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June 6, 2018
PEER SUPPORT
for the MMC Medical Staff
Physician leader: Christine Hein, MD
Confidential • One-on-One • Peer Support
FEATURED ARTICLES
  • Talking About Firearm Safety with Your Patients
  • Preventing Provider Burnout
  • Accepting Downside Risk in the Medicare Shared Savings Program

Scroll down to read these and other new articles and more.
Letter from Joel and Lisa
Welcome to our June edition of the The Scope . We are hopefully embarking on three months of glorious weather, earning Maine the name of “Vacationland.” Of course, our work doesn’t stop for beach days, but we do hope that you will be able to enjoy the upcoming season. 
 
In this edition, we feature many articles on topical issues specific to MMC and those related to societal issues.


" Look for the good in every person and every situation. You’ll almost always find it " - Brian Tracy

Submit a quote to thescope@mmc.org .

Clinical Topics
Talking About Firearm Safety with Your Patients
By Daniel Meyer, MD
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Physicians are increasingly recognizing the public health threat of firearms, but many feel ill-equipped to discuss these issues with their patients.

Continue reading for ten key points that every provider should know about firearm-related violence in the US and other resources for speaking to patients about firearms safety. Then watch the May 9 Department of Medicine Grand Rounds, presented by Darren Taichman, MD, PhD, Executive Editor, Annals of Internal Medicine, VP, American College of Physicians.
Moving to Downside Risk in the Medicare Shared Savings Program
By MaineHealth Accountable Care Organization
The MaineHealth Accountable Care Organization is pleased to announce a major decision that affects our future, the evolution of our network and our commitment to value-based health care.
 
For many months, our staff, leaders, board and owners have been carefully considering the opportunity to move to a downside risk track of the Medicare Shared Savings Program (MSSP), the value-based Medicare contracting model that inspired the creation of Accountable Care Organizations (ACOs) around the country.


Click image at left to enlarge and print an infographic about downside risk..
CME Made Easy for the Medical Staff
By E. Sue Rose, MPH, Program Manager, Department of Medical Education
The time has come! We now have a user-friendly way to register, attend, evaluate and track educational activities at MMC. The Department of Medical Education has launched the new Continuing Medical Education (CME) database platform, Cloud CME. Cloud CME allows the CME program at MMC to better support the needs of our providers with a dynamic and responsive system that also offers a mobile app for easy access.

Research Retreat Connects Scientists and Clinicians, Showcases Discovery
By Julianna Myers, Project Manager, MMCRI
More than 200 physicians, nurses, advanced practice providers, scientists and trainees from MMC came together on May 2, for a day-long multi-disciplinary biomedical research symposium. The annual Costas T. Lambrew Research Retreat started with Doug Sawyer, MD, PhD, Chief of Cardiovascular Services, welcoming the attendees. Ivette Emery, PhD, Translational Research Scientist and Co-Chair of the Research Retreat, introduced keynote speaker, Professor Nadia Rosenthal, PhD, FMedSci, Scientific Director of The Jackson Laboratory in Bar Harbor.

New Associate Chief of Surgical Services
By Dave Warters, MD, Chief, Department of Anesthesia and Perioperative Management, and Brad Cushing, MD, Chief of Surgical Services, VP, Medical Affairs
We are pleased to announce that Lisa Beaule, MD, will serve as the Associate Chief of the Surgical Services Service Line and Operative and Perioperative Services Medical Director starting June 4.

2018 Maine Transplant Program Outcomes Report
By John Vella, MD, FRCP, FACP, FASN, FAST, Director of Nephrology and Transplantation, Maine Transplant Program, Associate Professor of Medicine, Tufts University School of Medicine
We are delighted to share our current transplant data described in the 2018 Maine Transplant Program Outcomes Report .
 
The mission of the Maine Transplant Program is to provide exceptional management that is compassionate, patient centered, quality focused, academic and at the forefront of tomorrow’s care. Our commitment to quality care for recipients and donors is evidenced by the achievement of extremely robust outcome data described in this report.
Size May No Longer Matter: Breast Cancer Staging
By Chiara Battelli, MD, and Paige Teller, MD
Breast cancer staging just became more complicated, but perhaps for the better! The new American Joint Commission of Cancer (AJCC) 8 th edition, published in 2017, has incorporated prognostic factors in primary breast cancer staging. Why do we stage breast cancer?

SeHR Shorts
By Donna Morong, R.N., Manager of Clinical Informatics – Medical Affairs
  • MMC Inpatient Provider Support Line
  • Physician/APP Refresher and Efficiency Classes
  • Code Status “Prior” Changed To “Needs Review”
  • Code Status Orders in User Defined Order Sets
  • New Blood Product Refusal BPA

Five Reasons Wounds Won’t Heal
By David J. Micca, DPM, CWSP, FACFAS, FACWM, FCCWS
According to the U.S Centers of Disease Control, it is estimated that nearly 5.7 million Americans suffer from chronic wounds, including wounds that are the result of diabetes, lower extremity arterial disease, lower extremity venous disease and edema, pressure ulcers and traumatic injuries. See five explanations for why many wounds just won't heal.

It's Not All the Prostate's Fault: Urinary Symptoms in Men
By Graham T. VerLee, MD, Maine Medical Partners — Urology
The adult men in Maine may have a tendency to neglect their health. It’s time to give our male patients a little extra attention.

An Innovative Strategy for Preventing Type 2: The National Diabetes Prevention Program
By Christina Holt, MD, MMP Family Physician, Preventive Medicine Residency Program Director
As we know, Maine people live with a very high rate of obesity, and along with that it is estimated that 37 percent have prediabetes. Unfortunately, most of them do not know it. Far fewer patients are aware that there is a resource called the National Diabetes Prevention Program (NDPP), developed by the Centers for Disease Control and Prevention (CDC), which has shown to prevent the development of diabetes by 58 percent among prediabetic participants.

Choosing the Right Post-Acute Care for Your Geriatric Patients
By Heidi Wierman, MD
Post Acute Care (PAC) includes any services provided after an acute hospital stay. It is evident that what happens in PAC impacts patient outcomes as much as what happens in the hospital. As a clinician discharging patients from the hospital, it is important to understand the different capabilities and options for your patients so you can direct your patients to the resources to best manage their physical and/or medical needs after hospitalization.

Recognizing EMS Week
By John Martel, MD, PhD, MMC Emergency Medicine; Kate Zimmerman, DO, MMC Emergency Medicine; Mike Bohanske, MD, MMC Emergency Medicine; Chris Pare, EMT-P, Manager EMS & Transfer Communications; Matt Sholl, MD, MPH, MMC Emergency Medicine
The 40 th annual National Emergency Medical Services (EMS) Week was May 20 - 26, and was initially authorized by President Gerald Ford as a means of celebrating the tremendous contribution that EMS providers make to both patient care and their local communities. Please take a moment to thank these dedicated pre-hospital providers who deliver care 24 hours a day and 365 days a year under often challenging conditions.

Care Team Well Being
Preventing Provider Burnout
By Ellen Freedman, MPH, Program Manager, Center for Health Improvement
About 40 staff members attended the first Center for Health Improvement Brown Bag at MaineHealth on April 12 on Preventing Provider Burnout: Creating a Culture of Wellness, with guest speakers Drs. Christine Hein and Joan Boomsma.

One of the goals of the new Brown Bag series is to share areas of interest and expertise with MaineHeath staff and others. We have videotaped the session so those who could not attend in person can enjoy the program.

Click the image above to watch the Brown Bag session.

Stay tuned for the next CHI Brown Bag on tele-mental health in June.
Brown Bag Series for Med Staff, Residents and Fellows
Monthly Lunchtime Mindfulness and Meditation
Publications, Achievements and Recognition
AHA Award Recognizes MMC’s Commitment to Quality AFIB Care
Faculty Appointments and Promotions
Events and Important Dates
Interactive Onboarding Session
Medical Staff Dinners
We Want Your Article Submissions
Your participation is essential to making The Scope a dynamic and sustainable publication. Please submit articles of 250-300 words to thescope@mmc.org . Include practitioner’s byline with title, credentials and appropriate contact for further information. We publish on the first Wednesday of each month, all submissions are due one week prior to publication. Learn more.

Medical Staff Value, Mission and Vision Statements
Value Statement
The Medical Staff of Maine Medical Center values both individuality and collaboration. We will continually pursue higher value health care. We embrace a culture of curiosity and life-long learning. We are partners with Maine Medical Center, and we mirror its values of compassion, service, integrity, respect, and stewardship.
 
Mission Statement
The Mission of the Medical Staff of Maine Medical Center is to provide affordable, high-quality health care to our community. We teach future health care providers and develop innovative ways to improve the health of our community. In partnership with the Medical Center, we proudly accept our responsibility as one of Maine’s leaders in patient care, education, and research.
 
Vision Statement
The Medical Staff of Maine Medical Center will be the driving force within Maine Medical Center leading the way to making Maine the healthiest state in the nation.