This event is a regional collaboration between the Ohio Osteopathic Association, Ohio University Heritage College of Osteopathic Medicine, Ohio State Medical Association, and Adena Health System designed to address Opioid Pain medicine abuse, which is rampant in Southern Ohio, based on date from healthcare, law enforcement, public health and the coroner system.  This education will give the prescriber tools to treat patients in pain,  practical appoaches to meet precriber obligations outlined by the State Medical Board of Ohio, and help patients receive appropriate assessment, treatment, and monitoring of the use of opioid pain medicines.

 OVERALL OBJECTIVES:

• Identify what constitutes an appropriate assessment of a patient with chronic or acute pain and follow best practice guidelines for treatment.
• Recognize the impact of House Bill 93 and OARRS in relation to chronic pain.
• Monitor patients being treated with long-term controlled substances and identify when further consultation is needed.
• Identify the prevalence and demographics of chronic pain.
• Define lawful and best practice medical managment and monitoring of extended release and Long Acting opioid Analgesics (LAA) through risk evaluation and mitigation strategies (REMS).

INTENDED AUDIENCE:  Medication prescribers, Anesthesiology, Pain, Family Physicians, OB/GYN,  Occupational Health, Emergency, Urgent Care, Internists, Hospitalists, Physican Assistants, Nurse Practitioners, Nurses.

TOPICS, SPEAKERS, OBJECTIVES:

7:30 - 8:10 a.m.        Registration, Breakfast, Vendors, Welcome

House Bill 93 and OARRS - Terry Johnston, DO

• Recognize the purpose of HB 93.
• Develop strategies to be compliant with HB 93.
• Review proper interpretation and use of OARRS.

 Ohio Revised Code - Kort Gronbach, MD

• Review Ohio Medical Boards current RC expectations.
• Identify the proper patients for long term opiate therapy.
• Implement a proper clinical care program for the chronic pain patient. 

9:50 - 10:00 a.m.  Break and Vendor Tables

Long Acting Analgesics and REMS - Mark Malinowski, DO

• Recognize appropriate patients for the initiation of long acting opioids.
• Recognize how to begin long acting opioid therapy, modify dosing, and proper discontinuation.
• Develop an understanding of how to manage ongoing opioid therapy.
• Discuss the risks and safe use, storage, and disposal of long acting opioids and effectively communicate with patients and caregivers.
• Identify general and product-specific drug information of long acting opioids.

 Prevalence and Impact of Pain - Cleanne Cass, DO

• Realize the prevalence of chronic pain.
• Recognize the impact of chronic pain.
• Monitor the complex needs of the chronic pain patient.

 11:50 - 12:00 p.m.    Break, Vendor Tables, and Light Snacks

 12:00  - 1:00 p.m.   Case Presentation/Group Discussion - Speaker Panel

• John Gabis, MD, Family Practitioner, County Coroner
• Jason Collins, MD, Adena Emergency
• Event Speakers

ACCREDITATION STATEMENTS AND DISCLOSURE

Adena Health System is accredited by the Ohio State Medical Association to provide continuing medical education for physicians. Adena Health System designates this educational activity for 4  AMA PRA Category 1 Credits^TM.

 Adena Health System is approved as an accredited CME sponsor by the Amercian Osteopathic Associations.  This program is approved for 4 hours of AOA Category 1-A credit.   

This live activity, Chronic Pain: A Regional Collaboration, with a beginning date of December 14, 2013, has been reviewed and is acceptable for up to 4 prescribed credits by the American Academy of Family Physicians.  Physicans should claim only the credit commensurate with the extent of their participation in the activity.

 4 AMA PRA Category 1 Credits are applicable toward continuing education for nursing licensure.

 There are no conflicts of commercial interest to disclose by speakers, planners, or CME Committee members.