星期一, 8月 22, 2016

劉安琪接任亞美社區發展協會行政主任

August 2016
NEWS & NOTES
Stay informed on what's happening at ACDC.
ACDC Updates

We are very excited to announce that ACDC's Board of Directors has selected Angie Liou to be the Executive Director after having served as Acting Executive Director since July 2015. Angie was previously the Director of Real Estate, overseeing ACDC's more than 300 units of affordable housing and responsible for developing a pipeline of new projects for ACDC.

We are grateful for Janelle Chan's leadership over the last five years and congratulate her on her new role as an executive at the MBTA. 

Films at the Gate: August 26 - 28

Join us on Friday, August 26 - Sunday, August 28 at the Chinatown Gate in Chinatown Park for free, family-friendly activities, martial arts performances and films! Our youth have been working hard to organize this community event. Show your support for them by bringing friends and family!

To see this year's program and to learn more, click here!
Youth Making a Difference - Pedestrian Safety Campaign
Chinatown Boston Pedestrian Safety Campaign
Chinatown Boston Pedestrian Safety Campaign
This summer, high school youth have been working hard at collecting data, interviewing Chinatown residents and writing a report that was presented to the City of Boston's Department of Transportation recently.


Watch the campaign video by clicking on the image and help us spread the word about increasing pedestrian safety on the streets of Chinatown!

Get Out the Vote!

Your Vote, Your Voice
Your Vote, Your Voice
Meet Fanny, a resident at ACDC's 6 Fort Street affordable development in Quincy. Fanny wanted to share with you her story of why she decided to start voting and why it's important that everyone who can, should vote.
Click on the image to watch the video now.

Election Day is Tuesday, November 8th. Have you registered? Watch the whole video to learn where and how to register to vote.
Resident Activities

This month, we held a painting class at our affordable development in Quincy, 6 Fort Street. 

Thank you to our resident and artist, Tara, who led the class!

Save the Date: ACDC's Annual Meeting
When: Tuesday, November 15 at 6:00pm
Where: 38 Oak Street, Boston, MA - Metropolitan Community Room

林全:經濟要好 政府種樹接枝都要做

轉發來自台灣行政院消息

《星期專訪》 林全:經濟要好 政府種樹接枝都要做

記者鄒景雯、李欣芳、鄭琪芳/專訪
就職即將屆滿百日,行政院長林全接受本報專訪指出,台灣的經濟要重振,關鍵在投資,因此政府必須針對影響國內投資環境的結構性問題,進行徹底的解決,投資才可能進來。在實際做法上,他比喻,政府是種菜、種樹、接枝全都要做,而五大創新產業,就是政府認為應該要有的新品種的樹,希望這幾個產業能夠帶動我們的成長。

投資環境 做結構性改善

記者問:您如何診斷台灣的經濟病徵?

林全:近二十年來的成長水平,相對於許多東南亞國家,台灣的表現其實並不好,這與我們的一些結構性改變不夠有關,有個總的指標很明顯,台灣的投資每年往下減,台灣的投資為什麼會減少?在我來看就是影響投資意願,這裡頭有幾個原因,第一是不確定因素太多,又無法去除,例如長期以來的環保抗爭,這造成許多大的投資計畫不知道會被環評延宕多久,現在只要是新的投資,或是創新性的投資,對未來的環評幾乎是沒把握的,最後都是不敢來。這個問題,我們必須解決,但並不是把環評標準放低,而是把不確定因素減少,行就行,不行就不行,不該公文來來回回。

其次是勞工的問題,勞工的規範與制度也需要有些穩定性,過去有些企業在做決策時,確實會因此猶豫,因此,這次勞基法的修改如果能夠讓它穩定下來,不要有太多的爭議。

再者是過時法令的鬆綁,特別是數位產業、資訊科技產業、網路興起後,創造許多新的商業活動與經濟機會,但是這些機會必須配合一些法規的鬆綁,否則會讓許多新的投資無法出現。你看台灣現在幾乎新的投資都沒有了,都是既有的投資,而且隨著產業結構的改變,逐漸在減少,所以我們的投資一直在往下走,這是非常嚴肅的問題,必須要去面對。其中,公司法是最明顯的,要大幅度的更改,讓新的產業能夠進來,或是新的經營型態能夠帶動舊的經營者一起來改變。

還有就是市場問題。在台灣投資,到底是為了台灣市場、還是全球市場?如果只看台灣市場,投資量就有限,這也是可以,在地經濟即是,但如果要更全面、更有利,必須看到國際市場,我就要問在台灣哪些產業是可以賣到國際的?其競爭力就要維持。我國與其他國家自由貿易協定的簽署,是一定要去面對的事情。但在全球景氣不好的時候,反全球化的聲浪很大,國內的反對聲音是增加的,然而台灣已經落後其他國家滿多的,而且台灣是個非常小型的開放經濟體,我們如果不靠全球市場,很多投資機會是不存在的,因此我們必須說服國人接受FTA的必要性,讓我們的市場能夠擴充。

台灣目前沒有跟任何一個主要國家簽有FTA,只有與對岸的ECFA,這也只是架構,服貿、貨貿都被擋下來了,這不只是兩岸之間的政治考量而已;未來我們要加入TPP,或與美國、歐盟簽署FTA,對台灣經濟衝擊也都是相當大的,我們要如何去面對這種衝擊,使其透過制度緩和下來,說實在的,過去我們並沒有準備得很好。

結構性的改變,要一步一步來做,這需要時間。這就好比我們有菜吃,也想過好一點,有水果吃,那麼要種菜,也要種樹,菜的收成比較快,樹長大等到結果,就很慢,要快一點,可以接枝,但是量有限。台灣的經濟要好轉,政府是種菜、種樹、接枝全都要做,否則很難恢復到九○年代的局面。

綠能產業 四年拚出成績

問:政府要種樹,慢不是問題,但是應該告訴國人要種什麼樹?會得什麼果?
林:經濟結構的改變,蔡總統提的五大新興產業,或加二、加三、加四,其實就是我們認為應該要有的新品種的樹,希望這幾個產業能夠帶動我們的成長。

第一個是綠能產業、再生能源,將來核電停下來之後,我們在另個領域是很有希望的,而且這個領域讓我們對外依賴的百分比會降低。再生能源的發展,往往是多元的,我期待未來兩年,我們的太陽能發電就能看出成果,未來四年我們的風力也會有一定的成績。

太陽能與風力在台灣這個場域容易成功,有機會成為國際典範,過去沒有做成,還是有一些問題需要去克服,例如太陽能如何不侵犯農業發展,風力發電的噪音以及對海外生態的影響,這些挑戰,政府需要更精緻地去尋求解決,我們才可能看到太陽能與風力發電在台灣電力結構上所帶來的果實,我們有四年的時間需要去努力。

配合綠能,同時會有許多新的產業出來,如智慧電表、智慧電網,整個家庭的生活型態,甚至大數據的資料,將來運用起來,對台灣都會有很大的幫助。另外是節電節能,我們的離島甚至可以慢慢變成綠能島、節能島,成為依靠再生能源就可以大部分運轉的島嶼。

我們也會因此有不少機會,如太陽能,還有很多國家願意在台灣做,Google就很有興趣,他們在海外投資都希望用綠電,他可買綠電,也可以做綠電,做綠電他們有興趣,因此電業法要儘快修法,讓電業自由化,否則這扇門是不存在的。吳政忠政委也告訴我,最近就有很多國際大廠來台灣了解風力發電的投資可能,希望能夠做起來,成為前進東南亞的示範。

記者問:談談生技產業?

林:台灣生物科技產業在過去這段期間,特別是製藥方面,是有一些潛力,因為有很多新藥公司做前端的新藥研發,由於新藥在未上市前,每個階段的研發經費花得愈來愈多,國內新藥公司規模卻都很小,只進行一個或幾個新藥的研發,新藥研發成功機率不高,所需經費又龐大,往往是研發有一點點階段成果,就被大藥廠買走。未來希望新藥公司能夠成長,但我們不能只有新藥公司,因為新藥公司的利潤畢竟有限,大部分的利潤是在後端。

另外,台灣現有的學名藥。學名藥廠因殺價殺得兇、利潤低,要能往前走有二條路:一是要發展一些門檻,雖然是學名藥,專利權已過,但不是每個人都做得出來,甚至若可做得比原廠技術更好,則學名藥就比較有利潤,原廠願意讓它代工或購買,學名藥廠若願意往高階方向走,則對台灣有幫助。

第二是要讓藥品走向全球。即使是學名藥,也能賣到別的國家,例如大部分的東南亞國家,即使是這樣,最好要與這些國家有一些協定,例如我的藥在台灣取得藥證,在別的國家也承認,別的國家藥證也要在台灣承認,這要慎選對象,而且要控制藥證的品質,藥證不能隨便發,這些問題都要努力,或許學名藥的市場會大一點,不是只有台灣市場,它的利潤也會好一點。

產學研整合 重視商業價值
記者問:國防產業與智慧機械產業又要如何推動?

林:國防產業雖不是一棵很大的樹,但卻是很重要的樹,國防產業與精密機械產業其實是互補的,不論在材料或機械上,台灣的基礎都相當不錯。隨著台灣逐漸走向國際,這些產業也把產品賣到國外,可是會有幾個問題存在,亦即我們需要一些關鍵技術的突破,這種突破需要創新研發與人力資源的投入,這往往不是小公司能力所及。

台灣有許多好公司,但規模不大,對於某些技術要突破很緩慢,甚至有時候做不到,政府若能把產學研結合得很好,則技術突破就比較有機會。要讓精密機械產業與國防產業往前走,其實產學研的合作非常重要,這種產學研的合作過去還不夠緊密,雖然有中研院、中科院、工研院、甚至有許多大學都在做,但他們與企業之間的結合不是那麼理想,不管是工研院或許多大學也好,很多研究是自發性、分散的,並沒有太多方向,過去行政院的科技會報也會有些方向,但不夠扎實,我們還有很多研究最後變成純綷的學術研究,甚至幫別的國家做研究,我們希望有些研究能更有商業化的價值,這應該多投入一點資源。

我同意基礎研究要做,但希望有些資源用在商業研究上,最近我們希望做整合,在政府的科技預算中,能有一些預算做這些事,即政府先認定某些領域或某些關鍵技術是要突破的,或認為這個領域是很重要的,就從科技預算中,把經費分配到這裡,並要求提出這個領域的研發計畫時,就要說明有何商業價值,例如由工研院研究人員或大學教授與學生結合起來,希望三到四年把某項現有技術更進一步突破,使其日後有商業價值,將來能拿到市場上販售,政府就這些認定的計畫中,撥經費放到這裡,則這些產學研的結合就比較容易。

至於國機國造與國艦國造,我們已有製造IDF的能力,只是當時的IDF製造,也許有一部分要與其他國家合作,現在教練機有接近九十%的把握,大部分都可自己來做,則這些相關規劃可帶動很多機械產業、基礎材料產業,都可自己帶起來,帶起來後若也能走向國際,在市場上就有機會,且技術是升級的,而且都有能力做飛機了,一旦被認證,若與國際上合作,則被認證後,在市場上的競爭力是很夠的。

我們的造船廠,沱江艦就是台灣建造的,做沱江艦的這家造船廠,在沒建造沱江艦前,是沒有被認證的,但因沱江艦性能不錯,就吸引別的國家有興趣,其他國家就會與他競船,就會有信心,台灣造船業是有競爭力的,但需政府在政策上引導,或在技術上幫它突破。這些產業的好處是,高附加價值產業,在技術提升後,會讓其他技術散播到機械產業或基礎工業,就會有很多商機出來,這對提升製造業薪資水準有一定程度幫助。

亞洲矽谷 加強軟體計劃
記者問:亞洲矽谷推動方案的規劃呢?

林:亞洲矽谷是最大的一個計畫,但現在的爭議也最多,亞洲矽谷方案可說是未來的產業,它結合了人工智慧、電腦、網路、通訊等,型態非常多樣,現在最大的問題是要有一個場域,提供試驗、創新,因涉及許多新技術與想法,一旦數位經濟產生後,將衍生許多應用方式,台灣硬體的設備,大致上還可以,最重要的是,要如何創造一個環境,讓軟體的一些想法可在台灣實現。

例如無人汽車,若沒有場域實驗無人汽車,怎知車子沒問題?無人汽車上路,萬一出問題怎麼辦?這是最大的尷尬,台灣這麼小,目前也沒有場域提供無人汽車試驗,當然我們現階段也不太可能創造出無人汽車的場域,但還是可創造某些場域,讓有想法的人進行實驗。

要做實驗場域,其實在台灣是非常好,因為就近就有很多資源,很多國家不像台灣有很好的機械、金屬、化學等產業,就沒有場域可供實驗,在台灣是很有機會產生許多新的想法與產業,這就是新創產業,我們希望把新創的想法在此產出,並衍生出許多經濟活動,包含已經成熟的物聯網,也是其中一部分,這裡面還有許多可發展的空間,例如智慧城市,都屬於新創產業的一部分。

台灣最大的問題是沒有足夠的人才,且是有系統整合能力的人才,能帶領一群年輕人一起往前跑,台灣需要把這個環境打通。國發會當初提出亞洲矽谷推動方案時,社會有很大的誤解,以為我們只做硬體,由於我們認為需要做溝通,因此這個方案有些延宕。現在由吳政忠政委研提數位經濟的產業發展計畫,希望未來有創業需要的年輕人,與他們有對話的空間,這時候我們應該多做努力,把一流人才吸引到台灣來,或讓台灣人才願意留下來,這就要把亞洲矽谷或數位經濟產業的環境創造出來,另外,也要修改公司法,讓新創產業經營型態在新公司法中納入,例如公司以英文名字登記、技術股及產業報表等問題。

傳統產業 提高附加價值

記者問:對於已具一定規模的既有產業,政府的策略又是什麼?

林:我們的政策是「五加二」,除了五大創新產業,加上新農業及生態園區(循環經濟),都是對既有產業的努力。台灣農業有很多可以改善的空間,農業附加價值可以提升,跟農業制度的結構性改變有關,包括水利會能夠公共化、對農民的補貼盡量改成對地補貼等。我們盼未來走向國際接軌時,農業也能夠提升,品質提升後,在國內市場上有不可替代性,像台灣雖有便宜的進口豬肉,但一般家庭還是習慣吃台灣豬肉,所以台灣豬肉有一定能力去面對競爭。

除了農業之外,就是很多傳統產業,例如石化業一直被批評,他們也不知道怎麼辦,國光石化廢掉了、五輕廢掉了,他們往哪裡去?政府一直沒有給一個方向,雖然有說「質在內、量在外」,但只有口號沒有路徑圖,現在要做的是,告訴他們路徑圖在哪裡,我們要先問石化業在台灣到底能不能存在?如果污染問題不能解決,石化業就是被抗拒,但為什麼日本、歐洲還是有石化業?而且附加價值那麼高?因為他們的石化廠能做到跟社區並存、沒有污染,那就是我們未來的目標。

過去我們沒有心去做,因為覺得太困難了,現在我們要玩真的,有污染性的產業,都要想辦法減低污染量,讓廢棄物做經濟價值的再利用,要這樣做,就要有經濟利用價值的空間,新的廠能夠裝得下新設備,舊的廠可能就受到限制,這是很多舊工業區面對的問題,但不是都不行,有些大的工廠,在現有地就可以做,要想辦法讓他們做好,這個做出來的話,人民有了信心,再說未來工業區都要走向生態化、零污染,工業區開發就比較有機會,也可以把石化業轉型,雖然可能不能再大量製造生產,但還是可以存在。

我們經濟二十年都不成長,就是因為我們沒有走到這一步,把這些結構改變了,新的投資就來了,經濟自然往上走。不僅石化、農業,還有很多產業,包括ICT(資通訊),目前我們在國際上最有競爭力的,大概只剩ICT,但競爭力如何保存,也是很重要的挑戰,政府大概沒有能力去告訴他們怎麼做、技術如何進步,那是產業自己的事情,但政府至少要有能力把他們面對的困難及不確定性排除。

歸根究柢,所有這些努力成果,最後是不是有更多高階人才願意留在台灣,這樣台灣產業才有往前走的機會,投資才會進來,不只本地投資,國外投資及合作機會才會進來。這些都是過去多年來我們所面對的困境,沒有辦法突破,所以投資一點一滴地在流失,這個困境不解決,再怎麼擴大政府支出、採取寬鬆貨幣政策,可能都不足以解決問題。

Agreement Reached To Extend Broadband Coverage In Nine 'Partially Served' Western Massachusetts Towns

Agreement Reached To Extend Broadband Coverage In Nine 'Partially Served' Western Massachusetts Towns
$4 million grant will address connectivity gap for residents in Buckland, Conway, Chester, Hardwick, Huntington, Montague, Northfield, Pelham, and Shelburne

WESTBOROUGH – The Massachusetts Broadband Institute at MassTech (MBI) and Comcast have reached an agreement that will extend broadband access in nine municipalities in Western and North Central Massachusetts, a project which is estimated to deliver broadband connectivity to 1,089 new residences and businesses, and will bring the overall coverage level in each town to 96% or above. The grant will provide up to $4 million in state funds to reimburse partial project costs for Comcast, which has existing networks in each of the towns, to construct broadband internet extensions to additional homes and businesses.

“This agreement further demonstrates our administration’s commitment to tackling broadband connectivity challenges for unserved residents and businesses,” said Governor Charlie Baker. “This public-private partnership will deliver sustainable, reliable, and cost-effective broadband connectivity to nine rural communities that previously faced significant coverage gaps, allowing nearly 1,100 households and businesses to participate more fully in the digital economy.”

“Our results-oriented approach to bridging broadband access gaps is connecting thousands of rural residents to the modern internet,” said Lieutenant Governor Karyn Polito. “We will continue to employ a dynamic, flexible approach to the Last Mile project, and seek solutions that meet the unique needs of communities and residents unserved by broadband access.”

The construction of the broadband extensions in Buckland, Conway, Chester, Hardwick, Huntington, Montague, Northfield, Pelham, and Shelburne is estimated to be completed within two years from the start of the project. The public-private partnership will extend high-speed internet service to unserved residents at speeds that meet or exceed the FCC’s definition of broadband service, through a hybrid fiber/coaxial-cable network.

“Comcast has a longstanding presence in Western Massachusetts and has regularly sought opportunities to bring our state-of-the art, fiber-rich network to more homes and businesses in Western Massachusetts”, said Michael Parker, Regional Senior Vice President for Comcast’s Western New England Region, which includes Western Massachusetts. “We look forward to our partnership with Governor Baker, Lt. Governor Polito and the Massachusetts Broadband Institute to bring our Xfinity broadband service to additional consumers in Western Massachusetts. This will create new and convenient ways for residents and businesses to access the communications tools, educational resources, and content they need. In addition, we will offer Internet Essentials, Comcast’s nationally-acclaimed low-cost broadband adoption program, which has helped close the digital divide for thousands of families in New England.”

New customers in each town will pay the same monthly rates as their neighbors in already-served sections of these communities, and will have access to the same comprehensive suite of video, broadband, voice services, and home security and automation options. Construction of the expansion will be fully covered by the Commonwealth and Comcast.

“This is a fair agreement for the Commonwealth and its residents, as this expansion will bring broadband connectivity to nearly 1,100 homes and businesses,” said Peter Larkin, Board Chair of the Massachusetts Broadband Institute and Special Advisor to the Secretary of Housing and Economic Development for the Last Mile project. “The benefits will be seen through the enhanced connectivity’s impact on small businesses, education, and people’s everyday lives for years to come.”

“While there is no one-size-fits-all solution to the many financial, legal, technical, and operational challenges facing Last Mile communities, it is encouraging that our new, flexible approach to the Last Mile project is stimulating healthy market interest,” said Housing and Economic Development Secretary Jay Ash. “We will continue to pursue partnerships that enable market-based solutions to the Last Mile’s complex market gaps.”

To establish the Broadband Extensions Program, the MBI worked closely with the Western Massachusetts legislative delegation to address broadband gaps in communities with only partial broadband service. The Legislature enacted two pieces of legislation: Chapter 198 of the Acts of 2014 which provided the MBI with the authorization to enact a grant program to address the challenge, and Chapter 257 of the Acts of 2014, the 2014 Information Technology Bond Bill, which provided the MBI with access to state bond authorization for Last Mile projects, including the Broadband Extensions program.

“I am very pleased that MBI and Comcast were able to wrap up negotiations so quickly and put this on a two-year completion schedule,” said Senate President Stan Rosenberg (D-Amherst). “This is a wonderful day for all the citizen advocacy groups, and state, local, and federal government officials who have worked so hard to make this happen.”

“I am happy to see the progress being made in this set of communities,” said State Senator Benjamin B. Downing (D-Pittsfield). “Recent months’ activity and hard work is paying off, and I am sure more will follow as we all work towards our shared goal of universal, affordable broadband.“

"This agreement with Comcast has been a long-time in coming, and I am very excited that the 6 towns in my district can now look forward with certainty to the expansion of broadband into unserved areas,” said State Representative Stephen Kulik (D-Worthington). “This is a smart investment of state funds in the economic and educational future of these communities that will benefit many residents and businesses for years to come."

TREASURER GOLDBERG ANNOUNCES WOMEN’S ECONOMIC EMPOWERMENT SERIES IN QUINCY AND NEWTON

TREASURER GOLDBERG ANNOUNCES WOMEN’S ECONOMIC EMPOWERMENT SERIES IN QUINCY AND NEWTON
Today Treasurer Goldberg announced that Newton and Quincy will serve as the pilot communities for the Treasury’s inaugural Women’s Economic Empowerment Series. This new initiative, launched in collaboration with Citizens Bank, is a free four-week program focusing on wage negotiation, money management, retirement and investment strategies.
“We are excited to start our first Women’s Economic Empowerment Series in Quincy and Newton,” said Treasurer Deb Goldberg. “This Program will provide critical information that will give women the skills they need to be successful in today’s economy.”
“At Citizens Bank, investing in financial empowerment has always been a part of who we are as a company. Learning how to manage money is the first step individuals can take in achieving their financial goals,” said Jerry Sargent, President, Citizens Bank, Massachusetts. “We are proud to support the Women’s Economic Empowerment Series and provide women with the tools they need to budget, save, invest and be fiscally healthy.”
For this new initiative, the Treasurer’s Office of Economic Empowerment will engage with local businesses, regional Chambers of Commerce, and area non-profits to promote awareness to both employers and employees. The program, based on the recommendations from Treasurer Goldberg’s 2015 Financial Literacy Task Force Report, will target women of all ages, ethnicities, economic backgrounds and levels of fiscal knowledge.
 “Thank you to Treasurer Goldberg for providing leadership on this important issue,” said Quincy Mayor Thomas Koch. “I am honored the Women’s Economic Empowerment Series will kick off in our great City of Quincy, home of First Lady Abigail Adams and the many other powerful and influential women who have called Quincy their home.”
“We are very excited that Newton has been identified as one of the hosts for the first Women’s Economic Empowerment Series,” said Newton Mayor Setti Warren. “Here in Newton, we are focused on programs targeting income inequality and economic mobility, so having one round of this Series hosted here is an excellent reflection of our priorities and current efforts. We are proud to be working with State Treasurer Deb Goldberg on this important topic.”
The first round of the Women’s Economic Empowerment Series will be held at Eastern Nazarene College’s Quincy Center for Innovation beginning on Thursday, September 29, 2016 and will last for 4 weeks. The second round of the series will be held at Boston College Law School in Newton beginning on Thursday, October 27, 2016 and will also last for 4 weeks.
For more specifics on the event details, programmatic content, and to register please visit the program’s site HERE.

Treasurer Goldberg created the Office of Economic Empowerment (OEE), led by a deputy treasurer, with the deliberate goal of implementing a range of economic empowerment initiatives, including closing the gender wage gap, increasing access to financial education, improving college affordability, and investing in STEM careers and education. For more information on the Office of Economic Empowerment visitwww.mass.gov/treasury/empowerment or follow the hashtag #EmpowermentMA.

Baker-Polito Administration, Advanced Practice Nurses, Physician Assistants and Community Health Centers Expand on Core Competencies to Combat Opioid Epidemic

Baker-Polito Administration, Advanced Practice Nurses, Physician Assistants and Community Health Centers Expand on Core Competencies to Combat Opioid Epidemic
Core Competencies Aimed at Properly Training Students and Professionals on Prevention and Management of Prescription Drug Misuse

BOSTON  The Baker-Polito Administration, in partnership with the state’s Advanced Practice Nursing (APRN) programs and professional organizations, physician assistant programs, the Massachusetts Association of Physician Assistants, the Massachusetts League of Community Health Centers, and all affiliated community health centers have agreed to expand the reach and use of the pioneering core competencies established previously for the prevention and management of prescription drug misuse.
This set of cross-institutional core competencies will ensure advanced practice nurses and physician assistants educated in the Commonwealth, as well as community health center employees, receive enhanced training in primary, secondary, and tertiary prevention strategies regarding prescription drug misuse.
“Agreeing upon and expanding these core competency standards is another major step for the prevention and management phases of fighting the opioid epidemic,” said Governor Charlie Baker. “As we search for new ways to bend the trend in this public health epidemic, we appreciate the hard work and collaboration that prescriber and academic communities have demonstrated and look forward to continuing this partnership with our nurses, physician assistants and members of the medical community.”
This first-in-the-nation partnership has been expanded with the establishment of cross-institutional core competencies for the prevention and management of prescription drug misuse that will reach the approximately 2,000 enrolled APRN students, 900 enrolled physician assistant students, and the 50 community health centers representing the organizational membership of the Massachusetts League of Community Health Centers. 
“Educating our clinicians on prescribing practices for opioids is critical to mitigating the opioid epidemic in the future,” said Health and Human Services Secretary Marylou Sudders. “We are pleased to stand with our health care partners to further advance the training and education of our current and future health care practitioners.”
The agreement follows similar partnerships with the Commonwealth’s three dental schools, Massachusetts Dental Society, the Commonwealth’s four medical schools and the Massachusetts Medical Society on sets of groundbreaking medical and dental education core competencies for the prevention and management of prescription drug misuse. Practitioner training about addiction and safe prescribing practices was a key strategy recommendation of the opioid working group.
“Substance misuse is a chronic disease, and we must treat it as one, starting with education of our clinicians,” said Public Health Commissioner Monica Bharel, MD, MPH. “We must approach the treatment of this disease taking into account the multiple needs of the individual, not just substance misuse.”

“As nurse practitioners, we are pleased to have this opportunity to partner with the Governor on this important initiative,” said Stephanie Ahmed, DNP, FNP-BC, DPNAP,  President, Massachusetts Coalition of Nurse Practitioners.  “Nurse Practitioners can play a significant role in mitigating the impact of the opioid epidemic through responsible prescribing, participation in the prescription monitoring program, educating and engaging patients around treatment options and behavioral therapy.  We have made significant inroads on improving health through such targeted initiatives and I do believe we are on a path toward positive change with the implementation of the competencies and academic/practice partnerships.”

"I am elated and very proud of the Physician Assistant programs in Massachusetts for taking this critical step toward addressing the opioid abuse epidemic and educating our future providers and prescribers,"said Sheri Talbott MS,  PA-C President, Massachusetts Association of Physician Assistants.

“The state’s growing opiate crisis is directly related to the challenge of caring for patients’ physical and behavioral health needs in an integrated way,” said James W. Hunt, Jr., president and CEO of the Massachusetts League of Community Health Centers.  “The Governor’s Core Competencies serve as an excellent framework for making sure clinicians are well equipped to provide the addiction prevention and treatment services patients need.”


ADVANCED PRACTICE REGISTERED NURSE CORE COMPETENCIES

Primary Prevention Domain – Preventing Prescription Drug Misuse: Screening, Evaluation, and Prevention

1. Evaluate a patient’s pain using age, gender, and culturally appropriate evidence-based methodologies. For pediatrics, the assessment should reflect an understanding of opioid neurobiology and the effect on the developing brain.

2. Evaluate a patient’s risk for substance use disorders by utilizing age, gender, and culturally appropriate evidence-based communication skills and assessment methodologies, supplemented with relevant available patient information, including but not limited to health records, family history, prescription dispensing records (e.g. the Prescription Drug Monitoring Program or “PMP”), drug urine screenings, and screenings for commonly co-occurring psychiatric disorders (especially depression, anxiety disorders, and PTSD).

3. Identify and describe potential pharmacologic and non-pharmacologic treatment options including opioid and non-opioid pharmacologic treatments for acute and chronic pain management, along with patient communication and education regarding the risks and benefits associated with each of these available treatment options.

Secondary Prevention Domain – Treating Patients At-Risk for Substance Use Disorders: Engage Patients in Safe, Informed, and Patient-Centered Treatment Planning

4. Describe substance use disorder treatment options, including medication-assisted treatment, as well as demonstrate the ability to appropriately refer patients to addiction specialists and treatment programs for both relapse prevention and co-occurring psychiatric disorders.

5. Prepare evidence-based and patient-centered pain management and substance use disorder treatment plans for patients with acute and chronic pain with special attention to safe prescribing and recognizing patients displaying signs of aberrant prescription use behaviors.

6. Demonstrate the foundational skills in patient-centered counseling and behavior change in the context of a patient encounter, consistent with evidence-based techniques.

Tertiary Prevention Domain - Managing Substance Use Disorders as a Chronic Disease: Eliminate Stigma and Build Awareness of Social Determinants

7. Recognize the risk factors for, and signs of, opioid overdose and demonstrate the correct use of naloxone rescue.

8. Recognize substance use disorders as a chronic disease by effectively applying a chronic disease model to the ongoing assessment, management of the patient and communication across specialties and disciplines.

9. Recognizing the clinician’s own and societal stigmatization and biases against individuals with substance use disorders and associated evidence-based medication-assisted treatment.

10. Identify and incorporate relevant data regarding social determinants of health into treatment planning for substance use disorders.

Baker-Polito Administration, Advanced Practice Nurses, Physician Assistants and Community Health Centers Expand on Core Competencies to Combat Opioid Epidemic

Baker-Polito Administration, Advanced Practice Nurses, Physician Assistants and Community Health Centers Expand on Core Competencies to Combat Opioid Epidemic
Core Competencies Aimed at Properly Training Students and Professionals on Prevention and Management of Prescription Drug Misuse

BOSTON  The Baker-Polito Administration, in partnership with the state’s Advanced Practice Nursing (APRN) programs and professional organizations, physician assistant programs, the Massachusetts Association of Physician Assistants, the Massachusetts League of Community Health Centers, and all affiliated community health centers have agreed to expand the reach and use of the pioneering core competencies established previously for the prevention and management of prescription drug misuse.
This set of cross-institutional core competencies will ensure advanced practice nurses and physician assistants educated in the Commonwealth, as well as community health center employees, receive enhanced training in primary, secondary, and tertiary prevention strategies regarding prescription drug misuse.
“Agreeing upon and expanding these core competency standards is another major step for the prevention and management phases of fighting the opioid epidemic,”said Governor Charlie Baker. “As we search for new ways to bend the trend in this public health epidemic, we appreciate the hard work and collaboration that prescriber and academic communities have demonstrated and look forward to continuing this partnership with our nurses, physician assistants and members of the medical community.”
This first-in-the-nation partnership has been expanded with the establishment of cross-institutional core competencies for the prevention and management of prescription drug misuse that will reach the approximately 2,000 enrolled APRN students, 900 enrolled physician assistant students, and the 50 community health centers representing the organizational membership of the Massachusetts League of Community Health Centers. 
“Educating our clinicians on prescribing practices for opioids is critical to mitigating the opioid epidemic in the future,” said Health and Human Services Secretary Marylou Sudders. “We are pleased to stand with our health care partners to further advance the training and education of our current and future health care practitioners.”
The agreement follows similar partnerships with the Commonwealth’s three dental schools, Massachusetts Dental Society, the Commonwealth’s four medical schoolsand the Massachusetts Medical Society on sets of groundbreaking medical and dental education core competencies for the prevention and management of prescription drug misuse. Practitioner training about addiction and safe prescribing practices was a key strategy recommendation of the opioid working group.
“Substance misuse is a chronic disease, and we must treat it as one, starting with education of our clinicians,” said Public Health Commissioner Monica Bharel, MD, MPH. “We must approach the treatment of this disease taking into account the multiple needs of the individual, not just substance misuse.”

“As nurse practitioners, we are pleased to have this opportunity to partner with the Governor on this important initiative,” said Stephanie Ahmed, DNP, FNP-BC, DPNAP,  President, Massachusetts Coalition of Nurse Practitioners.  “Nurse Practitioners can play a significant role in mitigating the impact of the opioid epidemic through responsible prescribing, participation in the prescription monitoring program, educating and engaging patients around treatment options and behavioral therapy.  We have made significant inroads on improving health through such targeted initiatives and I do believe we are on a path toward positive change with the implementation of the competencies and academic/practice partnerships.”

"I am elated and very proud of the Physician Assistant programs in Massachusetts for taking this critical step toward addressing the opioid abuse epidemic and educating our future providers and prescribers," said Sheri Talbott MS,  PA-C President, Massachusetts Association of Physician Assistants.

“The state’s growing opiate crisis is directly related to the challenge of caring for patients’ physical and behavioral health needs in an integrated way,” said James W. Hunt, Jr., president and CEO of the Massachusetts League of Community Health Centers.  “The Governor’s Core Competencies serve as an excellent framework for making sure clinicians are well equipped to provide the addiction prevention and treatment services patients need.”


ADVANCED PRACTICE REGISTERED NURSE CORE COMPETENCIES

Primary Prevention Domain – Preventing Prescription Drug Misuse: Screening, Evaluation, and Prevention

1. Evaluate a patient’s pain using age, gender, and culturally appropriate evidence-based methodologies. For pediatrics, the assessment should reflect an understanding of opioid neurobiology and the effect on the developing brain.

2. Evaluate a patient’s risk for substance use disorders by utilizing age, gender, and culturally appropriate evidence-based communication skills and assessment methodologies, supplemented with relevant available patient information, including but not limited to health records, family history, prescription dispensing records (e.g. the Prescription Drug Monitoring Program or “PMP”), drug urine screenings, and screenings for commonly co-occurring psychiatric disorders (especially depression, anxiety disorders, and PTSD).

3. Identify and describe potential pharmacologic and non-pharmacologic treatment options including opioid and non-opioid pharmacologic treatments for acute and chronic pain management, along with patient communication and education regarding the risks and benefits associated with each of these available treatment options.

Secondary Prevention Domain – Treating Patients At-Risk for Substance Use Disorders: Engage Patients in Safe, Informed, and Patient-Centered Treatment Planning

4. Describe substance use disorder treatment options, including medication-assisted treatment, as well as demonstrate the ability to appropriately refer patients to addiction specialists and treatment programs for both relapse prevention and co-occurring psychiatric disorders.

5. Prepare evidence-based and patient-centered pain management and substance use disorder treatment plans for patients with acute and chronic pain with special attention to safe prescribing and recognizing patients displaying signs of aberrant prescription use behaviors.

6. Demonstrate the foundational skills in patient-centered counseling and behavior change in the context of a patient encounter, consistent with evidence-based techniques.

Tertiary Prevention Domain - Managing Substance Use Disorders as a Chronic Disease: Eliminate Stigma and Build Awareness of Social Determinants

7. Recognize the risk factors for, and signs of, opioid overdose and demonstrate the correct use of naloxone rescue.

8. Recognize substance use disorders as a chronic disease by effectively applying a chronic disease model to the ongoing assessment, management of the patient and communication across specialties and disciplines.

9. Recognizing the clinician’s own and societal stigmatization and biases against individuals with substance use disorders and associated evidence-based medication-assisted treatment.

10. Identify and incorporate relevant data regarding social determinants of health into treatment planning for substance use disorders.