Collaborative Pharmacy Practice

March 22, 2017

Several of my colleagues have expressed concern about receiving faxes from pharmacists about medications their patients could be on. They question whether this is collaborative practice or solicitation of business. 

During the March 8 meeting of the Executive Council of the Medical Society, we heard from Robert Stout, PharmD, chair of the Board of Pharmacy for New Hampshire. He came to speak with us to clarify the differences between collaborative pharmacy practice and the frequently used tactics of sending solicitation regarding specific patients to physicians that suggest specific treatments based on patient diagnoses. This is not collaborative practice.

2017 Medical License Renewal Applications Mailed

March 15, 2017

The NH Board of Medicine has mailed out renewal applications to physicians whose medical licenses expire on June 30, 2017.  Questions regarding the application should be directed to Peggy Berube: or (603) 271-6935.

2018 NH Physician Licensure Survey Now Open

Pursuant to RSA 329:9-f, the NH Division of Public Health Services, in collaboration with the NH Board of Medicine and Medical Society, is collecting key practice and capacity data from all licensed physicians in the state during the license renewal cycle. The survey is designed to collect general information regarding your current provider status and the locations at which you routinely practice medicine. The survey is now available to complete and will close on the date renewal application packets are due to the Board of Medicine (6/30). Only physicians due to renew their NH medical license in 2018 will have access to the survey. 

AMA Advocacy Conference

March 8, 2017

Drs. Harrigan, Kassler, and Tuttle on Capital Hill in DCI had the privilege of attending the AMA advocacy conference last week in Washington, D.C. We were fortunate to have balmy weather and were able to appreciate the electricity of anticipation for President Trump's first speech to the joint houses of Congress Tuesday evening. 

While in Capitol Hill, we had the opportunity to speak with Representatives Kuster and Shea-Porter and Senator Hassan. We spoke with the health policy staff of Senator Shaheen.

Needle Exchange Program Legislation

February 21, 2017Syringe

A now deceased patient of mine once worked cleaning public portable toilets. He would find used syringes and needles in the toilet and risked needle-sticks on a daily basis. 

Hospitalists and Infectious disease specialists describe the countless patients with endocarditis, newly diagnosed hepatitis C and, less frequently, HIV, due to reuse of needles and unsanitary injections. These patients have limited contact with healthcare for treatment and education.

Many states have needle exchange programs that decriminalize the possession of trace substances found in the syringe/needle. These programs help to give the person who uses substances the education and access to care for treatment. 

NH DCYF After Hours Intake Starts Feb. 14

February 1, 2017

On January 30, 2017, NH DCYF issued the following notification:

"On behalf of the New Hampshire Division for Children, Youth and Families (DCYF), I am pleased to announce that we have established an After Hours Intake that will provide access for individuals to make reports of alleged abuse and neglect of children. The After Hours Intake will be available beginning February 14, 2017 and screeners will be available to take these reports between 4:30 p.m. and 8:00 a.m. Monday thru Friday and 24 hours a day on weekends and holidays.

Alert: NH PDMP Phishing Websites

January 26, 2017

Please be aware that some physicians have had problems with malicious websites posing as the New Hampshire Prescription Drug Monitoring Program (PDMP) website. Concord Hospital shared the following information:

"Since the development of the NH Prescription Drug Monitoring Program (PDMP) website, a number of "phishing" websites have been developed with similar names.

In Memoriam: Stephen Youngs, DO

January 24, 2017

Dr. Stephen Youngs died on January 22, in a fire in his Webster home. He was a Board member of the New Hampshire Osteopathic Association, an advocate for the osteopathic student program at Lakes Region General Hospital, and a well loved physician and friend. He will be greatly missed.

Read the Concord Monitor article

Women's March

January 24, 2017

The energy from the Women's March showed how well a small seed of social media can blossom into a potential movement. Although very abrasive, Michael Moore was correct in his statements regarding continued involvement in the process.

As we start the senate confirmation hearings for Tom Price, MD, for Secretary of Health and Human Services, a repeal of the ACA is anticipated and changing Medicaid to block grants is likely. The replacement plan needs to be discussed and considered. A recent study of the economic impacts of repeal without replacement show it to be disastrous for the medical community and the country.

Gonorrhea Outbreak in NH

On January 19, 2017, the NH DHHS issued a health alert regarding the current gonorrhea outbreak in NH and treatment thereof.

NH DPHS Health AlertKey Points and Recommendations:

  • New Hampshire is experiencing an outbreak of gonorrhea. There has been a more than 250% increase in the number of gonorrhea cases in 2016 compared with prior baseline.
  • Many clinicians are not treating correctly and we ask you to urgently review the current treatment guidelines (, which specify the need for dual antibiotic therapy to prevent antibiotic-resistant gonorrhea.