Maine Quality Counts podcast


Health Care
Health Care, Community Health Workers, SIM Initiative, Maine
Health Care, Patient-Centered Medical Come, Primary Care Practice, Primary Care Physicians, Practice Design
Behavioral Health, Health Homes, Health Care, Mental Health
Health Care, MaineCare, Medicaid, Maine, Chronic Pain, Pain Managment, Opioids
Health Care, Patient Centered Medical Home, Nurses, Webinar
Health Care, Public Health, Primary Care, Integration
Health, Health Care, Social Media, Twitter, Facebook, YouTube, Patient Engagement, Mayo Clinic, Center for Social Media
Health Care, Patient Centered Medical Home, Health Homes, opioid management
Patient Centered Medical Home, Primary Care, Practice Tranformation
Health Care, Patient Centered Medical Home, Patient and Family Advisory Councils
Shared Decision Making
primary care provider compensation
health care, health care prices, price transparency, Maine law, Maine Medical Association
Primary Care, Substance Abuse Treatment
chronic pain management
Health Care, Chronic Pain, Maine Chronic Pain Collaborative, Pain Management, Safe Prescribing
Patient Centered Medical Home, Behavioral Health, Behavior Change
Patient Centered Medical Home, Patient Advisors
Shared Decision Making, Patient Engagement, Mayo Clinic
Health Care, Patient Centered Medical Home, Patient Advisors
Health Care, Lean, Six Sigma, Practice Improvement
Health Care, Behavioral Health, Wellness, Primary Care, SAMHSA
Patient Centered Medical Home, Primary Care, Patient Portals
Health Care, Wellness, Motivation, Lifestyle Changes, Health
Health Care, Electronic Medical Records, Care Management, Medicaid Expansion, Medicaid Waiver
Chronic Pain, Health Care, Maine Chronic Pain Collaborative, Primary Care
Health Care, Accountable Care Organizations, Patient Centered Medical Homes
Patient Centered Medical Home, SBIRT, Substance Abuse Treatment
Health literacy, Patient-Provider Partnerships,P3,
Health Care, Peer Navigators, Primary Care, Chronic Conditions
Health Care, Chronic Pain, Pain Chronic Pain Collaborative, Pain Management, PDSA Cycle
Health Care, Health Care Quality Improvement, Quality Improvement Organization
Health Care, Patient-Centered Medical Home, Clinical Visit Summaries, Workflow
Health Care, Health Insurance, ACA, Affordable Care Act, Open Enrollment, Health Insurance Marketplace
Health Care, Medicare, Medicare Reporting, Physician Quality Reporting System, Value Based Modifier
Health Care, Risk Communication, Shared Decision Making, P3, Patient-Provider Partnership Pilots
Health Care, Chronic Disease
Health Care, Primary Care, Patient-Centered Medical Home, Health Home, Practice Reports
Health Care, Health Insurance, Value Based Insurance Design, Maine Health Management Coalition, Patient Centered Medical Home, H
Health Care, Implementation, Choosing Wisely, Shared Decision Making, P3, Patient-Provider Partnership Pilots
Health Care, Chronic Pain, Pain Management, Safe Prescribing, Maine Chronic Pain Collaborative
Health Care, Chronic Pain, Maine Chronic Pain Collaborative, Pain Management, Safe Prescribing, Patient Engagement
Health Care, Health Care Quality Improvement, Children's Health
Health Care, Chronic Conditions, Primary Care, Medicare
health care, patient engagement, p3, patient-provider partnership pilots, quality improvement
Health Care, Health Care Quality, PQRS, VBM, Medicare
Health, Health Care, Public Health, Primary Care
CDIC, diabetes, endocrinologist, chronic disease,, health care, patient self-management
Shared Decision Making, Patient Engagement, Health Care, patient-centered, patient-provider partnership
Health Care, Primary Care, Chronic Care Management, Medicare
Training, Presentations, QC 2015
Health, Health Care, Public Health, Primary Care, Rural Health
Health Care, Quality Improvement, LEAN, Operational Excellence
Health Care, Maine Health Access Foundation, Chronic Disease, Seniors, Aging in Place
Health Care, Predictive Analytics, Population Health
Health Care, Chronic Pain, Maine Chronic Pain Collaborative, Pain Management, Safe Prescribing, CPC2
Health, Health Care, Public Health, County Health Rankings
Health Care, Health, Primary Care, Chronic Pain, Opioids
Health Care, Health, ACA, Affordable Care Act, Health Care Reform, Health Insurance Marketplace, Medicare
Health, Health Care, Children's Health, Adverse Childhood Experiences, Resiliency
Health Care, Health, Health Insurance, Medicaid, MaineCare, CHIP, Marketplace, ACA
chronic disease improvement collaborative, CDIC, hypertension, blood pressure, community engagement
Health, Health Care, Veterans Health, Veterans Health Administration, Telehealth, Primary Care
Health, Health Care, Substance Use, Primary Care, SBIRT
Health Care, Primary Care, Patient-Centered Medical Home, Health Home, Process Improvement
Health Care, Patient-Centered Medical Home, PCMH, Primary Care, NCQA
Health, Health Care, Medical-Legal Partnerships, Social Determinants of Health
Health Care, Behavioral Health, Health Care Quality
Patient Centered Medical Home, Primary Care, Practice Tranformation, Care Transitions
Health Care, Quality Improvement, Behavioral Health, Pediatric and Adolescent Medicine
Health Care, Value-Based Insurance Design, Health Care Cost
Health Care, Community Health Workers, SIM Initiative, Maine, Primary Care
Health Care, Cardiovascular Disease, Medicare, Million Hearts
Health Care, Telehealth
Health Care, Core Metrics, Population Health, Health Outcomes
Health Care, Antimicrobial Stewardship Programs
CDIC, chronic disease improvement, diabetes, hypertension, quality improvement
Health Care, Patient-Centered Medical Home, PCMH, Primary Care, NCQA, Community Care Teams
Health Care, Patient-Centered Medical Home, PCMH, Primary Care, NCQA, Behavioral Health Homes
Health Care, Chronic Pain, Pain Management, Safe Prescribing, Maine Chronic Pain Collaborative, Tapering
Primary Care, Population Health, Health Care, Health Management
Patient Centered Medical Home, Primary Care, Practice Tranformation, Care Transitions, Readmissions
Health Care, HPV Prevention, HPV Vaccination
Health Care, Population Health, Health Funding
Health Care, Health Systems, Health Data, SHNAPP
Health Care, Primary Care, Practice Reports, MHMC
Health Care, Practice Transformation Network, Northern New England, PQRS, CMS, PTN
Health Care, Maine Health Data Organization, CompareMaine, Health Costs
Health Care, Partnerships to Improve Community Health, Food Security
health care, chronic pain, behavioral health, integrative medicine, social work
Health Care, Dementia, Early Detection
Health Care, Area Agencies on Aging, Communitiy Action Agencies
health care, chronic pain management, team-based care
Health Care, CARE Act
Health Care, Opiods, Accidental drug overdoses
Health Care, SASH, VT, Blueprint for Health
chronic pain collaborative, chronic pain, community resources, clinical resources, diversion alert
Health Care, Primary Care, Buprenorphine Treatment, Opioid Crisis
Health Care, Care Coordination, Predictive Analytics, Reduce Readmissions
Health Care, Medicare, Palliative Care, Advance Care Planning, Reimbursement Codes
Health Care, Accountable Care Organizations, Unified Community Collaboratives
Behavioral Health, Health Homes, Health Care, Mental Health,MaineCare,
health care, chronic pain, chronic pain collaborative, opioid, marijuana
Health Care, Geriatric Care, Older Adults
Health Care, Health Rankings, Health Improvement
Health Care, Community Approach, Special Populations, Trafficking Survivors
Chronic Pain, Health Care, Maine Chronic Pain Collaborative, Primary Care, neonatal abstinence syndrome, opioid dependence
Health Care, Opioids, Medication Assisted Treatment
Health Care, Opioid Prescribing Law, Opioid Crisis, Health Care Providers
Health Care, Community Health Options, Maine AAA's, Social Determinants
Health Care, NNE-PTN, MACRA, MIPS, Mingle Analytics
Healthcare, Choosing Wisely, antibiotics, low back pain, sleep,
Health Care, MACRA, MIPS, Maine's Health Care System, Maine's Health Care Communities, Quality Payment Program, Advanced Alterna
Patient Centered Medical Homes, Health Homes, Patient Experience
Health Care, Prescription Assistance Programs, MedAccess
Health Care, NNE-PTN, Medicare, QRUR
Health Care, Patient-Centered Medical Home, PCMH, Primary Care, NCQA, Community Care Teams, Behavioral Health Homes
Health Care, Health Care Professionals, Mindfulness, Stress Reduction, Build Resilience
Health Care, NNE-PTN, Resilience
HealthCare, Telehealth, Understanding, Funding, Implementing, Evolving Telehealth Technologies
Health Care, Employee, Health Programs, Diabetes Prevention
Health Care, Medicare, Quality Payment Program, QPP, MACRA, MIPS
patient-Centered Medical Home, Health Homes, Geriatrics, Wellness,
HealthCare, Maine Quality Counts, POLST, Treatment Choices
HealthCare, Maine Quality Counts, Collaborative Drug Therapy Management, CDTM, Practice Agreements
HealthCare, Maine Quality Counts, Opioid Use Disordere, Medication Assisted Treatment, MAT, Primary Care, Hub and Spoke
Health Care, Maine Quality Counts, MQC, Telemental Health, mental health treatment, behavioral health treatment, Northeast Tele
HealthCare, Maine Quality Counts, MQC, Opioid Dependence, Opioid Addiction, Screening, Assessment, Diagnosis
HealthCare, Adverse Childhood Experience, ACE's, trauma, Trauma-Informed System of Care
HealthCare, Maine Quality Counts, MQC, Obesity Treatment, Algorithms for Care
HealthCare, Maine Quality Counts, MQC, Morphine Milligram Equivalents, MMEs MME Calculator, Maine's Opioid Prescribing Law, Opio
HealthCare, Maine Quality Counts, MQC, MA Career Laddering, Quality Care, Quality Care Teams, Medical Assistants
HealthCare, HealthCare Policy, Trump Administraton, Implications
HealthCare, Maine Quality Counts, MQC, Naloxone, Opioid Use Disorder, Overdose Education
Health Care, Behavioral Health, Primary Care, Integration, Collaborative Care, Coding







September 2016
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A QC Lunch & Learn Webinar with Nathan Morse, Maine state coordinator of the National Diabetes Prevention Program.

Interested in referring your patients with prediabetes to evidence-based lifestyle change programs that will soon be a reimbursable service? Here in Maine, the National Diabetes Prevention Program (NDPP) is partnering with health systems, primary care practices, and community-based organizations to do just that – and more.  Join us for this webinar with Nathan Morse, supervisor of the Maine CDC’s Diabetes Unit and the State of Maine coordinator of the NDPP. He’ll discuss the cross-cutting effects of primary prevention for chronic diseases and delve into the NDPP history, successes , tools and opportunities for partnership.

Direct download: 12.20.16_webinar.m4a
Category:Health Care -- posted at: 2:43pm EDT

Prescription drug and opioid overdoses continue to rise in Maine and in the United States as a whole. Communities with Overdose Education and Naloxone Distribution (OEND) programs have demonstrated how effective naloxone prescribing can be in the number of lives reported to have been saved. This webinar will explore how to prescribe naloxone, how to talk to patients about the importance of having and knowing how to use naloxone and how to access naloxone affordably. Elisabeth Fowlie Mock, MD, will present. Elisabeth regularly teaches providers about naloxone use and other opioid-related clinical topics for MICIS, the Maine Medical Association’s academic detailing program.

As the incidence of multiple chronic diseases increases among older patients, so does the phenomenon of polypharmacy. Forty percent of community-dwelling older adults take five or more medications per day. Fifty percent of nursing home residents take nine or more. And in the inpatient setting, the rates are even higher.

According to the DHHS, “the burden of taking multiple medications has been associated with greater health care costs and an increased risk of adverse drug events, drug-interactions, medication non-adherence, reduced functional capacity and multiple geriatric syndromes.”

In this webinar, we present “person-centered deprescribing,” a new approach to reducing medication burden that a 2014 British Journal of Clinical Pharmacology article hails “as the first deprescribing process developed using knowledge of the patients' views of medication cessation; it focuses on engaging patients throughout the process, with the aim of improving long-term health outcomes.”

Please join presenters Dr. Roger Renfrew and Dr. Mary Ann E. Zagaria to explore the elements and benefits of person-centered deprescribing.

Direct download: 12.6.16_polypharmacy_webinar.m4a
Category:Health Care -- posted at: 9:40am EDT

A discussion with Dr. Lisa Letourneau, Susan Dentzer, Gordon Smith and Jeff Austin regarding the implications of health care policy and funding under the Trump Administration.

PCMH Held it's final Webinar on November 16th. Lisa Letourneau, MD, MPH, Executive Director for Maine Quality Counts spoke on Life After PCMH Pilot/MAPCP and options for supporting alternative primary care payment. 

Medical Assisting is one of the allied health professions feeling the largest impact from recent healthcare reform. Highly competent support staff is increasingly important as population and health trends like team-based care and higher regulation shape the future of health care. Medical assistants (MAs) are widely recognized as part of the solution needed to provide quality, efficient care. The Bureau of Labor Statistics (BLS) predicts 2.6% annual growth in the medical assisting field for the next 10 years, more than twice the average for U.S. employment growth. Job postings for MAs grew 15 percent in 2014 after growing over 10 percent per year in 2012 and 2013, according to Gray Associates, a strategy and consulting firm serving the education industry. With these trends comes the need for additional training to fit the ever-changing and expanding roles held within the healthcare community.

Through training, curriculum redesign and strengthened clinical relationships MAs are being required to advance beyond typical clinical and administrative skills to develop targeted competencies. This push is empowering MAs to seek out professional development for continued growth while seeking organizations that have developed successful career laddering programs.

As the shift to value-based care gains momentum, primary care practices are increasingly dependent on care teams to meet quality and cost goals. Medical assistants (MAs) are widely recognized as a key members of those teams, and their roles are fast expanding. Through training, curriculum redesign and strengthened clinical relationships, MAs are being required to advance beyond typical clinical and administrative skills to develop targeted competencies. This push is empowering MAs to seek out professional development for continued growth while seeking organizations that have developed successful career laddering programs.

This webinar will study MA career laddering in depth, including both an overview of best practices and deep dives into two successful career laddering programs. Please join us to gain new insights into how you can support and expand the role of MAs in your practice or system.

Maine's new Opioid Prescribing Law, Chapter 488, places limits on the total daily dose of opioid medication that most patients may legally be prescribed.  Those limits are measured using "Morphine Milligram Equivalents", or MMEs.  But measuring MMEs for various opioid medications can be tricky and prescribers, naturally, have questions. Which MME Calculator to use?  How will MMEs be handled by Maine's Prescription Monitoring Program?  How can providers keep track of changes in patients' daily MME dosage?  How can practices use EMRs to record providers' opioid prescribing by MME?

This webinar will explore what we currently know about the use of MMEs, how they will be used to assure compliance with Chapter 488 and how one large primary care system in Maine is using its EMR to help providers understand their own opioid dosage trends.  

Since 2000, Maine’s adult obesity rate has jumped more than 58 percent. In 2016, nearly a third of adult Mainers are obese, a contributing factor in the increasing prevalence of many chronic diseases including hypertension, diabetes, heart disease and even depression. There is little doubt that obesity needs to be addressed by Maine’s medical community, but what exactly should a primary care provider do when encountering an obese patient?

In this webinar, we will talk about beginning conversations with patients about obesity treatment, review current and accepted algorithms for care, look at potential pharmacological causes of obesity and follow what happens when a patient is referred to a specialist for care.


The PCMH/HH Monthly webinar was held on October 25th, 2016. Presenters Rhonda Selvin, APRN, CNP, Medical Director for Maine Quality Counts and Kim Garden, LPN, BS, CPC presented on enhanced CMS fee for service billing codes (TCM and CCM). 

Maine has one of the highest rates in the nation of individuals who have experienced adverse childhood experiences (ACEs). Some studies indicate that more than half of Mainers have experienced at least one adverse childhood experience. The health impact of ACEs has shown to be profound, both behaviorally and physically.  So, understanding both the high prevalence and significant health impact of ACEs, what is a responsible health care provider to do?

During this webinar, we’ll discuss constructive ways that providers, administrators and entire systems can create a practice culture that acknowledges survivors of trauma, builds a supportive care environment and understands that treating their health needs sometimes requires going beyond the purely clinical.


The afternoon Keynote address from the 09/29/2016 PCMH/HH/BHH/CCT Learning Session: Building Team Resiliency to Sustain Health Care Transformation, Presented by speakers Trip Gardner, MD, Penobscot Community Health Care and Angela Felicia, MSW, LCSW, Penobscot Community Health Care.






{Trip Gardner, MD, Penobscot Community Health Care}

{Angela Felicia, MSW, LCSW, Penobscot Community Health Care}

Morning Keynote address from the September 29, 2016 PCMH/HH/BHH/CCT Learning Session: Building Team Resiliency to Sustain Health Care Transformation, presented by speakers Melora Simon, MPH, Stanford University and John F. Chamberlain, MD, University of Rochester School of Medicine.






{Melora Simon, MPH, Stanford}

{John F. Chamberlain, MD, University of Rochester School of Medicine}

QC Executive Director Lisa Letourneau, MD, MPH and a panel of experts explore the intricacies of how PCMH practices can transition to the new MIPS value-based payment system from Medicare. Recorded at the final Maine PCMH and Health Home learning session on September 29, 2016.

To develop an effective clinical response to the rampant misuse of opioids, it is helpful to understand the differences between opioid dependence and opioid addiction - and to consider the implications of those differences.

Participants in this webinar will learn to identify risk factors and distinguish the difference between opioid dependence and addiction, as well as how to best respond to patient needs across these clinical presentations.  We will review techniques for screening, assessment, and diagnosis as well as strategies for patient engagement and motivational enhancement for implementing the safest plans of care.


Telehealth technology has a relatively long history of being applied to mental and behavioral health treatment, particularly in under-resourced rural areas. But what’s the state of telemental health today – and how can we use it to help fill our current gaps in substance use disorder treatment? These questions will be answered, and more, during this webinar co-presented with the Northeast Telehealth Resource Center.  We will cover ethical and legal issues, current best practices, how to find resources, and tips for getting started in telemental health. 

On June 3rd, 2016, Quality Counts hosted a Learning Session which highlighted the presentation of Allegra Hirsh-Wright and colleagues on understanding and addressing compassion fatigue in health care.  Unfortunately, due to technical difficulties, we were unable to showcase this presentation to a number of our Learning Session sites.  We’d like to present to our attendees and other interested parties a recording of this presentation for your team to view.

As Maine's opioid crisis deepens and options for treatment decrease, it's becoming increasingly important for primary care providers to step up and begin providing Medication Assisted Treatment to their patients experiencing opioid use disorder. Offering MAT in primary care can be a daunting prospect, but practices don't need to go it alone.  Support is available from the medical neighborhood - particularly from substance use treatment centers and specialists.

During this webinar, learn how treatment specialists and primary care providers in Maine are supporting each other, and patients, through an innovative shared treatment model called Hub and Spoke.

This month's BHH webinar highlighted work done by MaineCare with the Muskie School of Public Service. They have developed a library of resources to help build and strengthen competencies and knowledge of Health Home Coordinators as it relates to their work in the field. We wrapped up with conversation from BHH Health Home Coordinators in the field and heard their experiences providing services to their clients.

Earlier this year, the Board of Licensure in Medicine and the Maine Board of Pharmacy approved a joint rule for creating collaborative practice agreements between Pharmacists and health care providers to offer patients Collaborative Drug Therapy Treatment (CDTM).  Once established, CDTM would allow Pharmacists to initiate, monitor, modify and discontinue a patient's drug therapy.

Please join us to learn about the implications of CDTM, learn how CDTM is being adopted by providers and pharmacists in Maine, and explore the process of entering into a CDTM agreement.

Spreading Choosing Wisely is meaningfully engaging consumers/patients in transforming care and build patient-provider partnership.  This initiative seeks to reduce unnecessary use of tests and treatments.

David Koffman, MD discussion focused on lessons learned in engaging providers/practices in Choosing Wisely at St. Joseph Hospital, Bangor, Maine.  

Learning Objectives:

  • Determine best practices for Choosing Wisely integration in practice.
  • Understand positive impact of Choosing Wisely on building the patient/health care team partnership and improving patient/team satisfaction.
  • Identify tools to help patients with questions about costs of care.

Danielle Hersey, BSN, RN also announced that in alignment with the President's Advisory Council on Combating Antibiotic-Resistant Bacteria (PACCARB), will be providing learning sessions and direct assistance to outpatient providers in order to implement best practices in antibiotic stewardship as defined by the Centers for Disease Control.

Dr. David Koffman discusses lessons learned in engaging providers/practices in Choosing Wisely at St. Joseph Hospital, Bangor, Maine in the first year of the "Spreading Choosing Wisely Grant initiative, funded by ABIM Foundation.  September 7, 2016 webinar

Category: -- posted at: 11:02am EDT

The Physician Orders for Life-Sustaining Treatment (POLST) is an evidence-based process that allows people with a life-limiting illness or advanced frailty to talk with health care providers about their treatment choices so that their wishes can be translated into actionable medical orders.

Join Elizabeth Hart, MD, co-founder of the Maine POLST Coalition, to explore the POLST Paradigm, investigate how providers in Maine are incorporating it into their practices and consider its effectiveness in your practice setting.  This webinar is appropriate for those considering the use of POLST and those who are already using POLST but haven't had extensive training in the model.

Annual Wellness Visit Door to Geriatrics Care, 08/24/2016 {Dr. Roger Renfrew} [PCMH] [HH]

Implementation of Medicare's new Quality Payment Program (QPP) under MACRA may seem far away, but the time to prepare is now.  Most Maine providers paid under the Medicare Physician Fee Schedule will be required to participate in the QPP's Merit-Based Incentive Payment System (MIPS) with an initial performance period that begins in January 2017 - just a few short months away!

This webinar will provide an overview of how the QPP is likely to roll out in Maine, based on current information, and suggest steps to take both now and in the near future to position your practice for success under MIPS.

Passed in April 2015 as an alternative to the unpopular "Sustainable Growth Formula", MACRA (Medicare Access & CHIP Reauthorization Act) is one of the most significant pieces of health care-related federal legislation in over a decade and holds enormous potential for transforming Medicare payment and health care delivery.

The BHH Monthly webinar was held on Tuesday, August 9th featuring speaker Carol Cortes, RN. Carol is a consultant for Maine Quality Counts. She presented on best practices of Nurse Care Managers. In addition, we had guests from BHHOs talking about thier experience from the field along with best practices of their own they employ every day.

Direct download: BHH_Webinar_Aug_9_2016.mp3
Category:general -- posted at: 8:59am EDT

Numerous studies indicate that employee health programs are a powerful tool for decreasing health care costs and improving workplace productivity.  Several Maine companies have received national attention for their innovative employee health programs, including Bath Iron Works.  During this webinar, join BIW's Manager of Integrated Health Services, Michelle Probert, to explore the evolution and success of their program, including working with partners to extend diabetes prevention efforts beyond the shipyard gates and out into the community.

Maine state law will soon require all prescribers to consult the State's Prescription Monitoring Program when prescribing opioids and benzodiazepines. Join us for an inside look at the PMP and to learn how this new requirement will impact your practice. We'll also explore Diversion Alert, a service to help providers access drug arrest data in the effort to identify and respond to patients at risk for overdose, in need of treatment, or engaged in illegal prescription drug distribution. The PMP's Heather Skolfield and Diversion Alert's Clare Desrosiers present with contributions from Peter Michaud of the Maine Medical Association.

Direct download: 8_2_16_PMP_webinar_audio.mp3
Category:Health Care -- posted at: 3:54pm EDT

This month's 07/27/2016 [PCMH/HH] webinar discussed how Palliative Care can help improve and extend life for those with chronic disease. We looked at a work-flow for the primary care office and how to keep communication at its best.  Presenters included {Dr. Rebecca Kowaloff} and {Heather DiYenno}.

Co-presented with the Northeast Telehealth Resource Center, this webinar is a great opportunity to move from contemplating to implementing a telehealth program, particularly for health care facilities located in rural areas.  With the help of national experts, we investigate the latest in telehealth technology, discuss best practices for making technology purchase decisions and explore telehealth infrastructure and equipment funding opportunities.  Join us as we prepare for the future of healthcare: providing patients with the right care, at the right time, in the right place!

Change often brings unease, especially in the work place.  By developing resiliency within your practice team, you and your team can identify areas of concern and can work to remove obstacles to resiliency.  Join us for this webinar to learn how you and your team can remain strong and vibrant throughout change.



{Eleesa Marnagh George Joe Dreher}

Direct download: July_26th_Webinar_Seeking_Resilience_audio.m4a
Category:Health Care, NNE-PTN, Resilience -- posted at: 8:44am EDT

Presentation provided by Trip Gardner, MD and Jessica Bates, PharmD.

This education is important due to benzodiazepine use by elderly patients is associated with adverse outcomes including increased risk of falls and fractures, motor vehicle accidents and cognitive impairment.  Recent studies suggest that individualized feedback and education to physicians may improve drug prescribing.  There is a continued high prevalence of benzodiazepine use by older community-residing adults and of their continued prescription by practitioners, despite well-known adverse effects and the availability of safer, effective alternatives.

Direct download: CW_Benzo_Talk_Audio.mp3
Category: -- posted at: 10:24am EDT

Stress can often seem to be an inescapable component of working in, and receiving, health care.  It's possible to experience stress in a way that minimizes its harm and harnesses its ability to actually improve physiological functioning.  During this webinar join Mid Coast Health's Ben Tipton to learn how Mindfulness-Based Stress Reduction (MBSR) can help individuals respond to stress in a way that builds resilience and confidence.  We'll look at ways to apply MBSR to your own work and life experience and explore how to establish an MBSR program in the health care setting.

During the February 25, 2016 Learning Session for Behavioral Health Homes, Catherine Ryder, Executive Director of Tri-County Mental Health Services, shared her organization's experience in developing and building a Behavioral Health Home in Maine.  This is a great listen if you're just starting out building a Behavioral Health Home program, need enlightening ideas for your existing BHH program, or want to know more about the Behavioral Health Home model.

The BHH monthly webinar was held on July 12th featuring BHHOs sharing their personal experience working on quality improvement projects over the past year. Both new and veteran BHHOs gained a better perspective on how to construct and implement their own quality improvement projects. 





Direct download: BHH_71216.mp3
Category:Behavioral Health, Health Homes, Health Care, Mental Health -- posted at: 10:39am EDT

PCMH/HH/BHH webinar discussed the potential risks associated with the use of atypical antipsychotic medications;determine best practices for metabolic monitoring in children and adults; and how targeted learning and feedback measures can rapidly alter utilization metrics.

With the many changes coming in value-based care, you and your practice may be unaware of the variety of resources available to you.  
This session will help prepare you and your office to leverage CMS' quality reporting tools, such as the QRUR report, in preparation for the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).  


This webinar will offer information to improve the financial success of your practice by:
  • Identifying CMS' quality reporting tools, including QRUR, PQRS Feedback Reports, and the QMAT tool.
  • Understanding the report schedules and knowing how to access them.
  • Recognizing how quality reporting tools can help inform decisions around quality and cost of care in preparation of new payment models



{Chris Hopwood Joan Orr Maryellen Thoma}

Interested in helping your patients afford their medications? Listen to this webinar to learn how two Maine health provider organizations, MaineHealth and Penobscot Community Health Care, have established, and are sustaining their own prescription assistance programs.

Direct download: audio_only__6-21-16.m4a
Category:Health Care, Prescription Assistance Programs, MedAccess -- posted at: 1:18pm EDT

A major provision of Maine’s new opioid prescribing law will soon require providers to limit the daily opioid dosages of chronic pain patients. But how can providers meet this legal requirement while also limiting their patients’ distress? This webinar offers answers by exploring the effectiveness of high dose opioids, looking at pain control alternatives, delving into Morphine Milligram Equivalents  and sharing techniques for effectively and compassionately tapering opioid dosages to below legal limits and, ultimately, to zero. Noah Nesin, Eva Quirion and KariLynn Dowling present.

Direct download: opioidtapering6.14.16.m4a
Category:Health Care -- posted at: 2:40pm EDT

Falls are the leading cause of fatal and non-fatal injury among the elderly in the U.S., resulting in 2.5 million ED visits and 734,000 hospitalizations annually. Falls, and the fear of falling, also reduce quality of life for our growing elderly population, reducing engagement in social and physical activities outside the home and leading to isolation, depression and feelings of helplessness.

Primary care providers can help prevent falls using the CDC’s STEADI tool, a simple-to-follow algorithm for screening older adults for fall risk, and for conducting risk assessments for those determined to be at risk. During this webinar, the CDC’s Dr. Deborah Hastings will introduce the STEADI tool and provide guidance on how to integrate fall prevention screening into your practice.

Direct download: STEADI_webinar_audio.mp3
Category:Health Care -- posted at: 2:58pm EDT

Explore ways to use your practice Patient Experience data to improve patient experience and increase Access and Identify resources to support your practice in improving patient experience and engagement

A video conference to explore the implications of MACRA and its likely impact on Maine clinicians.  We'll plan to do some sense-making and offer an opportunity to start learning how to navigate MACRA programs, including the Quality Payment Program, Advanced Alternative Payment Models (APMs), Merit-based Incentive Program (MIPS), and Advancing Care Information (ACI).

Join this webinar to learn how your practice can effectively integrate Choosing Wisely tools and concepts to reduce inappropriate use of tests and treatment to achieve a 20% utilization reduction for three high priority areas of utilization (i.e. antibiotics for bronchitis; advanced imaging for low back pain (LBP); and benzodiazepines in older adults).

  • Identify tips and tools for successful and easy integration of Choosing Wisely into practice.
  • Understand how to implement 3 easy things a practice can do to get started with Choosing Wisely.
  • Learn different techniques to deal with difficult conversations.

MACRA legislation has queued PQRS in 2016 for transition to the Merit-Based Incentive Payment System (MIPS) in 2017. Performance, judged by cost and quality, will become more important than ever. 

Dan Mingle, MD, MS, CEO of Mingle Analytics and a nationally-recognized expert on quality reporting, will present current knowledge of MIPS and how to prepare for it.

Direct download: MIPS_Web_audio_only.m4a
Category:Health Care, NNE-PTN, MACRA, MIPS, Mingle Analytics -- posted at: 2:20pm EDT

“How Health Systems/Practices are Integrating Choosing Wisely®”
MOC Webinar

May 11, 2016 – 12 Noon – 1PM

Direct download: CW_May_11_Webinar.mp3
Category:general -- posted at: 1:39pm EDT

The May BHH Webinar was over the roles of the Medical and Psychiatric Consultants in Behavioral Health Homes, giving insight on best practices they have seen being put to use!

Direct download: BHH_Webinar_5_10_16.mp3
Category:general -- posted at: 11:42am EDT

Community Health Options and Maine’s five Area Agencies on Aging created an innovative partnership that leverages local care by engaging a trusted community health resource.  As part of the pilot, AAA staff deployed a new tool, a Crisis to Thriving Scale designed specifically for the project that tracks progress of the member across various identified areas of need. This presentation of case studies will demonstrate how a non-traditional model addressing social determinants of health can shift the paradigm to improved health outcomes and enhanced consumer satisfaction while reducing overall cost of care. 

Northern New England Practice Transformation Network - Change Package Webinar - April 29, 2016

While clinicians focus on improving care for their patients, they also face increasing expectations of value and service.  Soon, most Medicare and other payments will be based on complex value and other quality measures that are unfamiliar to most medical practices. Along with these measures come new financial incentives and penalties. 

Take a dive with us into a change structure that supports clinical and operational transformation. In addition, learn about our new NO-COST quality improvement resource - NNE-PTN!

With PTN tools and support, not only will you be ready for VBP, you will create a practice experience where your patients, your team, and your business thrive.

Direct download: NNE-PTN_Change_Package_Webinar.mp3
Category:Health Care -- posted at: 11:12am EDT

Governor LePage just signed into law new rules for prescribing opioids. Listen to this webinar to review the reasoning behind the law, how it is likely to affect health care providers, and develop a considered response to its stipulations. We also briefly explore the evolution of the opioid crisis and its impact on the drafting of Maine’s new law.
Dr. Noah Nesin, Chief Medical Officer of Penobscot Community Health Care, provides clinical insights and Gordon Smith, Executive VP of the Maine Medical Association, offers legal analysis.

Overview of connections to services within MaineCare Services and with other State Agencies and resources for providers to incorporate in their day-to-day work with MaineCare members

A growing number of Maine primary care practices are responding proactively to Maine’s opioid crisis by establishing Medication Assisted Treatment (MAT) programs for patients experiencing opioid use disorder.
During this webinar, seasoned MAT provider and primary care physician Kristen Silvia, MD will join addiction specialist Eric Haram, LADC to give primary care practices an overview of, and advice on, the steps to take to start and sustain an effective MAT program in Maine.
This is a must-attend webinar for health systems and primary care practices seeking a meaningful way to impact Maine’s most significant public health crisis.

The Behavioral Health Home monthly webinar was held on Tuesday April 12th from 12:00-1:00pm and featured presenters Simonne Maline from the Consumer Council System of Maine and Elaine Ecker from NAMI Maine.

They took a deeper look into the Peer support specialist role and how they are pioneering their part of the Behavioral Health Homes team.

Please join us for the Chronic Pain Collaborative 2 (CPC2) webinar focused on the inclusion of patients and families in the management of chronic pain. Kelley Bowden, MS, RN of Maine CDC will provide an overview on Snuggle ME Guidelines for use when working with pregnant mothers and babies, and Karen Dawson, LSW of the PCHC CHAMP Clinic will provide an overview of the CHAMP program.

At the conclusion of the webinar, participants will be able to:

  • Describe the extent of substance use during pregnancy in Maine
  • Outline how to identify potentital problems using screening protocols during pregnancy
  • Highlight best practices and evidence-based care for women with substance use during pregnancy

St. Joseph Healthcare and Hope Rising, a branch of St. Andre Home, have partnered in a unique way to help address the varied needs of survivors of trafficking, and have taken a truly collaborative community approach to do so. Listen to learn more about their collaboration and consider how their model may apply to your efforts to serve special populations.

The 2016 County Health Rankings provide detailed county-by-county reports on five factors that represent current health status and 30 factors known to impact future health outcomes. If harnessed correctly, these and other rankings can become powerful tools for shaping health improvement plans developed by states, municipalities and health systems. Join us for an overview of available health rankings and to learn how MaineHealth and the Maine Shared Health Needs Assessment and Planning Process are both putting rankings to work shaping and measuring health improvement goals.

How to do an even better job of capturing an annual Hemoglobin A1c.  Identifying the cost and process for using a CLIA Waived Testing and Using the team to identify missed opportunities

Join us for the launch of our geriatric webinar mini-series. This introductory webinar will address the unique needs, resources and opportunities of older adults and consider improvements in how, when and where care is needed and delivered.

Learn to:

  • Describe current use of medical marijuana for the treatment of chronic pain, along with unique characteristics of the endocannabinoid system

  • Identify best clinical practices associated with the recommendation of medical marijuana and the types of patients that may benefit from using it for chronic pain

  • List tools that may prove useful to medical providers in their discussions with patients about the use of medical marijuana in the treatment of chronic pain, as well as potential side effects and risks

Let’s Collaborate! MaineCare Care Management Collaborative

Audrey Pratt presenting on the MaineCare Care Management Collaborative and their work to outreach and educate MaineCare members in an effort to reduce avoidable emergency department visits and support gaps in care management.

In early 2015, Vermont began integrating Accountable Care Organization and the State’s health care improvement activities to more effectively increase the capacity of primary care, provide citizens with better access to team-based services and strengthen the basis for a community-oriented population health system across Vermont. To foster integration, Unified Community Collaboratives were created that combined ACO and State work groups into a unified forum.

Listen to this webinar to explore the rapid evolution of the Community Collaborative model , study its successes and explore its implications for aligning ACO and State efforts in Maine. 


In January, Medicare began reimbursing qualified health care professionals to provide advance end-of-life care planning, which promotes alignment of patients’ and families’ goals and treatment plans with their values and preferences, which ultimately leads to understanding and honoring the patient’s wishes.   

During this webinar, a panel of local palliative care and coding experts will share information about the new Medicare reimbursement codes and explore how to put advance care planning to best use for patients.

This month's PCMH/HH webinar explored empanelment, a primary building block to improving continuity of care for patients and vital element of high performing primary care teams.

Join our executive director, Lisa Letourneau, in a conversation with Andrey Ostrovsky to explore a new model of care coordination that empowers non-medical staff to use predictive analytics to reduce readmissions.

Improving Access - A Day in the Life of a Practice - Sustaining Team Vitality

Moving Beyond the Bricks and Mortar - Current and Future State of Telehealth in Primary Care: The Virtual Visit

From Basics to Breakthroughs: Lessons from a Primary Care Road Warrior

Solutions to Maine’s opioid crisis are emerging. This webinar offers compelling reasons for offering office-based buprenorphine treatment by primary care physicians, and detail what is needed to establish a treatment program in your practice. Learn components of a successful program and best practices for anticipating and overcoming challenges. Featured Presenter Dr. Marwan Haddad.

Presented By:  

Noah Nesin, MD
Penobscot Community Health Center

Eva Quirion, NP

St. Joseph Internal Medicine

Clare Desroslers, MSW
Diversion Alert 


  • Identify the array of potential resources, either within the practice’s internal health network or based in the local community, which can provide alternative forms of care and support to chronic pain patients and their care givers

  • Develop effective approaches to increase the site’s ability to match patient needs with available resources (internal and external), make the ‘warm hand-off’ or referral, and monitor follow through

  • Understand how Diversion Alert can help to make informed decisions about patient, identify patients in need of substance abuse treatment or patients who may drug seeking for the purpose of diversion and assist in compliance with rules and guidelines recommended by professional boards


Tri-County Mental Health Services will present a case of how their team, utilized the BHH model and connection to primary care to make a difference in the life of a client receiving services.
The webinar audience would be Health Home Coordinators, Clinical Leads, Peer Support Specialists, and Nurse Care Managers.  All members of the team are encouraged to listen!


Direct download: BHH_2_9.mp3
Category:Health Care, Community Health Workers, SIM Initiative, Maine -- posted at: 10:56am EDT

As part of the Blueprint for Health, Vermont’s statewide health care reform initiative, Support and Services at Home (SASH) allows health, housing and social services providers to communicate, coordinate and collaborate fully to give Vermont’s seniors and individuals the care and support they need to stay healthy while living comfortably and safely at home. Join us to learn how to apply the lessons of SASH to clinical and community collaborations in Maine.

Accidental drug overdoses claimed at least 174 Maine lives in 2015 and prescription opioids were implicated in many of those deaths. Listen to this webinar to learn how health care providers can refine their opioid prescribing practices and take other practical steps to help reduce overdose rates and save lives in 2016. Lisa Letourneau, MD, MPH, presents.

Direct download: 6_Thing_Opiods_audio_only.m4a
Category:Health Care, Opiods, Accidental drug overdoses -- posted at: 2:22pm EDT

This month Rebekah Gardner, MD HealthCentric Advisors and Rhonda Selvin, APRN, FNP, Medical Director, Maine Quality Counts reviewed basic concepts of meaningful medication review and identified workflows and complementary roles of clinicians and other members of the team for meaningful review of medications.

The Maine Legislature’s recent passage of the CARE Act opens up new opportunities to engage unpaid caregivers as partners. Please join us to learn the details of the CARE Act and explore tools and resources that you can use to help caregivers be more informed and effective.

Direct download: Engaging_Caregivers_audio_only.m4a
Category:Health Care, CARE Act -- posted at: 1:36pm EDT

The BHH monthly webinar will be held on January 12th featuring the work of MaineCare and HealthInfoNet to make population health data accessible to BHH Teams. 

Two important web portals are being used in Behavioral Health Homes: the MaineCare VMS Portal and the HealthInfoNet Portal. Join this informative webinar for a discussion on the utility of the two portals and to help ensure you are maximizing the benefits of each portal to improve member care.

We encourage you to share this information with your entire team! This webinar will be beneficial for BHH Nurse Care Managers, Administrative Leads, Clinical Leads, and any other team member who are using these portals.  

Direct download: BHH_1_12.mp4
Category:Health Care, Behavioral Health, Health Care Quality -- posted at: 2:31pm EDT

Participants of the webinar will be able to:

  • Demonstrate an understanding of the physiological processes involved in chronic pain

  • Connect the impact of the physiological changes induced by injury and pain to the patient’s symptoms and their presentation

  • Identify the pharmacology of main neurotransmitters and pharmaceuticals involved in pain modulation and their physiological actions

  • Discuss how primary care providers can work better with Mercy Pain Center and other pain clinics

  • Identify multidisciplinary treatments of chronic pain

  • Understand ways to reduce or eliminate pain by addressing the physical, psychological and social components of pain

Sometimes the biggest barriers to a patient’s good health aren’t medical problems, they’re social or economic challenges. What’s a provider to do? In this webinar, we’ll explore one promising strategy available to health care providers in Maine: reaching out to the Area Agencies on Aging and Community Action Agencies that serve the needs of elderly and low-income Maine residents. Join us to learn how these valuable partners can help you meet the sometimes complex needs of patients.

Using simple tools and techniques, every member of your practice team can become a crucial link in early detection and treatment of dementia. Listen to this webinar featuring presenter Sarah Hallen, MD, to learn how.

Direct download: audio_only.m4a
Category:Health Care, Dementia, Early Detection -- posted at: 1:32pm EDT