The Maine Osteopathic Association's Weekly E-Newsbriefs:

Important Updates & News Sent Weekly to your inbox.

Contact Amanda Richards, arichards@mainedo.org to sign up now!

 

This Week's E-Newsbrief: 

Welcome to your MOA E-newsletter for October 23rd, 2020

  • MOA News: New MOA website will be live next week! Next MOA Symposium to be held virtually: February 12-14, 2021, Don't miss other upcoming CME opportunities
  • News to Use: AOA Welcomes Participation in #DOstrong Social Media campaign TODAY, Maine CDC Submits Initial COVID-19 Vaccination Plan, CDC Updates "Close Contact" definition for tracing, AOA Gets Response from FIGS, Are you ready to VOTE November 3rd?
  • Public Health: Maine Drug Overdoses on the Rise, New "OPTIONS” (Overdose Prevention Through Intensive Outreach, Naloxone and Safety) initiative announced this week
  • Practice Management: OMT Minute: "Opening up the sinuses", Updated links for ME CDC Provider Briefings with Dr. Sears, Important Reminder-- Practices must abide by Infection Control guidelines from CDC--complaints reported to licensing boards--Dr. Collins urges concern for air flow/eye protection,  Legacy PMP system access extended to Nov 1st
  • New Job Postings: HealthReach is seeking a Family Physician for Coopers Mills locationDPC Physician Wanted in Hampden, ME

MOA News

Special Events Coming Soon! | FusionPilatesAsheville.comNew MOA Website Launch-- Here's what you need to know!

As announced a few weeks ago, the MOA will soon have a new website and member experience as a result of a transition to a new platform and vendor.

Starting Thursday, October 29th we will be launching our new, improved website and member experience! Our web address will not change. You can still find us at www.mainedo.org.

MOA members will receive a welcome email prompting them to log in to the new site and set a password. Please make sure to complete this important step to maintain your access to member benefits and explore new features!


MOA 2021 Midwinter Symposium: February 12-14th, 2021 -- Join us ONLINE!

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

Topics to Include:
 
Keynote: Unconscious Bias in Medicine, Bernie Lopez, MD, MS, CPE

Tackling the "Quarantine 15" with Nutrition
 
Mental Health During a Pandemic

Diversity & Inclusion in Medicine Panel--Workforce Issues & Beyond

Dermatology for All Skin Tones

Legal Side of Pain Management

Emergency Management of Acute MI & Follow Up

Cultural Competency for Providers

AND MORE...

Registration Available Soon!

REMINDER:

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


Upcoming CME Event via our partners at MAOPS:

Our own Dr. Merideth Norris & Dr. Brian Kaufman will be presenting! Special rate for MOA Members @ $199! Earn 8 AOA, & AMA CME Credits! Click Here to Sign up.

News to Use

Participate in the #DOProud campaign on Friday - American Osteopathic  AssociationParticipate in #DOProud Campaign TODAY!

TODAY-- Friday, October 23, join other proud DOs on social media to raise awareness of the osteopathic profession.

The #DOProud campaign, spearheaded by two female physicians—Hala Sabry, DO, and Alyssa Cole, DO—along with the AOA, is an effort to shine a light on the 151,000 osteopathic physicians and medical students who are contributing to the health of the nation.

Join the campaign by showing your pride. Download an overlay for your social media profile picture and/or post about your own experience as an osteopathic physician or student. The AOA will share additional content that supports the profession on our social channels during the campaign.



Maine Submits Initial COVID-19 Vaccine Plan to U.S. CDC
10/19/2020 07:39 AM EDT

With no vaccine yet approved, plan will be revised with stakeholder input

AUGUSTA- The Maine Department of Health and Human Services (DHHS) today submitted to the federal government its plan for distributing an eventual COVID-19 vaccine, representing the first version of a plan that will be updated and refined in collaboration with health care partners and communities throughout the state.

The U.S. Centers for Disease Control and Prevention (CDC) gave states https://www.cdc.gov/vaccines/imz-managers/downloads/COVID-19-Vaccination-Program-Interim_Playbook.pdf" target="_blank">one month to develop a plan for submission by today, October 16. Maine's first version offers a framework for an accessible, flexible, and equitable distribution plan, with additional changes expected given the open questions about any vaccines that are eventually approved by the federal government. Stakeholder input will also shape the final plan and its implementation.

Maine joins public health leaders from throughout the country in https://astho.org/Press-Room/Public-Health-Leaders-Request-COVID-19-Vaccine-Infrastructure-and-Administration-Funding/10-15-20/" target="_blank">urging Congress to provide emergency supplemental funding to states to finalize and implement their COVID-19 vaccine distribution and administration plans. Adequate resources are necessary to undertake this demanding and ambitious effort to protect the health of state residents nearly a year into their fight against the COVID-19 pandemic.

Maine will use three principles to guide its approach to COVID-19 vaccination:

  • Equity: Racial and ethnic minorities have experienced rates of disease that far exceed their representation in the population as a whole. Other groups, such as seniors and people with serious chronic medical conditions, have also been disproportionately affected. The plan includes strategies to ensure these groups are successfully vaccinated.
  • Accessibility: Health care providers in all areas of the state will be needed to make vaccine as easily available as possible. The plan is as inclusive as possible to maximize vaccine accessibility.
  • Flexibility: Given the many questions that remain about the vaccines and their efficacy in different populations, Maine's COVID-19 vaccine plan remains flexible and will be updated to reflect the latest available information.
  • Anticipating that supply of vaccine will be limited initially, Maine intends to use as a guide the vaccine priority groups identified by the National Academies of Science, Engineering, and Science, with future adjustments expected. The Academies developed the framework at the request of the U.S. CDC and National Institutes of Health to assist policymakers in the U.S. and globally in planning for equitable allocation of COVID-19 vaccine.

Phase 1 would include health care workers providing direct patient care in high risk settings, others who work in critical infrastructure, and those working and living in congregate settings. Phase 2 would begin when supply is sufficient to vaccinate more broadly and include people with underlying health conditions, along with school staff and people in correctional settings. Phase 3 would transition to more routine vaccination efforts in both populated and rural areas across Maine, with Phase 4 expanding vaccine access to all residents.

Maine will update the plan as more is learned about vaccine manufacturing, storage, efficacy in different groups, dosing schedules, as well as other factors that will affect the implementation of vaccination on a large scale. The vaccine distribution framework will also evolve with continued input from health care providers and various communities throughout Maine.

View https://www.maine.gov/dhhs/mecdc/infectious-disease/immunization/documents/covid-19-vaccination-plan-maine-interim-draft.pdf" target="_blank">Maine's COVID-19 Interim Draft Vaccination Plan in PDF.


Students & Residents -- Apply for the AAOA's "Holiday Hug" Award

Advocates for the AOA (AAOA), in partnership with the American Osteopathic Foundation (AOF), created the “Holiday Hug” Award in 2020 to help two medical students or current residents with year-end expenses. Click here for more information and to apply. The application deadline is November 15.


US CDC Updates "Close Contact" Definition

The US CDC this week updated its definition of “close contact” for COVID-19 contact tracing. As the Washington Post reported, "The CDC had previously defined a “close contact” as someone who spent at least 15 consecutive minutes within six feet of a confirmed coronavirus case. The updated guidance, which numerous health departments rely on to conduct contact tracing, now defines a close contact as someone who was within six feet of an infected individual for a total of 15 minutes or more over a 24-hour period, according to a CDC statement Wednesday." 

Overall, it’s not a seismic change as many contact tracing guidelines have already been using cumulative exposure. The recent change will likely lead to the US CDC updating to reflect such.


AOA statement regarding offensive FIGS ad
By AOA STAFF Email, WEDNESDAY, OCT. 21, 2020

On Tuesday, the AOA released a statement on the recent offensive FIGS ad. The full statement is below:

When FIGS, a designer scrubs and medical apparel company, released an advertising campaign featuring a female physician in pink scrubs wearing a nametag that said “DO” and reading a “Medical Terminology for Dummies” book upside down, the AOA took immediate action. This imagery is laughable in its absurdity—but it isn’t funny.

The American Osteopathic Association, which represents 151,000 osteopathic physicians and medical students, does not find it humorous to downplay the education and training of Doctors of Osteopathic Medicine—which include, at minimum, four years of medical school followed by three to seven years of residency to practice in any specialty they choose. Equally important, the organization does not find it “cute” to portray females, let alone female physicians, in such a denigrating light.

The AOA immediately demanded the removal of the defamatory ad, which was taken down. The AOA also requested, and received, an apology from FIGS to all female and osteopathic physicians. Furthermore, the AOA stressed the need for FIGS to address their egregious error in judgment now and in the future.

As a result of this outreach, the AOA and FIGS have agreed upon a path forward that includes:

  • Attendance by 15 members of the FIGS marketing team at OMED, the annual osteopathic educational medical conference, to improve their understanding of the profession and its member physicians;
  • A $100,000 donation from FIGS to the AOA in support of our ongoing efforts in diversity and inclusion, to address gender inequity in medicine and promote greater awareness and understanding of the osteopathic profession;
  • Participation by the AOA in ongoing discussions about appropriate representation of women, women leaders, minorities, and DOs in FIGS’ advertising efforts.

Errors do occur, but what an organization does to address them is key. The co-founders of FIGS were undeniably remorseful and accountable. They expressed a real desire to understand and to show respect to the osteopathic profession and female physicians. The AOA is committed to acting as a guide in this effort and will work tirelessly with its larger community to ensure that the images of osteopathic physicians and women are appropriately characterized and uplifted.


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

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

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


Bureau of Corporations, Elections & CommissionsCountdown to Election Day-- Have YOU Voted??

November 3rd--Election Day is fast approaching. Please ensure that you have a plan in place to cast your vote.

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


Public Health Updates

 

Maine Drug Overdose Deaths Continued to Rise

The Office of the Attorney General (OAG) and the Office of Chief Medical Examiner have released figures demonstrating that drug overdose deaths continued to increase in the second quarter of 2020. The report confirms preliminary analysis released by the OAG in July, and mirrors similar increases in other states. Attorney General Aaron M. Frey says that the report makes clear that the opioid epidemic is a serious public health emergency, made worse by the COVID-19 pandemic. 

The full report can be found here.


New Maine Substance Use Disorder Treatment Initiative

To combat the disturbing rise in fatal drug overdoses exacerbated by the COVID-19 pandemic, Governor Janet Mills this week announced a new “OPTIONS” (Overdose Prevention Through Intensive Outreach, Naloxone and Safety) initiative. Under the initiative, mobile response teams in every Maine county will engage with communities that have high rates of drug overdoses to promote drug prevention and harm reduction strategies, connect people directly to recovery services and treatment, and distribute naloxone, the lifesaving overdose Mills Administration Announces “OPTIONS” Initiative to Support Maine People With Substance Use Disorder has resources to prevent substance use disorder and fatal overdoses and create a path toward recovery.”


Waldo County COVID-19 Outbreak Grows To 46 Cases

Maine CDC reported this week the number of COVID-19 cases linked to an outbreak in Waldo County now totals 46, an increase of four since Tuesday. Three individuals have been hospitalized. 

Local testing options: 

Waldo County General Hospital (WCGH) in Belfast, Pen Bay Medical Center (PBMC) in Rockport, and Seaport Community Health Center in Belfast are working with Maine CDC to offer COVID-19 testing to those who might have been exposed. 

Individuals with a primary care provider are advised to call their provider to discuss symptoms and testing. WCGH or PBMC primary care patients who have been advised by Maine CDC to seek testing are asked to contact one of the hospitals' testing clinics directly: 

WCGH Respiratory Health Center: Appointments are required and may be made by calling (207) 505-3040. 

PBMC Acute Respiratory Clinic: Appointments are required and may be made by calling (207) 301-3040. 

Those without a primary care provider may also contact the WCGH and PBMC clinics for testing, which may involve costs such as co-pays or other charges depending on insurance status. 

Testing is available at no charge at Seaport Community Health Center, a DHHS-sponsored swab and send site. Individuals can walk in or call (207) 338-6900, from 7 a.m. to 7 p.m., Monday through Friday, or 9 a.m. to 3 p.m. on Saturdays and Sundays. Drive-through testing is available from 9 a.m. to 3 p.m. Monday through Friday. 

Individuals in Maine who think they need a COVID-19 test, with or without symptoms, may get one under the Maine Department of Health and Human Services' Standing Order. A list of sites, including other swab and send locations throughout the state, that provide tests under the Standing Order is available on the Keep Maine Healthy website.



Practice Management

OMM Min FinalOMT Minute-"Opening up the Sinuses"

This OMT Minute video is brought to you by University of New England College of Osteopathic Medicine student Anastasia Naritsin, OMS-IV who will demonstrate how OMT can be used to supplement the standard of care to facilitate opening sinus passages and encouraging drainage.

Mobilizing, draining, and relieving obstructions of the sinuses with various techniques can immediately and significantly improve pain and quality of life.

The treatment performed in this video is not intended to treat any specific clinical condition, but is only one aspect of the diagnosis and treatment plan an osteopathic physician may use to address the whole patient.

Watch this OMT Minute on Youtube HERE: https://youtu.be/Y_407ttFp88


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

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

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

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

View the instructions for completing the simpler loan forgiveness application. 

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

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


Provider Relief Fund Updates 

 

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

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

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

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


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

Topic: MCDC Coronavirus Update for Clinicians

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

PLEASE NOTE UPDATES TO LINKS FOR THESE MEETINGS BELOW:

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

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

(Updated 10/08/2020)

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

Reminder: All Healthcare Practices Must Abide by Infection Control Procedures

(US CDC Interim Guidance Update July 15, 2020)

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

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

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

Updates to COVID-19 Guidelines Specific to OMM Providers

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

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

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

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

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

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


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

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

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

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


Medical Mutual Insurance Company of Maine | New Hampshire Medical Society

Practice Tip from Medical Mutual Insurance Company of Maine

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

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


Maine Osteopathic Association Partnership with ActionPPE

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

 

ActionPPE UPDATE: Nitrile gloves IN-STOCK now !

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

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

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

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


Did you know? Amtrak Downeaster Offers Discount for Medical Travel

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

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

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

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

 


Need CME Right Now?

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

Now 50 MOA Programs Available!

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


Classified Ads & Job Postings

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

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

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


Hampden, ME Direct Primary Care Practice Seeking Physician

Are you interested:

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


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

Call or email us today!

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


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

 

 

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

 

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

 


Upcoming Events

MOA 2021 Midwinter Symposium will be held Virtually!

Save the Date: February 12-14th, 2021

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

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

Stay tuned for more details & updates!

REMINDER:

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


Need CME NOW?

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

 

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