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Author Notes:


The authors declare that they do not have a conflict of interest.


Research Funding:

The State-of-the-Art Conference was funded by the Veterans Health Administration Office of Health Services Research and Development. The authors would like to acknowledge the leadership of Dr. David Atkins, Ms. Geraldine McGlynn, Mr. Gerald O’Keefe, and Ms. Karen Bossi in supporting the work of the conference, as well as that of the conference co-chairs, Dr. William Becker and Dr. Keith Humphries, whose intellectual effort in the planning and chairing of the conference is represented in the content of this manuscript.


  • chronic pain
  • health policy
  • opioid use disorder
  • Analgesics, Opioid
  • Humans
  • Opioid-Related Disorders
  • Pain Management
  • Policy
  • Veterans

Implementation and Policy Recommendations from the VHA State-of-the-Art Conference on Strategies to Improve Opioid Safety


Journal Title:

Journal of General Internal Medicine


Volume 35, Number Suppl 3


, Pages 983-987

Type of Work:

Article | Final Publisher PDF


Evidence-based treatment of opioid use disorder, the prevention of opioid overdose and other opioid-related harms, and safe and effective pain management are priorities for the Veterans Health Administration (VHA). The VHA Office of Health Services Research and Development hosted a State-of-the-Art Conference on “Effective Management of Pain and Addiction: Strategies to Improve Opioid Safety” on September 10–11, 2019. This conference convened a multidisciplinary group to discuss and achieve consensus on a research agenda and on implementation and policy recommendations to improve opioid safety for Veterans. Participants were organized into three workgroups: (1) managing opioid use disorder; (2) Long-term opioid therapy and opioid tapering; (3) managing co-occurring pain and substance use disorder. Here we summarize the implementation and policy recommendations of each workgroup and highlight important cross-cutting issues related to telehealth, care coordination, and stepped care model implementation.

Copyright information:

© Society of General Internal Medicine (This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply) 2020

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