MAFP PineCones E-Newsletter

2024 Winter Edition

State Advocacy/Health Equity

MAFP Member Advocacy Day In Augusta


The MAFP held it's 9th Annual Member Advocacy Day on February 13th at the Statehouse. Attendance was great with numerous Board members being joined by MAFP members-at-large. The group began the day with several sessions with practical tips on how to approach your individual legislator, provide testimony in Committee hearings, as well as an overview of legislation currently being discussed. The group also had a chance for Q&A with two physicians currently serving in the House - Sam Zager MD and Jane Pringle MD.


The remainder of the day was spent in the Statehouse giving everyone an opportunity to meet their legislators in person, observe Senate & House proceedings, participate in press conferences by "Flavors Hook Kids Maine" and "Maine Families for Vaccines".

Help Ban Flavored Tobacco in Maine!


LD 1251, a bill to ban flavored tobacco in Maine, is currently about 12 votes short of passage in the  House. We are encouraging our members to reach out to their representatives to help pass this bill.


For more information on how you can effect this vote with YOUR voice - click this link 

Gun Safety Reform Legislation

YOUR Voice Matters!

These are the Gun Safety bills that have hearings the week of March 3rd - 9th -


  • LD 2237 - An Act to Strengthen Public Safety, Health and Well-being by Expanding Services and Coordinating Violence Prevention Resources
  • Public Hearing: Monday, March 4th at 10:00 am in front of Heath and Human Services Committee in Room 126 of State House
  • LD 2086 - An Act to Amend the Law Governing the Disposition of Forfeited Firearms (amended language can be found here)
  • Public Hearing: Tuesday, March 5th at 11:30am in front of Judiciary Committee in Room 438 of State House
  • LD 2119 - An Act to Support Suicide Prevention by Allowing the Voluntary Waiver of Firearm Rights
  • Public Hearing: Tuesday, March 5th at 11:30am in front of Judiciary Committee in Room 438 of State House
  • LD 2224 - An Act to Strengthen Public Safety by Improving Maine's Firearm Laws and Mental Health System 
  • Public Hearing: Thursday, March 7th at 11:30am in front of Judiciary Committee in Room 438 of State House
  • ** This is the bill that the Maine Gun Safety Coalition has identified as their priority bill and are asking for people to show up in person to testify.
  • LD 2238 - An Act to Address Gun Violence in Maine by Requiring a Waiting Period for Certain Firearm Purchase
  • Public Hearing: Thursday, March 7th at 11:30am in front of Judiciary Committee in Room 438 of State House

CALL TO ACTION!

NOW: Start writing your testimony and contact your local legislators to tell them that gun safety measures are important to you. (For sample letters and more information, visit the Maine Gun Safety Coalition (https://www.mainegunsafety.org/)

If you are unable to travel to Augusta to testify in person - you can do it via Zoom or submit written testimony.

To submit testimony or schedule to testify via Zoom:


1 - Go to https://www.mainelegislature.org/testimony/

2 - Select Public Hearing

3 - Select Date & Committee and follow instructions from there

On a 40 degree day in November, several MAFP members participated with over 200 physicians, medical students, and medical providers to encourage our state lawmakers to pass common sense guns safety measures during the 2024 legislative session.

Maine Gun Safety Coalition for Gun Safety - Day of Action at the Maine Statehouse


On January 3rd, several of or members joined the Maine Gun Safety Coalition for a Gun Safety Day of Action at the Maine State House to again demand our state legislators to enact an assault rifle ban, red flag laws, a 72 hour waiting period to buy a gun, and background checks for all gun sales. 

 

We expect there to be hearings on several gun safety bills this state legislative session and it would be very impactful to have MAFP members to testify.


ACTION Step:

NOW: Start writing your testimony and contact your local legislators to tell them that gun safety measures are important to you. (For sample letters and more information, visit the Maine Gun Safety Coalition (https://www.mainegunsafety.org/)

Affordable Housing Advocacy


The MAFP is partnering with Maine Equal Justice to support state legislation this session that makes it easier for our patients to have access to affordable housing. One bill of particular interest is, LD 1710, the HOME Act, An Act to Establish the Maine Rental Assistance and Guarantee Program and Amend the Laws Regarding Tenants and the Municipal General Assistance Program.

This bill would:

- create a state-wide rental assistance program so it would be easier for people to get assistance

- create stronger penalties against landlords who discriminate against those who use rental assistance

- cap one’s rent to 1/3 of their income

- offer more housing options by allowing one to choose homes that are upto 125% of the federal "fair market" guidelines (i.e. one could rent a two bedroom apartment or home in Lewiston for up to $1,388, in Portland for $2,432, or in Presque Isle for $1,185)

 

If you would like to help support LD 1710, reach out to your local legislators.


Find your Legislators HERE using AAFP's SpeakOut tool

 

MAFP is also collecting de-identified stories of your patients’ struggles to find affordable housing so we can share during testimony. If you have stories to share, you can send them to MAFP at [email protected]

MAFP Member Spotlight

Congratulations Dr. Prast!


We would like to congratulate Brendan Prast, MD for becoming the President of the Maine Chapter of the American Heart Association. Brendan is currently a Preventative Medicine Fellow at Maine Medical Center and a graduate of Maine Medical Center’s Family Medicine Residency. He currently serves on the MAFP Board as MMC FMR's Resident member. 

In case you missed it, he was recently on WMTW Channel 8 news talking about the AHA’s Life Essential 8 ways to slow aging. You can see the Ch 8 news story HERE


If you know of a colleague we should highlight, please let the MAFP office know by Emailing Attn: PineCones Editor [email protected]

Doc of the Day at the Legislature


Dr. Katie Adams had this to say after her day of service - "Meeting my state officials, having the chance to explain how their votes could impact my patients, my practice, and my community, and spending time with my fellow Family Physicians was a wonderful opportunity that I am grateful for. I would encourage all those who have not yet participated as the Doc of the Day to do so."

(Katie Adams MD, FAAFP is a Family Physician MAFP member who practices in Lincoln Maine and serves on the MAFP Board of Directors)


For more information on the Doc of the Day program contact the Maine Medical Association HERE

1000 Lives Campaign For Maine

Erik Steele DO, FAAFP

(Erik Steele DO, FAAFP pictured)


The 1000 Lives Campaign for Maine is:

  • *A systematic, clinician-led, collaborative campaign to reduce the number of predicted opioid-related deaths in Maine by 1000 during the next 5 years
  • *Modeled on the Institute for HealthCare Improvement’s “100,000 Lives Campaign” that addressed preventable medical errors in hospitals
  • *Seeks to implement a set of “Clinician Commitments” to improve the treatment of substance use disorders (SUDs)
  • *Led by Maine’s physicians and other clinician leadership, partnered with the State of Maine, and many other key stakeholders
  • *All clinicians have a role to play and the many efforts already underway to effectively identify and treat SUD/OUD and support recovery are appreciated


Quotable quotes from the December 2023 Campaign Launch Press Conference in Portland:


“Our goal is expansion of access to lifesaving OUD care into every corner of Maine and to engage every part of the healthcare delivery system in this lifesaving work – we want you to be able to walk into any emergency department, your doctor’s office, any hospital, and get this help,” said Erik Steele, DO, Family Physician and Immediate Past President of the Maine Medical Association, who conceived the Campaign during his year as President of the physician group.


“As a Family Physician in Maine, I know firsthand that prescribing buprenorphine-naloxone [Suboxone] is one of the only medicines I can prescribe today that makes my patient less likely to die tomorrow. Many Family Physicians in Maine are already treating OUD (opioid use disorder) in their offices and hospitals and the Maine Academy of Family Physicians looks forward to helping lead the charge to increased access to low barrier, judgment-free treatment of this chronic illness as just another chronic illness we treat in our full spectrum of Family Medicine,” added Elisabeth Fowlie Mock, MD, MPH, FAAFP, from Bangor, member of the Board of Directors and Delegate to the American Academy of Family Physicians. She is Board Certified in Family Medicine and Addiction Medicine.

More on 1000 Lives For Maine Campaign HERE

2024 ME SUD LC Conference

March 15th, 2024

Saving Lives: Working Together to Improve SUD and OUD Care & Outcomes -- Read More & Register

“Primary Care Scorecard: No One Can See You Now” Just Released 


Recently, the Milbank Memorial Fund, Physicians Foundation & Robert Graham Center released their Primary Care Scorecard “Data Dashboard”. It is an interactive tool showing key primary care indicators for each state in the US. You can click on Maine to get our state-level view. https://www.milbank.org/primary-care-scorecard/

 

Increasing investment into primary care is a priority for MAFP and we are currently involved in several initiatives around it. Any members interested in participating can reach out to [email protected] to join our efforts. 


Full Milank Report HERE

Webinar Summary Presentation HERE


Practice Resources

CPT Code G2211

Have you heard about the new code in 2024 that compensates us for the comprehensive care we perform to our continuity patients?

The AAFP has created a tip sheet "G2211 - What It Is & When To Use It" to help us better understand when we can use it

Other Coding & Billing Resources from AAFP:


"Getting Paid"


"Coding Basics" "Coding for E&M Visits" "Medicare Wellness Visits" etc.


"Group Visits"


"Coding for Vaccine Administration"

Coping with Burnout


In case you missed it, take a look at the Jan/Feb issue of Family Practice Management. You may find the article How to ACE Daily Stressors in Medical Practice helpful.


It provides 3 evidence based strategies for burnout - 

  • Accept authenticity
  • Choose meaning
  • Embrace positivity. 


If you are Dr. Imfine, Dr. Domore, or Dr. Dontcare, this article is for you.


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AAFP Leading Physician Well-being Certificate Program - Creating Leaders of Change and Champions of Well-being


Physician leadership has never been a more important skill for the family physician than it is today. Thoughtful and capable family physician leaders can provide stability in uncertain times for their office teams, among their health system colleagues, and within their community.This physician leadership enhances the quality of care that teams can provide to their patients, improves the morale of the care team, and helps communities stay focused on health-enhancing activities.


The application period for the 2024 Leading Physician Well-being Certificate Program is now open and will run through May 31. Applications received will be reviewed on a rolling basis, and final acceptance notifications will be sent June 14. Apply today to learn to lead change and champion well-being!


32nd Annual MAFP Family Medicine Update

Registration Is OPEN!

2024 Annual Update

Complete Schedule and Registration Information HERE