Sue Butts-Dion: Quality Improvement
• What is one small change your practice has tested that has gone well?
• What is one item your practice is struggling with or feel like you need more support for?

Steve Meister, MD: ADHD, Attachment and Trauma

1. Communication Skills & Difficult Converstions/Behavioral Health Integration

• 
  Review Trauma-Informed care
  Discuss integration strategies for behavioral health and chronic pain management
  Demonstrate responses to Choosing Wisely’s 5 Questions

2. Nonopioid & Nonpharm Treatments for Acute & Chronic Pain

• 
  Evidence-based review of alternative treatments for acute & chronic pain
  Discuss comprehensive acute pain management plans & reduce surgical overprescribing

This activity has been planned and implemented in accordance with the Essentials and Standards of the Maine Medical Association Committee on Continuing Medical Education and Accreditation through the partnership of Maine Medical Education Trust and the Maine Independent Clinical Information Service (MICIS). The Maine Medical Education Trust is accredited by the Maine Medical Association to provide Continuing Medical Education (CME) activities for physicians.

Alice Horowitz: UUsing Health Literacy to Improve Children’s Oral Health

OBJECTIVES (3):
1. Provide background on oral health literacy and why health literacy is an important topic for engaging patients.
2. Discuss what a health literacy environmental scan is and how it fits into a health literate organization.
3. Highlight approaches to evaluating practices and health systems for being health literate/user friendly.
4. Discuss how we can use health literacy strategies to implement USPSTF recommendations around fluoride and engage families in this critical part of their health care.
5. Show examples of how to connect with pregnant moms and infants around oral health

1. Practice Transformation & QI for Opioids/Chronic Pain

-Review best practices in practice transformation for opioid prescribing
-Focus on team-based care including developing “CSI” (controlled substance initiative) teams

2. Harm reduction: diagnosis & treatment of opioid use disorder including MAT, naloxone prescribing, and risks of co-prescribing benzodiazepines

-Appropriately diagnose opioid use disorder
-Understand requirements and benefits of buprenorphine and naltrexone prescribing
-Anticipate prescribing naloxone for all patients and families at risk

Presented by the Maine Independent Clinical Information Service (MICIS). In 2017
MICIS has 6 clinical modules on Improving Opioid Prescribing and Patient Safety, with two modules covered in each webinar in this 3-webinar series. These modules are standalone topics and attendees can register for any or all of these webinars.

Dr. James Wiley and Dr. Jan Powell talk about the lessons learned in the previous National AAP ADHD Pilot and how we can apply these lessons to the CALM Project here in Maine. We will also learn more about ADHD medication management.

Objectives:
1. Develop a deeper understanding of medication management for children with ADHD. (Dr. Wiley)
2. Highlight lessons learned from previous AAP ADHD project and coaching strategies (Jen Powell)

1. The Genesis of the Opioid Crisis: "How We Got Here."

• Trace the origin of the opioid crisis in America
• Review CDC opioid prescribing guidelines

2. Opioid Basics: MMEs & Tapering

• Calculate morphine milligram equivalents & evidence behind limits
• Discuss reduction strategies

Elisabeth Fowlie Mock, MD, MPH, FAAFP

From Holden, Maine, Elisabeth received her doctorate from Vanderbilt Medical School and a Master of Public Health in Health Policy and Administration from UNC-Chapel Hill. She attended Colby College and Emory University. She is Board Certified in Family Medicine and works part-time as a Hospitalist at EMMC. She is active in leadership of the Maine Academy of Family Physician