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conferenceseries.com
Volume 6, Issue 5 (Suppl) J Pain Relief, an open access journal
ISSN: 2167-0846 Pain Management 2017
October 05-06, 2017
5th International Conference and Exhibition on
October 05-06, 2017 London, UK
Pain Research And Management
A novel multidisciplinary perioperative pain medicine program: Redefining the scope of the acute
pain service to minimize perioperative opioid utilization
Marie N Hanna
Johns Hopkins University, USA
Introduction: Increased utilization of prescription opioids for the management of chronic pain has led to a nationwide
public health crisis with alarming rates of addiction and opioid-related deaths in the United States. Opioid prescriptions in
the postoperative period have been implicated in the opioid epidemic. A multidisciplinary approach to perioperative pain
management is essential to improving quality of recovery following surgery. We present a novel approach to perioperative pain
management involving a multidisciplinary team approach starting with a patient consultation a month before surgery and
follow up care extending into 3 months following discharge.
Concept: The development and implementation of an innovative population health initiative piloted at Johns Hopkins Hospital
with plans for implementation across our health system is presented. Key features of our Perioperative Pain Program includes a
multidisciplinary team of anesthesiologists, psychiatrists, integrative medicine specialists, physical medicine and rehabilitation
services, along with a novel pain management infrastructure for triage and management. The program model consists of a
combination of outpatient and inpatient services and comprises a preadmission, admission and post-discharge phase. Opioid
dependent patients scheduled for surgery are referred to the clinic 4 weeks before surgery for the initial perioperative pain
management planning consultation and are seen by a multidisciplinary team in a biopsychosocial model of care. The same
team involved in the In-patient Acute Pain Service management the patient during admission. Following discharge, the patient
is seen in the follow up clinic for 3 months and a “warm handoff ” is then made to the primary care physician or pain specialist
managing the patient.
Projected Outcome: Featured program goals are centered on key areas that will add value to patient outcomes: reductions
in adverse events related to pain during the index hospitalization, reduced length of stay associated with uncontrolled pain,
reduced pain-related readmissions, reduced inpatient and outpatient opioid utilization and improved patient and family
satisfaction.
Biography
Marie N Hanna is currently working as an Associate Professor of Anesthesiology in Johns Hopkins University at USA. She is also the Chief of the Division of
Regional Anesthesia and Acute Pain Management. She is a Medical Director of Perioperative Pain Program.
Marie N Hanna, J Pain Relief 2017, 6:5(Suppl)
DOI: 10.4172/2167-0846-C1-014