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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 the August 10th MOA E-news Brief!

Some Highlights:  Sign Up for Dental Insurance on the MOA Plan & Save $$!! Spotlight on AOA Training in Policy Studies (TIPS) Program, Maine Politics: "Veto Day" Victories, What should healthcare reform look like? DOs and students weight in, UNE COM's Dean Carreiro Supports Bipartisan Bill to Address Doctor Shortages, Reduce Fructose Intake, Get Metabolic Benefits Within 9 Days: New JAOA Study, A long- awaited 10-bed detoxification center is expected to open in Hampden later this year, OMT Video of the Week, Practice Management Updates, Featured CME Event: New Orleans August 17-20, 2017--Get the member rate if you are a member of the MOA!, event & classified listings & much more!


 ​MOA News

Image result for dental insurance delta dental cartoon
Did you know? The MOA Offers Dental Insurance to Members.

The Maine Osteopathic Associations' Group Dental Benefit Plan with Northeast Delta Dental was recently renewed, with a significant cost savings to members.

Sign Up Now! Current Rates: 

Employee Only: $54.38/per month

Employee Plus One: $99.69/ per month

Family: $175.35/per month

For Additional Information about the plan and application please contact the MOA Office at 207-623-1101, office@mainedo.org


Related imageMOA Members: Have you paid your Membership Dues?

Dues Payments were due June 1, 2017.

Our membership cycle runs from June 1st, 2017 to May 31st, 2018.
Make sure you renew your membership to continue access.
Login to your account to pay your dues!
 Or call the MOA for assistance 207-623-1101.

Not Currently a member?

Click here to download our member application.
 


Advocacy/ Legislative Update

Maine 128th Legislatures: "Veto Day" Victories for Public Health
Content Courtesy of the Maine Medical Association

The House and Senate reconvened last Wednesday for the end-of-session "veto day," when they voted on all of the 27 vetoes by Governor LePage and considered a smattering of other matters. When the dust had cleared, they (mostly House Republicans) had sustained 14 vetoes and overrode the other 13.

Among the overrides were several bills of significance to public health:

  • LD 1108 requires the Maine DHHS to fill all currently vacant public health nurse positions. Sen. Everett "Brownie" Carson (D-Cumberland) worked tirelessly to gather and solidify support for this bill designed to counter the DHHS attempts to reduce significantly the participation of trained, registered nurses in the public health system. He was supported by many voices from the public health community.
  • LD 1170 raises the age for tobacco purchase to 21. The veto was overridden in the House by a single vote in the face of arguments about personal liberty: if you are old enough to serve in the military, the argument goes, you should be able to "make your own decisions" about whether to buy and use tobacco products. The success of this veto override is a testament to the idea that advocates should never give up and should continue to try to persuade legislators until the very last minute. Maine is now one of four states in the nation with an age 21 requirement for tobacco.
  • LD 1263 helps to fund private well water treatment systems for people within low income guidelines.
  • LD 1485 establishes requirements for telehealth and telemonitoring services under MaineCare (Medicaid). (The veto of LD 949, another telehealth bill, was sustained.)
  • LD 952 allows RNs, LPNs, and nurse practitioners to dispense methadone in opioid treatment programs and allows the DHHS to raise its rates for such treatment.
  • LD 182 prohibits the sale of furniture treated with certain flame retardant chemicals suspected of having carcinogenic properties.
  • LD 517 removes caps on reimbursement for capital expenses sustained by nursing and residential care facilities.

The effective date for any bills that were not passed as emergency legislation is November 1st. Emergency bills become effective immediately when they become law.


DOs and students share their diverse opinions on how they’d like to see the nation move forward with health care reform.
The DO. By ASHLEY ALTUS Email, WEDNESDAY, AUG. 9, 2017

Intimately involved with the health care system, osteopathic physicians and medical students have diverse and passionate opinions when it comes to heath care reform. Many feel that lawmakers need to take physicians’ voices into account when creating a plan.

In this video, The DO talked with DOs and students to get a range of perspectives on how they’d like to see health care reform move forward. Here are some of the comments shared:

  • "Jokingly, I say make me health care czar, I can fix this. I think we definitely need a repeal and replace, but they need to happen simultaneously, not the hodgepodge of mess going on now." ―Sara Apsley-Ambriz, DO, of San Antonio, Texas
  • "I think it’s really important that our legislators follow evidence-based practices." ―Daniel Krajcik, OMS IV, Ohio University College of Osteopathic Medicine
  • "I personally am always going to be a patient advocate and so because of that reason, I am a supporter of a single payer health care system. I think it’s best for the patient. I don’t like the idea of a patient ever being turned away for care." ―Jordan Hitchens, DO, of Richmond Heights, Ohio

Aligning with several other physician and medical associations, the AOA has come out in favor of health care reform efforts that prioritize patient access and affordability of care.

“The AOA unequivocally believes that the primary focus of any health care reform policy should be to provide and increase access to comprehensive, affordable coverage and care. So far, the bills considered greatly jeopardized our patients’ ability to access the care they need and deserve so that they may live longer, healthier lives,” AOA President Mark A. Baker, DO said in a recent statement.

What would you want to see happen regarding health care reform? Share with us.


Image result for university of new england college of osteopathic medicine
Dean of UNE’s College of Osteopathic Medicine supports bipartisan bill to address doctor shortages
UNE COM News, August 10, 2017

Senators Susan Collins (R-ME) and Jon Tester (D-MT) introduced the bill in response to the severe shortage of physicians that has reached crisis levels in a growing number of communities across the United States. “This legislation would extend an important program to address the shortage of primary care doctors, which is especially critical in rural and underserved communities that are often those hardest hit by the opioid epidemic,” said Senator Collins. “I urge all of my colleagues to support this important legislation to help train the next generation of physicians and ensure all Americans have access to quality health services.”

"The reauthorization and expansion of the Teaching Health Center Graduate Medical Education (THCGME) Program is a critical step in providing healthcare to our citizens in rural areas, and I commend Senators Collins and Tester for their bipartisan leadership,” said Carreiro. “It is well known that physicians, dentists, and other healthcare providers tend to practice where they are trained. Providing training opportunities in underserved communities through the THCGME Program is an effective way to assure that people living in rural Maine and the millions of others living in underserved communities across America have access to the healthcare they need."

By 2025, the United States is estimated to need more than 100,000 new physicians to meet the growing demand for health care services across the country. The Training the Next Generation of Primary Care Doctors Act would reauthorize the Teaching Health Centers Graduate Medical Education Program for three years. It would also allow the expansion of new programs within existing teaching health centers as well as the creation of new centers to meet the growing need for community health services.

The University of New England UNE is currently training student doctors, pharmacists, dentists, physician assistants and public health workers in underserved areas of Maine. These students are doing clinical rotations in medical facilities around the state such as Penobscot Community Health Care in Bangor, The Aroostook Medical Center in Presque Isle, and Maine General in Augusta. This proposed legislation would increase opportunities for UNE students to continue that training after graduation through residency programs, increasing the likelihood that they will continue to practice in Maine.


News to Use    

For Eric Ascher, DO, the program was a jumping-off point to explore an interest in the under-regulation of personal care products.
The DO. By ROSE RAYMOND Email, WEDNESDAY, AUG. 9, 2017

Image result for TIPS program AOAEric Ascher, DO, is a burgeoning advocate for safer personal care products. He recently wrote a policy paper on the under-regulation of toiletries and beauty products by the FDA, which he’s planning to submit to The Journal of the American Osteopathic Association for publication.

“Most of us use these products every single day, and many of them contain carcinogens and chemicals that are banned in other countries,” he says.

Dr. Ascher wrote the policy paper as a 2016-2017 fellow in the AOA’s Training In Policy Studies (TIPS) Program. The program provides residents with a crash course in health care advocacy and helps them develop the skills they need to be effective advocates for osteopathic medicine and patients.

The TIPS program is currently accepting applications until Aug. 25, 2017, for the 2017-2018 program year.

TIPS fellows attend four leadership seminars, learn to write policy briefs and white papers, complete a policy project on a topic of their choosing, and receive media/speaker training. Learn more about the program and apply here.

Why were you interested in the TIPS program?
I’ve always been very interested in leadership and health policy. This was a good way to learn more. In the current political climate, I thought it would be good to study a little more in-depth what might be in store for those of us who work in health care and the patients that we’re treating.

How was your experience in the TIPS program overall?
I was so happy to be a part of this program. We received a lot of one-on-one mentoring on advocacy and leadership, which is very different than the mentoring you might get as a resident at the hospital.

What did you gain from participating in the program?
I really developed my public speaking skills, which I think would benefit anyone. The people who run the program made sure we all knew how to address a large group and get our point across. I also learned how to better interpret health care policy and lobby for a good cause.

What was your favorite part about participating in TIPS?
I’m from the New York City area, so I work in a very urban environment. I really enjoyed talking with residents in other parts of the country and learning about how the practice of medicine is different in different places. For instance, violent crime is a significant public health problem in New York. But my colleague in Iowa talked about how tractor and farm implement injury is a big problem there. It was nice to see the diversity of our profession and the issues they face.

Want to know more? Two 2015-2016 TIPS program alums also discussed their experience in the program here.


DOs In the News!

To Fight Obesity, End Physician Fat-Shaming Bias - FierceHealthcare
A new study in The Journal of the American Osteopathic Association found educating medical students about obesity issues reduced medical students' negative attitudes toward people with obesity as covered by FierceHealthcare. 

DO's Teaching Health Center Heralded For Placing Physicians In Underserved Michigan Communities.
John Sealey, DO, program director of medical education, was featured in a Crain's Detroit Business story about how Detroit-based Authority Health has trained physicians who work locally during an ongoing doctor shortage in the area. 


Opportunity to Participate in UNE COM Research: Health Care Providers' Views of Patient Health Behaviors Survey

Dear Physicians,

As student representatives of the College of Osteopathic Medicine at the University of New England we would like to extend an invitation for you to contribute your valuable insight to the training of future health care providers. My name is Madhuri Garg, and I am a member of our research team of medical students and research assistants at the University of New England. We are conducting a qualitative research study during the months of July and August of 2017.

As you may know, an estimated 25,000 to 30,000 Maine residents want treatment for Substance Use Disorders, but do not have access to it. We need your expertise in identifying some of the barriers to care that people with substance use disorder are currently experiencing. Through use of this study, we will gather information about health care practitioners’ perspectives regarding patients on the substance use disorder spectrum to identify challenges, barriers, and opportunities to improve the care model for both healthcare professionals and patients.

Participation in this study is voluntary per the IRB and involves a 10-minute online survey. After completing the online survey, we will reach out to you to schedule an in-person interview that will take approximately 30 minutes. The in-person interview will be recorded through our MP3 device, de-identified, and then transcribed for further analysis.

Thank you in advance for your time. We look forward to working with you to accomplish this important research. Please feel free to contact me at mgarg@une.edu with any questions that may arise.

Please click on the link to complete the survey: https://goo.gl/forms/05An3W5sxfqxeeCP2


In Case You Missed It...

​OMED 2017 Registration Now Open

Join thousands of of DOs and osteopathic medical students for four days of education and inspiration in Philadelphia, October 7-10, 2017.

Click here for more information and registration details.

Register Now For The AAOA Fit For Life Fun Run

In 2017, the Advocates for the AOA will consolidate their fundraising efforts around OMED into the Fit for Life 5K Fun Run. The race will be held in Philadelphia on Sunday, October 8. All profits from this fundraising event goes back to support the osteopathic community in the form of SOMA Scholarships, presented at OMED and through grants for special projects across the country.

Send this link to your members and encourage them to register today! 


Public Health Updates

Reducing fructose intake quickly delivers positive metabolic effects, JAOA study finds
The DO. By AOA STAFF Email, TUESDAY, AUG. 8, 2017

Related imageResearchers have found that the negative metabolic effects of  fructose, a simple sugar, can be reversed when people limit their intake for as little as nine days. The review study “Conversion of Sugar to Fat: Is Hepatic de Novo Lipogenesis Leading to Metabolic Syndrome and Associated Chronic Diseases?”  is published in the August edition of The Journal of the American Osteopathic Association.

Fructose restriction in children with obesity resulted in improved glucose and lipid metabolism, as well as lower liver fat, nine days after the dietary change.

The JAOA review identified fructose as the most damaging type of sugar. Compared to glucose, which metabolizes 20 percent in the liver and 80 percent throughout the rest of the body, fructose is 90 percent metabolized in the liver and converts to fat up to 18.9 times faster than glucose.

Overfed and undernourished

High fructose corn syrup (HFCS) is found in 75 percent of packaged foods and drinks, mainly because it is cheaper and 20 percent sweeter than raw sugar.  The researchers noted that HFCS is particularly harmful because it contributes no nutrients but depletes energy in order to metabolize it.

Fructose is almost immediately converted to fat and stored in the body, adding weight. At the same time, the brain thinks the body is starving and becomes lethargic and less inclined to exercise.

Fighting back

The study notes that once people have put on a significant amount of weight and developed eating habits that rely on packaged foods with HFCS, change can be daunting. Historically, physicians have told patients to restructure their diet and start exercising heavily, with a plan to check back after a month or more. That approach typically resulted in poor patient adherence.

Researchers suggest that focusing the conversation on health instead of weight, with more frequent contact, may be more effective. Improved metabolic measures from fructose restriction can provide an early marker of improved health, even if no weight is lost.

“That single change in diet improves metabolic results in less than two weeks. Imagine the power of doing a ‘before and after’ comparison with a patient, so they can see for themselves that their health is improving. Getting those results, instead of just stepping on a scale, can motivate them to keep going,”  said Tyree Winters, DO, a pediatrician focused on childhood obesity.


Wellspring Substance Abuse and Mental Health Services is gearing up to open a 10-bed detoxification center in part of a building located at 646 Main Road North in Hampden.

By Dawn Gagnon, BDN Staff, Posted Aug. 10, 2017, at 6:29 a.m. Last modified Aug. 10, 2017, at 12:19 p.m.
 
After several months of scouring Greater Bangor for a suitable location for the center, Wellspring Substance Abuse and Mental Health Services, a residential and outpatient services program in Bangor, has found one at 646 Main Road North in Hampden, according to Suzanne Farley, the organization’s executive director. The detox center in Hampden would be among only two of its kind in Maine. The other one is the Milestone Foundation, a 41-bed facility in Portland.
 
“It’s a really highly needed program,” Farley said. In 2016, Maine saw an average of more than one drug overdose death per day, setting a third consecutive all-time record. Maine’s total of 376 overdose deaths last year outpaced 2015’s previous all-time high of 272 by 39 percent, according to data released by Attorney General Janet Mills in April. Wellspring received $1,167,000 from the state in October of last year to open a residential social setting detoxification center, where people addicted to opiates, alcohol and anti-anxiety drugs can begin their journey toward recovery.
 
The center first needs to be licensed by the state as a substance abuse and mental health facility, undergo an inspection by the state fire marshal’s office and obtain a certificate of occupancy from the town. If all goes according to plan, Farley expects that the center will be open by October or November. The unit would be located in one of the two attached buildings on the property, which also houses 15 apartment units and is located in a business district, according to a report prepared for the Hampden Planning Board. The planning board approved a conditional-use permit and site plan for the building owner, Sky Villa LLC, at its public hearing on Wednesday night.
 
Finding a suitable spot for the center proved challenging, in part because of some landlords’ misunderstanding of or distaste for detox facilities and because many of the buildings it looked at did not meet fire code requirements. One building Wellspring examined lacked sprinkler systems. Another was just slightly too small. A third had windows too small to comply with fire codes. Many others were too big, too small and were not located in the right planning zones.
 
At the detox center, people will receive medication to help cope with withdrawal, meet in groups with others recovering from addiction, get referrals to area programs to continue in their recovery, as well as medical and psychiatric services. People struggling to recover from an addiction can spend three to five days or sometimes longer, if needed. People staying there will be referred by emergency rooms, freeing up valuable hospital space, time and resources.
 
“People won’t be coming in off the streets,” Farley said. “The only way that they can come into the detox center will be through the emergency rooms, either Eastern Maine [Medical Center] or St. Joseph Hospital.” With 10 beds, the facility could serve about 100 people per month, according to Patty Hamilton, Bangor’s public health director and chairwoman of Bangor’s Community Health Leadership Board. The board advocated for the detox center as part of the addiction treatment system that Wellspring, area hospitals and other health care organizations are working to build, Hamilton said.
 
The need for a detox facility in Greater Bangor was identified several years ago, she said. “People were detoxing on the street, at homes or in jail and sometimes they end up in the ER. It all depends. But none of those places are really appropriate,” she said.

Farley said the center will employ four full-time staffers and a variety of part-timers to cover overnight shifts. After detox, Wellspring will work with patients to determine their next steps, depending on the level of care needed, Farley said. If they need to go into a residential treatment facility, they will be placed on a waiting list. Wellspring will be working with Penobscot Community Health Care, which will conduct rounds at the clinic three times per week and will have a staff member on call for emergencies. Wellspring also plans to work closely with the Bangor Area Recovery Network, or BARN, and others in the recovery community who can serve as peer coaches.

Practice Management​

OMT Video of the Week

This week's video is Muscle Energy, Upper Thoracic Spine

This procedure is employed to treat Fryette type II dysfunction, either flexed or extended, in the upper thoracic spine.

This video is a companion to Chapter 35 - The Patient with Chronic Patient, Headache in the textbook, Somatic Dysfunction in Osteopathic Family Medicine - 2nd Edition.


View video >>

 

 


MEHHS Banner Image

NEW: DHHS Clarifies Opioid Prescribing and Dispensing Rules, July 28, 2017

The Electronic Prescribing Clarifications are here, and the Opioid Dispensing Clarifications are here.

Note: Since these documents have not gone through the rule-making process, they do not legally have the force of law; however, they do describe the Department’s interpretations of the rules, so they may be used as guidance by prescribers and dispensers trying to figure out how the Department will enforce the rules.

What's Been Clarified:

  • Pharmacists are not expected to verify the existence of a waiver, and they may dispense from “otherwise valid written, oral or fax prescriptions.”
  • The clarifications also list “Exceptional Circumstances” when a written prescription may be used: Temporary technological or electrical failure, a PMP approved waiver, dispensing by pharmacies outside the state or within the VA or IHS systems, or when the prescriber “reasonably determines that it would be impractical for the patient to obtain the medication in a timely manner, and such delay would adversely impact the patient’s medical condition.”
  • The Department also states that written prescriptions may be used for patients with a foreign address. The same is true for homeless patients who do not have an available address. The Department recommends using shelters or street names as addresses in these cases, which would apparently then require electronic prescriptions.
  • There is no long-term care facility exception to the E-prescribing mandate, but the Department states that prescriptions for Schedule II medications may be faxed to the pharmacy from these facilities. It is unclear how these two statements are reconciled with each other.
  • The PMP does not currently allow entry of ICD-10 and exemption codes by pharmacists. While they may wait until July 1, 2018 to upload this information, they are still currently required to document it.

What's Still Not Clear:

  • In responding to a question about whether a pharmacist is allowed to fill a written prescription after August 1st, the document states, “No, however, a corresponding liability for the proper prescribing and dispensing of controlled substances rests with the pharmacist who fills the prescription.” Does this mean that a pharmacist who fills a written prescription without ensuring there is a waiver risks “liability?” We don’t know, and the Opioid Dispensing Clarifications document does not say.

CMS Hardship Exception for EMR Technology Now Open

The CMS Quality Payment Program (QPP) EMR Hardship Exception Application for 2017 is now available for those who have had circumstances beyond their control with their EMRs.The Advancing Care Information category, (previously Meaningful Use), worth 25 percent, will be set to null this year if your application is accepted. The 25 percent will be added to the Quality Category. 

Reasons for an exception are:


• Insufficient internet connectivity

• Extreme and uncontrollable circumstances – disasters where EMRs were destroyed, practice/hospital closures, financial distress, decertification of EMR technology 

• Lack of control over the availability of Certified EHR Technology (CEHRT)

Please also look at the Special Status Eligible Practitioners who do not need to file an exception application and are automatically exempted for 2017. 

Applications are accepted until December 31, 2018. CMS will e-mail you with the status of your application. You may call CMS to file a phone application at the Quality Payment Service Center - 1-866-288-8292.


NEW Training Bulletin on Protected Health Information from the Office of Medical/Rehabilitation Services & Maine Worker's Compensation Board:

Brush up on Title 39-A M.R.S.A 208, which "allows for the release of medical information by health care providers to the employer without authorization if the information pertains to treatment of an injury or disease that is claimed to be compensable under the Act.

CLICK HERE to read download the Training Bulletin, which contains important details and definitions.


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Master The Process of Research Development With Scholar 7 From AOA Online Learning

With single GME accreditation system, there is a need to develop scholarly work within osteopathic training programs. Although many forms of scholarly work are available, Scholar 7, delivered by experts Robert Hostoffer, DO and Brian Peppers, DO, focuses on the basic skills needed to create a scholarly environment within your practice, institution, or residency training program. In a series of seven video workshops, the program leads viewers into the scholarly process, where they’ll learn how to easily initiate a research project form the very beginning. 

 

AOCP CME Webinar Series, “Hot Topics In Medicine” Re-released.

The American College of Osteopathic Pathologists has re-released its 2016 webinar series covering “Hot Topics in Medicine,” led by distinguished leaders in the field. You can earn AOA Category 1-A and 2-A Credits online. Register for one program or save by taking the entire series. AOCP plans to release its 2017 Webinar Series in the next few weeks.


Image result for maine health alert network Register for the Maine Health Alert Network (MaineHAN) & Get important Public Health Updates:


Quality Payment Program Hardship Exception Application for the 2017 Transition Year Is Now Open

Clinicians can now submit Quality Payment Program Hardship Exception Applications through the Quality Payment Program Hardship Exception Application for the 2017 transition year via the Quality Payment Program website.

MIPS-eligible clinicians and groups may qualify for a re-weighting of their Advancing Care Information performance category score to 0% of the final score, and can submit a hardship exception application for any of the following reasons.

  • Insufficient internet connectivity

  • Extreme and uncontrollable circumstances

  • Lack of control over the availability of Certified EHR Technology (CEHRT)

For More Information, contact the Quality Payment Service Center at 1-866-288-8292 or TTY: 1-877-715-6222 or QPP@cms.hhs.gov.


CMS Begins Outreach on New Medicare ID Cards

Beginning in April 2018, Medicare ID cards will be issued and mailed with a new Medicare Beneficiary Identification (MBI) number replacing each beneficiary’s Social Security Number (SSN). There will be a 15-month transition period beginning October 2018, during which physicians and other providers may submit a Medicare claim using either the patient’s MBI or SSN. All Medicare claims submitted after January 2020, however, will be required to use the new MBI number.  Access to MBI numbers will be critical to ensure physicians and their practices have the ability to bill for services rendered on or afterJanuary 1, 2020, but don't have copies of their patient’s new ID card or their MBI number. 

CMS has launched a website dedicated to the Social Security Removal Initiative (SSNRI) for physicians and their practices to stay up-to-date on the development, delivery and usage of the new ID cards.


Upcoming Events​

 

Ongoing

 

Call-in Program on MIPS and APM -  Last ONE: August 30!!
 

Join the New England QIN-QIO Quality Payment Program (QPP) team as they review frequently asked questions around participation in the Merit-based Incentive Payment System (MIPS) or an Alternative Payment Model (APM), with time for open discussion and sharing about all things QPP. 

The calls will be held from 11:30 a.m. - 12:30 p.m. on the following dates: 

  • Wednesday, August 30

The QPP Open Calls are available to providers, clinicians, office managers, practice administrators, quality improvement specialists and anyone else who is involved in quality program reporting. 

Please contact Rachel Crowe from the New England QIN-QIO for more information.

Sign up for the QPP Open Call


AUGUST

Telemedicine: August 12th one-day conference will provide tips and tools for adding telemedicine to your patient care repertoire.

Telemedicine continues to grow in popularity—more patients than ever are interested in it, and the Centers for Medicare & Medicaid Services are looking to it as a way to alleviate the nation’s shortage of primary care physicians.

Wondering what opportunities telemedicine might offer you as a physician? Join three experienced experts in St. Louis on Aug. 12 for the AOA’s daylong CME conference that will cover all things telemedicine, including how to incorporate it into your practice and use it to boost revenue. Participants can earn up to 7.5 AOA Category 1-A CME credits.

The conference will feature speakers Michael Brown, DO, and David Tannehill, DO.s
Get more info about the conference and register today.


August 14th, 2017 from 9:30am- 3:00pm:Third Annual University of Maine System-Wide Aging Initiative Summer Workshop, sponsored by the University of Maine Office of the Vice President for Research.

This year's workshop will be held at the University of Maine Hutchinson Center, 80 Belmont Avenue, Route #3, Belfast, ME.

There is no cost to attend, but you must RSVP so that we can plan accordingly for morning refreshments, lunch, space, and materials.

This year we will hear about aging opportunities and challenges from across the state through the eyes of local and regional experts. Our keynoter will be Jessica Maurer, JD, Executive Director of the Maine Association of Area Agencies on Aging. Welcoming remarks are also being invited from our U.S. Senators.

There will be plenty of audience participation opportunities to address a wide range of current hot topics in aging having implications for research, education, and innovative programming.

Click here to download the Registration Form.  


 "Bienvenue en Louisiane"  

You Are Invited to

*** An AOSED CME Consortium Event ***

(Association of Osteopathic State Executive Directors) 

Louisiana Osteopathic Medical Association's

2017 LOMA Annual Convention

August 17-20, 2017

"Focus on Quality Care"

The Royal Sonesta Hotel

A Grand Hotel in the Vieux Carre' - Historic French Quarter

300 Bourbon Street, New Orleans, Louisiana 80130

https://loma.memberclicks.net/assets/images/4%20rno_desire_corner_2003_wide.jpg 

  Visit: http://www.sonesta.com/RoyalNewOrleans/ for hotel information and reservations.  Phone 504-586-0300 by July 27 for the "2017 LOMA Annual Meeting" block rate of $179/night (s/d).  Group Code: 0816LAOSTE. For Online Reservations: CLICK HERE

https://loma.memberclicks.net/assets/images/youredifferentherelogo.png 

"Laissez les Bon Temps Rouler"

Fun for Everyone!!! Checkout these Nearby Family Attractions:

Audubon Park-Aquarium of Americas-Insectarium-ZooSt. Louis CathedralRiverWalkHarrah's CasinoNational World War II MuseumMardi Gras MuseumSuperdome,Jackson Square, French Market, Canal Street Shopping, Garden District and Magazine Street Shopping, Riverboat and Carriage Rides, Bus Tours, Street Cars, Swamp Tours, World-Famous "N'Awlins" Restaurants, Jazz and Blues Clubs, and so much more!!!

For more fun, educational, cultural, and dining ideas visit the New Orleans CVB at: http://www.neworleanscvb.com/


LOMA is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians.  LOMA designates this program for a maximum 27 AOA Category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician's participation in this activity.  Application for CME credit will be filed with the American Academy of Family Physicians.  Determination of credit is pending.

Please share this invitation with your colleagues!  

Do you have a LOMA profile but can't remember your password? Click Here to Reset It  and enter your email address of record:   -  If new to LOMA, just complete registration and dues forms using any current email address.

Register Online Now!

 Download Brochure  

***Discounted Tuition for MOA Members***  

Dues-paid members of the MOA qualify for the member tuition rate at all AOSED CME Consortium events.  Pay your member dues first, then register at LOMA's member rate, and your home association will receive 25% of your tuition. 


SEPTEMBER

Image result for MICIS
Improving Opioid Prescribing and Patient Safety: 3-hour presentations in September

Augusta Civic Center: Tuesday, September 19, 5:00 - 8:30 pm with presenters: Gordon Smith, Esq. and Elisabeth Fowlie Mock, MD, MPH

Caribou Inn and Convention Center: Wednesday, September 27, 5:00 – 8:30 pm with presenters: Peter Michaud, JD, RN and Elisabeth Fowlie Mock, MD, MPH

FREE program - advanced registration is required. 

This 3-hour education session will feature an update on Chapter 488 and clinical content with a compassionate, patient-centered perspective, and will include “blitz” didactics, multi-media components, case-based studies and small group discussions.  Presented by the Maine Independent Clinical Information Service (MICIS).  

 The topics covered at this session will be:

  • The Genesis of the Opioid Crisis: “How We Got Here”

  • Opioid Basics:  MMEs & Tapering

  • Legal and Regulatory Requirements for Opioid Prescribers

  • Practice Transformation & QI for Opioids/Chronic Pain

  • Harm Reduction: Naloxone & MAT 

This MICIS presentation activity qualifies for a maximum of 3 CME credits of the 3 CME credit requirement for opioid medication education found in P.L. 2015, Chapter 488, Maine’s recent legislation to address the opioid drug abuse crisis.  Attendees should only claim credit for the hours they attend. 

Register here for the program in Augusta on Tuesday, September 19

Register here for the program in Caribou on Wednesday, September 27


 

8th Annual Patient Safety Academy
 
When: Friday, September 29, 2017
Where: Portland, on the USM campus, Abromson Center
Cost: $50. general registration / $25. student registration
 
This day-long event is open to anyone interested or engaged in patient safety activities.  The Academy includes plenary sessions, exhibits and networking opportunities.  Workshops will skill-building and best practice lessons in the areas of patient engagement, infection prevention, falls prevention, opioid overdose education, antibiotic stewardship, patient safety culture and much more! We hope to have the workshop selection and info about the plenary speakers posted to our Patient Safety Academy website within the next week or so.

 


OCTOBER

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OMED 2017: Registration Now Open!

Join thousands of of DOs and osteopathic medical students for four days of education and inspiration in
Philadelphia, October 7-10, 2017.

Click here for more information and registration details.



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AOAAM Essentials of Addiction Medicine Course: Registration is Open!
 

The American Osteopathic Academy of Addiction Medicine invites you to join us for our Essentials of Addiction Medicine Course.

 

     Date: October 28 & 29, 2017

     Time: 8:00 am - 5:00 pm

     Where: Michigan State University - Radiology Auditorium

                846 Service Rd. Room # 110, Lansing, MI 48824

     Earn: 16 hours of CME - Click here to view the agenda.

  

AOAAM Members - $245.00

Non-Members - $445.00 (the difference is the cost of AOAAM membership) Residents and Fellows – AOAAM Members $145.00 / Non-Members $195.00

$50 Early Bird discount available until 8/31/2017.
 

Don't Wait! Seats are limited

  



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NEW Opening: Chief Executive Officer – CEO at Greater Portland Health, Portland, ME

Who We Are
Greater Portland Health is a remarkable medical practice committed to offering everyone in our communities high-quality, affordable and respectful care. Established in 2008 as the Portland Community Health Center, we now serve more than 9,000 people in our nine locations in Portland and South Portland.

We provide medical, behavioral and oral health services. As a Level 2 Patient-Centered Medical Home, we partner with the region’s finest specialists to care for the whole self, for a patient’s whole life.

Our Location
Portland, Maine, located on the classic Maine seacoast, is one of the nation's most livable small cities with an incredible natural environment, friendly people, and a wealth of arts and cultural institutions. TripAdvisor has named Portland one of the Top 10 Destinations, based on positive feedback and interest shown by their well-traveled community. 

Our Mission
To provide high quality patient-centered healthcare that is accessible, affordable, and culturally sensitive.

Why Work for Us?
Our growing community health centers are dedicated to providing high quality health and dental care in a safe and welcoming environment. Greater Portland Health is governed by the community, and our providers and care teams offer excellent, affordable, preventive and primary health care for individuals and families.  Our approach is to care for the complete person.

We offer competitive compensation and benefits in a collaborative team environment with employees dedicated to the patients whom we serve.

The Chief Executive Officer CEO is accountable for the successful operation of Greater Portland Health and all of its activities and for reporting on the status of its operations and finances to the governing board. The CEO will create a working climate that will foster and enhance job satisfaction to encourage long-term employment, effectiveness and excellence. The CEO will demonstrate a commitment to a diverse workforce that reflects the community served by the health center.   

The Chief Executive Officer:

  • Leads by Example: Represents and supports the mission of Greater Portland Health through word and action. Creates an organizational environment of high professional and ethical standards.
  • Internal Communication: The most important attribute a leader must have is the ability to build, cultivate, and steward relationships internally with staff at all levels of the organization.  
  • Ensures Quality: Works in partnership with and supports the clinical leadership of Greater Portland Health in meeting quality standards and in introducing new services and programs which serve Greater Portland Health’s mission.
  • Ensures Sound Financial Position:  Maintains strong financial planning and budgeting by maintaining effective systems for cost control, as well as effective capital planning.   Ability to provide leadership and expertise in fundraising efforts including grants proposals, leading the annual appeal, corporate sponsorship, and marketing. 
  • Leads Senior Management Team: Sets direction and works in partnership with leadership in order to continuously improve clinical and administrative operations.
  • Partners with Board: Assists governing authority in meeting its fiduciary and FQHC responsibilities, and responsibilities for corporate compliance.
  • Plans: Responds to the needs of the community, based on feedback from community members as well as health care and business leaders and organizations. Works with and engages the board in the strategic planning and direction of the organization.
  • Compliance: Ensures that Greater Portland Health meets FQHC requirements and other regulatory and legal compliance.
  • External Communication and Advocacy: develops and maintains effective communication with community, business, health care, state and national organizations and interests, advocating for Greater Portland Health’s mission.
  • Collaborates: Participates in local, state and national health-related associations. Meets regularly with other health-related agencies and institutions to foster development of the highest quality health care system in the greater Portland area, and in Maine.
  • Ensures Physical Facility is Sound: Develops a plan for the appropriate maintenance, service, renovation and expansion of the physical facilities in accordance with the organizational mission and goals.
  • Contracts: Identifies need for and terms of appropriate contracts with organizations to advance the mission, organizational goals and delivery of services. Brings major contracts to the Board for prior approval.

Education and/or Experience:

  • Masters in Healthcare Administration or similar advanced degree preferred.
  • A minimum of eight (8) years of senior management experience in a healthcare setting, with preference given to FQHC and non-profit experience.
  • Prior experience as a CEO preferred.
  • Demonstration of successful leadership of fundraising efforts.
  • Knowledge of health care administration practices.

Minimum Qualifications:

  • Skill in planning, organizing, delegating and supervising.
  • Skill in gathering and interpreting data.
  • Skill in operating a computer.
  • Skill in verbal and written communication.
  • Skill in conflict management.
  • High self-motivation and a mature sense of responsibility, and values.
  • Ability to take initiative and to exercise independent judgment, decision making and problem solving expertise.
  • Ability to establish priorities and coordinate work activities.
  • Excellent listening skills.

We are accepting applications until Friday, August 18, 2017.  Qualified applicants should submit a letter of interest describing in detail why they are applying, a resume or curriculum vitae, and a writing sample to Sarah Pesa, Human Resources Generalist, spesa@greaterportlandhealth.org.


NEW! 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, beautful 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.


NEW LISTING (06/23/17): BC/BE Family Medicine Physician – Livermore Falls, Maine

Western Maine Family Health Center seeks a BC/BE Family Practice physician to join three nurse practitioners and a clinical social worker upon the retirement of a long-term physician. As a NCQA Patient-Centered Medical Home, we offer accessible, high quality healthcare with integrated behavioral health services to people of all ages in an outpatient setting. We provide check-ups for the entire family, care of acute and chronic conditions, and referrals to specialty care and community services. In addition, our specialists assist patients with enrollment in programs that help pay for healthcare and medications.

Livermore Falls, with a population of 3,500, is located at the northern end of Androscoggin County, 25 miles northwest of Augusta. Renowned for hunting, fishing, skiing, snowmobiling and countless other four-season opportunities, Livermore Falls and the surrounding towns boast of tranquil living and an abundance of natural resources.

Western Maine Family Health Center is one of 11 Federally Qualified Health Centers of HealthReach Community Health Centers which provides medical, dental and behavioral healthcare to 28,000 Maine people each year. We offer competitive salary, generous benefits, pension plan with employer match, relocation expenses, malpractice coverage, and loan repayment. EOE. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901 | (207) 660-9913 | Fax:(207) 660-9901 | Communications@HealthReach.org | www.WesternCHC.org


(04/13/17): Addictions and Recovery Provider Needed 

Immediate need for an addiction and recovery provider for a mix of new and established patients. The provider may see patients at our South Portland office or should they prefer, use the tele health option.  We are experienced in tele health  and can provide and install equipment so location of provider within the state is generally not an issue.  This is a cash only clinic and payment to the provider is usually within 24 hrs or less.

Please call Cardinal Professional Services at 530-0890 for more details.

BC/BE Family Medicine Physician – Kingfield, Maine--

Mt. Abram Regional Health Center (Kingfield) seeks a Physician who is BC/BE in Family Medicine to provide outpatient primary care and preventive services to people of all ages for 30-40 hours per week. As a NCQA Patient-Centered Medical Home, we offer accessible, high quality healthcare with integrated behavioral health services focused on the patient’s care experience. We offer check-ups for the entire family, care of acute and chronic conditions and referrals to specialty care and community services. In addition, our specialists assist patients with enrollment in programs that help pay for healthcare and medications.

The health center resides in a welcoming community near Sugarloaf USA and the University of Maine (Farmington) and is part of HealthReach Community Health Centers, a system of eleven practices in Central and Western Maine. HealthReach has been providing healthcare in rural and medically underserved communities for 42 years. Annually, 28,000 Maine residents access medical, dental and behavioral health services at our facilities, which are located in Albion, Bingham, Belgrade, Bethel, Coopers Mills, Kingfield, Livermore Falls, Madison, Rangeley, Richmond and Strong.

We offer competitive salary, generous benefits, and malpractice coverage. The site is eligible for loan repayment. EOE. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901 | (207) 660-9913 | Fax: (207) 660-9901 |Communications@HealthReach.org | www.MTAbramCHC.org


PRIMARY CARE PHYSICIAN - Eastern Maine Medical Center (11/07)

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. Candidates in need of J-1 visa waivers welcome to apply. 
 
For confidential consideration, please contact: Amanda Klausing at Eastern Maine Medical Center Phone: 207-973-5358 emmccvs@emhs.org.


Family Physician seeking partner for unique Direct Primary Care practice.

Lotus Family Practice in West Falmouth, ME was opened in April, 2015 by Catherine Krouse, DO.  It is privately owned and operated using the model called Direct Primary Care.  This means that patients pay a flat monthly fee directly to you and there is no insurance billing.  Patient panels are limited to 500-600 which equates to about 5-6 patients a day.  Lotus Family Practice is focused on preventing illness and treating it at the source, so there is a heavy focus on nutrition, lifestyle, herbal medicine and yoga/tai chi/ meditation classes are offered to patients at no extra charge.  We are looking for a like-minded physician who is open to working outside the box and stepping out on their own.  This would entail building their own practice to manage side by side with a partner and offer cross coverage when needed.  
 
If interested, contact Catherine Krouse, DO for more details at:
catherine@lotusfamilypractice.com or 207-536-0560  
www.lotusfamilypractice.com

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© Copyright 2017
Maine Osteopathic Association, 128 State Street, Suite 102,  Augusta, Maine 04330
www.mainedo.org | P. 207.623.1101 |  F. 207.623.4228


 

Maine Osteopathic Association, 128 State Street, Suite 102, Augusta, Maine 04330

Telephone: 207-623-1101   Fax: 207-623-4228

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