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 2018
2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17 18 19 20 21 22
23 24 25 26 27 28 29


Direct download: 12-20-18_MICIS_Webinar.m4a
Category:general -- posted at: 1:47pm EDT

At the conclusion of the MICIS learning session, the learner will have the ability to:
1. Appropriately recognize, diagnose and language opioid use disorder (OUD)
2. Compare pharmacologic treatments used in Medication Assisted Recovery (MAR)
3. Develop a strategy for treating acute pain for patients with OUD
4. Constantly consider harm reduction


Speaker: Elisabeth Fowlie Mock, MD, MPH, FAAFP 
Elisabeth is a Family Physician living in Holden, ME, and practicing part-time as an Adult Hospitalist (or “Nocturnist”) at Eastern Maine Medical Center in Bangor. She does consulting work and teaches for the Maine Medical Association’s Academic Detailing Program, MICIS. She attended Colby College and Emory University and received her MD from Vanderbilt University School of Medicine. After a residency in rural Family Medicine, she received her MPH in Health Policy and Administration from UNC-Chapel Hill. She is a Past President of the Maine Academy of Family Physicians and an Alternate Delegate to the American Academy of Family Physicians. Elisabeth very recently took her addiction medicine boards.

Direct download: 11-27-18_MICIS_Opioid_Use_Disorder_and_MAT_Recovery_audio.m4a
Category: -- posted at: 2:14pm EDT

Dr. Fellers is a native Mainer. He completed his undergraduate studies in chemistry at MIT before attending Cornell University Medical College. During his psychiatry residency at the University of Virginia, he gained clinical research experience recruiting, running, and managing medication trials that use the human laboratory for the evaluation of medications for substance use disorders. Dr. Fellers further developed his clinical and research skills during an addiction Psychiatry fellowship at Oregon Health & Sciences University and a postdoctoral training fellowship at the Portland VA healthcare System.

Since his return to Maine in 2015, Dr. Fellers has led the development and implementation of several successful programs in response to the State’s opioid epidemic. The MMC IMAT Program provides addiction consultations for patients hospitalized due to serious medical complications of drug use, such as endocarditis and epidural abscesses. The MMP IMAT Program delivers Medication-Assisted Treatment with buprenorphine within all primary care practices. The MaineHealth/MBH IMAT Program builds on the success of these previous initiatives to deploy evidence-based addiction services across the entire MaineHealth footprint.

Direct download: 11-20-18_Urine_Drug_Screening_Audio.m4a
Category: -- posted at: 1:48pm EDT

SPEAKERS: SPEAKERS: Frank Chessa, Ph.D., Melia Knowles-Coursin, RN, BSN, and Amy McAuliffe, PMH-NP, BC 
OBJECTIVES: 1. Discuss ways that hospitals can provide compassionate care for hospitalized patients with substance use disorder/opioid use disorder.2. Highlight challenges that inpatient units can face working with patients with substance use disorder/opioid use disorder.3. Discuss how systems of care can be better designed to support patients with SUD/OUD.4. Provide examples of how hospital staff and hospital units are developing best practice guidelines and training for staff around caring for patients with SUD/OUD.5. Discuss medical complications associated with injection drug use6. Discuss some of the interventions offered to assist patients with Opioid Use Disorder while inpatient7. Barriers to care through inpatient admission and at discharge

Direct download: 102318_SUDOUD_webinar_audio.m4a
Category: -- posted at: 11:31am EDT

SPEAKER: Greg Marley

Parallels between Opioid Overdose and Suicide: Engaging the Conversation

1. Provide an overview of trends in suicide in Maine and parallels with the
opioid crisis and highlight potential relationships to substance abuse.
2. Highlight best practices on suicide identification, risk assessment,
intervention and management in healthcare settings.
3. Discuss systemic implementation of suicide prevention and protocol
development across hospital/practice systems.

Direct download: 09-18-18_Parallels_Between_Opioid_OD_and_Suicide-Audio.m4a
Category: -- posted at: 3:15pm EDT

SPEAKER: Jesse M. Higgins, NP, Acadia Hospital

1. Discuss the importance of addressing trauma in SUD treatment.
2. Discuss how to broaden the concept of BH integration in primary care to include SUD screening and treatment
3. Highlight ways that Acadia is expanding behavioral health integration around substance use disorder.
Direct download: 08-21-18_Broadening_Behavioral_Health_Integration_Around_SUD_aud.m4a
Category: -- posted at: 8:38am EDT

This webinar will specifically feature information on Age One Dental Visits and the integration/promotion within FM, pediatrics and the dental community. 

1. Explain the From The First Tooth Age One Campaign 
2. Review data and information on importance of the age one dental visit
3. Provide examples on how to integrate age one messaging into pediatric and family medicine practices

Rachel King, D.D.S., M.P.H.
After graduating from Stony Brook University School of Dental Medicine in 2009, Dr. King continued her training as a pediatric dental resident at the University of Medicine and Dentistry of New Jersey. Following residency, she entered the U.S. Air Force, where she had the opportunity to practice for two years in Japan as a pediatric clinical provider on Misawa Air Base, and for one year as an AEGD residency faculty member at Eglin Air Force Base in Florida.

Dr. King received her Master of Public Health degree in 2015 from the University of Massachusetts Amherst and began a residency in Dental Public Health through NYU Lutheran soon thereafter. Working in Providence, Rhode Island, with both the Rhode Island Department of Health and St. Joseph Pediatric and Family Dental Center, Dr. King received her second specialty certificate in 2016, prior to joining the UNE College of Dental Medicine.

Jeffrey A. Stone, DO, FAAP
Dr. Stone is a pediatrician at Waterville Pediatrics and a member of MaineGeneral Medical Center's active staff. He joined Waterville Pediatrics' medical staff in 1996. He completed his internship at Waterville Osteopathic Hospital.

In 1988 Dr. Stone completed his medical school training at the University of New England College of Osteopathic Medicine in Biddeford, Maine. 

His residency was done in Pediatrics at Janet Weis Children's Hospital at Geisinger Medical Center in Danville, PA, received his Bachelor's at the University of Maine, Orono, Maine in 1984
Direct download: Importance_of_Age_1_Dental_Visits_Audio.m4a
Category: -- posted at: 1:52pm EDT

Speaker: Daisy Goodman, CNM, DNP, MPH

Dr. Goodman will describe factors which complicate treatment of pregnant and parenting women with substance use disorders; identify key interventions to improve quality and outcomes and decrease healthcare costs for this population; and explore alternative models to help address barriers to care.

Dr. Goodman is a certified nurse-midwife and a clinical assistant professor of Obstetrics and Gynecology at the Geisel School of Medicine, and teaches quality improvement at The Dartmouth Institute. She coordinates women’s health services for the Dartmouth-Hitchcock Perinatal Addiction Treatment Program. Her research and work in quality improvement focuses on access to treatment and reproductive health care for pregnant and parenting women with substance use disorders, and the intersection between trauma and drug and alcohol use in women’s lives.

Direct download: 061218_Integrated_Care_for_Pregnant_Women_with_Substance_Use_Disorders_Audio.m4a
Category: -- posted at: 2:56pm EDT

Objective: The objective and purpose is that attendees will have a greater understanding of opioid use disorder, including overdose prevention and recognition, use of naloxone, and laws pertaining to naloxone.

Speaker: Zoe Odlin-Platz
Zoe has been working in harm reduction since
2009. She is a Community Health Promotion Specialist with the City of Portland’s Public Health Division and oversees the daily operations of the Portland Needle Exchange Program. Zoe helped to implement both a community sharps box campaign and a naloxone distribution protocol. In 2012, Zoe
helped form I AM HERE Outreach Team, which is volunteer run and does street-based needle exchange, harm reduction, overdose response education and safe sharps disposal. This team is responsible for organizing the International overdose Awareness March and Vigil that is held each year in Portland. Zoe is a co-founder of the Maine Harm Reduction Alliance and chairs the education committee and sits on the Overdose Prevention Task
Force for the City of Portland, the Amistad Community Board and Dignity for Opiate Users. Currently Zoe and the needle exchange team are focusing on their opioid overdose reporting in and reversal data collection, agency trainings on harm reduction and overdose prevention and community naloxone distribution events.

This project is supported by the Health Resources and Services Administration

Stephanie Nichols, Pharm.D., BCPS, BCPP
Stephanie is an Associate Professor of Pharmacy Practice at Husson School of Pharmacy, an Adjunct Clinical Assistant Professor of Psychiatry at Tufts School of Medicine, and a Psychiatric and Substance Use Disorder Pharmacist practicing at Maine Medical Center. She is highly engaged in interprofessional education of students, residents, and lifelong learners, both in the classroom and in the clinical setting. Her research has been published in: Pain, Current Psychiatry, Journal of Psychopharmacology, Journal of Studies on Alcohol and Drugs, Pharmacotherapy, Pharmacology, and Psychosomatics.

Direct download: 06-05-18_Opioid_Use_Disorder_Overdose_and_Naloxone-AUD.m4a
Category: -- posted at: 2:17pm EDT

Direct download: 5-30-18_webinar_Audio.m4a
Category:general -- posted at: 1:36pm EDT

Direct download: 5-29-18_Audio_Recording.m4a
Category:general -- posted at: 1:42pm EDT

Direct download: 5-15-18_Audio.m4a
Category:general -- posted at: 3:15pm EDT

Direct download: Audio_Recording_HAM_Workshop_Meeting.m4a
Category:general -- posted at: 8:28am EDT

Kelley Bowden will bring us up to date on the latest Snuggle ME Guidelines and has outlined the following objectives:

  1. Locate the Snuggle ME guidelines on the Maine CDC website
  2. Identify a minimum of three components to the guidelines
  3. Utilize information to care for pregnant women with Substance Use Disorder and their newborns.
Direct download: Snuggle_ME_032018_Audio.m4a
Category: -- posted at: 2:36pm EDT

Nationally renowned Ross Greene, an expert in the the field of ADHD in children, provides an overview of Collaborative & Proactive Solutions: Lives in the Balance. Dr. Greene shares his work collaborating between kids and adults in resolving the problems contributing to children's behavioral challenges.


1. Provide an overview of Lives in the Balance CPS model and how to support collaborative and proactive solutions improve the lives of families and children who are behaviorally challenged.

2. Highlight ways that primary care physicians can work with families to promote positive parenting and disciplinary practices for children with ADHD.

3. Discuss ways that the CPS model has been implemented in the school setting and how primary care providers can work with schools to promote positive changes to working with children with ADHD.

Direct download: Ross_Greene_03-08-18_audio.m4a
Category: -- posted at: 1:51pm EDT

Direct download: Audio_2-20-18_webinar.m4a
Category:general -- posted at: 7:07am EDT

Carol Hubbard discusses the topics of managing medications and their side effects. She also offers help with life situations, such as sleep, anxiety, and toileting to name a few.



  1. Develop more expertise in ADHD medication management and managing side effects.
  2. Highlight co-morbid conditions that may affect ADHD diagnosis, treatment and management including anxiety,
  3. autism, learning disabilities, and developmental delay, sleep, toileting, and GI issues.
  4. Highlight key quality improvement strategies and how they can be used to standardize ADHD work in the practice.
  5. Review current QI data to help guide the quality improvement process.
Direct download: 020818CALM.m4a
Category: -- posted at: 9:21am EDT

Alternative Treatments to Pain by Elisabeth Fowlie Mock
  1. Discuss alternative treatments for chronic pain management.     
  2. Highlight the team based approach to care for patients living with chronic pain.  
  3. Understand ways to reduce pain by addressing the physical, psychological and social components of pain.     
Direct download: 02-06-18_Alterntive_Treatment_to_Pain_audio.m4a
Category: -- posted at: 2:20pm EDT

Jennifer Dubail - General Pediatrician, Barbara Bush Children’s Hospital, Maine Medical Center
Eiren Menhennit - Pediatric Practice Support Specialist, MaineHealth ACO
Laura Robbins - Director From the First Tooth and Before the First Tooth, MaineHealth

1. Explain the From The First Tooth Healthy Smiles by 2020 Challenge
2. Provide examples for how integrating oral health has impacted a local pediatric practice
3. Review data collection strategies and how MaineHealth was able to improve based on the data

Direct download: 013118FTFTwebinaraudio.m4a
Category: -- posted at: 1:56pm EDT

Speaker: Gordon Smith

The objectives for this webinar:
1. Provide participants with updated information on Maine PL Chapter 488 and associated rules
2. Provide participants with information and current status of legislative activity pertaining to the prescription of controlled substances
3. Discuss challenges and success identified around law implementation.

Direct download: 01-23-18_Gordon_Smith_Chapter_21audio.m4a
Category: -- posted at: 2:24pm EDT

Sue Butts-Dion: Quality Improvement
• What is one small change your practice has tested that has gone well?
• What is one item your practice is struggling with or feel like you need more support for?

Steve Meister, MD: ADHD, Attachment and Trauma

Direct download: CALM_011118.m4a
Category: -- posted at: 2:02pm EDT