American Society of Interventional Pain Physicians | October 31, 2018
Abstract Submission Open!

Abstract submissions are now being accepted for the 2019 ASIPP Annual Meeting Abstract and Poster Contest. The top 10 abstracts selected by our panel will be presented at the annual meeting. The top 25 abstracts will be presented as electronic posters in view for all our attendees.

Click HERE to submit. Deadline is Feb. 18

February 22-24, 2019
Orlando, FL
Trump signs sweeping opioid bill. Expect to hear about it on the campaign trail

President Trump signed a sweeping opioids bill into law Wednesday, a rare piece of legislation that garnered bipartisan support.
The bill addresses numerous aspects of the opioid crisis, including prevention, treatment and recovery. It knits together bills sponsored by hundreds of lawmakers, many of whom are embroiled in tough reelection battles and can now tout their support of the law in the run-up to Election Day.

ASIPP HIPAA WEBINAR – Registration Open!
Date: November 14, 2018
Time: 11am-12:30pm CDT
Cost: $150
Length: 60 minute presentation and 30 minute Q&A
CEUs: 1.5 hrs
Presenter: Vicki Myckowiak, esq

The federal government is focusing more attention on the privacy and security of patient health information. Failure to meet the requirements for HIPAA can lead to thousands of dollars in fines and unwanted media attention. Are you HIPAA compliant? What about your business associates? Have you done the required HIPAA Risk Assessment? How will you respond if there is a government investigation?
Vicki Myckowiak, an expert in HIPAA in interventional pain practices, will provide a practical and understandable presentation to help move you through the sometimes overwhelming HIPAA requirements so that you can feel comfortable that you are meeting the government requirements.
This webinar will include information on: HIPAA Security for your practice, doing the required risk analysis and how to avoid patient electronic records from being stolen including:
•   What is HIPAA and Who Oversees it
•   Who must comply
•   What information needs to be protected
•   What are business associate agreements and who needs them.
•   How to do a required HIPAA Risk Analysis
•   What happens if you don't comply and how much can you pay
•   Where to get started

Low-Dose Amitriptyline May Be Effective in Reducing Low Back Pain Intensity and Disability

A low dose of the antidepressant amitriptyline may represent an effective alternative to  opioid medications  for the treatment of chronic low back pain. Treatment with amitriptyline for 3 months was found to improve disability in a double-blind randomized clinical trial published in  JAMA Internal Medicine .
Study participants with chronic nonspecific low back pain were recruited using advertising initiatives from hospitals, medical clinics, allied health clinics, and local media. Patients were randomly assigned to receive low-dose amitriptyline (25 mg/day; n=72) or benztropine mesylate (1 mg/day; active comparator; n=74) for a period of 6 months. The study's primary outcome was pain intensity at 3 and 6 months of follow-up, as assessed with a visual analog 0 to 10 scale and Descriptor Differential Scale. Disability, work absence, and hindrance were assessed using the Roland Morris Disability Questionnaire and Short Form Health and Labour Questionnaire, respectively.

Doses Used in Fluoroscopic Lumbar Epidural Injections Overestimated

Fluoroscope-reported values may overestimate total patient entrance dose-area product used in  lumbar epidural injections , according to a recent study published in  Pain Medicine .
To determine the extent of system inaccuracies and table attenuation on fluoroscope-reported dose values, researchers gathered acquisition data on 46 patients who underwent fluoroscopy-guided lumbar injections within the L1-S1 vertebral region.

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

Our Broken Healthcare System: How Scared Should We Be?

It's been almost two decades since two seminal Institute of Medicine works --  To Err is Human  (1999) and  Crossing the Quality Chasm  (2001) -- laid bare the uncomfortable truth about our fragmented, dysfunctional system and charted a course for fixing it.
Despite herculean efforts on the part of industry leaders, medical professionals, thought leaders, and policy makers to repair the damage, the fractures that remain are in critical need of attention.

November Podcast Now Available

Miles Day of Texas Tech Discusses Multiple Pain Management Techniques
Miles Day, MD, DABA, FIPP, DABIPP, Treweek/ Racz Endowed Professor in Pain Research, Pain Management Fellowship Program Director, Department of Anesthesiology, Texas Tech University Health Sciences Center discusses pain management with Hans Hansen, Interventional Pain physician and the ASIPP Podcast producer. Dr. Day is internationally known throughout the pain community by face and name. He is the Program Director of the Pain Management Fellowship Program at one of the leading institutes for training and developing pain management as we know it. Dr. Day takes us through an interesting discussion about what it takes to be competent to sit for the Board Exam. Only 300 passed the test last year and can enter the world of pain management and be able to help those that suffer the most with painful conditions. It's an evolving field and keeping residents abreast of safe and effective techniques is daunting. Dr. Day also discusses where the pain management field is headed. Join us on this journey with Dr. Day and his perspective from one of the premiere pain management institutes in the world.

Click HERE to listen!

The study finds no association between hospital accreditation and lower mortality, and only slightly better outcomes for 30-day readmissions for 15 common conditions

No evidence of better outcomes for hospitals with The Joint Commission accreditation, when compared to other accrediting organizations.
Patient experience scores 'modestly better' at state survey hospitals than at accredited hospitals.
The Joint Commission-accredited hospitals saw no significant patient experience scores when compare with other independent raters.
Hospitals that earn certification by independent accreditors, such as The Joint Commission, have no better outcomes than hospitals reviewed by a state survey agency, according to a new report in the BMJ.

Alternative payment models have presented several new challenges and opportunities for physician practices according to research from the RAND Corporation and the American Medical Association

Physician practices are grappling with the effects from widespread adoption of alternative payment models (APMs), including an increase in the rate of change and amount of measures to meet, according to a joint study from the  RAND Corporation and the American Medical Association released Wednesday morning.  
The pace of change among APMs has accelerated in recent years compared to the 1990s, which has made it difficult for physician practices to keep pace and adapt to frequent changes. In order to properly handle new APMs, large to mid-size practices have decided to spend more on consulting to expand the patient model without negatively impacting care outcomes.

Trump Proposes Overhaul of Part B Drugs

WASHINGTON -- President Trump announced "bold and historic" steps he said will curb drug prices for Americans, especially seniors, during a speech at the Department of Health and Human Services on Thursday.
The  announcement  followed the release of a new "International Pricing Index" which specifically targets drugs paid for through the Medicare Part B program. These are physician-administered drugs, mainly infusion products such as chemotherapy and certain treatments for rheumatoid arthritis. The plan would replace the "average sales price" (ASP) that determines what Medicare and beneficiaries pay for Part B drugs with a payment scheme based partly on prices charged in other countries, which in most cases are lower than in the U.S.

Drug Utilization Review State Comparison/Summary Report for FFY 2017

The Center for Medicare and Medicaid (CMS) released the FFY 2017 Drug Utilization Review (DUR) State Comparison/Summary Report.
To help address the opioid epidemic, states have actively implemented several management control measures such as: using quantity limits and days’ supply limits for short-acting and long-acting opioids, applying statewide prescription drug monitoring programs, and utilizing morphine daily dose alerts to prevent drug overdose.
DOJ News
District Court Enters Permanent Injunction Prohibiting Ohio Doctor From Prescribing Opioids
A federal judge in Akron, Ohio, today approved an injunction permanently barring an Ohio doctor from prescribing opioids or practicing medicine, the Department of Justice announced today. United States District Judge Sara Lioi entered the consent decree and permanent injunction against Dr. Michael P. Tricaso.
According to a complaint filed by the United States on August 15, Tricaso, an osteopath who operated the Better Living Clinic of Akron, illegally prescribed controlled substances from April through August. The substances included Oxycodone, an opiate that normally is used to treat pain but that is highly addictive and can cause respiratory distress and death when taken in high doses. The complaint described various meetings that Tricaso had with two confidential sources to whom Tricaso illegally prescribed and sold the controlled substances. According to the complaint, Tricaso conducted transactions with the confidential sources in a hotel parking lot, where he wrote prescriptions and also directly sold the sources controlled substances. The complaint further alleged that Tricaso prescribed dangerous opioid painkillers and steroids without any legitimate medical purpose. The government asked the court in the complaint to prohibit Tricaso from dispensing, distributing, or prescribing controlled substances.
On August 17, Judge Lioi issued a temporary restraining order that temporarily barred Tricaso from issuing additional controlled substance prescriptions. Shortly thereafter, after being served with the federal lawsuit, Tricaso voluntarily surrendered to federal officials his legal authority to prescribe controlled substances under the CSA. Moreover, Tricaso permanently surrendered to Ohio officials his license to practice osteopathic medicine.


State Society News 
November 8-11, 2018
NY/NJSIPP Pain Medicine Symposium 2018 
Hyatt Regency Jersey City.
CLICK HERE for more details

November 12 and 14, 2018
FSIPP Regional Meetings: 
November 12, 2 018 @6:30pm
Carrabba's Italian Grill
2370 SW College Road, Ocala, FL 34471
November 14, 2018 @6:30pm
Carrabba's Italian Grill
5820 Red Bug Lake Road, Winter Springs, FL 32708
CLICK HERE to register for either meeting

July 12-14, 2019
GSIPP 2019 - 15th Annual Meeting & Pain Summit
The Cloister Hotel at Sea Island
Sea Island, GA
For more information, contact Karrie Kirwan at or Tara Morrison at or 770-613-0932.

July 26-28, 2019
PAIN 2019
West Virginia Society of Pain Physicians
Loews Miami Beach, FL

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