American Society of Interventional Pain Physicians | January 3, 2018

The American Society of Interventional Pain Physicians will hold its 20th Annual Meeting March 15-17, 2018 in Orlando, Florida at Marriott Orlando World Center.

March 15, 2018

Raj-Racz Distinguished Lecture Series
  • Mesenchymal Stem Cells: Today, Tomorrow, and Future of Pain Management: Arnold Caplan, PhD
  • Evidence Synthesis in IPM: Evolution of EBM or Death of Expertise and Truth: Laxmaiah Manchikanti, MD

Best Practices in Pain Management in the Context of Addressing the National Opioid Epidemic
  • Current State of Opioid Epidemic: Laxmaiah Manchikanti, MD
  • Turning the Tide on the Opioid Tsunami Crisis: Understanding Pain, Policy, Opioids and Solutions: Anita Gupta, DO, PharmD
  • Addressing National Opioid Epidemic: Jerome Adams, MD, Surgeon General
  • The Opioid Crisis and Pain Management: Vanila Singh, MD

Moderator: Peter Staats, MD, Laxmaiah Manchikanti, MD, Anita Gupta, MD, PharmD, Vanila Singh, MD
Jerome Adams, MD, Surgeon General

  • Resident/Fellow Section
  • Regenerative Medicine
  • Emerging Concepts in Interventional Pain Management
  • Society of Interventional Pain Management Surgery Centers
  • Abstract session
  • Endoscopic Lumbar Decompression
  • Current Concepts in IPM
  • Neuromodulation

March 16, 2018

Manchikanti Distinguished Lecture Series
  • State of Health Care in the US: Past, Present, and Future: Robert Laszewski
  • Health Care Advocacy: ASIPP Involvement with Grass Roots Advocacy: Ed Whitfield
  • Health Care Reform: A View from Washington: Tim Hutchinson

Moderator: Joshua Hirsch, MD
Robert Laszewski, Ed Whitfield, Tim Hutchinson, Laxmaiah Manchikanti, MD, Amol Soin, MD

Best Practices in IPM
  • Advances in Neuromodulation: Ricardo Vallejo, MD
  • Shared Research and Entrepreneurship for Preservation of Interventional Pain Management: Amol Soin, MD
  • Evolution of ASIPP: Hans Hansen, MD
  • What Can Members Do to Preserve IPM: Citizenship: Dharam Mann, MD

  • Resident/Fellow Session
  • Compliance, Billing and Coding
  • Opioids
  • Emerging Concepts in IPM
  • Family Session
  • Managing Spinal Stenosis Beyond Epidurals: The Role of Interventionalist
  • Dry Needling
  • Imaging for Interventionalists
  • Research and Publications in Interventional Pain Management as Part of Your Practice

March 17, 2018

Senator Cassidy and other keynotes and 8 panel discussions on various subjects of interventional pain management until 5 pm.
ASIPP is Pleased to announce Dike Drummond, the Happy MD, as a Keynote Speaker at the Annual Meeting
Dike Drummond MD, CEO
Physician Coach and Healthcare Speaker

Dike Drummond MD is a Mayo trained Family Practice Physician and the leading coach, trainer and consultant on ...

  • The prevention of burnout in individual physicians
  • The realization of the Quadruple Aim in healthcare organizations

Dr. Drummond is a Mayo trained family doctor, professional coach, author, speaker and trainer whose sole professional focus since 2011 has been addressing the modern burnout epidemic in physicians.

He has two keynote speeches during the General Session on Saturday

8:30am – 10:00am               
Burnout Proof Live Workshop: Lower Stress Levels, Build More Life Balance and a More Ideal Practice with Practical Tools to Recognize and Prevent Burnout

1:00pm – 2:00pm               
The Quadruple Aim Blueprint: Four Steps to Proactive, Organization-Wide Burnout Prevention Program
Start Planning NOW!
ASIPP Abstract Submission for 2018 Annual Meeting is Open

This year, we will be making significant changes to the Abstract and Poster Sessions. Submissions will be in two categories: Resident/Fellow and Physician.  Selected posters will be on display for all meeting participants during all breaks and meal times.
The Abstract Committee will select the top 25 for publication in Pain Physician and of those 10 will be selected for Abstract presentation and judging during the Annual Meeting. The top 3 will receive cash prizes.

Just How Often Do Patients Turn Post-Surgical Opioids Into a Habit?
Last May, researchers at Johns Hopkins University presented results of an internal study showing that most orthopedic surgery patients didn't take all the opioid pills they were given at discharge, nor were many told what to do with unused pills. Click here to read our original report on the study. In this follow-up, we look at additional research on this topic appearing since then.
As 2017 rolled on, more research as well as anecdotal contributions suggested that opioid prescribing after surgery is a reason the nation appears to be awash in the drugs, and their abuse.
The Hopkins group, led by Mark Bicket, MD, followed up on the May presentation with a meta-analysis published in August that pulled together results from six studies by other groups. It confirmed the group's experience in their own center: from 42% to 71% of pills dispensed at discharge were never used.
When Burnout Comes Back
Clinician burnout isn't necessarily a one-time event
Experts estimate that the cost to replace a burned-out physician who has left an organization ranges from $250,000 to $1 million -- and that doesn't account for losses due to lost productivity or medical mistakes.
While researchers work to come up with a broad calculation of burnout costs, the emotional toll on clinicians is undeniable, especially since burnout isn't necessarily a one-time occurrence.
There are circumstances in which a physician at your organization may return to medicine after a burnout.
Click HERE to view December issue of IPM Reports

Interventional Pain Management Reports is an Open Access online journal, a peer-reviews journal dedicated to the publication of case reports, brief commentaries and reviews and letters to the editor. It is a peer-reviewed journal written by and directed to an audience of interventional pain physicians, clinicians and basic scientists with an interest in interventional pain management and pain medicine. 

Interventional Pain Management Reports is an official publication of the American Society of Interventional Pain Physicians (ASIPP) and is a sister publication of Pain Physician . Interventional Pain Management Reports Interventional Pain Management Reports is an open access journal, available online with free full manuscripts.  

The benefits of publishing in an open access journal that has a corresponding
print edition journal are:  
  • Your article will have the potential to obtain more citations.
  • Your article will be peer-reviewed and published faster than other journals.
  • Your article can be read by a potentially much larger audience compared with traditional subscription-only journals.  
  • Open Access journals are FREE to view, download and to print.

So submit today your:
  • Case Reports
  • Technical Reports
  • Editorials
  • Short Perspectives

Click HERE to submit
We Wrote About CMS' Data, and It Blew Up
Article fueled firestorm about lack of transparency
In June, the Centers for Medicare and Medicaid Services posted a county-level map of projected availability of individual health insurance through the Affordable Care Act's exchanges.  MedPage Today 's Matt Wynn asked for the data underlying the map, but CMS declined to provide it, which we reported.  Click here  to read that article. In this follow-up, we examine what happened afterward.
Well, this one blew up.
At the time of our initial report, a CMS spokesperson said there were no plans to create a new version of the map. Then, over the course of the next three months, they ended up making about one every week;  14 by the time  it was all said and done.
They never shared the data behind those maps. This despite their being clearly labeled as exported from a standard statistics program, making it obvious that CMS could easily have provided the data.
Since we didn't get the data, we weren't able to run the analyses we wanted. But while that was disappointing, the story we were able to write -- about CMS refusing to back up its claims with data -- led to something unexpected and perhaps even more revealing.
Epidural Use Takes a Dip, Opioid Deaths Due to Heroin and Fentanyl Increase Astronomically
Laxmaiah Manchikanti, MD, Amol Soin, MD, Dharam P Mann, MD, Sanjay Bakshi, MD, Vidyasagar Pampati, MSc, and Joshua A. Hirsch, MD published statistics showing decline in utilization of interventional techniques with reductions in reimbursement, with reductions in reimbursement. Opioid prescription reductions, increasing deaths, with increasing heroin and fentanyl correlate with decline in interventional techniques, despite promotion of nonopioid techniques.
In the November/December of Pain Physician, Manchikanti and Joshua Hirsh have assessed with an in-depth look at growth of interventional techniques over the past 17 years. Interesting, they have divided the periods prior to 2009 - enactment of Obamacare, and after 2009, that is, i.e. pre- and post-Obamacare.
This analysis showed overall reduction of interventional techniques from 2009 to 2016 of 0.6% per year; however, startling statistics show the following:
Epidural injections and adhesiolysis procedures declined at an annual rate of 1.7% per 100,000 Medicare population. It appears that there may be slight increase for facet joint interventions, specifically in the cervical spine without substantial increase in the lumbar spine. There is also annual decrease of 2.2% for disc procedures and other types of nerve blocks.
For full manuscript, please see
Click below to view full article pdfs available only online at: 
PharMEDium Services, LLC Issues Voluntary Nationwide Recall of Certain Lots of Compounded Sterile Products due to Lack of Sterility Assurance
PharMEDium Services, LLC (PharMEDium) is voluntarily recalling the below lots of drug products to the hospital/user level due to a lack of assurance of sterility. Administration of a drug product intended to be sterile that is not sterile could result in serious infections that may be life-threatening. To date, PharMEDium has not received any reports of complaints related to the products but is issuing this recall out of an abundance of caution following a commitment made during a recent inspection of the company’s facility.
The recall is being issued because PharMEDium conducted a retrospective review of all commercially distributed product lots compounded in the Memphis location currently within their labeled expiration date in response to an FDA request regarding microbial control program during recent inspection to provide verification of acceptable microbiological testing results of the ISO5 environment, personnel glove sampling results, media fill results, sterility testing results, and endotoxin results. The review indicated that a total of 55 lots of different products impacting 25,327 units had two unsuccessful media fills. The remaining lots were associated with environmental monitoring or personnel monitoring excursions in the ISO 5 space on hood/surface and glove tip. Finished product release testing for both sterility and endotoxin were acceptable. Although there were no defects identified in these products, as a conservative measure, a recall is being initiated.
NIPM-QCDR deadline extended - Sign up by January 5

There is still time to avoid the 4% Medicare reimbursement penalty from your CMS MACRA MIPS Reporting for 2017.

1. Sign up to report via the NIPM-QCDR, and then complete the NIPM-QCDR contract and forms by January 5*

2. Log onto the web-based system and report on one quality measure or clinical practice improvement activity by February 15

3. The ASIPP NIPM-QCDR team will submit the information to CMS on your behalf in March, ahead of CMS' March 31 submission deadline
Visit to get started.
State Society News 
April 18-22, 2018
GSIPP 2018 Annual Meeting
Georgia Society of Interventional Pain Physicians
Thursday, April 18, 2018 - Sunday, April 22, 2018
The Ritz Carlton Reynolds, Lake Oconee

July 19-22, 2018
FSIPP 2018 Annual Meeting, Conference, and Trade Show
Florida Society of Interventional Pain Physicians
One South County Road, Palm Beach, FL 33480

Send in your state society meeting news to Holly Long,
ASIPP | Pain Physician Journal | Phone | Fax | Email