Cannabis changes are coming

Therapeutic cannabisJuly 12, 2017

There were many bills signed by Governor Sununu over the last few weeks. A website that I enjoy using to review is Legiscan. It offers a top 50 trending topics from around the country that details issues other states are grappling with.

Physician Advocacy Institute Launches Free MACRA QPP Physician Education Initiative

June 28, 2017

Physicians Advocacy InstituteThe Physicians Advocacy Institute (PAI) has developed educational resources to help physician practices succeed under the Medicare Quality Payment Program (QPP), enacted as part of the MACRA law of 2015.


June 28, 2017

Challenges to Professionalism in a Time of ChangeI enjoyed attending the professionalism conference coordinated by the  Maine Medical Association and sponsored by VT, ME and NH professional societies on June 17. There were approximately 100 attendees discussing and learning about the challenges to professionalism in our current environment including EHRs, ethics of quality measures, and physician burnout.

Syphilis Outbreak in NH

On June 22, 2017, NH DHHS issued a health alert regarding a syphyilis outbreak in New Hampshire.  NH DPHS Health Alert

Key Points and Recommendations:

  • 42 cases of infectious syphilis were identified in New Hampshire from January through May of 2017. Over the last five years on average only 20 cases were reported during this same time frame.

AMA Launches Opioid Education Microsite

June 21, 2017

The microsite,, includes nearly 300 education and training resources across three major categories:

Revised Advance Care Planning Guide

June 19, 2017

Foundation for Healthy CommunitiesThe Foundation for Healthy Communities is pleased to announce it has recently revised the Advance Care Planning Guide in accordance with the State of New Hampshire statutes. The Advance Care Planning Guide is designed to assist in providing your patients and their families with information about creating an advance directive, Durable Power of Attorney for Health Care and Living Will. 

Mosquito-borne Disease in NH 2017

On June 16, 2017, NH DHHS issued a health alert regarding mosquito-borne disease in NH for the current year. NH DPHS Health Alert

Key Points and Recommendations:

  1. Be vigilant during the summer months to consider mosquito-borne diseases, including West Nile Virus (WNV) and Eastern Equine Encephalitis (EEE), among patients with compatible clinical features.
  2. Remind patients to avoid mosquito bites by use of insect repellents and wearing protective clothing, and environmental reduction of mosquito populations.

Pushing Back on MOC at the AMA Meeting

June 14, 2017

AMA Meeting June 2017I serve my hospital as the Chair of the Credentials Committee. Many of my colleagues have expressed both angst regarding the Maintenance of Certification (MOC) process and interest in alternative pathways to demonstrate remaining current in their knowledge. Without guidance from other organizations, board certification status remains the primary method to re-credential our medical staff.

As one of the opportunities during this presidential year, I attended the AMA House of Delegates meeting this week, which provided me with education on both the policy process for the AMA and the leadership elections.

NHOA/NHSPA: Substance Use Disorders - What's in your Medical Toolbox?


Substance Use Disorders-What’s in your Medical Toolbox?

Friday,  August 11, 2017

event date: 
Friday, August 11, 2017 -
08:00 to 17:00

Potential for Falsely Low Venous Blood Lead Test Results from Magellan LeadCare Analyzers

On June 2, 2017, the NH DHHS issued a health alert regarding falsely low venous blood lead test results from Magellan LeadCare® Analyzers. 

Key Points and Recommendations:

  • Providers should review the Centers for Disease Control and Prevention (CDC) HAN (page 3 of the full health alert) about the potential for falsely low blood lead test results when Magellan Diagnostics’ LeadCare® analyzers are used to test venous blood samples (obtained by direct vein puncture).