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Armstrong Institute for Patient Safety and Quality

Johns Hopkins Pain Symposium Preliminary Agenda

Opioid Stewardship across the Care Continuum

September 25, 2017
9 a.m.-4 p.m.
Chevy Chase Auditorium
The Johns Hopkins Hospital

Topics and speakers are subject to change.

Time Topic Description Speakers
8:30 - 9:00 a.m. Registration
9:00 - 9:15 a.m. Welcome   Suzanne Amato Nesbit, Pharm.D., F.C.C.P., B.C.P.S., C.P.E.
9:15 - 9:45 a.m. Morning Keynote: “Opioid Misuse as a Patient Safety Issue” When patients misuse opioids, it can often be considered a preventable harm, similar to a hospital-acquired infection or blood clot. For guidance on how to prevent opioid misuse, we can look to successful patient safety programs that have drastically reduced complications on a large scale by implementing evidence-based care, changing culture and instilling high reliability principles. Peter Pronovost, M.D., Ph.D.
9:45 – 10:30 a.m. “Pain Management as a Public Health Issue” The nation has learned that high quality pain management is of interest to more than the doctor and the patient. The four-fold increase in use of opioids has contributed to a national public health crisis. There are a number of steps that can support better care and lessen the burden of the opioid epidemic. Josh Sharfstein, M.D.
10:30 – 10:45 a.m. Break
10:45 – 11:30 a.m. “Leaks, Floods and Rocks in the Field: Systems Thinking and the Opioid Epidemic” Injuries and deaths from prescription opioids have increased in lockstep with increased sales of these products. The inherent risk of prescription opioids, as well as their frequent diversion, has important implications for solutions to the epidemic. Caleb Alexander, M.D.
11:30 a.m. – 12:15 p.m. "Fostering Opioid Stewardship through Clinical Communities" This session will explore how clinician-driven peer networks called clinical communities can work across health systems to improve opioid stewardship. As opposed to top-down improvement efforts, these networks convene expert stakeholders to establish and pursue their quality and safety goals. Suzanne Amato Nesbit, Pharm.D., F.C.C.P., B.C.P.S., C.P.E.
12:15 - 1:00 p.m. Lunch
1:00 – 1:45 p.m. “Interdisciplinary Rehabilitation for Chronic Pain: A Patient-Centered Approach” Chronic pain is a common cause of functional disability. However, not all chronic pain is the same, and the patients who suffer from it experience a variety of barriers to their rehabilitation. Interdisciplinary treatment programs are needed to offer a comprehensive formulation of each individual case and a treatment plan designed to address their unique conditions, vulnerabilities, habits and dissatisfactions. Michael Clark, M.D.
1:45 – 2:00 p.m. Break
2:00 – 2:45 p.m. “Tailor-made Treatments: Precision Medicine for Pain.” The opioid crisis has exposed the need for better approaches to managing pain. Precision medicine takes into account significant differences between individuals, each of whom has a unique response to pain, analgesic therapy and its side effects. This approach will help shift our generalized care model to more personalized approaches for opioid prescribing and other pain treatments. Mark Bicket, M.D.
2:45 – 3:30 p.m. Afternoon Keynote: “Lessons Learned from the Maryland Opioid Taskforce”   Lt. Governor Boyd K. Rutherford
3:30 – 3:45 p.m. Closing Comments   Suzanne Amato Nesbit, Pharm.D., F.C.C.P., B.C.P.S., C.P.E.