/month. Availability starts April 2018, possibly earlier.

Contact info:  Karen L. Roberts, D.O., office:  541-9285; cell: 462-0997.


Opportunities at the VA for Volunteer Physicians

The Physician Ambassador Program was created by the Department of Veterans Affairs as a best practice recruitment and placement initiative seeking fully licensed physicians and clinicians to enhance health care services for Veterans.

The Physician Ambassador Program is a without compensation program that provides civilian physicians and clinicians an opportunity to give back to the Veteran community by serving in a volunteer role to deliver health care services to Veterans. 

If you are interested in participating in this program at VA Maine Healthcare System, please contact Jonathan Barczyk at (207) 621-4886.


Classified Ads are free for MOA members.
Email ad information to office@mainedo.org

© Copyright 2018
Maine Osteopathic Association, PO Box 315, Manchester, ME 04351
www.mainedo.org | P. 207.623.1101 |  F. 207.623.4228