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This Week's E-Newsbrief: 



Welcome to the MOA E-newsletter for June 20th, 2019:

  • MOA News: Announcing winners of the 2019 MOA Awards, New MOA President & Board Members-- plus event follow-up information!, Notice: MOA Summer Hours
  • Legislative Updates: Maine Legislature Adjourns but may be back for more
  • News to Use: Don't miss the UNE COM Gala to Celebrate 40th Anniversary to be held June 29th at Biddeford Campus
  • Public Health: Gov. Mills Signs 2-Year Budget into Law: What that means for Health Care, Mills Announces Opioid Response Summit: July 15, 2019
  • Practice Management: Survey Opportunity: Unaffordable medications, New Practice Tip from Medical Mutual
  • Belgrade Regional Health Center seeks a Physician (BC/BE in Family Medicine), contact:

MOA News

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MOA Summer Office Hours

Monday- Thursday: 8:30am-4:30pm
Fridays: 8:30am-11:30am

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Click Here to Login and Pay your MOA dues
Payments were Due 06/01

Note: If you experience difficulty in logging into the site or retrieving your password, please call the MOA office at 207-623-1101 for assistance before creating a new login. Thank you!

MOA Inaugurates New President David Scaccia, DO, MPH & Presents 2019 MOA Awards at Oceanside Convention

The Maine Osteopathic Association held its annual oceanside convention on June 7-9th at the Samoset Resort in Rockport, ME.  Over 200 osteopathic physicians attended the three-day continuing medical education conference which offered many opportunities for the Maine DO family to reunite, including a lobster dinner at The Landings Restaurant in Rockland, sponsored by UNE COM. During the convention, the association held its Annual Awards Luncheon to honor the contributions of osteopathic physicians in Maine. Recipients of 2019 MOA Awards are listed below.

In addition to these awards, Osteopathic Physicians were also recognized for their years of service to the people of Maine, including H.M. Chase, D.O. of Scarborough and Chester Suske, D.O., of China, who have each been practicing for 50 years in Maine.

Image may contain: 2 people, people smiling, people standing and suitDuring the convention weekend the MOA also elected new leadership for its Board of Directors. David Scaccia, D.O., M.P.H., was inaugurated as the association’s new President (pictured during the inauguration at right with Boyd Buser, DO and AOA President William Mayo, DO). He is Board Certified by ABMS in Occupational Medicine and by AOBFP in Family Medicine.  He currently practices as a private occupational medicine consultant in Kittery, Maine.

Josephine Conte, DO; Kathleen Thibault, DO; K Emily Redding, DO; and Isabella Askari, DO were all elected to positions on the MOA Board of Directors
Brian Kaufman, DO was elected at the President-Elect and Jodie Hermann, DO was elected to the office of Treasurer. 

Click here for event photos on our Facebook Page! 

Congratulations to our 2019 Awardees!

Thank you to all who attended the 108th Annual MOA Convention!
Announcements & Reminders for Attendees:

Missed something from a lecture that you would like to reference again? 
As is our custom, the Program Committee is continuing its “green” theme and will not be printing lecture slides and hand out materials. Because of copyright liability issues, we are including a link to a password protected file where you can access these presentations at your convenience.

Speaker PowerPoints and other materials can be found here when available at this
 Dropbox Folder Link.

The password is provided on page 6 of your program booklet.

Note: You do not need a Dropbox account or Dropbox desktop download to access these files.
The link above should open in a internet browser.

Please remember to mail/fax or email in the following forms:

  • Continuing Medical Education (CME) Attestation Reporting Form: VERY Important! This form was in your registration packet. Please check off the lectures you attended, count up total credits and sign the form to get your AOA category 1-A credits reported. Must be completed and returned by July 12, 2019.
    • ​CME Certificates: If you do not have an AOA number, you should receive your CME certificate via email next week (this applies especially to MDs, PA-Cs, NPs, etc.). If you will be receiving AOA credits, but would still like to receive a CME certificate for your records, please let the MOA office know by email at We will be sending out CME certificates to DOs receiving AOA credit by request only.
  • Evaluation Survey: The Program Evaluation is digital this year. Click HERE to share your thoughts about facilities, speakers, topics and more!
  • Outcomes SurveyThe AOA Division of CME provides for DO’s to earn Category 1-A CME credits for post-conference outcomes assessment. The ratio of available credit is 1:10, therefore you have the opportunity to earn up to 2.0 additional AOA 1-A credits for proper completion of this survey.

    This survey will remain open until July 12, 2019. Your CME credit will be reported by the MOA to the AOA Division of CME. Full link text:


MOA Midwinter Symposium
Holiday Inn by the Bay, Portland, ME
February 7-9th, 2020

109th Annual Convention
The Samoset Resort, Rockport, ME
June 5-7th, 2020

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Missed the Convention? Fulfill CME requirements online!

Access hundreds of osteopathic CME programs "" or click here.

Legislative Updates

Maine Legislature finishes work for 2019 but could be back

AUGUSTA — Maine lawmakers worked through the early morning hours Thursday as they scrambled to complete action on a number of important and contentious issues before adjourning the 2019 legislative session just after 6:45 a.m.

The Legislature managed to finish its work on a range of bills that do everything from tacking a new tax onto vaping devices to switching Maine back to a presidential primary vote in March of next year. But they failed to reach agreement on how much the state should borrow to fix highways and bridges or build out a lagging broadband network. These were key infrastructure improvements that Gov. Janet Mills had asked them to send to voters for approval this fall.

Mills’ proposed bond package, which was endorsed by the Legislature’s budget-writing committee, includes: $105 million for road, bridge and infrastructure repair; $50 million for research and development, expanding broadband and fishing/farming infrastructure; $65 million for wastewater treatment projects, renewable energy and the Land for Maine’s Future program; and $19 million for career and technical education or child care.

Republicans insisted they wanted separate votes on each of the four packages and not a single bill with all of the borrowing included. They said they were concerned that the state was taking on too much debt, after passing a two-year budget of close to $8 billion.

But Democrats held fast and resisted a last-ditch effort by Republicans to vote on just the transportation bond.

Mills also worked through the early morning hours, signing dozens of bills into law, including one making racial profiling by police a crime.

The Democratic governor also briefly addressed lawmakers in both chambers and thanked them for their work. Her appearance resurrected a long-standing tradition that had been largely abandoned by her predecessor, Republican Gov. Paul LePage.

“Remember why you do this work,” she said, after noting the long hours lawmakers were putting in. “You do it for all the people of Maine.”

Democratic leaders said they expected that Mills will call them back for a special session later this summer to try again to pass a bond package, but Mills made not mention of that in her short address.

 News to Use 

Image may contain: 2 people, people smiling, people standing, sky, tree, outdoor and natureNew England DOs/MOA Staff Complete American Lung Association's Trek Across Maine 
The ALA's Trek Across Maine Kicked off Friday, June 14th continued throughout the weekend last weekend. George Pasquarello, DO and his wife Nicole Fectau brought together New England DOs, friends and MOA staff Angela Westhoff and Amanda Richards for Team Just DO M.E. which rode to promote osteopathic medicine and lung health. The team was sponsored by the MOA, MOEF, and UNECOM and raised over $27,000 in total! Interested in joining the team next year? Email to get more information.
Photo: Guy DeFeo, DO supports his son Guy Jr. who rode with Team Just D.O. ME! More photos can be found on the MOA's Facebook Page.

40 Years of UNE COM
It's Time to CELEBRATE!!!!!! Don't Miss the UNE COM Gala on June 29th, 2019

WHAT: FOOD, DANCING AND FRIENDS!!!!!! COM is celebrating the 40th anniversary of its first entering class. Many of you have been there with COM along the way (some the entire way!!). We hope you can join us for “The Gala” and CELEBRATE this milestone.

WHERE: University of New England – Biddeford Campus
WHEN: Saturday, June 29, 6–9 p.m.
HOW: Register online

Hope you can join us!!

Jane E. Carreiro, D.O.
Vice President for Health Affairs and Dean
University of New England College of Osteopathic Medicine

Summer 2019 UNE COM Speed Networking Save the DateUNE COM Summer Speed Networking: August 3rd!

This spring UNE COM is hosting a Speed Networking event for first and second-year COM students on Saturday, August 3rd. We need your help in creating a relaxed and friendly environment for students to practice meeting, and networking with physicians in various specialties across the region.

During the event, students converse with physicians from various specialties for 10-15 minutes each. This allows them to connect with numerous physicians in a single morning and gain a better understanding of what practicing in different specialties is like. We hope the experience will help inform them of their own preferences and leanings as they progress to their clinical years.

The event is scheduled for 10:00 AM - 12:00 PM on Saturday, August 3rd in the Ripich Commons on the UNE Biddeford Campus. If you are interested in participating in our Summer Speed Networking event, please register by Monday, July 8th at

If you have any questions about the event, please email me at

DO Students Selected for NIH Medical Research ProgramOut of a pool of over 130 applicants, two osteopathic medical students, Fady Guirguis, Western University of Health Sciences College of Osteopathic Medicine of the Pacific, and Luke O'Connor, Touro College of Osteopathic Medicine, New York City, were selected to be a part of the 2019 – 2020 Medical Research Scholars Program. The year-long program brings selected participants to NIH headquarters in Bethesda, Maryland, where they will receive mentored training and conduct basic, clinical, or translational research work. At the conclusion of the program, the scholars will present their research to the NIH community and at national and international professional conferences. Learn more.

AOA News:

  • ​ Bureau of State Government Affairs – Call to Meeting - July 25 - Chicago Marriott Magnificent Mile The Bureau of State Government Affairs (BSGA) will hold its next in-person meeting on Thursday, July 25, 2019, 1-4 p.m. CT. This meeting will be held in conjunction with the AOA Annual House of Delegates Meeting at the Chicago Marriott Magnificent Mile - 540 N. Michigan Avenue – Chicago.Please use this BSGA RSVP link to confirm your availability to attend the BSGA meeting no later than Thursday, July 18, 2019.  If you have any questions, do not hesitate to email Kim Kuman or call (312) 202-8180.​
  • New AOA CME Guide Available The 2019-2021 Continuing Medical Education Guide outlining revised CME requirements for AOA board-certified physicians is now available online. Each certifying board set its own CME requirements for Osteopathic Continuous Certification to align with practice and standards in each specialty. Overall, the revised requirements provide flexibility, giving physicians latitude to choose CME that works best for their individual practice.
  • Ready for OMED 2019? Here’s How You Could Attend for Free.

    Share your "Aha!" momentsin medicine for a chance to win free registration to OMED 2019 in Baltimore Oct. 25-28.

Public Health

On Monday, June 17th-- Gov. Mills Signs State's Two-Year Budget Into Law, Here's What it Means for Health Care

FY 2020-2021 Biennial Budget Highlights:

Total spending: $7.98 billion from the General Fund over the next two years. The proposal also adds $19.8 million to the Budget Stabilization Fund.

Health Care: Making health care more affordable and more accessible

  • The budget fulfills promises to Maine people by sustainably funding MaineCare expansion. The budget allocates $125 million to be matched with nearly $700 million in federal funds for MaineCare Expansion.

  • The budget allocates $5 million to support domestic violence and sexual assault services.

  • The budget restores the Maine Low-Cost Drugs for the Elderly and Disabled program to cover an additional 1800 Maine seniors.

  • The budget adds 62 new Child and Family Services staff to better protect Maine children from abuse and neglect and provide relief to caseworkers with unmanageable caseloads.

  • The budget supports efforts to combat the opioid crisis by funding prevention efforts and eliminating red tape that prevents people from getting help. This includes $5.5 million from the Fund for a Healthy Maine (FHM) to support prevention efforts, increases to the weekly rate for medication-assisted treatment and elimination of the 24-month limit for medication-assisted treatment.

  • The budget also allocates an additional $10 million from the Fund for a Healthy Maine for smoking prevention and cessation.

2019 Governor’s Opioid Response Summit. 
Turning the Tide:  Maine’s Path Forward in Addressing the Opioid Crisis,Monday, July 15, 2019, at the Augusta Civic Center. REGISTER

This Summit will bring people together to discuss the many challenges those with substance use disorder and in recovery face alongside the opportunities that exist moving forward. Keynoting the Summit will be Sam Quinones, journalist and author of the landmark book Dreamland, and former White House Director of National Drug Control Policy Michael Botticelli. In addition, a panel will address what Maine and neighboring states are doing to respond to the opioid issues as we create unity within our great state. Agenda  $40 Registration Fee

Practice Management 

Do you have patients who can't afford to fill their prescriptions or who skip doses or split tablets to save money? Does this medication nonadherence result in avoidable hospitalizations and compromised health?

As many as 30% of prescriptions are never filled and 50% of medications for chronic diseases are still not taken as prescribed.  This medication nonadherence is not only a problem for the low-income uninsured, but increasingly also a concern for Medicare beneficiaries and other insured individuals with high deductibles and copays.  It results in at least 10% of all hospitalizations and more deaths than from opioid overdose, diabetes, influenza and pneumonia, or kidney disease.

If you are a regular prescriber of medicines for adult outpatients, please help develop solutions by completing this brief survey.

To offer comments or to speak with surveyor MedHelp Maine, contact Martha Morrisson at or (207) 793-4462. 

Image result for frustration photosMOA Medical Economics Committee Reminder: Contact Us with Pesky Payment Issues

Are you having issues with frequent denials from insurance carriers? We want to hear from your office! Call the MOA office at 207-623-1101, email us at or submit our Hassle-Factor Complaint form.

Image result for medical mutual insurance company of mainePractice Tip from Medical Mutual: Telephone Triage Systems for the Office Practice

Telephone triage, when done effectively, can improve access to the appropriate level of care, practice efficiency, patient satisfaction, and patient/provider communication. However, it is not a replacement for medical care. Staff and patients need to be aware of the limitations of telephone communication.Triage systems that involve screening of patient symptoms and subsequent clinical advice should utilize registered nurses with the appropriate background, training, and clinical experience.
Written clinical protocols should be in place to guide this process.
Triage systems for practices solely staffed by medical assistants should have protocols in place that guide how questions are handled and addressed, both clinical and non-clinical. Because the provider is responsible for any information staff provide to patients, written
protocols, for nurses and medical assistants, should be reviewed and approved annually by the providers in the practice.

I. Improve Telephone Communication

The following recommendations will assist in the development of a structured telephone triage

  •  Establish a written policy that defines the telephone triage system to include the following:
    • Define Scope: Describe what the program will cover.
    • Define Purpose: State the intent of the program.
    • Define Personnel: Define required staff qualifications and duties.
    • Define Hours of Operation.
    • Define Program Components: Telephone call management process, written clinical protocols, documentation process and quality review.
  • Provide staff education annually and as needed.
  • Standardize documentation through the use of a telephone encounter form or EMR template.
  • Practice consistent management of patient telephone communications.
  • Monitor the program regularly; educate staff on findings.

II. Minimize Professional Liability

A telephone consultation poses the same level of professional liability risk as an office visit. The duty to provide care is legally established from the moment the patient seeks advice. Minimize professional liability by practicing the following:

  • Utilize written protocols as an adjunct to, not a replacement for, critical thinking and clinical decision making.
  • Document an explanation when deviation from written protocols occurs.
  • Return patient calls in a timely manner according to defined parameters, inform patient when to expect a call back.
  • Require provider review of triage documentation as defined by policy, including time, date of the review, and provider signature. In the EMR, assure the system reflects provider acknowledgement of the triage documentation.
  • Document telephone communications immediately; utilize standard encounter form or EMR template.
  • Document patient understanding of advice given. Advise the patient on steps to take if symptoms worsen.

Medical Mutual Insurance Company of Maine's "Practice Tips" are offered as reference information only and are not intended to establish practice standards or serve as legal advice. MMIC recommends you obtain a legal opinion from a qualified attorney for any specific application to your practice.

Upcoming Events

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NEW Programs Available NOW!

Over 150 Osteopathic Programs Available Online, (including 1-A Credits & Specialty Credit) On-Demand: Click Here!

The Maine Concussion Management Initiative Will Be Offering Training Programs – June 21 and October 29 

The Maine Concussion Management Initiative will be offering two training programs in 2019. The first will be June 21 in Waterville at Colby College. And the second on October 29 in South Portland at the Double Tree hotel as the Youth Concussion track at the annual conference of the Brain Injury Association of America-Maine Chapter. Online registration will be available in September.

Level 1 is the Introduction to Concussions and Concussion Management. Level 2 is Advance Concussion Management that includes interpreting neurocognitive tests. Level 1 will be held in the morning and Level 2 will be held in the afternoon. Level 1 is a prerequisite for Level 2.

MCMI training is appropriate for physicians, nurse practitioners, physician assistants, neuro-psychologists, school nurses, athletic trainers, physical therapists, occupational therapists, athletic administrators/directors, and coaches.

For more information or to register:

2019 General Information sheet

2019 Registration form

At this time online registration through the MCMI website is not available – you will need to mail in your registration and payment. For any questions – please contact: Jan Salis, PT, ATC, at or 207-577-2018.


Direct Primary Care Summit, Chicago, June 28 - 30, 2019
Deliver exceptional care. On your terms.

Register now for the 2019 Direct Primary Care Summit! Whether you’re new to DPC or ready to take your practice to the next level, you can be a part of an exciting, growing movement that’s revolutionizing patient care.

Direct Primary Care Summit
June 28-30
Chicago, IL

At this year’s summit, you’ll have the opportunity to network with like-minded physicians and thought leaders, access exhibitors who specialize in DPC, and attend courses on a range of topics, from how to adopt the DPC model to how employers are working with DPC practicesnationwide.

Register now

UNE COM Summer Speed Networking


This spring UNE COM is hosting a Speed Networking event for first and second-year COM students on Saturday, August 3rd. We need your help in creating a relaxed and friendly environment for students to practice meeting, and networking with physicians in various specialties across the region.

During the event, students converse with physicians from various specialties for 10-15 minutes each. This allows them to connect with numerous physicians in a single morning and gain a better understanding of what practicing in different specialties is like. We hope the experience will help inform them of their own preferences and leanings as they progress to their clinical years.

The event is scheduled for 10:00 AM - 12:00 PM on Saturday, August 3rd in the Ripich Commons on the UNE Biddeford Campus. If you are interested in participating in our Summer Speed Networking event, please register by Monday, July 8th at

If you have any questions about the event, please email me at

September 23–25
JW Marriott Chicago

ABMS Conference 2019 is your premier opportunity to learn about innovations in physician assessment, learning and improvement. At this national conference you will expand your knowledge, share best practices, connect with your peers, and engage in professional development opportunities.

Join more than 500 professionals from across the health care community who will accelerate the transformation of Board Certification and the delivery of quality patient care. Visit


8th Annual Let's Go! National Obesity Conference

September 26 & 27, 2019
(Check-In & Breakfast start at 7:30 AM)

MaineHealth Conference Center
110 Free Street, Portland, Maine 

$400.00 per person
*Early bird rate of $325.00 - Register by July 1*

RSVP by choosing one of the options below

Conference Details
Learn more about what this conference has to offer you.
Register Now!
Proceed directly to the registration pages.


Need a Change of Scenery? Find Osteopathic CME Live Programs All Over the US!

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Classified Ads & Job Postings 

Belgrade Regional Health Center seeks a Physician (BC/BE in Family Medicine) to provide primary care to people of all agesAs a NCQA-Patient-Centered Medical Home, the health center offers accessible, high quality healthcare with integrated behavioral health services.

Founded in 1977, we serve over 2,300 residents and travelers each year. We reside in the peaceful, picturesque, and welcoming Belgrade Lakes region in the heart of central Maine, renowned for its chain of seven sparkling lakes and abundant streams. We offer competitive salary and benefits, pension plan with employer match, malpractice coverage, and loan repayment options. EOE. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901 | (207) 660-9913 | Fax: (207) 660-9901 | |

Belgrade is a practice of HealthReach Community Health Centers, a system of eleven Federally Qualified Health Centers in Central and Western Maine. Dedicated providers deliver high quality medical and behavioral health care to citizens in over 80 rural communities. To ensure access for everyone, HealthReach accepts Medicare, MaineCare and major insurances. In addition, 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. A private, non-profit with a 44-year history, HealthReach is funded by patient fees, grants and individual donations.



Physician for Maine Maritime Academy Summer Training Cruise 

Maine Maritime Academy is looking for a physician for its annual training cruise this summer.  Cruise dates are May 5, 2019 to July 15, 2019.  There is an option for two shorter cruises with the swap from Cruise A to Cruise B occurring in Portsmouth, UK on or around June 9.  Other potential stops include Vigo and Barcelona, Spain; Tallinn, Estonia; and Oslo, Norway.  Compensation is $225/day.  Please visit or contact Mikaela Wentworth at 207-326-2645 for additional details.  EOE.


Internal Medicine Outpatient Physician 

Maine Medical Partners Internal Medicine Westbrook is seeking a BC/BE Internal Medicine physician for their well-established outpatient practice located in the greater Portland, Maine area.  The selected candidate will join 4 internal medicine physicians, 4 family medicine physicians and a geriatrician.
Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital and Level I Trauma Center, with a full complement of residencies and fellowships and an integral part of Tufts University Medical School.  The successful candidate will have an academic appointment at Tufts University School of Medicine, and the position involves teaching and mentoring residents and medical students from the Maine Medical Center-Tufts University School of Medicine Medical School Program.

Situated on the Maine coast, Portland offers the best of urban sophistication combined with small-town friendliness.  Just two hours north of Boston, this is an exceptionally diverse and vibrant community. 

For more information please contact Gina Mallozzi, Physician Recruiter at (207) 661-2092 or


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Maine Osteopathic Association, PO Box 315, Manchester, ME 04351 | P. 207.623.1101 |  F. 207.623.4228