April 26, 2012

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Maine Academy of Family Physicians PineCones E-Newsletter

Home Study Course in Pain Management Is Updated and Available on MMA Website 

The Home Study Course on the Management of Pain has recently been updated and is available on the MMA website.  Many thanks to primary author Noel Genova, PA-C and a physician advisory committee that reviewed and edited several drafts of this important material.  It can be taken, at no cost, for 90 minutes of CME if the pre-test and post-test questions are taken and the evaluation form completed. Thank you also to the Maine Board of Licensure in Medicine which has funded this work and the consultations that Noel has performed out in the practices.


Maine Health Policy Study Group and Maine AllCare Presents May 11 Program on Universal Coverage  

The Maine Health Policy Study Group and Maine AllCare Presents, Beyond Patient Care:  Defining the Doctor's Role in Health Care Policy, on Friday morning, May 11, 2012 from 8:30am to 10:30am at the Maine Medical Association in Manchester.  Please join us for a dialogue with physicians about efforts to bring accessible, high quality, affordable health care to all of the people of Maine.


Guest Speaker:  Margaret Flowers, M.D., Congressional Fellow, Physicians for a National Health Program


Reaction Panel will include:

Jeffrey Barkin, Associate Medical Director, Goold Health Systems,    

    Co-Chair Maine Health Policy Study Group

Linda Sanborn, M.D., Family Physician & State Representative,  

    House District 130

Philip Caper, M.D., Vice-Chairman of Maine AllCare Board & Member  

    of Health Policy Study Group


There is no charge to attend but space is limited and advance registration is requested.   


To register, please e-mail Julie Pease, M.D. at [email protected]


Coffee and on-site registration opens at 8:00am and the program will begin at 8:30am

  Maine PCMH Pilot Project - Half-Way!!
The Maine PCMH Pilot Project has reached the half-way point and recently released it's report.

"For decades, Mainers have been plagued by preventable chronic diseases such as diabetes, cardiovascular disease, cancer, and depression. As a state, we face dramatically rising health care costs associated with these conditions, and as individuals, we face the challenges of fragmented care and timely access to primary care providers, especially in rural areas. Effective prevention and better coordination of care can dramatically change this picture, improving outcomes, creating a better experience of care, and lowering costs in the process.

Since 2009, Maine has led the way with the innovative Maine Patient Centered Medical Home (PCMH) Pilot as a way to forge a solution to this crisis in our health care system. The Maine PCMH Pilot makes the better health care we've hoped for a reality. It delivers on the promise of healthier lives for Mainers. This report provides an update on the progress of the Maine PCMH Medical Home Pilot as it crosses the "half-way" mark in its original 3-year timeline.
What is a Patient-Centered Medical Home?
A "medical home" is not a building or a place, but a team of health professionals who work together



CMS Proposed Rule Would Move ICD-10 Compliance Deadline to 2014   

The Centers for Medicare & Medicaid Services announced on April 9th a proposed rule that would delay the compliance date for the International Classification of Diseases, 10th Revision (ICD-10) code set from October 1, 2013, until October 1, 2014.


The proposed rule (CMS-0040-P) also included a requirement for health plans to adopt a unique health plan identifier for all Health Insurance Portability and Accountability Act (HIPAA) transactions. Health plans currently use several different identifiers that vary in format.


The ICD-10 delay was influenced in part by concerns from providers over their ability to meet the 2013 compliance date, according to the proposed rule, which will be published in the April 17 Federal Register. Comments will be due May 17th.


The ICD-10 delay originally was announced February 16 by Department of Health and Human Services Secretary Kathleen Sebelius, who said the department was committed to working with the provider community to come up with a new compliance date.  In a release, CMS said that ICD-10 "will include new procedures and diagnoses and improve the quality of information available for quality improvement and payment purposes."

Bright Futures - New Toolkit & Forms Available   
The web-based Bright Futures Toolkit is now available at the MaineCare Children's Services webpage for all DHHS/MaineCare health providers. The Toolkit offers multiple resources for providing preventive health care to children and adolescents. To receive your username and password, please call Provider Services at 1-866-690-5585 or email MaineCare Provider.


New Parent/Patient Education Forms

There are 18 Maine-specific Parent/Patient Education forms now available to providers on the MaineCare Childrens Services webpage. Based on the Bright Futures guidelines, these forms canbe printed and given to parents and patients at their well child visits.


Revised Well Child Visit Forms Process Change

Revised Maine-specific Well Child Visit forms (sometimes called "Bright Futures Forms") are now available on the  MaineCare Childrens services webpage. These forms replace the Well Child Visit forms now on that webpage. Now that the revised forms are available, the process of ordering them through GHS is discontinued. Instead, practices can download, save, and print the forms as needed.


Submitting Well Child Visit ("Bright Futures") Forms to MaineCare

Maine's Public Health Nurses continue to review the well-child visit forms to identify health concerns or missed well-child visits and provide education and support to the family.   A new mechanism for Public Health Nurse follow-up is in development. In the meantime, providers may continue to submit the forms to facilitate follow-up, but it is not a requirement. Current policy does not tie provider incentives (or disincentives) to the submission of the forms.


For more information about MaineCare's EPSDT Program and Bright Futures resources for providers, please call or e-mail the EPSDT Program Coordinator:

Luc Nya E-mail:  [email protected] 

Tel: 207-287-9191


In This Issue
Home Study-Pain Management
Progam on Universal Coverage
Maine PCMH Pilot Project
21th Annual MAFP Update
Global Health Workshop
ICD-10 Transition Helps
Will you be pictured NEXT year? 
Update 2010 General sessionSAVE THE DATE NOW for the
21st Annual
MAFP Family Medicine Update
April 10-12, 2013
at Sunday River Hotel & Conference Center

Go to  www.maineafp.org for Schedule & Complete Information as it becomes available

Interested in Global Health? Check out the AAFP FM Global Health Workshop Sept. 6-8 - Minneapolis, Minnesota -

Help leave a global legacy. Practicing physicians, faculty, residents, and students with an interest or experience in international activities/global health are encouraged to submit abstracts for poster and peer sessions at the 2012 AAFP Family Medicine Global Health Workshop.

Held from September 6-8, 2012 in Minneapolis, Minnesota, the workshop is a great opportunity to network with global health experts and peers with similar interests.

Submit your abstract by May 15, 2012. Health professionals beyond the specialty of family medicine are also welcome to submit abstracts.

For more information or to register, visit www.aafp.org/intl/workshop. Questions? Contact Rebecca Janssen, AAFP Program Coordinator, at  [email protected]org.

ICD10 Transition Helps 

Deborah Halbach
Maine Academy of Family Physicians
Maine AFP - PO BOx 424 - Hartland, ME 04043
207-938-5005 - www.maineafp.org