Treating pain without fostering addiction: study shows promise of non-drug pain management

It's a Catch-22 with potentially deadly consequences: People trying to overcome addiction can't get treatment for their pain, because the most powerful pain medicines also carry an addiction risk.

And so their pain continues to get in the way of their addiction recovery ---- or they seek pain relief in the same addictive substances they're trying to avoid. But a new U-M study led by Mark Ilgen, Ph.D., associate professor of psychiatry, shows the potential for patients to break out of that cycle through a non-drug approach that combines behavioral therapy and social support to help them manage their pain.

Hospitals that send the most heart patients to the ICU get the worst results, U-M study finds

Patients who suffer heart attacks, or flare-ups of congestive heart failure, can be cared for in a variety of hospital locations. But a new study led by Thomas Valley, M.D., M.Sc., a U-M pulmonary and critical care physician, suggests that they'll fare worse in hospitals that rely heavily on their intensive care units to care for patients like them.

In fact, depending on where they go, they may be half as likely to get certain proven tests and treatments ---- and less likely to survive a month after their hospital stay.


Technical advancements and standardized practices have reduced patient deaths from preventable medical errors over the years. But errors are still responsible for between three and five percent of hospital deaths.

Amir A. Ghaferi, M.D., M.S., a surgeon and U-M Medical School assistant professor with a Michigan Ross School of Business appointment, wrote in the Harvard Business Review that the next wave of innovation in patient safety is organization. For hospitals, that means how they organize individuals and their day-to-day work in a way that optimizes highly-reliable performance. Ghaferi leads the Improving Rescue initiative at U-M, which includes a project that seeks to "build the ideal rescue system" by shedding light on how healthcare organizations can better organize their efforts to sense, cope with, and respond to the unexpected when it comes to surgical complications.

Children from low-income families less likely to be identified with sight-threatening eye diseases

Children are less likely to be diagnosed with crossed eyes, a condition known as strabismus, if they live in poor communities, according to an analysis led by researchers at the University of Michigan's Kellogg Eye Center.

A second study published in HealthAffairs and featured on NPR found kids from less affluent homes, even when they have health insurance, aren't as likely as others to get vision screenings for strabusmus (crossed eyes) and amblyopia (lazy eye).

Both studies were led by U-M ophthalmologist  Joshua Stein, M.D., M.S.
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The Institute brings great minds together to address healthcare's biggest challenges. More than 470 investigators come to IHPI from U-M's top-ranked schools of medicine, nursing, public health, engineering, social work, law, business, and public policy, among others, as well as members of affiliated local research organizations.
Kazerooni appointed to national medicare advisory committee

Ella Kazerooni, M.D., M.S., director of the UMHS Cardiothoracic Radiology Division, has been named to the Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) panel. The panel will review and evaluate medical literature and review technology assessments and provide public testimony and examine data and information on the benefits, harms and appropriateness of medical items and services that are or may be eligible to be covered under Medicare.

Dupree named to CMS expert panel on resource use measures

James Dupree, M.D., M.P.H., U-M clinical assistant professor of urology, has been selected to serve as a member of the CMS MACRA Episode-Based Resource Use Measures Technical Expert Panel. These panels provide technical input on the development, selection, and maintenance of quality measures for which CMS contractors are responsible.
See all upcoming events on our Events page

IHPI Research Seminar Series: Michigan Opioid Prescribing and Engagement Network - Research, Policy, and Outreach

Date:  September 19, 2016
Time:  3:00 p.m. - 4:00 p.m.
Location: University of Michigan North Campus Research Complex, 2800 Plymouth Road, Building 10, Research Auditorium


Pain medication take back event: dispose of unwanted, expired or unused medications safely at this free event

Date: October 8, 2016
Time: 10:00 a.m. --- 2:00 p.m.
Location: Ann Arbor Pioneer High School, 601 West Stadium Boulevard, Ann Arbor, MI

Join the U-M Division of Pain Research (Department of Anesthesiology), the Institute for Healthcare Policy and Innovation, and the Ann Arbor Police Department to battle prescription drug abuse and overdose by disposing of unused and expired medications.

1997---- Launch of first Collaborative Quality Initiative

A group of five hospitals in Michigan ---- led by U-M cardiologists and supported by the Blue Cross Blue Shield of Michigan Foundation and Blue Care Network ---- launched the Blue Cross Blue Shield Cardiovascular Consortium-Percutaneous Coronary Intervention (BMC2-PCI), an initiative to study variation in angioplasty. This first Collaborative Quality Initiative (CQI) paved the way for more than 20 other BCBSM initiatives, most of them led by U-M medical faculty, to collect, analyze, and share data to improve healthcare processes and outcomes across some of the most common and costly areas of healthcare in Michigan.

Check out more historic milestones in U-M health professional education, health services research, and health policy through our interactive timeline.
The Institute for Healthcare Policy and Innovation is committed to improving the quality, safety, equity, and affordability of healthcare services.

To carry out our ambitious mission, our efforts are focused in four areas:
  • Evaluating the impact of healthcare reforms
  • Improving the health of communities
  • Promoting greater value in healthcare
  • Innovating in IT and healthcare delivery

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IHPI Informs is published monthly by the University of Michigan Institute for Healthcare Policy & Innovation.
U-M Institute for Healthcare Policy & Innovation
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Ann Arbor, MI 48109

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