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Syndication

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

Objectives:
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

Objectives: 
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.

Objectives:

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.

 

Objectives:

  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

Speakers: 
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

Objectives:
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

Direct download: Recording_12-19-2017_Lean_Webinar.mp4
Category:general -- posted at: 1:50pm EDT

1. Communication Skills & Difficult Converstions/Behavioral Health Integration


  • Review Trauma-Informed care
    Discuss integration strategies for behavioral health and chronic pain management
    Demonstrate responses to Choosing Wisely’s 5 Questions



2. Nonopioid & Nonpharm Treatments for Acute & Chronic Pain


  • Evidence-based review of alternative treatments for acute & chronic pain
    Discuss comprehensive acute pain management plans & reduce surgical overprescribing

This activity has been planned and implemented in accordance with the Essentials and Standards of the Maine Medical Association Committee on Continuing Medical Education and Accreditation through the partnership of Maine Medical Education Trust and the Maine Independent Clinical Information Service (MICIS). The Maine Medical Education Trust is accredited by the Maine Medical Association to provide Continuing Medical Education (CME) activities for physicians.

Direct download: 12-13-17_MICIS_Improving_Opioid_Prescribing_and_Patient_Safety_Part_3_audio.m4a
Category: -- posted at: 12:15pm EDT

Alice Horowitz: UUsing Health Literacy to Improve Children’s Oral Health

OBJECTIVES (3):
1. Provide background on oral health literacy and why health literacy is an important topic for engaging patients.
2. Discuss what a health literacy environmental scan is and how it fits into a health literate organization.
3. Highlight approaches to evaluating practices and health systems for being health literate/user friendly.
4. Discuss how we can use health literacy strategies to implement USPSTF recommendations around fluoride and engage families in this critical part of their health care.
5. Show examples of how to connect with pregnant moms and infants around oral health

Direct download: 12-12-17_Health_Literacy_by_Dr._Alice_Horowitz_audio.m4a
Category: -- posted at: 1:53pm EDT

1. Practice Transformation & QI for Opioids/Chronic Pain

-Review best practices in practice transformation for opioid prescribing
-Focus on team-based care including developing “CSI” (controlled substance initiative) teams

2. Harm reduction: diagnosis & treatment of opioid use disorder including MAT, naloxone prescribing, and risks of co-prescribing benzodiazepines

-Appropriately diagnose opioid use disorder
-Understand requirements and benefits of buprenorphine and naltrexone prescribing
-Anticipate prescribing naloxone for all patients and families at risk

Presented by the Maine Independent Clinical Information Service (MICIS). In 2017
MICIS has 6 clinical modules on Improving Opioid Prescribing and Patient Safety, with two modules covered in each webinar in this 3-webinar series. These modules are standalone topics and attendees can register for any or all of these webinars.

Direct download: 12-05-17_Improving_Opioid_Prescribing_and_Patient_Safety_2_audio.m4a
Category:Health Care -- posted at: 2:40pm EDT

Dr. James Wiley and Dr. Jan Powell talk about the lessons learned in the previous National AAP ADHD Pilot and how we can apply these lessons to the CALM Project here in Maine. We will also learn more about ADHD medication management.

Objectives:
1. Develop a deeper understanding of medication management for children with ADHD. (Dr. Wiley)
2. Highlight lessons learned from previous AAP ADHD project and coaching strategies (Jen Powell)

Direct download: How_We_Can_Apply_Lessons_Learned_to_the_CALM_Project-Wiley_Powell-Audio.m4a
Category: -- posted at: 3:40pm EDT

1. The Genesis of the Opioid Crisis: "How We Got Here."

  • Trace the origin of the opioid crisis in America
  • Review CDC opioid prescribing guidelines

 

2. Opioid Basics: MMEs & Tapering

  • Calculate morphine milligram equivalents & evidence behind limits
  • Discuss reduction strategies

Elisabeth Fowlie Mock, MD, MPH, FAAFP

From Holden, Maine, Elisabeth received her doctorate from Vanderbilt Medical School and a Master of Public Health in Health Policy and Administration from UNC-Chapel Hill. She attended Colby College and Emory University. She is Board Certified in Family Medicine and works part-time as a Hospitalist at EMMC. She is active in leadership of the Maine Academy of Family Physician


Direct download: PooleFilippiAudio.m4a
Category:Health Care -- posted at: 2:18pm EDT

Direct download: Audio_Calais_Webinar_10-17-17.m4a
Category:general -- posted at: 1:20pm EDT

Category: -- posted at: 1:15pm EDT

Direct download: correct_Montori_Audio_101017.m4a
Category:general -- posted at: 11:34am EDT

This webinar addressed how Vermont is building treatment capacity for substance use disorder including how the Hub and Spoke Model was built in Vermont including identifying priorities, policy and payment issues.

It provided an overview on key lessons learned in Vermont that can be spread to other states looking to increase access to Medication Assisted Treatment

Direct download: HubAndSpoke10032017.m4a
Category:Health Care -- posted at: 3:15pm EDT

Direct download: C4ME_0926_Liz_Blackwell_Moore.m4a
Category:general -- posted at: 8:50am EDT

Direct download: Sept_19_2017_webinar_Audio.m4a
Category:general -- posted at: 1:43pm EDT

OBJECTIVES (3):

  1. Elevate the health of children by measurably improving the screening, diagnosis, and treatment for Attention Deficit and Hyperactivity Disorder (ADHD).
  2. To achieve improved care for children with ADHD, this learning collaborative
  3. Improving proper ADHD diagnosis and management so that patients are assessed for ADHD using a validated instrument across multiple major settings; parents of patients diagnosed with ADHD are given an educational ADHD booklet; and patients diagnosed with ADHD are prescribed behavior therapy.
Direct download: CALM_ADHD_Kickoff-091417_Audio.m4a
Category:Health Care -- posted at: 2:02pm EDT

Direct download: Audio_Spend_Your_Health_Care_Dollars_Wisely_Webinar_9-5-2017.m4a
Category:general -- posted at: 1:24pm EDT

Objectives:

  1. Describe the burden of HPV disease.
  2. Define the importance of HPV vaccination for cancer prevention.
  3. Explain the rationale for vaccinating youth at ages 11 or 12.
  4. List the updated recommendations for administering the HPV vaccine to girls and to boys.
  5. Provide useful and compelling information about HPV vaccine to parents to aid in making the decision to vaccinate.
  6. Locate resources relevant to current immunization practice.
Direct download: HPV_Jessica_Reed_082217_audio.m4a
Category: -- posted at: 3:17pm EDT

The cost of ED utilization and the link to unnecessary ED utilization has often been addressed by trying to decrease the use of unnecessary ED visits. However, research has shown that attempts to lower ED utilization costs simply by diverting low acuity visits away from the ED may be misguided; that a focus on guiding a patient’s treatment course using risk stratification and best practice versus “risk reduction treatment” may be much more impactful.  Working to employ strategies to reduce utilization by high ED utilizers utilizing Complex Care Plans and Care Coordination also has the potential to create win-wins both in terms of reducing costs and improving patient care. This webinar will discuss these aspects of ED utilization and discuss the various ways to have the greatest impact on ED associated costs, while briefly touching on the positive effects treating patients in this way can have on provider and patient satisfaction.

Direct download: Audio_Impact_of_High_ED_Utilization-A_View_from_the_Trenches.m4a
Category:general -- posted at: 1:29pm EDT


Listen as Dr. Silk explains:

  1. What factors contribute to practice improvement in pediatric primary care oral health integration.
  2. Implement examples from Qualis Health and other states in terms of oral health care in the pediatric setting.
  3. Motivate and engage other team players for full buy-in of oral health integration for children in the medical setting.
Direct download: Hugh_Silk_080817_Good_Better_Best_Child_Oral_Health_audio.m4a
Category: -- posted at: 2:39pm EDT

Category: -- posted at: 2:27pm EDT

Direct download: 033017_NEGC_Webinar_audio.m4a
Category: -- posted at: 2:19pm EDT

On January 1, 2017, Psychiatric Collaborative Care Management Services(CoCM) were implemented by Medicare to support providers in the integration of behavioral health care with primary care. Join this webinar, hosted by Mary Jean Mork, LCSW, VP of Integrated Programming at Maine Behavioral Healthcare and MaineHealth, to explore the details of CoCM services and how this model of can enhance your practice of primary care by partnering with behavioral health services. 


Gordon Smith and Stephanie Nichols

Category:general -- posted at: 8:02am EDT

Direct download: UNE_Ch_488_Patient_Care.m4a
Category:general -- posted at: 8:00am EDT

January 2017 Maine Opioid Law Chapter 488 Gordon Smith and Mac McCall

Direct download: UNE-_Ch_488_Implementation_Podcast.m4a
Category:general -- posted at: 7:59am EDT

Gordon Smith and Stephanie Nichols present Updates on Chapter 488 and Related Rules



Direct download: audio_only_71117_lung.m4a
Category:Health Care -- posted at: 3:21pm EDT

Direct download: Connected_Care.m4a
Category:general -- posted at: 2:17pm EDT

Direct download: NNE-PTN_Webinar_Audio_62717.m4a
Category:general -- posted at: 9:39am EDT

Direct download: June_20_Audio.m4a
Category:general -- posted at: 2:04pm EDT

MQC Lunch & Learn: Maine Lung Cancer Coalition - Working Together to Reduce Lung Cancer in Maine

Featured presenters include: 

Paul Han, MD
Neil Korsen, MD
Kathleen Fairfield, MD
Natalie Morse
Jessica Reed, MSN, APRN
Leo Waterston, MA

Direct download: 6-13-17_MQC_LL_Maine_Lung_Cancer_Coalition.m4a
Category: -- posted at: 1:52pm EDT

Adrienne Carmack talks on the topic of “Fostering Care in ME: Improving the Health Care of Children in Foster Care in Maine, " Thursday, June 8, 2017, from  12-1 pm via zoom online webinar.

Objectives:

  1. Updates on the state of foster care in the US and in Maine
  2. Become familiar with the medical and mental health needs of children in foster care and how medical providers can help improve the health of children in foster care.
  3. Become familiar with the systems and processes for caring for children in foster in Maine, through the Maine AAP and other stakeholders
Direct download: Adrienne_Carmack_Fostering_Care_in_ME_060817.m4a
Category: -- posted at: 1:35pm EDT

Do you ever suspect that your older, cognitively impaired patients may be experiencing abuse or exploitation? With an estimated 33,000 cases of elder abuse reported in Maine in 2015, your suspicions are well-founded. But how can a busy clinician act quickly to help?

In this special QC Geriatrics Series webinar, we’ll explore how to identify red flags that might signal abuse or exploitation, learn how to engage your care team in identifying and responding to cases, and identify readily available sources of referral so that you, too, can join the fight against elder abuse.

With Judith Metcalf and Judith Shaw


Direct download: audio_only_5-16-17.m4a
Category:Health Care -- posted at: 2:03pm EDT

How Can We Actively Address the Opioid Epidemic in Maine: Starting with Prevention and Substance Abuse Screening in Adolescents?


Direct download: COC_Audio.m4a
Category:general -- posted at: 9:16am EDT

How Can We Better Identify and Manage High Risk Youth?

Youth Suicide Risk in Primary Care Settings

Direct download: 04-13-17_Greg_Marley_Audio.m4a
Category: -- posted at: 2:40pm EDT

Direct download: AdbridgedAudio.m4a
Category: -- posted at: 2:55pm EDT

The pharmacists responsible for VA Maine’s successful Opioid Safety Initiative will provide an overview of this education and training program that was instituted system-wide in 2015.  They will discuss the challenges and achievements during the implementation of this program as well as outcomes and strategies for maintaining an effective program.  They will provide practical tools that can help guide the implementation of safe opioid prescribing programs in practices and health systems.

Direct download: 04-11-17_VA_Maine_Opioid_Safety_Audio.m4a
Category: -- posted at: 1:41pm EDT

Dr. Amarendran addresses the issue of benzodiazepine prescribing, including the risks associated with concurrent use with opioids. In 2014 Maine, one in three overdose deaths included benzodiazepines. He discusses why it is important to avoid starting benzodiazepines and highlight how to safely taper patients from benzodiazepines.

Direct download: 031417_Audio_Caring_for_ME_Webinar.m4a
Category: -- posted at: 4:28pm EDT

"Where are we going next for screening? Developmental Screening,  Social Emotional Screening, and Trauma Screening Pilots happening in the State," presented by Sue Mackey Andrews, Maine Resilience Building Network, Steve DiGiovanni, MD, and Rebecca Hoffman-Frances, LMFT, Maine Behavioral Healthcare

Direct download: Audio_030917_Child_Health_Andrews_Digiovanni_Hoffman_Frances.m4a
Category: -- posted at: 1:34pm EDT

A Primer: The Wisdom of the Ages. Healthcare costs are rising and our population is aging.  Using the same outdated care delivery patterns to address an escalating need for patient centered care and the promotion of health is failing, futile and foolish. Evidence based care must be delivered in old and expanded ways. This delivery must be valued, accessible and reimbursable.

This session begins an exploration of the opportunities and barriers to integrating Mind Body Medicine into coordinated primary care, with a focus on the older adult. We look at care delivery and patient engagement that is intrinsic and empowering rather than extrinsic and limiting.  And as such, can serve as a means to develop resiliency for the patient, caregiver, provider, team and community.

Presenter: Rhonda Selvin, APRN, C-NP, QTTP
Medical Director, Maine Quality Counts
Immediate Past President, MNPA
Practicing Primary Care Provider
Certified Therapeutic Touch Practitioner
Advocate for Evolved Geriatric Care

Direct download: LL_3-7-17_audio.m4a
Category:Health Care, Geriatric Care, Older Adults -- posted at: 2:03pm EDT

In Lincoln, Maine, a powerful partnership has been forged to help overcome the opioid overdose epidemic. Health Access Network (HAN), the local Federally Qualified Health Center, and Penobscot Valley Hospital (PVH), the local independent hospital, are working together to align their prescribing, offer Medication Assisted Treatment and treat chronic pain.

Direct download: Cross-collaboration.m4a
Category:general -- posted at: 2:00pm EDT

This webinar provides a brief overview of the work happening at both the system level at MaineGeneral and at the practice level at the Maine Dartmouth Family Medicine Residency (MDFMR) to provide Medication Assisted Treatment to patients.  Alane will discuss how they are providing compassionate care to patients with opioid use disorder and her experience tapering patients on buprenorphine.

Direct download: Feb_14_Compassionate_BUP_Taper_Audio.m4a
Category: -- posted at: 1:32pm EDT

Listen as Andrea Green talks about health literacy principles.

Are we using the right words?  How we can use Health Literacy Principles to Engage Patients and Families.

Direct download: QC_020917_Andrea_Green_Engaging_Families-Libsyn.m4a
Category:general -- posted at: 12:42pm EDT

Caring for ME pharmacy Webinar, Noah Nesin and Stephanie Nichols.

Direct download: Caring_for_ME_-_Ch._488_and_Patient_Care.m4a
Category: -- posted at: 7:56am EDT

With new staff and new software, Maine’s Prescription Monitoring Program is undergoing major changes as the new opioid prescribing law, Chapter 488, makes its use mandatory for prescribers of opioids and benzodiazepines. Join us to learn what’s changed and what to expect when using the PMP.

In this webinar, coordinator Evelyn Sharkey, MPH, MSW, will give a tour of the new online user interface with special attention paid to:

• Registration and delegates
• The new Requester Dashboard
• Requesting patient info through Rx Search
• Bulk patient search
• Tracking prescriber’s activity with MyRx
• Patient alerts
• Finding and managing user profile

PRESENTERS

  • Chris Pezzullo, DO
  • Evelyn Sharkey, MPH, MSW 
  • Elisabeth Fowlie Mock, MD 
Direct download: GettingToKnowPMPAudio.m4a
Category:Health Care -- posted at: 4:09pm EDT

Recording of a webinar on how providers talk to parents surrounding HPV immunization guidelines with speakers Anny Fenton and Jonathan Fanburg.

Direct download: 01-12-17_QCKids_How_to_Talk_to_Parents_About_HPV_Immunizations.m4a
Category:Health Care -- posted at: 8:52am EDT

Maine's new opioid prescribing law, Chapter 488, stipulates that opioid prescriptions be limited to 100 morphine milligram equivalents per patient per day, that prescribers take an opioid prescribing course, and that the Prescription Monitoring Program be consulted before any opioid or benzodiazepine prescription is written. This webinar reviews updates on the implementation timeline, as well as an exploration of the rule-making and exception process. Also included will be an overview of the law and associated rules on Maine’s pharmacy community.

Presenters: 

Gordon H. Smith, Esq.

Kenneth ‘Mac’ McCall, BSPharm, PharmD, BCGP


Maine's new opioid prescribing law requires 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 recording offers answers by exploring case study examples of common tapering scenarios and challenges and sharing techniques for effectively and compassionately tapering opioid dosages.

Presenters:

Noah Nesin, MD

Eva Quirion, NP

Direct download: 1.10.17_webinar_audio_edited.mp3
Category:Health Care -- posted at: 2:50pm EDT

Marijuana is undergoing a renaissance. It’s becoming more socially acceptable. Legal barriers to its use are being dismantled. And among some clinicians, its medicinal use is seen as a legitimate alternative to opioids and other therapies. But what do we really know about the health benefits or risks of cannabinoids, marijuana’s active ingredients?

In this QC Lunch & Learn Webinar recording, UNE pharmacology professor Christian Teter, Pharm.D., BCPP, explores the impact of cannabinoids on the developing brain and discovers that, as currently being used recreationally and medicinally, the harm they can do may outweigh the benefits. Join us to learn what we currently understand about cannabinoids – and what we don’t.

And for a legal perspective on marijuana use, sale and prescribing, the Maine Medical Association’s Gordon Smith will follow Christian’s presentation with a brief overview of current, and soon-to-be-implemented, Maine marijuana laws.

Direct download: 01.03.17_webinar_audio.m4a
Category:Health Care -- posted at: 2:42pm EDT

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.

09/29/2016

[PCMH] 

[HH]

[BHH]

[CCT]

{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.

09/29/2016

[PCMH]

[HH]

[BHH]

[CCT]

{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