Medical Professionals Health Program A Program of the Maine Medical Association

Phone: (207) 623 - 9266 Fax: (207) 430 - 8386 E-mail: mphp@mainemed.com

20 Pelton Hill Road P.O. Box 69 Manchester, Maine 04351

2011 Annual Report

2

Letter from the Advisory Committee..….……..…...3

Introduction - about the MPHP……........………...4

Voices of Recovery…………......……..…………...6

Messages from MPHP Staff..…………….….…….7

MPHP Case Activity Overview ……..…..….……..8

Toxicology Overview……...…………….………...9

2011 Accomplishments…………………..…...…..11

MPHP Advisory Committee………………..…….13

MPHP Staff……………….……………..……….14

Fiscal Year in Review……..………………...…….15

Thank You to Donors…...……………………….16

MPHP Donation Form ……………....………….17

MPHP Speaking Request Form………..……..….18

Resource List………………..………....……..….19

Table of Contents:

“Courage is not the absence of despair; it

is, rather the capacity to move ahead in

spite of despair.”

Rollo May

Published February, 2012

3

Medical Professionals Health Program

Dear Friends and Colleagues:

We are pleased to present you with an overview of the activities of the Medical Professionals Health Program (MPHP) for 2011. As last year was, this has been a year of considerable change and growth. The program continues to see a significant demand for services set against recognition of limited resources.

As 2011 came to a close we saw the program grow to 96 active contracts, compared to 76 at the end of 2010, and in just one year, nurses have outnumbered physicians as participants. And this, as you will see in reviewing the report, is only the “tip of the iceberg” in terms of services provided by the program. In addition, we achieved through the legislature the ability to serve Veterinarians and Podiatrists and expect to welcome veterinarians into the program within the first six months of 2012.

Nevertheless, despite the simultaneous growth of the program and the unexpected loss of the program’s full time case manager in June, we believe that 2011 was a year of considerable achievement. Together we met all of the goals we set for ourselves at the end of 2010. In addition, before the end of the year, the program hired and trained both a new full time case manager and a new part-time administrative assistant.

From the MPHP perspective, goals achieved included the publishing of a new handbook for participants, the development of an audit plan, (along with four audits of files), and the first issue of an MPHP quarterly participant newsletter. But perhaps most important is that during 2011 MPHP developed into an almost completely electronic program. Participants, workplace monitors and the entire treatment team are now able to fill out reports entirely on line.

And the Advisory Committee also met its goals for 2011. The three standing committees - Policy and Technical Support, Mentorship and Outreach and Development - all met on a regular basis producing exciting results which we believe greatly further the mission and resources of the program.

MPHP staff and committee members alike welcome the opportunity to talk with individuals and present to any group interested in the work we do. Please note the forms at the end of this report. If you would like to make a contribution to the program, schedule a presentation or learn more about how the MPHP can help, please contact us by phone at (207) 623-9266, by email (see email addresses associated with staff) or send in one of the forms at the end of this report.

In closing we would like to thank all the many individuals and organizations that have served the program as volunteers or contributors. We couldn’t have done it without you!

Sincerely,

Robert Chagrasulis MD Jack Ellis, DDS, MD Chair, MPHP Advisory Committee Vice-Chair, MPHP Advisory Committee Cc. Nancy Cummings, MD President, Maine Medical Association

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Confidentiality:

The MPHP recognizes the importance of provid-

ing confidential services to those genuinely en-

gaged in a recovery program. It is vital that we

maintain the confidence and trust throughout the

medical community so that we may continue to

be a resource for those who come forward seek-

ing the structure and advocacy of our program.

The MPHP respects the privacy and confidential-

ity of participants to the full extent permitted by

the law and consistent with the protocols negoti-

ated with each licensing board.

Who We Serve:

The MPHP has contracted with the following

professional licensing boards:

• Dentists

• Dental Hygienists

• Dental Radiographers

• Nurses

• Pharmacists

• Physicians - M.D. and D.O.

• Physician Assistants

• Veterinarians

• Student in Associated Degree Programs

Mission:

The Medical Professionals Health Program, a program of the Maine Medical Association, as-sists medical professionals of Maine by providing confidential and compassionate assistance and advocacy. Our clinical professionals and commit-tee members help participants with diagnosed substance use disorders. Although we do not provide evaluation or treatment, we help partici-pants better understand the treatment and recov-ery process and help implement strategies for return to safe practice.

Services Offered:

The MPHP provides the following confidential services:

• Initial interview and screening. • Recovery monitoring and documentation. • Recommendations for evaluation and treat-ment.

• Networking opportunities with colleagues in recovery.

• Advocacy to those seeking employment, re-licensure or credentialing.

• Speaking at staff meetings, grand rounds conferences and student groups.

Introduction: About the MPHP

How the Program Operates:

Medical professionals can become involved with the MPHP in a number of ways. Some voluntar-ily contact the program, some are referred by col-leagues, family members, patients or friends while others are referred by the licensing boards. Once initial contact is made, the MPHP works with the medical professional to develop appropriate strategies for evaluation, treatment, and return to a successful professional career. A potential par-ticipant is first interviewed by the medical or clini-cal director of the program. The next step is of-ten for a multi-disciplinary evaluation to help de-termine presenting issues, appropriate treatment options and monitoring strategies. Each case is unique and is carefully considered by the partici-pant’s treatment team, the MPHP Team and the MPHP Committee.

John C. Dalco House (photo 2)

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Voices of Recovery:

W

The anonymous exerpts below are shared with permission of the participant.

Feelings of anger and resentment Loss of gratitude Not exercising regularly Poor sleep habits - fatigue Missing AA meetings

Sense of unrest inside Lack of ambition and motivation Nothing matters Losing my humility Not paying attention to regular meals

Strategies for addressing stressors include:

Journaling

Praying & Meditation

Talking with counselor

Talking with friends

Exercise

Attending AA meetings

Taking each day as it is

Taking a bath

Yoga

Reading

Spending time outdoors

What participants are saying about their journey…..

“I have an important story for others to hear.”

“I have found my desire to be a mom and a wife again and it feels great!”

“I am a spiritual being. Without the help of my higher power my attitude would not be as positive as it is.”

“Life is good, no matter the challenges that come.”

“I have learned that I am worthy of a second chance and that others see the good in me, even if I am not always able to.”

“I've learned to take a leap of faith. I can do things I thought I could never do. I know things I didn't know I knew. I'm a pretty OK person. Maybe even an inspiration to some. A jewel in God's

eyes.”

“I am a Nurse, and I am an Alcoholic. I have come now to embrace my disease. For the last few years I have kept this BIG secret. I felt ashamed and embarrassed. I thought for a long time I was “hiding” my illness, but this past summer my disease took away my relationships, my self-esteem, self-respect, and almost my career. When I hit my “rock” bottom and sought out treatment I thought everyone would judge me. I was convinced I would be discredited as a nurse, and surely would need a new career when all was said and done. That couldn’t have been further from the truth. As I reflect back on this marvelous journey, it became apparent to me how lucky I am to work for this hospital.”

“I take full responsibility for where I am in life today. I hit a series of bottoms, each one worse than the last, and finally had enough. I began to slowly rebuild my life and I am stronger today than I ever have been because of what I have lived through.”

“Coming to terms with my addiction has been difficult. … Time and distance from alcohol have cleared my thinking and I understand the position of the Board and their obligation; patient safety is of the utmost priority. I have accepted my disease as well as my recovery; I know that recovery is ongoing and I must remain vigilant.”

Some of the warning signs participants recognize as threats to their recovery:

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Messages from the MPHP:

In January of 2011, I committed myself to

MPHP by taking the role of Director. Then, in

June, when Mindy Armstrong resigned, I also

became a lead case manager. What felt initially

overwhelming I have come to view as a great

gift. The team here, the Advisory Committee,

Directors from other state programs, and most

of all the participants have shared with me their

knowledge, their insights, their challenges and

very often their deep knowledge of the nature

of Recovery, with extraordinary kindness and

patience. I have been awed by the work I have

witnessed. I have a better understanding of

how much more I need to know and how much

more there is for us to do together. I am very

grateful to have been given this gift and will do

my best to honor the trust that has been placed

in me. It is a journey, and by working together,

we can make it joyful one even if it is hard.

Lani Graham

Margaret Palmer

2011 filled all of our lives at MPHP with

changes at every turn. We saw the departure of

Mindy Armstrong, one of our case managers

and addiction expert; the addition of a new

case manager, Amy Tardy; the initiation of a

new and quite progressive electronic record

system; the addition of a wonderful

administrative assistant, Karen Snell; the

introduction of a new MPHP mascot, Daisy;

the inclusion of nurses as part of the MPHP

family; and, the development of behavioral

contracting as a pilot program. Aside from the

loss of Mindy, all of the changes we have

experienced have moved us to another level of

progress in the development of an evidence

based best practice. As we look forward to

2012, we anticipate growing further as we learn

the ropes of behavioral contracting and

monitoring, as well as all of the new challenges

we will undertake. It’s an exciting time to be

experiencing steady growth concurrently with

developing new ways of working more

effectively to serve our constituents.

John Murray

The past year was a very challenging year for

me at MPHP. I continue to work diligently at

promoting the program through outreach at

Maine Pharmacy Associations meetings, talks

with university students at Husson and UNE

and with new Hannaford employees. I think it

is very important from a public safety viewpoint

and for the health of my pharmacy colleagues

to get those who need help into recovery as

quickly as possible. Having said this, the

number of pharmacists in our program are not

statistically representative of the number

considered to have a substance use disorder and

are currently working. The challenges we face

moving forward are the lack of willingness to

hire recovering pharmacists as the job market

has become more competitive and the fear of

losing employment in this job climate should

they ask for help. Often times return to the

workplace is seen as the prize, when absolute

and continued recovery should be our goal.

7

It is a rewarding feeling knowing that I am part of

a treatment recovery program that reaches so

many diverse people from; doctors, nurses,

hospitals and healthcare agencies. I can honestly

say that “I like to come into work every day.” My

co-workers and my job responsibilities makes it all

worthwhile. Thank you for this opportunity!

Being part of the MPHP team since September

2011 has been a wonderful experience. We have

seen a very large pool of “new” program

participants and even potential future participants

who contact us for advice.

I find this very encouraging. Those working in

helping professions know the natural tendency to

put the needs of the people we support before

our own. As medical professionals take steps to

care for themselves, their efforts are models and

inspirations for those in their care. Unless we

tend to our own needs, we cannot properly

support or treat another person. I find myself

inspired daily by the professionals I work with.

The milestones our participants must go through

to either return to practice or remain practicing in

their professional field is extra ordinary, and

shows a dedication to their own personal health

and recovery.

Here at MPHP, we have a great and diverse team

of staff. Each professional here is passionate

about what they do, and we have been able to

play off the varying strengths of each

member. One of the things I have learned is that

there remains a need for other members of our

society to receive further education, and that it is

partly our duty (but not ours alone) to provide. I

do believe that we are making gains, through talks

at colleges and professional schools, licensing

boards, communications with hospitals, and with

providers of professional services. Addiction is a

disease that can be overcome. It should not be a

barrier for working in a field that so many good

people are passionate to be in - but with proper

care and oversight, should be treated the same as

any other medical illness.

Amy Tardy

This has been a remarkable year in terms of program and systems development. I feel honored to be a part of this program and really enjoy the work I do to support MPHP participants, their monitors and our staff.

Affinity eHealth offers the MPHP powerful record keeping and participant management software. The staff at Affinity has been very supportive and, as we close out the year, I feel assured the challenges and hurdles we’ve faced have made this program stronger.

Transitioning our participants, monitors, staff, documents and record keeping to Affinity eHealth has helped MPHP case managers to better monitor our participants and better support their recovery work. For the first time, we are providing online access to Affinity to each of our monitors. Therapists, psychiatrists, workplace monitors and primary care providers can now access participant reports and contact information online, making reporting more secure and communication more direct.

Finally, I’m very excited about the new MPHP newsletter. It’s been a longstanding goal to develop a means of proactively supporting the health and recovery of our participants and I am looking forward to developing this further.

Cathryn Stratton

Karen Snell

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Overview of 2011 Program Statistics:

68 Initial Contacts (45% increase)

159 Active Cases (37% increase)

122 Under Active Contracts (54% increase)

11 Graduates (38% increase)

Figure 1: Status of 2010 Active Cases

2011 MPHP Statistical Overview

Longevity of Active Caseload: 68 contacted the MPHP for the first time in 2011. (43%) 91 have been with the program more than a year (57%)

Referral Source:

36% Licensing Board

16% Self

14% Workplace

14% Friend / Other

11% PCP 7% Attorney

1% Academic Insti.

2011 Age Factors:

45 - the average age at initial contact.

48 - the average age of active participant.

Primary Presenting Addiction:

49% - Drugs

47% - Alcohol

3% - Alcohol and Drugs

1% - Depression or Behavior

Active Cases: (n=159)

53% (54% in 2010) – Men

47% (46% in 2010) – Women

New Referrals to MPHP (n=68)

41% (63% in 2010) - Men

59% (37% in 2010) – Women

(69% of referrals in 2010)

(31% of referrals in 2010)

2011 2010 2011 2010 2011 2010 2011 2010 2011 2010 2011 2010 2011 2010

Dental Board 2 0 2/0 0/0 11 10 1 0 10 8 0 0 2 1

Medical Board 17 10 8/9 3/7 52 49 8 5 41 32 4 9 7 5

Nursing Board 38 30 12/26 24/6 65 33 3 2 45 22 19 9 0 0

Osteopathic Board 6 3 2/4 2/1 15 10 2 0 11 6 3 1 2 2

Pharmacy Board 4 4 1/3 4/0 15 14 0 0 15 11 0 3 0 0

Veterinary Board 1 0 0/1 0/0 1 0 0 0 0 0 1 0 0 0

Total 68 47 25/43 33/14 159 116 14 7 122 79 27 22 11 8

* discharged for noncompliance with or without a contract

Discharged*Active CaseInitial Contact

Referral

Source

(Board/Other )

Actively

Under

Contract

Review &

Pass Through Graduated

Relapse (Participants under Contract):

45 - the average age of relapsed.

41% <1 year under contract with MPHP. 35% <2 years under contract with MPHP. 24% >2 years under contract with MPHP.

Photo 3

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Active Cases by Profession (N=159):

7% (8% in 2010) – Dentists and Assistants

33% (43% in 2010) – Physicians & PA-C

41% (33% in 2010) – Nurses

9% (9% in 2010) – Osteopathic Physicians

9% (12% in 2010) – Pharmacists

1% (0% in 2010) - Veterinarians

Figure 2:

Referrals Over the Past 10 Years

Toxicology Monitoring of Active Participants

15 Participants Relapsed in 2011.

47% men & 53% women

Most (11) recommitted to recovery and remained

with the program.

Sources of Incidental Exposure

Over the counter medication

Hygiene products

Food/Beverage prepared by others

Household chemicals

Low Creatinine & Dilute

95 low creatinine - 45 participants have at least 1 result

(64% women 36% men)

26 Dilute - 16 participants have at least 1 result

(69% women 31% men)

Positive Result Summary

2% of Samples collected were positive.

Of those positive results…..

26% were the result of a legitimate prescriptions.

14% were the result of incidental exposure.

60% were the result of relapse or suspected relapse.

100 Participants Monitoring 2011 (32% increase) 1891 Urine Screens Provided in 2011 (5% increase) 1734 Negative Results (up 6%)

122 Negative—Low Creatinine and Dilute (up 67%)

35 Confirmed Positive (down 24%) (includes valid prescriptions and relapses)

1 Invalid - Chain of Custody Errors

Photo 4 Figure 3: Figure 4:

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2011 Accomplishments

Building Relationships

The heart of the Medical Professionals Health Program’s mission continues to be about providing confidential and compassionate assistance to participants with diagnosed substance use disorders. It has been a busy year and the accomplishments on these pages, together with program statistics, are representative of the work done to document the recovery of participants, advocate for appropriate evaluation and treatment for those with substance use disorders, and protect participants and the public.

Electronic Records - Partnering with Affinity eHealth

In 2011, the MPHP partnered with Affinity eHealth. This international corporation develops and hosts

highly encrypted and confidential online tracking and administrative tools that help in administering

toxicology screens, electronically storing and tracking monitor reports, and alerting case managers of

compliance issues. This software tool helps to draw together the many factors and documents that are

part of the participant’s recovery monitoring program.

• Third party toxicology administration:

Participants are required to call-in or login each weekday. When they check in, they are notified of

any pending communication and selections for toxicology screens. Affinity eHealth coordinates

testing details with the participant, collection sites and laboratories. The results are uploaded onto

our database so we can easily view the results.

• Monitor Reporting

Therapists, physicians, work monitors and psychiatrists that are part of the participant’s treatment

team are given access through Affinity eHealth to communicate confidentially and quickly. These

online reports can be easily accessed and submitted each month. All communication through

Affinity becomes part of the participants record of compliance with the program.

(Continued on p.11)

Addressing Behavioral Issues in the Workplace

In 2011 the MPHP staff and Advisory Committee worked to develop a protocol and pilot program for Behavioral Health Contracts. There has been a longstanding need and request for the Medical Professionals Health Program to also work with medical professionals facing psychiatric and mental health issues that may or may not relate to chemical dependency or addiction. In 2011, the MPHP developed the pilot program and announced this new program to hospitals and medical staffs in January of 2012. During the program pilot, monitoring contracts will only be available to ten physicians referred by the licensing board or by their hospital.

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Electronic Records - Partnering with Affinity eHealth (continued)

• Case Notes

The Affinity system allows case managers to enter notes and documents related to the monitoring

and compliance of participants. Not only does this provide greater access to records, but these

documents also become more searchable in the electronic format. All documents can be easily

retrieved and printed if needed.

• Contract Compliance Tracking

Each contract has requirements that must be individually tracked and assessed for compliance.

Affinity offers a compliance report that ties together toxicology and administrative compliance -

creating a ‘big picture’ report for case managers. Another useful tool is the creatinine graph which

compiles creatinine results for all past samples and creates a graph so you can visually see the

variability inherent in each participant’s samples.

• The challenges of this transition:

As is true for any major program change, there were many challenges during this transition. The

MPHP staff continues to work to further develop the system and learn the many options available

to case managers to help in recovery monitoring.

• Creating electronic records and online identification for 203 MPHP participants (159

participants active during 2011 and the 44 participants recently discharged in 2010). In addition

to demographics and participant information, we’ve created profiles that include contract

information, monitor relationships, and reporting requirements.

• Developing a database in Affinity of all our monitors and treatment providers. We’ve invited

320 of our providers (therapists, psychiatrists, work monitors, etc) to begin reporting online

directly into the Affinity eHealth website and developed tools to make their learning and

reporting process as easy as possible.

• We’ve transferred thousands of historical documents onto the system and uploaded thousands

more, making information retrieval more effective and efficient.

The Affinity eHealth online system has helped the Program to better connect with and document

the recovery work of participants and to better connect and communicate with monitors.

2011 Accomplishments (continued)

12

Strengthening the MPHP Administrative Structure

As in past years, the MPHP has continued the process of developing policy to document MPHP best practices. The MPHP staff continued to review and update policies and forms used by participants and monitors in order to keep up with current best practices and recovery developments.

Communicating with Constituents

The MPHP has been working on communicating with constituents. The staff has presented to students, licensing boards, medical staffs across the state, professional associations, and advisory committee members, as well as talked with evaluation and treatment providers, caduceus leaders.

Communication with Participants

MPHP Newsletter - the first issue was published late in 2011 and will be a regular feature. The quarterly newsletter will focus on some issues that are unique to participants - monitoring requirements, creatinine levels, access to forms, etc - and some issues that are health, wellness related. This newsletter offers the MPHP a means of sharing information proactively and sharing with all participants strategies and solutions that are working well. In 2011. the MPHP plans to also share these newsletters with monitors and hospital staffs so they can also become more aware of the available services and the positive effects of embracing recovery.

2011 Accomplishments (continued)

Development of Subcommittees

The Advisory Committee members have all volunteered to also serve on one of subcommittees.

The Policy and Technical Support Committee has served as a sounding board for multiple reporting forms, protocols and procedures developed by MPHP, most notable of which was the development of a pilot project for Behavioral Contracting, being launched in 2012.

The Mentorship Committee has developed the blueprint for a new participant mentorship program. Mindful of confidentiality issues, the subcommittee has developed screenings, policies and support documents to be able to administer this option for interested participants. The mentorship program is expected to be launched in early 2012.

The Outreach and Development Committee has been reviewing current educational outreach efforts as well as revenue sources. The committee is working on developing a wider list of stakeholders and identifying additional methods of raising awareness for professional health as it relates to the service offered by the MPHP. The subcommittee has developed an ambitious plan for an MPHP sponsored conference in 2013.

Photo 5

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The MPHP would like to thank the members of our 2011 Medical Professionals Health Program

Advisory Committee. These medical professionals very generously donated their time and

professional experience to help guide the development of the MPHP this year and provided assistance

with specific case management issues. Members are nominated to the committee by the licensing

boards, committee members, professional associations and staff based on interest, specialty, and

familiarity with Maine laws and regulations. The members, representing each of the specialties the

MPHP serves, meet six times each year.

The MPHP Committee

Robert Blaik, DO, MPH, PhD Alexander Brazalovoch, DO

Angela Cole-Westhoff, MOA, EVP Crissa Evans, RN

Tom Fitzpatrick, RPh Mark Hanson, PA-C William Head, PA-C

Patricia Kelley, Dean UNE Andrew Maclean, Esq.

Outgoing Committee Members

Robert W. Chagrasulis, MD, Committee Chair Jack Ellis, DDS, MD, Committee Vice-Chair

Bill Nugent, Esq. Mark Publicker, MD Jerr Roberts, DDS Guy Raymond, MD Paul Rouleau, RN Michael Sloan, DDS

Gordon Smith, MMA, EVP Jennie Smith, MD

The Medical Professionals Health Program would like to thank Guy Raymond, MD for his many

years of service to the program and committee. Dr. Raymond was involved with the program for

almost a decade, the last few as chair of the committee. He was a great advocate for his peers in

recovery and a support for staff as the program developed and grew. Dr. Raymond’s compassion,

dedication and humor will always be greatly appreciated.

A special thanks to Mark Hanson, PA-C who served on the committee for many years. His time,

talent and commitment are greatly appreciated.

We would also like to thank Alexander Brazalovich, DO for sharing his time and talents with the

committee. Dr. Brazalovich began attending committee meetings in November 2009 and very

generously gave his time and expertise to the Committee in 2010.

It has been an honor and a privilege to work with each of these dedicated medical professionals.

We wish them all the best.

“Some people want it to happen, some wish it to happen,

others make it happen.” Anonymous

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The MPHP staff handles diverse responsibilities in order to provide excellent service to

participants hospitals, medical staffs and five professional licensing boards. The success of a

program such as this requires excellent communication and collaboration skills in order to ensure

that participants are guided to appropriate evaluation and treatment programs, and receive

appropriate monitoring and follow-up services that best support ongoing recovery.

Lani Graham, MD, MPH, Medical Director.

Dr. Graham has worked as a consultant providing both policy

direction and direct clinical services to outpatient service sites

around the state. She has been a strong advocate for the inte-

gration of behavioral and physical medicine and is the former

Director of the Maine Center For Disease Control and Pre-

vention. Dr. Graham received her MD from the Medical Col-

lege of Pennsylvania, and her MPH from Tulane School of

Public Health & Tropical Medicine. She did a Residency in

Family Practice.

John Murray, RPh, CADC, Case Manager.

Mr. Murray received his BS in pharmacy from the University

of Rhode Island and is employed as a retail pharmacist in

Maine. He is also a licensed Certified Alcohol and Drug

Counselor (CADC). John joined the MPHP committee in

2006 and has been actively involved with pharmacists in re-

covery.

Margaret Palmer, PhD, Senior Clinical Associate.

Dr. Palmer is a registered counselor and job coach for medi-

cal professionals and a facilitator for medical staffs in crisis.

She received her PhD in Organizational Psychology from Un-

ion Institute in Ohio. Dr Palmer has spent the last decade

working in support of medical professionals and medical

staffs across the state. She is committed to helping medical

professionals find personal and professional balance and ful-

fillment.

The MPHP Staff

15

Karen Snell, Administrative Assistant.

Ms. Snell has over 20 years of HR and administrative experience.

She provides administrative support for the MPHP staff, Advisory

Committee and participants. She manages the participant compli-

ance documentation and the demographic information. She re-

sides in West Gardiner with her husband Dana and 10 furry chil-

dren. She enjoys reading, music, cooking and the sun.

Cathryn Stratton, Systems Manager.

Ms. Stratton oversees the information technologies and opera-

tional activities of the Medical Professionals health Program. She

is responsible for program outreach and development, communi-

cations and technology systems. She received her bachelor’s de-

gree from Bates College in Biology where she also had a concen-

tration in Sociology.

Amy Tardy, MS, Case Manager.

Mrs. Tardy has significant case management experience and ex-

perience providing support to individuals with co-occurring disor-

ders. She has served as a diagnosing clinician, a company trainer, a

college-level instructor, and a social worker in the criminal justice

system. Amy served as Area Director for a human service agency,

providing administrative and clinical leadership for residential pro-

grams in Maine. She has a Master's degree in human services and

is currently working on her PhD.

“What lies behind us and what lies before us are tiny matters compared to what lies within us.”

Ralph Waldo Emerson

16

The staff at the Medical Professionals Health Program would like to thank the licensing boards, medical

staffs and hospitals across the state, Maine’s malpractice carriers, as well and the many organizations and

individuals who have generously supported this program and Maine’s medical professionals in recovery.

“There are two ways of spreading light: to be the candle or the mirror that reflects it. “

Edith Wharton

15% of hospitals made a financial contribution to MPHP in 2011

44% of medical staffs made a financial contribution to MPHP in 2011

Figure 6:

Chart of MPHP Revenue

Figure 7:

Chart of MPHP Expenses

MPHP Revenue Sources

% of

Revenue

Licensing Boards 238,900$ 62%Professional Associations 10,550$ 3%Medical Staffs & Hospitals 77,753$ 20%Participant Fees 42,772$ 11%

Malpractice Carriers 15,250$ 4%Other Contributions 1,780$ <1%

Total Income 387,005$

MPHP Expenses% of

Expenses

Staffing 300,888$ 79%

Facilities 29,484$ 8%Prof Svcs - MMA 18,000$ 5%

Office Operations 15,402$ 4%Travel - In and out of State 12,580$ 3%Marketing 1,538$ <1%Other 1,150$ <1%

Total Expenses 379,043$

Net Revenue 7,962$

Fiscal Year in Review

17

Thank you to our donors!

Medical Staffs and Hospitals:

The Acadia Hospital

Aroostook Medical Center Medical Staff

Blue Hill Memorial Hospital Medical Staff

Calais Regional Hospital

Cary Medical Center Medical Staff and Hospital

Central Maine Medical Center Staff

Down East Community Hospital Medical Staff

Eastern Maine Medical Center Medical Staff

Franklin Memorial Hospital Medical Staff

Houlton Regional Hospital Medical Staff

Inland Hospital Medical Staff

MaineGeneral Medical Center

Maine Medical Center Medical Staff

Mayo Regional Hospital Medical Staff and Hospital

Mercy Hospital Medical Staff and Hospital

Mid Coast Hospital Medical Staff

Miles Memorial Hospital Medical Staff

Penobscot Bay Medical Center

Penobscot Valley Hospital Medical Staff and Hospital

Redington-Fairview General Hospital

St. Mary’s Regional Medical Center Medical Staff

Southern Maine Medical Center Medical Staff

York Hospital

Professional Associations:

Maine Medical Association

Down East Association of Physician Assistants

Maine Osteopathic Association

Maine Dental Association

Maine Association of Nurse Anesthetists

Malpractice Insurance Providers:

Medical Mutual Insurance Company of Maine

Coverys Insurance Group (ProMutual)

Individual Contributions:

Portland Caduceus

Roger Renfrew, MD

Mark Publicker, MD

The MPHP would like to thank the

many medical staffs, hospitals

malpractice insurers, professional

associations and individuals who

have helped support the program

and our work in 2012. Your

financial contributions help us to

support your colleagues.

If you are interested in making a

contribution for 2012, please see

page 19.

Photo 6

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Online Resources and Recovery Sites:

Photograph Credits:

Cover Photo:

http://www.susanbaxley.com/2010/03/16/rainbow-ledges-maine/

Photo 2:

Staff Photo

Photo 3: http://wallpapers5.com/wallpaper/Boardwalk-Sieur-de-Monts-Acadia-National-Park-Maine/ Photo 4:

http://mainenature.org/wp-content/uploads/2011/01/cobsckdragger1.jpg

Photo 5:

http://teelineforit.files.wordpress.com/2011/10/img_3184.jpg

Photo 6:

http://johnorcuttnaturephoto.com/wp-content/uploads/2011/12/10.11-IOM-Red-Tree-over-

Carrabassett-River-A4491223-SLf200-.jpg

Online Resources:

· Al-Anon and Alateen, www.al-anon.alateen.org/

· Alcoholics Anonymous, www.aa.org/

· American Medical Association, www.ama-assn.org/

· American Society of Addiction Medicine, www.asam.org/

· American Medical Women's Association, www.amwa-doc.org/

· Federation of State Medical Boards, www.fsmb.org/

· Federation of State Physician Health Programs, www.fsphp.org/

· International Doctors in AA, http://www.idaa.org/

· Maine Medical Association, www.mainemed.com/health/index.php

· Meaning in Medicine Groups, www.meaninginmedicine.org/

· Maine Office of Substance Abuse (OSA,), www.maine.gov/bds/osa/data/pmp/

· National Institute of Alcohol Abuse and Alcoholism, www.niaaa.nih.gov/

· National Institute on Drug Abuse, www.nida.nih.gov/

· Coalition against Drug Abuse, www.drugabuse.gov

· Maine Prevention Calendar, www.mainepreventioncalendar.org/

· New England Institute for Addiction Studies (NEIAS), http://neias.neias.org

· Center for Substance Abuse Prevention (CSAP), http://www.samhsa.gov/about/csap.aspx

· Center for Substance Abuse Treatment (CSAT), http://www.samhsa.gov/about/csat.aspx

· National Clearinghouse for Alcohol and Drug Information (NCADI), http://www.samhsa.gov

· National Institute of Alcohol Abuse and Alcoholism (NIAAA), http://www.niaaa.nih.gov/Pages/

default.aspx

· National Institute on Drug Abuse (NIDA), http://www.drugabuse.gov/

· National Institute of Mental Health (NIMH), http://www.nimh.nih.gov/index.shtml

19

Thank you for your ongoing support of the MPHP and its mission. When you donate financially to the MPHP, you are helping meet the needs of your colleagues for compassionate confidential assistance. There are several ways that you can support the mission of this program and your fellow colleagues in recovery.

We would like to support the MPHP and its mission.

Enclosed is our contribution in the amount of: $____________________

Medical Staff/Hospital Name: _____________________________________________________________

Contact Person: _______________________________________________________________________

Address: ____________________________________________________________________________

City / State / Zip _____________________________________________________________________

Telephone: __________________________________ Email: _______________________________

Please consider this gift a: General Donation - please make checks payable to the MPHP

Restricted Donation for Financial Assistance to Participants - please make checks payable to MMET/ John Dalco & Thomas McDermott Fund

Name of Group or Conference: ___________________________________________________

Location/Address: ____________________________________________________________

____________________________________________________________

Date of Presentation: ______________________ Time: _______________________________

Duration: _______________________________ Number of Attendees: __________________

Is CME category one credit being requested? YES NO

Contact Name: __________________________________________________________________

Phone _______________________ Email: ______________________________________

I understand that an honorarium is not required for presentations but I have enclosed a contribution

in the amount of: $1,000 $500 $250 Other $_________________________

Please mail this form along with your contribution and/or presentation request to

Medical Professionals Health Program, P.O. Box 69, Manchester, ME 04351

We would like to schedule an MPHP presentation.

20

Medical Professionals Health Program

20 Pelton Hill Road

P.O. Box 69

Manchester, Maine 04351-0069

Annual Report

2011

Medical Professionals Health Program A Program of the Maine Medical Association

Send To:

Non-Profit Org.

U.S. Postage