2018 Oregon Conference on Opioids, Pain and Addiction Treatment

Thank you for joining us for the OPAT 2018 Conference! Below are links to some presentations given during the Oregon Conference on Opioids, Pain and Addiction Treatment this past May 17 – 19th. Please download a pdf of our conference booklet for reference.

Thursday, May 17, 2018

WORKSHOP 1: Team-Based Care: Building the Team
Welcome and Overview Laura Heesacker, LCSW, Behavioral Health Innovation Specialist, Jackson Care Connect/Care Oregon

Oregon’s Comprehensive Approach to Clinical Change
Lisa Shields, Prescription Drug Overdose Prevention Coordinator, Oregon Public Health Division

Six Building Blocks: Team-Based Opioid Management in Primary Care
– Michael Parchman, MD, MPH, Senior Investigator, MacColl Center for Health Care Innovation
Mark Stephens, President, Change Management Consulting

Workshop 2: Buprenorphine Training
Opioid Dependence Treatment with Buprenorphine/Naloxone Overview
– Jim Shames, MD, Medical Director/Health Officer, Jackson County Health & Human Services
– Alice Mollo-Christensen, CADCII, Program Manager (East) Recovery Works NW
– Jessica Gregg, MD, PhD, Associate Professor of Medicine, Oregon Health & Science University

Lunch Session: Understanding Pain: 45 Years of Pain Science in < 45 Minutes
– Kevin Cuccaro, DO, Pain Specialist & Consultant

Workshop 3: Team-Based Care: Communication & Shared Decision-Making
5 Domains of Best Practice Pain Care
– Nora Stern, MS PT, Nora Stern, MS PT, Clinical Program Manager, Providence Oregon Comprehensive Pain Service, and Oregon Pain Commission Member, Assistant Professor, Department of Anesthesiology and Perioperative Medicine and Psychiatry, Oregon Health & Science University
– Catriona Buist, PsyD, Chair, Oregon Pain Management Commission, Assistant Professor, Department of Anesthesiology and Perioperative Medicine and Psychiatry, Oregon Health & Science University
– Alena Guggenheim, ND, Assistant Professor of Anesthesiology and Perioperative Medicine, Oregon Health & Science University
– Kevin Cuccaro, DO, Pain Specialist & Consultant


Friday, May 18, 2018

A National and Statewide Perspective on the Opioid Crisis
– Amy Peeples, MPA, Deputy Director, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention

Keynote: Why do people use drugs? Why do so many people use drugs?
– David Labby, MD, PhD, Health Strategy Advisor, Health Share of Oregon

The Team Based Approach to an Opioid Refill Clinic
Facilitator: Paul Coelho, MD, Pain Management Physician, Salem Health Pain Clinic
– Joshua Steenstra, MBA, MHA, Manager, Palliative Care, Pain Medicine, and Neurology, Salem Health
– Ana Ramirez, NCMA, Salem Hospital
– Melanie Nixon, CMA, Medical Assistant, Salem Health Pain Clinic

— Morning Break Out Sessions —

CLINICAL TRACK — SESSION A: Using a Holistic Approach to Transform Pain Care

Opioids Pain and Addiction-Beyond the Realm of Hungry Ghosts
– Andy Mendenhall MD, DABAM, DABFM, DAAPM, Senior Medical Director for Substance Use Disorder Services, Central City Concern
– Brian Barnes CSWA, MAC, CADC III, Associate Director for Behavioral Health, Central City Concern
– Brianna Sustersic MD, DABIM, DABAM, Senior Medical Director of Primary Care, Central City Concern

CLINICAL TRACK — SESSION B: Developing a Treatment Plan Using the 5 Key Domains of Best Practice Pain Care

Developing a Treatment Plan Using the 5 Key Domains of Best Practice Pain Care > Additional handouts
– Nora Stern, MS PT, Clinical Program Manager, Providence Oregon Comprehensive Pain Service and Oregon Pain Commisson Member
– Catriona Buist, PsyD, Chair, Oregon Pain Management Commission, Assistant Professor, Department of Anesthesiology and Perioperative Medicine and Psychiatry, Oregon Health & Science University

HEALTH SYSTEMS TRACK — SESSION C: Health Systems Stategies to Transform Pain Care

Statewide Performance Improvement Project
– Lisa Bui, MBA, Quality Improvement Director, Oregon Health Authority

Changes in the Oregon Health Plan Coverage of Back and Neck Pain
– Ariel Smits MD, MPH, Medical Director, Health Evidence Review Commission, Oregon Health Authority

Health System Strategies to Transform Pain Care: The EOCCO Story
– Charles Hofmann, MD, MACP, EOCCO Clinical Consultant

Central Oregon Pain Standards Task Force
– Kimberly Swanson, PhD, Director of Behavioral Health, Mosaic Medical

COMMUNITY SESSION D: Community Interventions to Transform Pain Care

Peer Support Strategies
Michelle Marikos, PSS, Peer support specialist, Moving Through Chronic Pain LLC

Chronic Pain Treatment in Older Adults
Lavinia Goto, RN, CDE, MPH, MBA, DHA, Project Manager, Long Term Care Innovation, NW Senior & Disabilities Service

The Pain Revolution in Linn & Benton Counties > Additional Handout
Lianne Dyche, MSW, LCSW, Therapist, ACT Beyond Pain, Linn County Mental Health
Veronica Moresi, PT, DPT, Physical Therapist, Samaritan Health Services

Law Enforcement Strategies to Address Oregon’s Opioid Crisis
Chris Gibson, EMPA, Executive Director – Oregon-Idaho HIDTA

The Power of Community Engagement: Expanding Access to Naloxone in Southern Oregon – A Key Piece of the Opioid Crisis Puzzle
Facilitator: Jim Shames, MD, Medical Director/Health Officer, Jackson County Health & Human Services
– Julia Pinsky, Executive Director, Max’s Mission
– Sara Smith, RN, BSN, Controlled Medication Safety Nurse, La Clinica Medford
– Amy Cervan PharmD, Pharmacy Manager, Rogue Community Health Pharmacy
– Mark Kantor, RPh, Clinical Pharmacist, AllCare Health
– John Mahan, MD, FASAM, FAPA, Psychiatric Medical Director, Jackson County Mental Health

Keynote: Transforming Care for Substance Use Disorders
– Rachel Solotaroff, MD, MCR, President and CEO, Central City Concern

IMPACT: A Team-Based Approach to the Care of Addiction in the Hospital
– Jessica Gregg, MD, PhD, Associate Professor of Medicine, Oregon Health & Science University

Wheelhouse: Expanding Recovery Options
– Justine Pope, MPH, Program Manager, Wheelhouse

— Afternoon Break Out Sessions —

CLINICAL TRACK — SESSION A: How to Use MAT for your Primary Care Patients

Primary Care MAT: A Standardization Attempt
– Andrew Suchocki, MD, MPH, Medical Director, Clackamas County Health Centers

Creating a Continuum of Care for Opioid Use Disorder
– Greg Brigham, PhD, CEO, Adapt

SESSION B: How to Create a Community Based Buprenorphine-on-Demand Treatment System
Faster, Easier Access to Medication Assisted Treatment for Opioid Use Disorder
– Jim Shames, MD, Medical Director/Health Officer, Jackson County Health & Human Services
– Paul Lewis, MD, MPH, Health Officer, Multnomah County, Tri-County Health Officer, Clackamas, Multnomah, Washington Counties

HEALTH SYSTEMS TRACK — SESSION C: Recovery Supports for Pregnant and Parenting Women

Project Nurture Collaborative
– Helen Bellanca, MD, MPH, Associate Medical Director, Health Share of Oregon
– Alison Noice, MA, CADC-III, Deputy Director, CODA
– Christy Hall, Doula, Co-Director, Metta Doulas

COMMUNITY TRACK — SESSION D: Using Community to Inspire Hope and Transform Lives

Clackamas County Overdose Prevention and Recovery Support Projects
– Apryl Herron, MPH, Program Planner, Clackamas County Public Health Division

Tribal Best Practices for Prevention
Doug Barrett, CADC-1, CPS, CPM, A&D Prevention Activities Coordinator, Confederated Tribes of Coos, Lower Umpqua and Siuslaw Indians > Additional Handouts
– John Spence, MSW, PhD, Tribal Consultant, NARA/NW
Caroline Cruz, CPS, Branch of Health and Human Services General Manager, Confederated Tribes of the Warm Springs


Saturday, May 19, 2018

Keynote: How to Taper Patients Off of Chronic Opioid Therapy: A Biopsychosocial Approach
– Anna Lembke, MD, Associate Professor, Stanford University School of Medicine

Opioid Reduction Initiative for Surgical Patients at Kaiser Permanente
– David Parsons, MD, FASCRS, Director of Operations for Hospital Services, Regional Chief Medical Officer, Kaiser Permanente Northwest

Data Driving Results: Columbia-Pacific CCO’s Approach to Improving Prescribing
Safina Koreishi, MD, MPH, Medical Director, Columbia-Pacific CCO/CareOregon
– Melissa Joy Brewster, PharmD, BCPS, Pharmacy Director, Columbia Pacific CCO/Care Oregon

The Role of Public Health in Changing the Conversation in Oregon
– Paul Lewis, MD, MPH, Health Officer, Multnomah County, Tri-County Health Officer, Clackamas, Multnomah, Washington Counties

Problem Solving Exercise
Facilitators: Jim Shames, MD, Medical Director/Health Officer, Jackson County Health & Human Services
– Laura Heesacker, LCSW, Behavioral Health Innovation Specialist, Jackson Care Connect/Care Oregon
– Paul Coelho, MD, Medical Director, Salem Health Pain Clinic

— Break Out Sessions —

CLINICAL TRACK — SESSION A: Difficult Conversations Workshop: Conversations as Medicine

Trauma-Informed Difficult Conversations: Building Capacity for Resilient Clinical Relationships
– Lydia Bartholow, DNP, PMHNP, CARN-AP, Associate Medical Director for Outpatient Substance Abuse Disorder Services, Central City Concern

Two Sides of the Same Coin > Additional Handouts
– Laura Heesacker, LCSW, Behavioral Health Innovation Specialist, Jackson Care Connect/CareOregon
– Michelle Marikos, PSS, Peer support specialist, Moving Through Chronic Pain LLC

CLINICAL TRACK — SESSION B: Using Leadership to Change Practice

Using Leadership to Change Practice at Clackamas Health Centers
– Andrew Suchocki, MD, MPH, Medical Director, Clackamas County Health Centers

Using Leadership to Change Practice: A CPCCO’s Journey towards Addressing the Opioid Epidemic
– Safina Koreishi, MD, MPH, Medical Director, Columbia-Pacific CCO/CareOregon

Using Leadership to Change Practice at Siskiyou Community Health Center
– Kristin Miller, MD, Chief Medical Officer, Siskyou Community Health Center

HEALTH SYSTEMS TRACK — SESSION C: Health Systems Change to Reduce Pills in Circulation

The Role of PDMP in Oregon’s Opioid Initiative
– Lisa Millet, MSH, Manager, Oregon Public Health Division, Injury and Violence Prevention Program

PDMP Data Integration
– Susan Kirchoff, RN, MBA, Health Care Consultant, Oregon Health Leadership Council

Advancing Short-Term Prescribing for Dental Patients
– Gary Allen, DMD, Vice President of Dental Services, Advantage Dental

COMMUNITY TRACK — SESSION D: Community Interventions to Reduce Pills in Circulation

Opioid Overdose in Oregon: Coordination and Collaboration
– Mary Borges, Prescription Drug Prevention Coordinator, Oregon Health Authority

Oregon Safe Disposal Initiative
– Rebecca Wood, Program Coordinator, Oregon Coalition for the Responsible Use of Meds

Prescription Drug Overdose Prevention (PDOP) in Lane County
– Elisabeth Maxwell, MS, PhD, Prescription Drug Overdose Prevention Coordinator and Senior Community Health Analyst, Lane County Prevention

Using Relationship Mapping to Build Community Capacity
– Kate Frame, Prescription Drug Overdose Prevention Coordinator, Advanced Health