JUNE 10-14, 2019   •  Las Vegas, NV
Navigating the Full Spectrum of Case Management • Mirage Convention Center

PP306 – VA/DoD Clinical Practice Guideline-Opioid Therapy for Chronic Pain

PP306 – VA/DoD Clinical Practice Guideline-Opioid Therapy for Chronic Pain

Case Managers play a critical role facilitating patients’ complex care needs including those patients who suffer from chronic pain.  Since the release of the original CPG for Management of Chronic Pain with Opioid Therapy (OT) in 2010, there has been growing recognition of an epidemic of opioid misuse and opioid use disorder (OUD) in the U.S., including among veterans.  At the same time, there is a mounting body of research expanding our knowledge and understanding of the severe harm and lack of benefit of long-term opioid therapy (LOT).  The updated 2017 VA/DoD OT for Chronic Pain CPG includes objective, evidence-based information for the management of chronic pain.  It is intended to assist health care providers, including Case Managers, in all aspects of patient care. 
This presentation will briefly review the CPG’s target population, purpose, and discuss the CPG key recommendations.  This presentation will focus on the importance of patient-centered treatment planning, shared decision-making, and over-arching treatment recommendations.  The guideline and patient/provider tools can improve quality of care, patient safety, and provide consistent quality of care and utilization of resources, thereby resulting in better patient outcomes.


1. Discuss the differences between chronic and acute/sub-acute pain

2. Discuss risk factors for adverse outcomes of opioid therapy and risk mitigation strategies

3. Discuss the Case Manager’s role in the care of patients receiving opioid therapy for chronic pain