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Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2019. Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25435.
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Appendix B

Workshop Agenda

THURSDAY, NOVEMBER 29, 2018

8:00 am Registration and Breakfast
8:30 am Welcome from the Roundtable on Quality Care for People with Serious Illness
Leonard D. Schaeffer, University of Southern California (Chair) and
James Tulsky, M.D., Harvard Medical School (Vice Chair)
Overview of the Workshop
Andrew Dreyfus, President and Chief Executive Officer, Blue Cross Blue Shield of Massachusetts and
James Tulsky, M.D., Chair, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute; Chief, Division of Palliative Medicine, Brigham and Women’s Hospital; Professor of Medicine and Co-Director, Center for Palliative Care, Harvard Medical School
Workshop Planning Committee Co-Chairs
8:40 am Session One: Understanding the Opioid Use Disorder Epidemic and Its Impact on Patients, Families, and Communities
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2019. Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25435.
×
Introductory Video
Laura Martin, Substance Use Prevention Coordinator, City of Quincy, Massachusetts
Speaker:
  • Jane Liebschutz, M.D., M.P.H., FACP, Chief, Division of General Internal Medicine, Professor of Medicine, Department of Medicine, University of Pittsburgh Medical Center (@liebschutz /@PittGIM)
9:10 am Session Two: Pain Management for People with Serious Illness: Challenges and Opportunities in the Context of the Opioid Use Disorder Epidemic
Moderator: R. Sean Morrison, M.D., Ellen and Howard C. Katz Professor, and Chair, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai
Patient and Caregiver Perspective: Ora Chaikin, Patient Voice, and
Rosanne Leipzig, M.D., Ph.D., Gerald and May Ellen Ritter Professor, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai
Speakers:
  • Stefan Kertesz, M.D., M.Sc., Professor, Division of Preventive Medicine, University of Alabama at Birmingham School of Medicine (@StefanKertesz)
  • Cardinale Smith, M.D., Ph.D., Associate Professor of Medicine, Director of Quality for Cancer Services, Mount Sinai Health System, Division of Hematology/Medical Oncology and Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai (@cardismith)
  • Stefan Friedrichsdorf, M.D., Medical Director, Department of Pain Medicine, Palliative Care & Integrative Medicine, Children’s Hospitals and Clinics of Minnesota, University of Minnesota (@NoNeedlessPain/@ChildrensMN)
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2019. Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25435.
×
Audience Q & A
11:00 am Break
11:15 am Session Three: Addressing the Challenge of Patients with Comorbid Substance Use Disorder and Serious Illness
Moderator: Judith Paice, Ph.D., R.N., Director, Cancer Pain Program, Division of Hematology-Oncology, and Research Professor of Medicine, Feinberg School of Medicine, Northwestern University (@LurieCancer)
Patient and Clinician Experience (videotaped discussion)—Patient and Dan Gorman, FNP-C, MSN, OCN, Director, Palliative Care Clinic, Dana-Farber Cancer Institute
Speaker:
  • Jessica S. Merlin, M.D., Ph.D., M.B.A., Visiting Associate Professor of Medicine, Division of General Internal Medicine, Section of Palliative Care and Medical Ethics; Section of Treatment, Research, and Education in Addiction Medicine; Division of Infectious Diseases, University of Pittsburgh (@JessicaMerlinMD /@PittGIM)
Audience Q & A
12:15 pm Lunch
1:15 pm Session Four: Impact of Policy and Regulatory Responses to the Opioid Use Disorder Epidemic on the Care of People with Serious Illness
Moderator: James Tulsky, M.D., Chair, Department of Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute; Chief, Division of Palliative Medicine, Brigham and Women’s Hospital; Professor of Medicine and Co-Director, Center for Palliative Care, Harvard Medical School (@jatulsky / @DanaFarber /@HMSPallCare)
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2019. Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25435.
×
Speakers:
  • Hemi Tewarson, J.D., M.P.H., Division Director, Health Division, National Governors Association
  • Michael Botticelli, M.Ed., Executive Director, Grayken Center for Addiction Medicine, Boston Medical Center, Former Director of National Drug Control Policy (@MBotticelliBMC /@The_BMC)
  • Trent Haywood, M.D., J.D., Senior Vice President and Chief Medical Officer, Office of Clinical Affairs, Blue Cross Blue Shield Association
Audience Q & A
2:30 pm Break
2:45 pm Session Five: Caring for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Lessons to Inform Policy and Practice
Moderator: Andrew Dreyfus, President and Chief Executive Officer, Blue Cross Blue Shield of Massachusetts (@andrewdreyfus / @BCBSMA)
Speakers:
  • Bob Twillman, Ph.D., FACLP, Executive Director, Academy of Integrative Pain Management and Clinical Associate Professor, University of Kansas School of Medicine (@BobTwillman /@TeamPainCare)
  • Jessica Nickel, Founder, President, and Chief Executive Officer, Addiction Policy Forum (@jess_nickel / @AddictionPolicy)
  • Daniel Alford, M.D., M.P.H., Professor of Medicine, Associate Dean of Continuing Medical Education, Director, Clinical Addiction Research and Education (CARE) Unit, Director, Safe and Competent Opioid Prescribing Education (SCOPE of Pain) Program, Boston University School of Medicine Boston Medical Center (@BUMedicine / @the_bmc)
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2019. Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25435.
×
  • Patrice Harris, M.D., M.A., President-Elect, American Medical Association, and Adjunct Professor, Department of Psychiatry and Behavioral Sciences, Emory University (@AmerMedicalAssn)
  • Keith Humphreys, Ph.D., Esther Ting Memorial Professor, Psychiatry and Behavioral Sciences, Stanford University, and Senior Research Career Scientist, U.S. Department of Veterans Affairs (@KeithNHumphreys)
Audience Q & A
4:30 pm Closing Remarks
4:35 pm Adjourn
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2019. Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25435.
×

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Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2019. Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25435.
×
Page 79
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2019. Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25435.
×
Page 80
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2019. Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25435.
×
Page 81
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2019. Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25435.
×
Page 82
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2019. Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25435.
×
Page 83
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2019. Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25435.
×
Page 84
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The United States is facing an opioid use disorder epidemic with opioid overdoses killing 47,000 people in the U.S. in 2017. The past three decades have witnessed a significant increase in the prescribing of opioids for pain, based on the belief that patients were being undertreated for their pain, coupled with a widespread misunderstanding of the addictive properties of opioids. This increase in prescribing of opioids also saw a parallel increase in addiction and overdose. In an effort to address this ongoing epidemic of opioid misuse, policy and regulatory changes have been enacted that have served to limit the availability of prescription opioids for pain management.

Overlooked amid the intense focus on efforts to end the opioid use disorder epidemic is the perspective of clinicians who are experiencing a significant amount of daily tension as opioid regulations and restrictions have limited their ability to treat the pain of their patients facing serious illness. Increased public and clinician scrutiny of opioid use has resulted in patients with serious illness facing stigma and other challenges when filling prescriptions for their pain medications or obtaining the prescription in the first place. Thus clinicians, patients, and their families are caught between the responses to the opioid use disorder epidemic and the need to manage pain related to serious illness.

The National Academies of Sciences, Engineering, and Medicine sponsored a workshop on November 29, 2018, to examine these unintended consequences of the responses to the opioid use disorder epidemic for patients, families, communities, and clinicians, and to consider potential policy opportunities to address them. This publication summarizes the presentations and discussions from the workshop.

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