NPS Implementation Webinar - 05/11/2017

Implementation of the National Pain Strategy (NPS) Listening Session Webinar
Hosted by the Office of the Assistant Secretary for Health and the National Institutes of Health, DHHS
8:30 a.m.— 4:30 p.m. ET
Bethesda, MD
National Pain Strategy Implementation Summary(pdf, 268 KB)

8:30 am
Welcome and Introductions(pdf, 488 KB) (PDF, 469 KB)

Thomas Novotny, MD, MPH
Office of the Assistant Secretary for Health
U.S. Department of Health and Human Services (HHS)

8:45 am
Meeting Purpose and Change(pdf, 14 KB) (PDF, 14 KB)

Alicia Richmond Scott, MSW
Office of the Assistant Secretary for Health, HHS

8:55 am
Opening Remarks(pdf, 955 KB) (pdf, 955 KB)(PDF, 933 KB)

Linda Porter, PhD
National Institute for Neurological Disorders and Stroke
National Institutes of Health, HHS

9:15 am
Implementation of Population Research on Pain(pdf, 3624 KB) (PDF, 3540 KB)

The NPS recommends specific steps to increase the precision of information about chronic pain prevalence overall, for specific types of pain, and in specific population groups and to track changes in pain prevalence, impact, treatment over time, to enable evaluation of population-level interventions and identification of emerging needs. Panelists will provide updates on:

  • The inclusion of pain questions into national surveys – Healthy People 2030 and National Health Interview Survey,
  • Screening tool and validation studies, and
  • Pain prevalence and use of services for individuals with chronic pain studies.

Speakers:
Charles Helmick, PhD
Centers for Disease Control and Prevention

Michael Von Korff, ScD
Group Health Research Institute

Richard Nahin, PhD
National Center for Complementary and Integrative Health
National Institutes of Health, HHS

10:20 am
Break

10:30 am
Implementation of Prevention and Care(pdf, 3011 KB) (PDF, 2941 KB)

The NPS recommends strengthening the evidence base for pain prevention strategies, assessment tools, and outcome measures—particularly those relevant for primary care—in part through the development of new, rigorously researched approaches. It also recommends improvements in pain self-management programs that can help affected individuals improve their knowledge, skills, and confidence to prevent, reduce, and cope with pain, and minimize treatment risks and adverse effects. Panelists will provide updates on:

  • Integrated pain care for the military
  • Pilot study on pain and implementation of Stepped Care Model for Pain Management from the Veterans Health Administration, and
  • Systematic reviews on pain

Speakers:
Richard Ricciardi, PhD, NP
Agency for Healthcare Research and Quality, HHS

Robert Kerns, PhD
Yale University

Chester Buckenmaier, MD
Department of Defense

Elisabeth Kato, MD, MRP
Agency for Healthcare Research and Quality, HHS

11:30 am
Lunch - on your own

12:30 pm
Implementation of Service Delivery and Payment(pdf, 411 KB) (PDF, 402 KB)

The NPS recommends a population-based, biopsychosocial approach to pain care that is grounded in scientific evidence, integrated, multimodal, and interdisciplinary, while tailored to an individual patient’s needs. Research and demonstration efforts are needed that build on current knowledge, develop new knowledge, and support further testing and diffusion of model delivery systems.  

Panelists will discuss:

  • A federal low back pain study and
  • Awards for addressing NPS objectives including professional education and training

Speakers:
Christopher Jones, PharmD, MPH
Assistant Secretary for Planning and Evaluation, HHS

Catherine Underwood, MBA, CAE
American Pain Society

1:30 pm
Implementation of Professional Education and Training(pdf, 5779 KB) (PDF, 5644 KB)

The NPS recommends the development of a web-based pain education portal that would contain up-to-date, comprehensive, and easily accessed educational materials. These training efforts should be made in coordination with current HHS efforts to develop tools for providers to recognize the risk factors and symptoms of opioid use disorders. 

Panelists will provide updates on:

  • Core competencies for pain education
  • Pain curriculum
  • Training resources for pain management and safe prescribing of pain medications.

Speakers:
Scott Fishman, MD
University of California, Davis

Sharon Hertz, MD (invited)
Food and Drug Administration, HHS

David Thomas, PhD
National Institute on Drug Abuse
National Institutes of Health, HHS

2:30 pm
Break

2:40 pm
Implementation Activities of NPS Discussion

This will be a facilitated discussion with external stakeholders on their existing or upcoming implementation activities that advance the NPS.

Linda Porter, PhD
National Institute for Neurological Disorders and Stroke
National Institutes of Health, HH
S


4:00 pm
Summary of the Day and Closing Remarks

Thomas Novotny, MD, MPH
Office of the Assistant Secretary for Health, HHS

4:30 pm
Meeting Adjourned

 

Implementation of the National Pain Strategy: Moving Toward Improving Health and Quality of Life of Individuals Living with Chronic Pain 

Hosted by the Office of the Assistant Secretary for Health and the National Institutes of Health, U.S. Department of Health and Human Services 

The Office of the Assistant Secretary for Health and the National Institutes of Health of the U.S. Department of Health and Human Services hosted the webinar, “Implementation of the National Pain Strategy (NPS) Listening Session,” on Thursday, May 11,  2017, from 8:30 a.m.— 4:30 p.m. ET.   

The goals of this meeting were to share information about NPS implementation activities, to hear about external partner activities in implementing the NPS, and to discuss barriers, gaps and new strategies for implementing the NPS. Speakers included federal officials and scientists as well as researchers and external partners involved in implementation of the NPS.

Thomas E. Novotny, MD, MPH (Co-chair)
Office of the Assistant Secretary for Health
Department of Health and Human Services (HHS)

Dr. Thomas Novotny, Deputy Assistant Secretary for Health (Science and Medicine), served 23 years in the Commissioned Corps of the U.S. Public Health Service and more than a decade in academic medicine before returning to the U.S. Department of Health and Human Services in 2016.

From 1999-2002, he served in the HHS Office of the Assistant Secretary for Health, then known as the Office of Public Health and Science, as Deputy Assistant Secretary for International and Refugee Health and Assistant Surgeon General, with the rank of Rear Admiral.

After retiring from the Commissioned Corps in 2002, Dr. Novotny was Professor of Epidemiology at UC San Francisco (UCSF), where he directed international programs for health sciences students and conducted research in the UCSF Center for Tobacco Control Research and Education.  In 2009, he became co-director of the Joint PhD program in Global Health at San Diego State University and UC San Diego, where his research focused on global health diplomacy, tobacco and non-communicable diseases, the environmental consequences of tobacco use, and the co-existing epidemics of tobacco and infectious diseases.

Linda Porter, PhD, BSc (Co-Chair)
National Institute for Neurological Disorders and Stroke
National Institutes of Health (NIH), HHS

Dr. Linda Porter directs the Office of Pain Policy at the National Institute for Neurological Disorders and Stroke (NINDS), provides guidance and coordination of the NIH pain research programs through collaboration with the NIH Pain Consortium and supports the activities and programs of the consortium. She also serves as the Designated Federal Official for the Interagency Pain Research Coordinating Committee, an entity established though the Patient Protection and Affordable Care Act of 2010 to address issues relevant to the federal pain research portfolio. She facilitates and supports activities and programs of this trans-agency committee.
Dr. Porter joined the NINDS in 2003 as a Program Director in Systems and Cognitive Neuroscience. Dr. Porter received a B.Sc. in Physical Therapy from McGill University. Her clinical practice focused on developmental disabilities. She later earned a Ph.D. in neuroanatomy from Boston University School of Medicine. As a postdoctoral fellow at the Rockefeller University, she trained with Hiroshi Asanuma in neurophysiology of sensory-motor systems. She was on the faculty of the Uniformed Services University of the Health Sciences (USUHS) for 15 years before joining the NINDS. During those years she directed an NIH funded research program aimed at elucidating mechanisms of sensory-motor integration at the cortical level. She also studied the effects of various neuromodulators on developing cortical neurons and their neuroprotective influence over neurons in the mature cortex. She taught in the Graduate Neuroscience Program and the School of Medicine at USUHS.


Chester “Trip” Buckenmaier III, MD, Colonel, U.S. Army (Retired)
Department of Defense

Dr. Buckenmaier is the Program Director and Principal Investigator for the Uniformed Services University’s (USU) Defense & Veterans Center for Integrative Pain Management (DVCIPM) under the department of Military Emergency Medicine.  He is Program Director Emeritus of the National Capital Consortium’s Regional Anesthesia Fellowship Program at Walter Reed National Military Medical Center (WRNMMC), Professor in Anesthesiology at the USU and a Diplomat, with the American Board of Anesthesiology.
In September 2003, he deployed with the 21st Combat Support Hospital to Balad, Iraq, and demonstrated that the use of advanced regional anesthesia can be accomplished in a forward deployed environment.  He performed the first successful continuous peripheral nerve block for pain management in a combat support hospital.  In April 2009, he deployed to Camp Bastion, Afghanistan with the British military and organized the first acute pain service in a theatre of war.  Author and Co-Editor of the Acute and Perioperative Pain section in Pain Medicine, he is extensively published in pain medicine, particularly as it relates to combat wounded. He also serves as the Editor-in-Chief of US Medicine with a monthly column on topics of federal medicine interest.

Charles Helmick, PhD
Center for Disease Control and Prevention, HHS

Dr. Charles Helmick is a physician and epidemiologist with a long and productive public health career at the Center for Disease Control and Prevention (CDC).  His focus is on studying population-based estimates of a wide variety of public health problems, primarily those related to arthritis, as well as analytical projects assessing factors associated with disease occurrence and progression.  Dr. Helmick has represented CDC on the Interagency Pain Research Coordinating Committee, where he helped with the 2016 report A National Pain Strategy, led the effort to get pain objectives added to Healthy People 2020 (the nation’s health objectives for the year 2020), and helped get new pain questions added to the National Health Interview Survey.

Scott M. Fishman, MD
University of California, Davis

Dr. Scott Fishman is Professor of Anesthesiology (primary) and Psychiatry (secondary), Chief of the Division of Pain Medicine, and Executive Vice Chair for the Department of Anesthesiology at the University of California, Davis. He is also and Director of the Center for Advancing Pain Relief at UC Davis. His medical degree is from the University of Massachusetts Medical School. Formal clinical training is in Internal Medicine (Greenwich/Yale University School of Medicine) and Psychiatry (Massachusetts General/Harvard Medical School). He completed Pain Medicine fellowship training through the Department of Anesthesia and Critical Care at Massachusetts General Hospital. Dr. Fishman has received board certification in Internal Medicine (American Board of Internal Medicine 1995-2005), Psychiatry (American Board of Neurology and Psychiatry), Pain Medicine (American Board of Pain Medicine) and Palliative Medicine (American Board of Hospice and Palliative Medicine.).

Sharon Hertz, MD
Food and Drug Administration, HHS

Dr. Sharon Hertz is Deputy Director of the Division of Anesthesia, Analgesia, and Addiction Products, Center for Drug Evaluation and Research, at the U.S. Food and Drug Administration (FDA).  Dr. Hertz is a board certified neurologist who has worked for over a decade on regulatory issues related to analgesic drug products.  She has worked with analgesic product development plans and is a leading expert on analgesic clinical trial design.  She has been involved in the FDA's assessments of the toxicities associated with many of the analgesic drug classes.  She has also participated in the Agency's efforts to address prescription opioid abuse.  Dr. Hertz served as a member of the working group that developed the requirements for and reviewed the content of the Extended-Release/Long-Acting opioid REMS.  As part of that effort she helped develop the FDA Blueprint for Prescriber Education for Extended-Release and Long-Acting Opioid Analgesics.

Christopher M. Jones, PhD
Office of the Assistant Secretary for Planning and Evaluation, HHS

Dr. Christopher Jones currently serves as Acting Associate Deputy Assistant Secretary for Science and Data Policy in the Office of the Assistant Secretary for Planning and Evaluation (ASPE) at the US Department of Health and Human Services. The Office of Science and Data Policy is the HHS focal point for policy research, analysis, evaluation, and coordination of public health science policy and data policy activities. The Office provides authoritative advice and analytical support to HHS leadership on public health, science, and data policy issues and initiatives. Prior to joining ASPE, Dr. Jones served as senior advisor in the Office of the Commissioner at the US Food and Drug Administration (FDA). Dr. Jones previously led the Centers for Disease Control and Prevention’s (CDC) drug abuse and overdose activities where he focused on strategic policy development and implementation, engaging national and state partners, and conducting research to improve policy and clinical practice. During his career, Dr. Jones has served as Senior Public Health Advisor to the White House Office of National Drug Control Policy, led the FDA’s Drug Safety and Risk Communication team, and served on the Science Team in the CDC’s Strategic National Stockpile. Dr. Jones received his Doctor of Pharmacy degree from Mercer University, his Master of Public Health degree from New York Medical College, and his Bachelor of Science degree from Reinhardt College. He is currently completing his Doctorate of Public Health in Heath Policy at The George Washington University. Dr. Jones is a nationally recognized expert on opioid misuse and overdose and has authored more than 50 peer-reviewed publications on the topic.

Elisabeth Kato, MD, MRP
Agency for Healthcare Research and Quality, HHS

Dr. Elisabeth Kato received her Bachelor of Arts in political science/Asian studies and a Master of Regional Planning from Cornell University.   After working in relief and development in Asia, she returned to the US to complete a medical degree at the University of Maryland.   Since then, she has pursued an interest in health technology assessment, first as Senior Medical Research Analyst with Hayes Inc., and currently at the Center for Evidence and Practice Improvement in the Agency for Healthcare Research and Quality where she serves as a Medical Officer in two divisions: the Evidence-based Practice Center Program and the Support for the US Preventive Services Task Force.  Her interests include preventive medicine, cardiovascular disease, and program evaluation.

Robert D. Kerns, PhD
Yale University

Dr. Robert Kerns is Professor of Psychiatry, Neurology, and Psychology at Yale University.  He recently retired from the Department of Veterans Affairs after over 37 years of government service, including roles as National Program Director for Pain Management from 2005 to 2013 and as founding Director of the Pain Research, Informatics, Multimorbidities and Education (PRIME) Center from 2008 to 2016.  He received doctorate in Bio-Clinical Psychology from Southern Illinois University in 1980.  Dr. Kerns has published over 250 articles and two books in the area of behavioral medicine and pain management.  He is the recipient of numerous honors and awards.  He was a member of the Institute of Medicine Committee on Advancing Pain Research, Care, and Education and the Health and Human Services National Pain Strategy Oversight Panel that published an action plan in 2016 to transform pain care in America.

Richard L. Nahin, PhD, MPH
National Center for Complimentary and Integrative Health, NIH, HHS

Dr. Richard Nahin is a Senior Advisor to the Director and Lead Epidemiologist at the National Center for Complimentary and Integrative Health. He collaborates with federal and academic partners to provide reliable national estimates of pain and complementary health approaches in the United States, including prevalence, costs and reasons for use.  His responsibilities include oversight of the design, implementation and analyses of supplements to the National Health Interview Survey and the National Ambulatory Medical Care Survey on pain and complementary health approaches and pain.  Dr. Nahin received his undergraduate degree in psychology in 1979, and his doctorate in neuroscience in 1985, both from the University of California at Los Angeles.  He also received a master's in public health, specializing in epidemiology, in 1997 from the Uniformed Services University of the Health Sciences.  Dr. Nahin is the author or co-author of numerous scientific publications on both pain and complementary health approaches.

Richard Ricciardi, PhD, NP
Agency for Healthcare Research and Quality

Dr. Ricciardi serves as the Director, Division of Practice Improvement at the Agency for Healthcare Research and Quality (AHRQ).  Prior to joining AHRQ in 2010, Dr. Ricciardi served on active duty in the Army for thirty years and had numerous positions as a pediatric and family nurse practitioner, clinical research scientist, and senior leader within the Department of Defense.  At AHRQ, Dr. Ricciardi’s research focuses on primary care practice transformation and practice improvement in the areas of teams, team-based care, outcomes measurement, ambulatory safety, and care of patients with Multiple Chronic Conditions.  Dr. Ricciardi maintains a clinical practice at Walter Reed National Military Medical Center and is a fellow in the American Academy of Nursing and the American Association of Nurse Practitioners.

David Thomas, PhD
National Institute on Drug Abuse, NIH, HHS

After 12 years as a pain and opioid researcher, in 1995 Dr. David Thomas joined the National Institute on Drug Abuse (NIDA) where he has managed much of NIDA’s pain and opioid research efforts.  In 2015, he joined DESPR’s Services Research Branch.  He currently is co-chair of the NIDA Prescription Opioids and Pain workgroup, which fosters pain and opioid research and education. He is also a founding member of the National Institutes of Health (NIH) Pain Consortium, which promotes and pain research across the NIH. He is also a member of the Department of Health and Human Services Behavioral Health Coordination Committee Prescription Opioids Subcommittee, National Pain Strategy working group on Provider Education, and the Interagency Pain Research Coordination Committee.  Dr. Thomas served as the NIH liaison to the CDC in the development of the CDC guidelines on opioid prescribing for chronic pain.   Dr. Thomas is also the lead on the NIH Pain Consortium Centers of Excellence in Pain Education which is promoting pain education in medical, dental, nursing, pharmacy and other professional schools.  

Catherine H. Underwood, MBA, CAE
American Pain Society

Catherine Underwood, MBA, CAE has served as Chief Executive Officer of the American Pain Society (APS) since 1999.  Under her leadership, the organization has become known as the leading professional society for pain scientists in the United States and its annual scientific meeting and peer-reviewed publication, The Journal of Pain, have been widely praised for strong, cutting-edge scientific content.  Ms. Underwood was a member of the 2013-2014 class of the Mayday Pain & Society Fellowship: A Media and Policy Initiative and served on the National Pain Strategy Service Delivery and Reimbursement Work Group from 2014 to 2015. Currently, she is a member of the Interagency Pain Research Coordinating Committee.
Prior to joining the Association Management Center, which manages operations for APS and more than 25 other associations, Ms. Underwood was executive vice president at the Palliative Care Center of the North Shore from 1998-1999 and vice president at North Shore University Health System Evanston Hospital from 1991 to 1997.  She is a Certified Association Executive and holds an MBA in Healthcare Administration from the J.L. Kellogg Graduate School of Management of Northwestern University.

Michael Von Korff, PhD
Group Health Research Institute

Dr. Michael Von Korff has carried out groundbreaking research on the management and outcomes of chronic pain, depression, and other illnesses in primary care settings. His work as an epidemiologist and health services researcher focuses on understanding how patients adapt to chronic illnesses associated with pain and psychological distress, including how they use health care services, medicines, and cope with illness in their daily lives. Dr. Von Korff has co-led major randomized trials examining various approaches to chronic illness management in primary care, including collaborative care for depression and interventions to improve self-care of chronic-recurrent back pain. A major focus throughout his career has been studying mental-physical comorbidity and how patients manage distressing physical symptoms. This research has included a series of longitudinal studies of disability and health care use among primary care patients with depression, back pain, headache, and other chronic pain conditions. More recently, his research has focused on trends and risks of long-term prescription of opioids for chronic non-cancer pain.  Dr. Von Korff has published more than 350 papers in peer-reviewed journals on chronic pain, mental health, chronic illness, and disability.

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