The mission of the Tufts Health Care Institute Program on Opioid Risk Management is to address challenges in the development and utilization of opioid analgesics, by engaging a multidisciplinary group of stakeholders focused on optimizing the benefits of opioid for pain management, and minimizing their risks, including abuse and diversion.

July 23 & 24, 2009

Agenda

Risk Evaluation and Mitigation Strategy for Prescription Opioids: An In-Depth Review of Fundamental Issues
Nathaniel Katz, MD, MS Presentation >>

Opening Remarks
Michael Klein, Ph.D. Presentation >>

How Industry Uses Root Causes Analysis to Manage Risk and Linkage to REMS Intervention
John Carroll, PhD Presentation >>

What is the Public Health Rationale for Prescription Opioid REMS to Addressing Public Health Concerns
John Brownstein, PhD Presentation >>

The REMS Experience: Update and Review
Edgar Adams, ScD Executive Director, Epidemiology Presentation >>

Practitioner Education: What are the Core Elements of Safe Opioid Prescribing?
Lynn Webster, MD Presentation >>

Practitioner Education: What Forms of Training and Feedback will Change Practitioner Behavior?
Thomas Kosten, MD Presentation >>

Patient Education: What Do We Want Patients Do with their Opioids?
Seddon Savage, MS, MD Presentation >>

Patient Education: What Methods do Practitioners Use to Train Patients to Respect Opioids?
Will Rowe Presentation >>

Unintended Consequences: Potential Patient Barriers to Accessing Prescription Opioids Because of REMS
Richard Payne, MD, PhD Presentation >>

Retail Pharmacy REMS for Opioids; Challenges and Solutions
Roger Pinsonneault, RPh Presentation >>

Distribution of Controlled Substances in the US: A Primer
Anita Ducca, MS Presentation >>

How Do We Evaluate the Effectiveness of REMS: Core Requirements
Nabarun Dasgupta, MPH Presentation >>

Concurrent Workgroup Breakouts

Breakout Group 1: Practitioners
• What desired practitioner behaviors do we want?
• What is safe-opioid prescribing behavior?
• What are the key elements of safe practice?
• Develop a checklist that physicians can use
on a systematic basis with patients.
Presentation >>

Breakout Group 2: Patients:
• What are the patient behaviors that we want to decrease abuse?
• What do we want patients to do?
• How do we know if they are following suggestions?
• Develop a checklist that patients can receive and implement to reduce abuse, accidental ingestion, or access.
Presentation >>

Breakout Group 3: Pharmacists' Behavior:
Presentation >>

Breakout Group 3: Standards for Evaluation of REMS Programs:
Presentation >>