Pain Medicine Practice Management: Knowledge for Practice Efficiency, Growth, Economic Viability, and Compliance (215)

Published in Friday, February 28

In this practical session participants will learn about highly relevant ongoing changes in the practice of pain medicine with regards to practice mergers, compliance and regulatory issues. Topics discussed will also include how to enhance practice operational performance through benchmarking and continuous quality improvement.

Updates on Coding and Compliance

Kevin Vorenkamp

Methods to Achieve Economically Viable, High-Quality Pain Programs

David Provenzano

Enhancing Practice Efficiency Using Process, Technology, and People

Kayode Williams

Developing Novel Academic Coordinated Care Pain Programs

Marie Hanna

Learning Objectives:

  • Review pain medicine coding changes and discuss existing errors in coding compliance.
  • Define integrated care networks and evaluate the role of physician-owned practices in the drive toward integrated health delivery care.
  • Review key metrics to benchmark practice and how to detect inefficiencies in workflow and methods to improve clinical flow.
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8:45 AM-10:00 AM Friday, February 28

General Session II

Pain Management in Special Populations (103A)

 

Pain Management in Athletes

Brian Hainline

Pain is a common problem in athletes and often results from sport injury. Both pain and injury interfere with athletic performance and quality of life. Injury is too often pre-supposed as the causal mechanism of pain, but pain in athletes often results from a breakdown in periodization and the kinetic chain continuum, and is influenced by psychosocial stressors. This session will focus on the relationships and differences between pain and injury in athletes, and will provide a broad management strategy, the foundation of which includes defining the nature of pain, assessing the kinetic chain continuum and training schedule, and appreciating the role of psychosocial influencers. Non-pharmacologic and pharmacologic strategies will be described.

Pain Management in Dogs and Cats: Implications for Treating People

Mark Epstein

This session will also examine the One Pain concept, including the translational impact (and prospects) of animal pain as encountered in veterinary medicine and the relationship to its human counterpart in the research and clinical settings. Discussions will include recognition and assessment of pain in animals; an emerging focus on natural models of painful conditions in animals to analogous conditions in humans, the impact of the opioid crisis in veterinary medicine, veterinary organizations, initiatives, and guidelines focused on animal pain, a snapshot of pain management strategies that can be found in primary care veterinary settings, and emerging directions.

AAPM Awards Presentation (103B)

Tim Lamer

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1:45 PM–2:45 PM Saturday, February 29

Studying the Acute-to-Chronic Pain Transition in Perioperative Patients (310)

Surgical injury typically results in some acute pain but, importantly, also affords a chance of transition into chronic pain and opioid use. This panel will provide a brief overview of the basic mechanisms underlying the transition from acute to chronic pain, with emphasis on pain centralization and psychosocial modulation.

One Protocol Does Not Fit All: Measuring Differences in Pain Processing to Guide Perioperative Care

Kristin Schreiber

When the Pain Really Is in Your Head: How Fibromyalgianess Influences Analgesic Response to Lumbar Spine Surgery and Interventional Pain Procedures

Andrea Nicol

Balancing Opioid Minimization and Optimal Perioperative Pain Management

Jennifer Hah

Learning Objectives:

  • Examine the tremendous variability in pain processing between individuals, which may be partially predicted using brief, well-validated preoperative assessment tools.
  • Illustrate that fibromyalgianess is not just a silly made-up word—it is a concept that time and time again has shown to lead to greater understandings of how centralized pain influences analgesic outcomes from peripherally directed interventions.
  • Determine that risk factors for chronic postoperative pain and opioids are only partially overlapping, and targeted interventions for one outcome may not passively impact the other.
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Moderator:

Andrea Nicol

Co-Presenters:

Kristin Schreiber

Jennifer Hah

9:45–10:45 AM Sunday, March 1

Applying Lessons Learned from the DoD and VA in the Prevention and Treatment of Chronic Pain (406)

Leaders in military and VA medicine discuss unique aspects of the treatment of pain in active duty service members and veterans to include the role of integrative medicine, halting the transition from acute to chronic pain after injury, and the stepped care model of pain management. The generalizability of these issues to civilian pain care, and the challenges faced by federal medicine providers, are discussed.

Stepped Care Model for Pain Management: Relevance for Civilian Care

Friedhelm Sandbrink

Integrative Pain Medicine

Eric Schoomaker

Preventing Chronic Pain After Trauma

Chester Buckenmaier

Learning Objectives:

  • Identify the role aggressive acute pain treatment has in preventing the chronification of pain after injury.
  • Develop an appreciation of the unique features of service—and combat-related wounds, injuries, and illnesses and comorbidities that have led to chronic pain problems—including chronic opioid problems after more than a decade and a half of armed conflict.
  • Discuss the benefits and possible shortcomings of the stepped care model for pain management.
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Moderator:

Steven Cohen

Co-Presenters:

Friedhelm Sandbrink

Eric Schoomaker

Chester Buckenmaier

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