Meeting

Pain and Symptom Management for People with Serious Illness in the Context of the Opioid Epidemic: A Workshop


When: November 29, 2018 (8:00 AM Eastern)
Where: Keck Center • 500 Fifth St. NW, Washington, DC 20001

Topics Aging, Diseases, Health Services, Coverage, and Access, Public Health
Activity: Roundtable on Quality Care for People with Serious Illness
Boards: Board on Health Care Services, Board on Health Sciences Policy

 

Webcast viewers, please feel free to submit any questions over Twitter using #SeriousIllnessCareNASEM and the word “QUESTION” at the beginning. Questions will be answered live throughout the meeting, as time allows.

On November 29, 2018, the National Academies of Sciences, Engineering, and Medicine’s Roundtable on Quality Care for People with Serious Illness will host a public workshop, Pain and Symptom Management for People with Serious Illness in the Context of the Opioid Epidemic. The workshop aims to explore the tension between efforts to address the opioid epidemic and the resulting impact on access to pain medications for people facing serious illness. The workshop will examine the unintended consequences of the responses to the opioid epidemic for patients, families, communities, and clinicians, and consider potential policy opportunities to address them. 

The workshop will unfold over five sessions. The opening session will provide context with an overview of the scope and severity of the opioid epidemic. The second session focuses on how responses to the epidemic affect the ability of people with serious illness to access opioid medications for pain and symptom management. Speakers will address clinicians’ perspectives on their ability to effectively treat their patients’ pain and symptoms, and also will discuss disparities in access to pain medications, as well as issues related to pain management for seriously ill infants and children.  The pain and symptom management needs of those with co-morbid substance use disorder and serious illness will be examined in the workshop’s third session. Policy and regulatory responses to the opioid epidemic, including federal and state regulatory policy as well as payment policy, will be the focus of the fourth session. Speakers will discuss measures that have been developed and implemented to address the epidemic and whether those measures have been sufficiently flexible to limit unintended consequences for those with serious illness. Policies to expand access to non-opioids for pain and symptom management will be examined, as well as associated coverage and reimbursement policies. The final session of the workshop aims to chart a path forward by identifying actionable next steps toward a solution by focusing on areas such as improving professional medical education to better prepare clinicians to treat and manage pain and addiction, enhancing the development of and access to alternatives to opioids, and expanding access to treatment for substance use disorder.

 

Planning Committee Members

Andrew Dreyfus (co-chair), Blue Cross Blue Shield of Massachusetts 
James A. Tulsky (co-chair), Harvard Medical School
Patricia A. Bomba, Excellus BlueCross BlueShield
Steve Clauser, Patient-Centered Outcomes Research Institute 
Rebecca A. Kirch, National Patient Advocate Foundation
Jane M. Liebschutz, University of Pittsburgh School of Medicine
Salimah H. Meghani, University of Pennsylvania 
R. Sean Morrison, Icahn School of Medicine at Mount Sinai
Judith A. Paice, Northwestern University; Feinberg School of Medicine
Philip A. Pizzo, Stanford University School of Medicine
Christian Sinclair, American Academy of Hospice and Palliative Medicine

 

 

    

 

Confirmed Speakers and Moderators

Dan Alford, Boston University School of Medicine

Michael Botticelli, Grayken Center for Addiction Medicine at Boston Medical

   Center

Ora Chaikin, Patient Voice

Andrew Dreyfus, Blue Cross Blue Shield of Massachusetts 
Stefan Friedrichsdorf, Children's Hospital and Clinics of Minnnesota 
Patrice Harris, American Medical Association

Trent Haywood, BlueCross BlueShield Association

Keith Humphreys, Stanford University

Stefan Kertesz, University of Alabama at Birmingham School of Medicine
Jane M. Liebschutz, University of Pittsburgh School of Medicine
Rosanne Leipzig, Icahn School of Medicine at Mount Sinai
Jessica Merlin, University of Pittsburgh School of Medicine
R. Sean Morrison, Icahn School of Medicine at Mount Sinai

Jessica Nickel, Addiction Policy Forum

Judith Paice, Northwestern University Feinberg School of Medicine
Cardinale Smith, Icahn School of Medicine at Mount Sinai

Hemi Tewarson, National Governors Association

Robert Twillman, Academy of Integrative Pain Management

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