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 2019
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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

  • Identify and discuss diagnostic and therapeutic interventions relevant to patients with diabetes 
  • Identify team-based interventions and strategies to facilitate patient self-management 
  • Review referral requirements of National Diabetes Prevention Program (National DPP) & Everyone with Diabetes Counts 

  • Review aggregate practice data and identify quality improvement strategies
  • Identify practice teams' successes and barriers to improvement 

Guest speakers, Doreen McKenna, RN, Regional Manager, ACO Activites at EMHS and Kim Gardner, LPN, CPC, Quality Improvement Director, Maine Quality Counts discussed specific strategies, tools, and techniques to perform telephonic outreach within 48 hours of patient discharge from hospital or acute care setting; identified scripts/templates use by staff to conduct telephonic outreach; and Explored ways that team members can work to top of licensure to deliver timely telephonic outreach; learn useful algorithms for staff to triage calls when necessary

Northeast Telehealth Resource Center (NETRC) takes a deeper dive into telehealth in Maine, exploring the current policy and payment landscape as well as highlighting key components of telehealth programs' services. 

Telehealth - the use of telecommunications technologies to deliver clinical care and educational resources - continues to gain momentum as we transition further toward value-based care. Listen to learn how to harness the power of telehealth in Maine.

Direct download: Telehealth_in_Maine__12.15.15-Audio.m4a
Category:Health Care, Telehealth -- posted at: 1:39pm EDT

By participating in this webinar, participants will be able to:
  • Demonstrate how to bring together skill sets and various perspectives to implement a cohesive interdisciplinary approach to chronic pain treatment

  • Understand the complexity of pain by identifying multiple causes and multiple interventions based on the physical, biochemical, psychological, social and spiritual aspects of pain

During the December 8th monthly webinar, we discussed the many successes of BHHOs within the 10 Core Expectations.

EMHS has launched an effort to improve the health of Mainers bringing together dozens of health care and community organizations to implement evidence-based strategies to improve health and reduce chronic disease.

Listen to this webinar to learn what practical steps the partners are taking to increase access to healthy food through food pantries, to strengthen the food security network, and to establish referral pathways between healthcare providers and community supports.

An Introduction to CareMaine, Maine Health Data Organization's Recently-Launched Healthcare Cost & Quality Reporting Website that allows consumers to compare cost and quality of more than 200 medical procedures at more than 170 medical facilities in Maine.

The introductory webinar covers the purpose of the Northern New England Practice Transformation Network, benefits of participating, eligibility requirements, and how to register to participate.

Listen to this webinar to hear from the Network's leaders.

Sharon Bearor, RN, BSN, HealthInfoNet Clinical Coordinator and Rhonda Selvin, APRN, Medical Director, Maine Quality Counts, delved into identifying ways to maximize the use of HealthInfoNet Notification Function and ways to implement notifications into practice workflows.  



Direct download: PCMH_HH_Webinar_November_18_2015.mp3
Category:general -- posted at: 11:22am EDT

The Maine Health Management Coalition has been sending all primary care practices detailed reports comparing their cost and quality metrics to state benchmarks. What can practices learn from these reports? What transformation efforts can they undertake to better meet benchmarks? MHMC’s Tim Hannan, Peter Flotten and Laura Brann answer these and other questions during this important webinar for primary care practice teams.

The BHH monthly webinar held on November 10th featured Kathy Cummings, RN, MA, Project Manager for the Institute for Clinical Improvement, with highlights from the RARE Collaborative: Mental Health Care Transitions, a yearlong learning collaborative for organizations with inpatient mental health units.

The Reducing Avoidable Readmissions Effectively (RARE) Collaborative out of Minnesota calls upon hospitals and their partners along the care continuum to focus on five key areas known to improve care and thereby reduce avoidable hospital readmissions. The issues that influence avoidable readmissions are many and complex. Improvement work needs to be done in each care setting and across care settings to make an impact.

We hope you found this webinar helpful in building strategies to reduce readmissions, and improve your patients transition into post-acute care.   

For additional information about RARE, click here


Direct download: BHH11_10_15-Audio.mp3
Category:Behavioral Health, Health Homes, Health Care, Mental Health -- posted at: 9:14am EDT

An innovative collaboration between health systems, the State and other health stakeholders has created the Shared Health Needs Assessment and Planning Process (SHNAPP), a process of collecting statewide health data and defining shared health outcome goals to inform and align health improvement plans.The initial data are in. Now is the time to look at the data and define goals.

Direct download: Recording_SHNAPP.mp3
Category:Health Care, Health Systems, Health Data, SHNAPP -- posted at: 1:21pm EDT

Maine primary care providers are participating in an exciting new telemedicine network that facilitates consults with specialists using a HIPAA-compliant electronic communication system. 

Join this webinar to hear lessons learned from the developer of the New England eConsult Network and Maine's participating primary care practice network.

Direct download: Telemedicine_that_Works.mp3
Category:Health Care, Telehealth -- posted at: 1:20pm EDT

Today's webinar Reviewed some highlights taken from the October 2, 2015 Learning Session and what practices identified as the most helpful and challenging processes in improving care transitions and reducing avoidable readmissions work.  We Drilled down into work flow using our expert’s recommendations and practice stories

Join QC's Executive Director Lisa Letourneau for a discussion with Jim Hester, co-architect of a promising and exciting new financial model for population health that uses "integrator organizations" to roll out a balanced portfolio of short-, mid- and long-term interventions.

Direct download: 10_27_webinar_audio_recording.m4a
Category:Health Care, Population Health, Health Funding -- posted at: 3:05pm EDT

In Maine, only 45.8% of girls and 17.6% of boys between the ages of 13 and 17 received all three doses of the Human Papillomavirus (HPV) vaccination, according to the 2013 National Immunization Survey for Teens. These percentages fall far short of the Healthy People 2020 goal of 80% HPV vaccine coverage for boys and girls. Join this webinar to learn what you can do to help increase the rate of HPV vaccination

Reducing Readmissions: 5 Strategies to Effectively Collaborate Across the Continuum

•Understand specific issues contributing to re-admissions for varying patient populations, including Medicaid and Medicare
•Highlight key learnings and best practices to leverage the assets of the primary care team and community- based teams
•Identify aligned opportunities for primary care practices, hospitals, Community Care Teams, and Behavioral Health Homes to reduce readmissions and improve care transitions

Reducing Readmissions: A Focused Quality Improvement Project for Patient Centered Medical Home & Health Home Practices

In this month's Behavioral Health Learning Collaborative monthly webinar Julie Shackley, RN, MSN, President and CEO of Androscoggin Home Care and Hospice shared highlights from their Hospital to Home pilot with CMMC (Central Maine Medical Center), including some pilot results, readmission rates and needs identified during hospital to home visits. Dr. Tom Sneed, Medical Director from Tri-County Mental Health Services also joined in to highlight how his behavioral health team is looking to partner with Androscoggin Home Health (a local Community Care Team-CCT) to support their clients needs. This information will also help Behavioral Health Home Organizations identify strategies to support their clients in appropriately use of the Emergency Room.

Listen to this webinar to learn:

  • The role primary care plays in population health
  • How strengthening clinical-community links promotes coordinated care, improves patient access to care, and promotes healthy behavior
  • How to build capacity for evidence-based intervention programs in the community
  • How to use data to support population health management and drive decision-making in health care systems and community partner organizations

  • Identify circumstances when it may be appropriate to provide patients experiencing severe pain with opioid therapy.
  • Recognize the risks associated with both short-term and extended-release opioid pills, the need to follow “safety first” precautions from the outset and to monitor closely the patient’s response.
  • Identify specific expectations that will be discussed with the patient and spelled out in the formal patient agreement with the practice, along with consequences for non-compliance.
  • Summarize ways to determine which patients are the primary candidates to be weaned from opioids.
  • Tabulate dosages of various opioids into morphine equivalents for comparison purposes.
  • Determine the elements of the tapering plan for each chosen patient and how to script the conversation that needs to occur with individual patients. 
  • Use a tapering tool to plan the appropriate steps in the patient’s withdrawal over a given period of time. 

Listen to this webinar to prepare for Open Enrollment for 2016 Health Insurance Marketplace coverage, which runs from November 1, 2015 through January 31, 2016.

"Deep Dive" into several key areas and opportunities to improve care transitions and help patients and families reduce their risk of an avoidable readmission.  We reviewed key steps and strategies to decreasing readmissions and improving care transitions, as outlined in the Primary Care Roadmap for Change and heard from primary care practices who have found success in reducing readmission and improving true patient-centered care. 

Patients with complex conditions are often at high risk of being seen in the ED and admitted or readmitted to an inpatient care setting.  As part of the Patient Centered Medical Home/Health Home team, Community Care Teams (CCTs) play a vital role in promoting safe transitions of care and decreasing the burden of ED visits and readmissions to patients, caregivers, and the health care system.  

Learn how practices can effectively integrate CDIC tools and concepts.  Participants of this webinar will be able to:

  • Understand the overarching goals and objectives of CDIC
  • Identify key components of the Model for Improvement as it relates to CDIC (e.g., data & evaluation measures, key drivers of change, testing change using PDSA)
  • Understand how community linkages may be used to prevent and manage hypertension and diabetes


Listen to this webinar to learn the ABCs of Antimicrobial Stewardship Programs. Hear from representatives from Penobscot Community Health Care, Eastern Maine Medical Center, and St. Joseph Hospital 

Direct download: The_ABCs_of_ASPs.mp3
Category:Health Care, Antimicrobial Stewardship Programs -- posted at: 2:01pm EDT

Please join us for the Chronic Pain Collaborative 2 (CPC2) webinar on the Functional Assessment in Chronic Pain with Dr. Bennet Davis of the Integrative Pain Center of Arizona and Dr. Donald Medd of Maine Medical Partners Westbrook Internal Medicine.

  • Describe functional assessment and how it can be a beneficial added dimension to the management of a patient with chronic pain.
  • Identify examples of functional assessment tools and how they can be incorporated into the site team's work flow.
  • Determine how additional practice and community resources (e.g. behavioral counseling, physical therapy, occupational therapy, etc.) can be brought into the mix to increase a patient's functional ability and well-being.
  • Identify how functional assessment is utilized by providers and other team members in one Chronic Pain Collaborative site, as well as how information is stored in a patient's EMR. 
  • Discuss how interdisciplinary care teams are effective in improving outcomes and costs of patient care.

What measures will help us understand what it means to achieve better health and well-being for Americans? The Institute of Medicine (IOM) recently convened a committee of leaders in health and health care. Listen to this webinar to learn more about the IOM report, and its recommendations for a set of core metrics to measure the progress on improving both health care and health.


When a patient in Maine gets referred to a specialist, it often means a long drive and the disruption and expense that goes with it.

Telehealth - delivering care through means other than an in-person, face-to-face visit - can relieve some of the burden on patients, allowing them to receive the care they need closer to home. And Medicare, Medicaid, and private insurers pay for many telehealth services at the same rate as in-person services.

Listen to this webinar to learn more about telehealth in Maine from the Northeast Telehealth Resource Center (NETRC), which is funded by HRSA to provide no-cost technical assistance to practices and providers to develop, implement, and expand telehealth services.

We will discuss:

  • Types of telehealth
  • Reimbursement policies in Maine
  • First steps to develop a telehealth program
  • No-cost resources available to you to help build or sustain a telehealth program
Direct download: Telehealth_in_Maine.mp3
Category:Health Care, Telehealth -- posted at: 2:14pm EDT

The new CMS Million Hearts® Cardiovascular Disease (CVD) Risk Reduction Model will provide payment to participating practices to calculate CVD risk for eligible Medicare patients and to develop and implement care plans for those at highest risk.

Direct download: Hurford_BHH_keynote.mp3
Category:general -- posted at: 2:07pm EDT

The BHH August webinar focuses on strategies for health integration.  BHHO Team members Angela Fileccia, Director of Care Management, Penobscot Community Health Center, and Melissa Tremblay, Clinical Manager and Amy Lafontaine, Integrated Team Manager from Tri-County Mental Health Services shared highlights from their participation in a re4view of best practices for integrated care highlighted in A Guidebook of Professional Practices for Behavioral Health and Primary Care: Observations from Exemplary Sites, published by the Agency for Healthcare Research and Quality (AHRQ).

Join this webinar to learn how CHWs can help primary care practice teams better serve at-risk populations. Presenters from Spectrum Generations and MaineGeneral Prevention Center will discuss how CHWs are helping health care providers manage chronic disease, increase preventive screenings, improve patient experiences and promote appropriate use of health care resources.

Join this webinar to learn the latest on efforts to improve health care affordability and hear updates on Value-Based Insurance Design in Maine.

Listen to this webinar to learn how your practice or school-based health center can gain access to nine months of pediatric and adolescent behavioral health technical assistance at no cost from faculty at the Weitzman Institute through Project ECHO, an innovative video conferencing-based clinical learning platform. Time commitment will be approximately 4.5 hours per month and MOC credit will be available. This exciting quality improvement opportunity begins in September – learn content details and how to apply during this webinar with Maine Quality Counts and Weitzman Institute leaders.

Dr. Ned Claxton and QI Specialist Deb Silberstein discussed best practices and strategies on decreasing readmissions.

As integration of behavioral and physical health care picks up momentum, understanding behavioral health cost and quality measures becomes increasingly important. Learn about domains of quality in behavioral health, public reporting made available in January 2015, plans for additional public reporting, and the Behavioral Healthcare Cost Workgroup.


The focus of the July 14, 2015 Behavioral Health Homes Learning Collaborative monthly webinar, Building a Successful Team for Quality Improvement, was forming the right QI team, develop leadership, and aligning teams to achieve QI goals.

Liz Miller, BHH Project Manager, and Mary Beyer, BHH Quality Improvement Specialist, welcomed Sue Butts-Dion, Quality Counts' Quality Improvement Consultant on the panel for this webinar. Sue Butts-Dion serves as Improvement Specialist/Advisor for Maine Quality Counts for Kids, the Institute for Healthcare Improvement and the National Institute for Children's Healthcare Quality. 

Our presenters delved into the roles of a team, what is it that distinguishes a collection of people from a team, stages of team development, processes for successful changes, tools for Forming, Storming, Norming, Performing and Adjourning, and how the BHH Learning Collaborative can assist BHHO with core expectations and their QI projects.

Focus Area: Core Standard #1 Demonstrated Leadership, #2 Team Based Approach to Care and #9 Commitment to Waste Reduction.


Direct download: BHH_Webinar_714.mp3
Category:Behavioral Health, Health Homes, Health Care, Mental Health -- posted at: 9:35am EDT

When a legal problem gets in the way of a patient's health, there's not much a provider can do on his or her own. That's why more than 280 hospitals and health centers in 38 states are partnering with civil legal aid lawyers to help resolve patient's legal issues - and to reform policies that are having a negative impact on individual and community health.

Watch this webinar to learn about the medical-legal partnership approach from the National Center for Medical-Legal Partnership at the Milken Institute School of Public Health at the George Washington University.

Please join us for the Chronic Pain Collaborative 2 (CPC2) webinar, "Implementing and Interpreting Urine Toxicology Screening in the Clinic."  During the webinar, Dr. Alane O'Connor of Maine-Dartmouth Family Medicine, will discuss the implementation of urine drug screening in the clinic; Dr. Kevin Cowell with DFD Russell Medical Center will discuss the incorporation of screening scores into treatment plans; and Noah Nesin, MD, FAAFP, Chief Quality Officer with Penobscot Community Health Center will discuss ways to talking with patients about chronic pain management.
  • Identify the importance of establishing a standard urine testing procedure that is part of the patient treatment agreement.
  • Recognize that urine drug testing is one objective patient management tool, but it alone cannot be used to diagnose a drug use problem. 
  • Describe how to set appropriate expectations for staff.  
  • Construct appropriate scripts for providers/staff to enter into difficult conversations with patients about their opioid use, the risks attached, and the need to taper their usage in favor of other forms of pain management.
  • Use risk assessment tools to predict possible opioid abuse in chronic pain patients.
  • Determine how to incorporate scores into a patient's treatment plan as an indicator for risk stratification. 

Whether you’ve never sought recognition before or want to achieve re-recognition under the 2014 NCQA PCMH standards, this webinar is a great first step.

Maine Quality Counts is currently recruiting practices to participate in a Chronic Disease Improvement Collaborative.  Learn about this exciting opportunity.

Learn how you can design your primary care team to improve patient experience, increase staff satisfaction, increase health care quality, and meet financial goals.

Participants of the webinar will be able to:

  • Identify 3 TeamSTEPPS tools that may be used to lead practice teams
  • Discuss the benefits of assigning roles, establishing expectations and anticipating outcomes in improving patient care
  • Describe an example of a site team approach for delegation of responsibilities in managing chronic pain patients
  • Determine steps to select priority candidates for opioid tapering, as well as an approach to encourage patient engagement in treatment plan
  • Recognize how a site team determined its starting position and set goals for its participation in the Chronic Pain Collaborative 1
  • Identify steps that may be taken to build teamwork and deliver results on established project goals 

Welcome to the Behavioral Health Homes Learning Collaborative June Webinar.  Today's topic, Care Without Walls-Stories from the Field, will focus on BHH Core Expectations #2 and #8 - Connections to Community & Social Services. 

In a time of healthcare transformation, the health care team is expanding to include roles such as Peer/Family Support Specialists, Community Health Workers, and Community Care Teams.  In this webinar our guests, Barbara Ginley, Project Director for the Community Health Worker Initiative, and Helena Peterson, Senior Program Manager, Community Care Teams at Maine Quality Counts, will discuss operating as a non-traditional team and how team members can leverage their role and community resources for improved outcomes for the people they are serving.

Direct download: BHH_June_9.mp3
Category:Behavioral Health, Health Homes, Health Care, Mental Health -- posted at: 7:49am EDT

Screening, Brief Intervention, and Referral to Treatment, or SBIRT, is one tool to expand the link between primary care and public health and shift the frame from individual patients to populations.

Listen to this webinar to learn:
  • How early intervention can curb the negative effects of substance use
  • How communities and health care providers can collaborate to prevent substance use
  • Best practices for implementing SBIRT

Listen to this webinar to learn about the Maine VA Healthcare system and join a discussion about how VA providers use technology and teamwork to deliver high-quality, coordinated, patient-centered care to veterans across the state.

On May 27 we heared from leaders in primary care and behavioral health about the importance of and exciting opportunity to strengthen collaboration between primary care and behavioral health through the MaineCare Behavioral Health Homes initiative.  Leaders from both fields, including Noah Nesin, MD, FAAFP, Catherine Ryder, LCPC, ACS, and several others discussed the value of these partnerships to both care teams and patients as well as strategies to develop or strengthen such partnerships moving forward.

Chronic Disease Improvement Collaborative Webinar

Presented by Dr. Rudolph Fedrizzi

Dr. Fedrizzi is Director of Community Health Clinical Integration at Cheshire Medical Center/Dartmouth-Hitchcock Keene in southwestern New Hampshire.  He graduated from St. Lawrence University with a BS in Biology and received his medical degree from Washington University in St. Louis.  He then completed his residency training in Obstetrics and Gynecology at Vanderbilt University.  For 16 years he was in private practice as a board-certified OB-GYN.  He now works to advance opportunities for public health and medical care integration.  One of his principle efforts is promoting community and provider engagement for Cheshire county, NH's Healthiest Community Initiative, Healthy Monadnock 2020. 

Many Maine families are juggling multiple kinds of health insurance coverage. Some family members may have coverage through a new federal Marketplace plan, while others may be newly-enrolled in MaineCare coverage. Listen to this webinar to learn how these programs work together.

Please join us for the Chronic Pain Collaborative 2 (CPC2) webinar, "Setting Standards of Care."  During the webinar, Gordon Smith, Esq., will provide an overview of the Board of Licensure in Medicine (BOLIM) Chapter 21 regulations; Dr. Dora Anne Mills will discuss Interdisciplinary Care in Primary Care; Dr. Elisabeth Fowlie-Mock will offer an introduction to academic detailing through Maine Independent Clinical Information Services (MICIS); Sue Butts-Dion will review the Model for Improvement; and Rachel Crowe, RN and Jennifer McCarthy, M.Ed, MS, LCPC, participants of CPC1 from Sacopee Valley Health Center, will provide their perspectives on getting started in chronic pain management.