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-newsletter for October 16th, 2020

  • MOA News: Next MOA Symposium to be held virtually: February 12-14, 2021, Josephine Conte, DO Recognized by AOF as one of their 2020 State Emerging Leaders
  • News to Use: Maine COVID Sitters Honored with AOA Initiative Award, Scientific American Interviews Maine CDC Director Dr. Shah, AOA Still Fighting Back Against Unfair Representation of DOs in Media, Are you ready to VOTE November 3rd?
  • Public Health: It's Flu Season-- what to know to get your practice and your patients ready!
  • Practice Management: New Easier PPP Loan Application process, Updated links for ME CDC Provider Briefings with Dr. Sears, Important Reminder-- Practices must abide by Infection Control guidelines from CDC--complaints reported to licensing boards--Dr. Collins urges concern for air flow/eye protection,  Legacy PMP system access extended to Nov 1st
  • New Job Postings: HealthReach is seeking a Family Physician for Coopers Mills locationDPC Physician Wanted in Hampden, ME

MOA News

MOA 2021 Midwinter Symposium will be held Virtually!

Save the Date: February 12-14th, 2021

For the safety of all our members, speakers and participants, we have opted to host our February Symposium all ONLINE. 

20+ AOA/AMA Category 1 Credits are anticipated to be offered with the ability to watch sessions live or on demand from the comfort and safety of your home.

Registration Available Soon!

REMINDER:

MOA's 2020 Convention is Still Available Online, On-Demand!
18.25 AOA 1A Credits, 60 days to complete all sessions on demand.
$490 for MOA members with discount code, $590 for non- members

 


Congratulations to Josephine Conte, DO, one of the American Osteopathic Foundation's 2020 State Emerging Leaders! She was recognized during this year’s VIRTUAL Honor’s Gala, on Friday, October 16. Well deserved, we are proud of you!

 

 

ActionPPE UPDATE: Nitrile gloves IN-STOCK now !

We have a limited supply of Nitrile gloves in stock for immediate shipment to MOA members. Please order ASAP while our supplies last. Here are the details:

  • Nitrile sizes M/L/XL
  • 4Mil
  • Exam grade
  • Color: white
  • $19.95 per box of 100
  • FDA certified

Order yours at: https://actionppe.org/mainedo


News to Use

Image may contain: ‎4 people, ‎text that says '‎לם Maine COVID Sitters COVID-19 Initiative Award ORGANIZATION D 11:18 23:36‎'‎‎Maine COVID Sitters Win AOA Initiative Award

Congratulations to the Maine COVID Sitters for receiving the American Osteopathic Association's inaugural AOA COVID-19 Initiative Award. This national award recognizes their incredible service to the osteopathic community by volunteering their time to aid frontline healthcare workers during the COVID-19 pandemic by providing childcare, pet sitting and other essential household services in the greater Portland area. Over 65 UNE students in the health professions joined the cause.

“At the onset of the pandemic, all in-person academic activities were suspended for students," Student Doctor Laura Knapik explains. "As health professions’ students, we felt compelled to help our community, but were not far enough in our training to work at the front line. Establishing the Maine COVID Sitters allowed us to support our future colleagues, and ultimately support our community. We want to say thank you to the families who opened their homes to us so we could care for them while they cared for Maine.”

The Maine COVID Sitters Executive Board include Student Doctors Margaret Calamari, COM '23, Catherine Cattley, COM '22, Colin Fisher, COM '23, Laura Knapik, COM '22 and Lindsey Millen, COM '22.

Award recipients were recognized during this week's House of Delegates meeting. In case you missed it, view the awards presentations by Dr. Burns here.


The Maine Department of Health and Human Services (DHHS) is working to improve transportation services and is seeking feedback to help guide these improvements.

Information will be collected in October and early November through a survey and online listening sessions to learn more about how current transportation programs meet, or do not meet, needs for access to appointments and services.

If you work with or know individuals who may use these transportation services, please share the attached information with them.
Receiving this valuable feedback will help develop improved DHHS transportation solutions that will work better for everyone.



How Straight Talk Helped One State Control COVIDMaine CDC Director Dr. Shah Receives National Attention for His "Straight Talk Approach"

The Scientific American published an interview with Dr. Shah this week about how lessons learned in Maine might be applied to curb the disease across the country and the world.

Dr. Shah praises Mainers for listening to the advice of ME CDC: "When we asked them to wear masks, they did...When I chat with my colleagues in other states...I hear things are entirely different." 

Asked how to turn the epidemic around on a national level, he responded: "We need a much stronger federal voice advising us. First, I’d return the daily CDC press briefing. I’d start every briefing with the hard facts and follow it with a call to action—lay out specifics on what citizens can to do help themselves and their families. I’d bring back the many experts who resigned from the CDC—we need them—and also strengthen the agency’s presence in Washington, D.C., which is where it all happens. And I’d encourage the CDC and other government agencies to present a grand unified theory of COVID-19—that is, to clearly lay out goals, metrics and strategies for the American people. Because in public health, our first and most important job is to get the people behind us."

Read the full article here.


 

AOA Fights Back Against Attacks on DOs in the Media

 

The AOA is working on your behalf every day. This week popular scrubs company FIGS generated backlash after releasing an insensitive video which misrepresented women healthcare workers and DOs alike. In a statement to CNN, Kevin Klauer, DO, EJD, CEO of the AOA, said that while he was "appalled" by the "ill-conceived" video, he was working with FIGS to right its wrongs. Since then, the company has removed the footage, apologized, agreed to hire healthcare consultants to assist with future product shoots and pledged to donate $100,000 to the AOA.

 Click here to watch an informational video on the osteopathic medical profession shared on our communication channels this week. Please share!


MaineDHHS Proposes Adding Seasonal Flu Vaccine to Required Immunizations for HealthCare Workers

DHHS News Release: Wednesday, October 7, 2020 (edited for brevity)

The Maine Department of Health and Human Services (DHHS) announced today that it has proposed a rule change to make the seasonal influenza vaccine part of the immunizations required for health care workers, to protect public health during the COVID-19 pandemic and further reduce the spread of vaccine-preventable diseases.

Maine already requires employees of designated health care facilities to show proof of immunization or documented immunity to several diseases, including measles, mumps, rubella, chickenpox, and hepatitis B, unless they have a medical exemption. The proposed rule change would add influenza (flu) to this list to reduce the risk of flu among health care workers and the potential spread of flu to their patients as the state continues to fight the COVID-19 pandemic.

During the 2019-20 flu season, just over 80 percent of health care personnel nationally reported having received an influenza vaccination, according to the U.S. Centers for Disease Control and Prevention (U.S. CDC).Vaccination rates were significantly higher among personnel who worked for health care employers that required vaccination. 

Health care facilities designated under the immunization rule include hospitals, home health agencies, and licensed nursing, residential care, intermediate care, and multi-level healthcare facilities. As part of the proposed rule change, Maine DHHS also seeks to clarify that during public health emergencies declared by the Governor, the Department may require vaccinations and exclude individuals from the workplace, if these measures are necessary to protect public health to limit the spread of certain infectious diseases. Medical exemptions as authorized by law must be documented.

Public comments on the proposed rule changes will be accepted through 5 p.m. on Friday, October 30 and may be submitted by email to bridget.bagley@maine.gov.

 


Still Time to Participate in this weekend's OMED!

OMED 2020 kicked off on Thursday, October 15. While the real-time event concludes on Sunday, content will be available on-demand through October 25. Thanks again to the 12 specialties who helped provide more than 100+ hours of CME programming.  

REGISTER FOR OMED HERE!


Lace Up Your Sneakers for the AAOA Virtual Fun Run
The Advocates for the American Osteopathic Association will host the Still Fit for Life Fun Run over multiple days during OMED, Oct. 15-18, 2020. The funds raised from the run support SOMA scholarships and the efforts of the small groups promoting osteopathic profession across the country. Register now.


UNE receives Alfond Foundation gift to support quality health care and workforce needs in Maine
October 6, 2020 | une.edu

On Oct. 6, the Harold Alfond Foundation, Maine’s largest and most prestigious philanthropic foundation, announced that the University of New England is one of eight Maine institutions that will benefit from an unprecedented and transformational $500 million investment made by the foundation in an effort to confront the state’s long-term economic challenges. By supporting the acceleration of education, training, and job opportunities for Mainers, the foundation intends to combat a shrinking workforce and usher in new opportunities for the state and its people.

The gift to UNE will support the construction of a new health sciences facility for the relocation of the UNE College of Osteopathic Medicine (UNE COM) from the Biddeford Campus to the Portland Campus, the establishment of a new Institute for Interprofessional Education and Practice, and the acceleration of high-growth undergraduate and graduate programs on the Biddeford Campus to meet student demand and workforce needs. These include degree programs in the marine areas, including aquaculture, as well as programs in business, entrepreneurship, criminal justice, and sports media communication.

Moreover, the creation of the Institute for Interprofessional Education and Practice, made possible by the grant, will fully integrate all of UNE’s professional health care education programs with UNE’s various Centers for Excellence, amplifying and providing a new cohesiveness around their work.

UNE plans to hold a press conference on October 13 at 10 a.m., which may be viewed live une.edu/live at which University officials and dignitaries will unveil more details about the project.


Bureau of Corporations, Elections & CommissionsAre you ready for November 3rd?

Election Day is fast approaching. 

Here are some resources to make sure you are prepared to cast your vote:


Getting a flu vaccine is more important than ever during 2020-2021 to protect yourself, your family, and your community from flu. A flu vaccine this season can also help reduce the burden on our healthcare systems responding to the COVID-19 pandemic and save medical resources for care of COVID-19 patients. October is a good time to get a flu vaccine.

Vaccine Providers:  Register Your Practice on VaccineFinder This Flu Season

Enroll your practice on VaccineFinder to ensure that your community has the most up-to-date information on your practice’s vaccine services. Throughout the 2020-2021 flu season, your practice can share the amount of vaccine you have available. Register today to put your practice on the map.


​​Coronavirus Cases In The US Continue To Grow At Rapid Pace Not Seen Since The Beginning Of The Summer Peak

USA Today (10/15) reports the US has more confirmed cases of SARS-CoV-2 infection and deaths from COVID-19 “than any other country, and cases are growing at a speed not seen since the start of the summer peak.” According to a USA Today analysis, “at the current rate of growth, the nation could set a record for new cases in a single week within the first few days of November.” Dr. Michael Osterholm, director of the University of Minnesota’s Center for Infectious Disease Research and Policy, said the coronavirus outbreak in the US is better described as a wildfire than a wave, “It will just keep burning human wood out there wherever it can find it. If you don’t put it out, those embers lie there, and if you remove your suppression activities, it comes right back. That’s what Europe is seeing right now. If we let our foot off the brake completely, you’re going to see widespread transmission everywhere.”


 

Maine Public Health Association's annual conference is virtual this year, and will feature public health work across the state. While no one day or week will be designated to a region, we will still have regional topics throughout four weeks of programming.


When: September 29th through October 23rd. Multiple sessions will take place on Tuesdays, Wednesdays, Thursdays, and Fridays. 

Where: Virtually! 

Who: Everyone who is interested in public health is encouraged to attend the conference. MPHA members receive discounted registration rates. Become a member today!

What: We will have several keynote speakers and various conference session topics (see below for a sampling from each region).

Register Here!

 


Practice Management

 

SBA and Treasury Announce Simpler PPP Forgiveness for Loans of $50,000 or Less

The U.S. Small Business Administration and Treasury recently released a simpler loan forgiveness application for Paycheck Protection Program (PPP) loans of $50,000 or less. This action was stated as an effort to streamline the PPP forgiveness process to provide financial and administrative relief to America’s smallest businesses while also ensuring sound stewardship of taxpayer dollars. 

We recommend contacting your financial institution with PPP questions. Numerous reports have indicated that varying financial institutions have different ways of applying and interpreting all of the changes that have come out since the PPP was launched. Also, some payroll vendors (Paychex, for example) offer online estimators that can help you get a handle on the process before you fill out an EZ or FFA applications. Unfortunately, the rules surrounding PPP loan forgiveness have continued to evolve, and have at times been unclear and confusing since the program was first rolled out. We will continue to do our best to update independent practice members on changes. 

Physician practices that obtained Paycheck Protection Program loans of $50,000 or less can now use a streamlined application to apply for loan forgiveness. 

View the instructions for completing the simpler loan forgiveness application. 

View the Interim Final Rule on the simpler forgiveness process for loans of $50,000 or less. 

Click here for the updated Paycheck Protection Program (PPP) Frequently Asked Questions (FAQs) on Loan Forgiveness.


Provider Relief Fund Updates 

 

Third General Distribution of Provider Relief Fund: The federal Department of Health and Human Services has announced a third phase of general distribution funding from the Provider Relief Fund (PRF). HHS is allocating $20 billion for this funding round, with details on eligibility and payment methodology available here. The application period for this third round opens on Monday, October 5 and closes on November 6. Highlights on eligibility and payment elements are below. 

  • Eligibility: Any provider that has previously received, accepted, or rejected a general distribution award; behavioral health providers; and health care providers that began practicing between January 1, 2020 and March 31, 2020. 

  • Payment Methodology: Initial payments will be made to any provider that has not yet received a total of two percent of net patient revenue from the PRF, including providers who have received no PRF payment to date or providers who have received some payment below two percent of net patient revenue. With the remaining $20 billion after these payments, add-on payments will be made based on changes in a provider’s net patient revenue and operating expenses, with consideration for any previous PRF funding awards made to that provider. 

  • Reporting Requirements: The federal Health and Human Services has released guidance on the reporting requirements for providers who received one or more payments through general or targeted distribution exceeding $10,000 in the aggregate regarding the data elements that they will be required to report as part of the post-payment reporting process. You can also review this summary of reporting requirements that includes key dates and action items, guidelines for use of PRF funds, and required reporting data elements.  


Maine CDC Update for Clinicians-- Bi-Weekly every 2nd and 4th Thursday of the month at 12:30pm: Zoom meeting facilitated by Dr. Stephen Sears, MD.

Topic: MCDC Coronavirus Update for Clinicians

Time: 12:30 PM Eastern Time (US and Canada)

PLEASE NOTE UPDATES TO LINKS FOR THESE MEETINGS BELOW:

Zoom link for 2nd Thursdays: https://zoom.us/j/91197468938?pwd=eUJqYmlKcVBZV1BqZFd0ZTdqR1NhUT09 Meeting ID: 911 9746 8938 Password: 395994

Zoom Meeting link for 4th Thursdays: https://zoom.us/j/91875194800?pwd=Q1lsUjhQTFprQnl2My9ieU1iWHVoUT09 Meeting ID: 918 7519 4800 Password: 723909

(Updated 10/08/2020)

Please contact Peggie Lawrence at Maine CDC to be "subscribed" to call updates as the info below may change: Peggie.D.Lawrence@maine.gov.

Reminder: All Healthcare Practices Must Abide by Infection Control Procedures

(US CDC Interim Guidance Update July 15, 2020)

Click Here for the most up to date guidance regarding Screening/Triage, Physical Distancing in healthcare offices, PPE requirements, infection control and more.

US CDC guidance is applicable to all U.S. healthcare settings. This guidance is not intended for non-healthcare settings (e.g., schools) OR for persons outside of healthcare settings. For information regarding modes of transmission, clinical management, air or ground medical transport, or laboratory settings, refer to the COVID-19 website.

As you may know, The Maine Department of Economic & Community Development is collecting reports from the public on Non-Compliance with Executive Orders regarding COVID-19. Any reports related to Osteopathic Physicians or practices are being reported to the Board of Osteopathic Licensure in Medicine and reviewed by the Board. Keep yourself, your patients and your staff safe by following the guidelines above!

Updates to COVID-19 Guidelines Specific to OMM Providers

Compiled by Stephanie Collins, DO per discussion with Stephen Sears MD, infectious disease specialist.

Medical offices have been directed by the Maine DHHS to follow Covid 19 protocols concurrent with the level of Covid 19/SARS2 CoV rates of infection in your community. Please frequently check the state CDC and DHHS websites to determine the level of precautions necessary for in person visits for the health of our patients, staff and ourselves. We may need to return to the previous recommendations as noted below when the state was in a stay at home protocol. 

There are a few important additions for the time being with a low rate of community transmission in the southern counties:

Air quality and air flow are important factors in indoor settings. The TH Chan School of Public Health did an excellent assessment as published in the Wall Street Journal https://www.wsj.com/articles/key-to-preventing-covid-19-indoors-ventilation-11598953607

Consider investing in exterior air exchange for ventilation systems and or using indoor air purifiers to cycle room air at least 3 times an hour. 

Have your eyes protected. Coronavirus replicates on mucus membranes including the eyes. Wear eye protection and if the patient is to be supine having their glasses remain on or donning a pair of safety glasses that can be cleaned an


MaineCare’s Comprehensive Rate System Evaluation: Update on Phase 1 Stakeholder Engagement

The Office of MaineCare Services is conducting an evaluation of MaineCare’s rates and rate setting system and developing a plan for the creation of a comprehensive, streamlined, and coherent system.

The Physician, APRN & Primary Care Services listening session for Phase 1 occurred on Monday, October 5th. 

For those who are unable to attend, the sessions will be recorded and available online after each meeting along with meeting materials. In addition, providers and other interested parties who would like to submit comments in writing may do so at any time by sending an email to RateSettingEval@maine.gov 

As a reminder, these meetings will not involve discussion of actual reimbursement rate amounts, but instead will provide you with the opportunity to provide feedback on the impact of current MaineCare payment methodologies on service delivery, administration, and members. During Phase 2, stakeholders will have an opportunity to provide input regarding rate amounts, when we will be gathering feedback on the Phase 1 benchmark report and on the adequacy of rates and access to services in general. 

Please click here for more information on this process. 


Legacy PMP system (Appriss) availability extended to November 1st

In response to user requests, Maine has extended the availability of the legacy PMP system (Appriss/ AWARxE) for an additional month. This means that users will still be able to access the legacy system for printing reports and checking out-of-state data. Existing EMR integrations will be maintained as planned. 

As the planned system cut-over date approaches, our teams are working diligently to ensure that all data submitted to RxGov is found in both systems and that the data provided is validated. If you encounter any problems with data as you use RxGov, please immediately notify the support team via phone at (844) 454-2266 or via rxgovmesupport@egov.com. 

The Maine PMP thanks you for your continued patience as they work to ensure a smooth transition to the new system!


Medical Mutual Insurance Company of Maine | New Hampshire Medical Society

Practice Tip from Medical Mutual Insurance Company of Maine

Have you decided to Close your Practice? A carefully
executed departure plan promotes continuity of patient care, avoids allegations of abandonment, and fulfills contractual and regulatory obligations.

Click Here for an overview of the things you need to consider.


Maine Osteopathic Association Partnership with ActionPPE

MOA has teamed up with ActionPPE.org to help ALL ME DOCTORS and their PRACTICES to operate safely with proper PPE SUPPLIES. Order Discounted PPE that you need and get it delivered right to your door!

 

ActionPPE UPDATE: Nitrile gloves IN-STOCK now !

We have a limited supply of Nitrile gloves in stock for immediate shipment to MOA members. Please order ASAP while our supplies last. Here are the details:

  • Nitrile sizes M/L/XL
  • 4Mil
  • Exam grade
  • Color: white
  • $19.95 per box of 100
  • FDA certified

Order yours at: https://actionppe.org/mainedo

ORDER NOW! https://actionppe.org/3/mainedo/


Did you know? Amtrak Downeaster Offers Discount for Medical Travel

All the places you can go on the Amtrak Downeaster | Boston.com

Amtrak Downeaster is operating 4 round-trips daily and is here for your patients and their families when/ if they need us.

Additionally, the Downeaster offers a 30% medical discount for patients and their families/companions traveling between Brunswick, ME and Boston, MA, and points in between.

Order Rack Cards for your practice to promote this discount HERE.

 


Need CME Right Now?

Please find MOA on-demand CME programs at our CE21 site:
docme.org

Now 50 MOA Programs Available!

Visit docme.org for the full catalog of osteopathic programs. 400+ Osteopathic CME Programs are now available via this site.


Classified Ads & Job Postings

Sheepscot Valley Health Center (Coopers Mills, Maine) seeks a Physician (BC/BE in Family Medicine) with outstanding clinical and interpersonal skills to provide primary care in a family practice with integrated behavioral health services. Receive competitive salary and benefits, malpractice coverage, pension plan with employer match, loan repayment opportunities. EOE.

Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901 | 207-660-9913 | Fax: (207) 660-9901 | Communications@HealthReach.org | www.SheepscotCHC.org

Coopers Mills is ideally situated between Augusta, the state capital, and the Maine coast and serves over 3,000 area residents and travelers. The region is home to a variety of outdoor activities. In the fall, watch the area come ablaze with the changing leaves. When the snow flies, enjoy cross-country skiing, ice fishing and snowmobiling. In the warmer months, swim in lakes or ocean hideaways. The community is close-knit and supportive and the population is diverse in its interests and occupations. For shoppers and cultural lovers, upscale outlet stores, professional theatre productions and museums are less than an hour away. The health center is part of HealthReach Community Health Centers, a system of 11 Federally Qualified Health Centers in Central and Western Maine with a 45-year history offering accessible, high quality healthcare with integrated behavioral health, psychiatric medication management, and referrals. HealthReach accepts Medicare, MaineCare and major insurances and a sliding fee program is available to uninsured and underinsured residents as well as assistance with applications for programs that help with the cost of health care and medications including the Health Insurance Marketplace.


Hampden, ME Direct Primary Care Practice Seeking Physician

Are you interested:

  • In practicing medicine the way it should be?  Rather than it being dictated by the insurance companies?
  • In escaping the medical industrial complex?
  • In regaining freedom to control your own schedule?


If so, we are currently looking for a part-time/full-time DO/MD for our Direct Primary Care (DPC) practice that is busting at the seams!

Call or email us today!

Jack Forbush, DO
Osteopathic Center of Family Medicine
Hampden, ME 04444
207-945-5400
office@ocfm.com


Image result for McManus osteopathic treatment tablesIconic McManus Osteopathic Treatment Tables $100 Or Best Offer

 

 

Early 1900's classic McManis White Porcelain and Brass antique exam table. Available for pickup in Southern Maine. 

 

Contact Ira Stockwell, DO -- 207-232-8235 or 207-854-1143

 


Upcoming Events

MOA 2021 Midwinter Symposium will be held Virtually!

Save the Date: February 12-14th, 2021

For the safety of all our members, speakers and participants, we have opted to host our February Symposium all ONLINE. 

20+ AOA/AMA Category 1 Credits are anticipated to be offered with the ability to watch sessions live or on demand from the comfort and safety of your home.

Stay tuned for more details & updates!

REMINDER:

MOA's 2020 Convention is Still Available Online, On-Demand!
18.25 AOA 1A Credits, 60 days to complete all sessions on demand.
$490 for MOA members with discount code, $590 for non- members


Need CME NOW?

Visit DOcme.org for access to On Demand CME programs you can watch anywhere, anytime for AOA 1A credit from the MOA and other state associations you trust.

 

© Copyright 2020
Maine Osteopathic Association, PO Box 315, Manchester, ME 04351
www.mainedo.org | P. 207.623.1101 |  F. 207.623.4228