Monday & Tuesday

November 10 & 11, 2008

Wyndham Portland Airport Hotel

363 Maine Mall Road

South Portland, Maine 04106

Monday, November 10

Early Morning

General Session

(Lighthouse Ballroom)

7:30 am                     REGISTRATION/CONTINENTAL BREAKFAST

WELCOMING REMARKS AND KEYNOTES

8:15 am                     Lenard W. Kaye, Director, University of Maine Center on Aging

8:30 am                     Brenda Harvey, Commissioner, Maine Department of Health and Human Services

8:40 am                     David P. Littell, Commissioner, Maine Department of Environmental Protection

8:50 am                     Randal C. Manning, Executive Director, Maine Board of Licensure in Medicine

9:00 am                     Anne H. Jordan, Commissioner of the Maine Department of Public Safety

9:15 am                     Election 2008: What It All Means for Pharmaceuticals in the Home and   Environment              

                                 Richard G. Stefanacci, Associate Professor of Health Policy, Founding         Executive        Director, Health Policy Institute, University of the Sciences in Philadelphia

9:50 am                     Lessons from the 4th Century BC: “First Do No Harm”

                                   Wendy J. Wolf, President and CEO, Maine Health Access Foundation

Late Morning – Track A

Safe Drug Return

(Cumberland Room)

10:40 am                 EPA Projects Symposium: The Latest Developments in the U.S. Environmental Protection Agency’s (E.P.A.) Aging Initiative Prudent Disposal Projects

Kathy Sykes, Senior Advisor, U.S.E.P.A. Aging Initiative, Facilitator

Safe Medicine Disposal for ME

Lenard W. Kaye, Director, and Jennifer A. Crittenden, Research Associate, University of Maine Center on Aging; Stevan Gressitt, Medical Director, Office of Adult Mental Health Services, Maine Department of Health and Human Services; Roy McKinney, Director, Maine Drug Enforcement Agency

RxMEDS: Results from a Partnership for an Ongoing Medication Disposal Program

Amy M. Tiemeier, Assistant Professor of Pharmacy Practice, St. Louis College of Pharmacy; Nicole Gattas, Assistant Professor of Pharmacy Practice, St. Louis College of Pharmacy, and Co-Principal Investigator; Sterling Hayden, Vice President, Area Resources for Community and Human Services (ARCHS), St. Louis, MO

Late Morning – Track B

Benzodiazepines and Other Prescription Drugs

(Whaleback Room)

10:40 am                 Patient-Centered Medical Home and the Implications for Safe Prescribing Practices

Lisa M. Letourneau, Executive Director, Quality Counts

11:20 am                 Taking Action Today in Our Schools: The “Youth Rx Abuse Awareness Initiative”

Carl Lakari, Coordinator, Project AWARE

12:00 pm                 LUNCH – Pharmaceuticals in Water: Emerging Opportunities and Priorities (Ballroom)

                                  Ephraim S. King, Assistant Administrator for Water, U.S. Environmental Protection Agency

Afternoon – Track A

Safe Drug Return

(Cumberland Room)

1:10 pm                     Symposium: Drug Return Program Innovations (Part I)

Hon. Anne C. Perry, Representative, State of Maine, Facilitator

Medicine Return Pilot and Producer Responsibility Legislation in Washington State

Shirley Reitz, Associate Director, Pharmacy Clinical Services, Group Health Cooperative; Cherie Grasso, Health and Environmental Investigator, Local Hazardous Waste Management Program, King County, WA

Strategies for Sustainable Unwanted Medicine Collection Programs: In the Classroom, in Communities, in Illinois, and Beyond

Susan Boehme, Illinois-Indiana Sea Grant, University of Illinois and Urbana Champaign, Liaison to the U.S.E.P.A. Great Lakes National Program Office; Eric Bohm and Paul Ritter, Pontiac Township High School, Pontiac, IL

Investigating Unwanted Pharmaceuticals: A Green Pharmacy Research Study

Joel Kreisberg, Executive Director, Teleosis Institute, Berkely, CA

Track A Symposium: Drug Return Program Innovations (Part I), continued

Pharmaceutical Disposal Programs for the Public: a Canadian Perspective

Edith Gagnon, Policy Analyst, Environmental Impact Initiative, Policy, Planning, and International Affairs Directorate, Health Products and Food Branch (H.P.F.B.), Health Canada

2:40 pm                     The National Directory for Drug Take-Back and Disposal Programs

Matthew C. Mireles, President/Director of Research, Community Medical Foundation for Patient Safety

3:30 pm                     Special Considerations for Unused Drugs Subject to Restricted Distribution Programs

Colleen Chawla, Manager, State Government Relations, Celgene Corporation

4:00 pm                     Reducing Access to Pharmaceuticals in the Home: the Poison Centers’ Prevention Perspective

Colleen Longfellow, Education Coordinator, Regional Center for Poison Control and Prevention; Melissa A. Heinen, Education and Research Coordinator, Northern New England Poison Center

Afternoon – Track B

Benzodiazepines and Other Prescription Drugs

(Whaleback Room)

1:10 pm                     Symposium: Drug Diversion, Fraud, and Prevention

Todd Mandell, Medical Director, Office of Drug and Alcohol Programs, Vermont - Facilitator

Diversion and Fraud Related to Prescription Drug Abuse: Case Studies

Rebecca Busch, President and CEO, Medical Business Associates, Inc.

Benzodiazepine Data Trends and Comparisons Between Maine’s Prescription Monitoring Program and Treatment Data System

Debra Brucker, Data and Research Team Manager, and Daniel J. Eccher, Project Coordinator, Prescription Monitoring Program, Office of Substance Abuse, Maine Department of Health and Human Services

Partnership for Change: Decreasing Prescription Drug Diversion in Kennebec County

Alison Jones Webb, Public Health Specialist, Prevention Center, Maine General Medical Center; Charles Rumsey, Deputy Chief of Police, City of Waterville; Nancy Findlan, Project Director, Greater Waterville Communities for Children and Youth/Prevention Coalition

Are You Medicine SmartTM? A New Framework for Addressing Issues Related to Promoting Safe and Appropriate Medicine Use

William Ray Bullman, Executive Vice President, National Council on Patient Information and Education (NCPIE)

2:40 pm                     Dosed Without Prescription: a Non-Governmental Organization (NGO) Perspective and Recommendations

Mae C. Wu, Staff Attorney, Health and Environment Program, Natural Resources Defense Council

3:30 pm                   Unique Alliances in the Pharmaceutical Industry to Avoid Misuse and Abuse of Prescription Drugs and Over the Counter Drugs

Moderator: Leslie Wood, State Director of Policy, Pharmaceutical and Research Manufacturers of America (PhRMA)

Panel: Frank Pegueros, Executive Director, DARE America; Mary Elizabeth Elliott, Vice President, Communications & Membership; Elizabeth Funderburk, Director, Communications & Media Relations, Consumer Healthcare Products Association; Sean Clarkin, Vice President, Partnership for a Drug Free America

4:20 pm                     The Beers Criteria and Inappropriate Medications Prescribed to the Elderly

David J. Mokler, Professor, Department of Pharmacology, University of New England College of Osteopathic Medicine

5:00 pm                    RECEPTION FOR ALL ATTENDEES (Ballroom)

DINNER (On your own)

7:00 pm                    FILM FESTIVAL (Winter Harbor Room)

                                  Free Pizza and Soft Drinks

Hosted by Stevan Gressitt

(See the Film Festival Flyer in your binder for a listing of films to be screened)

Tuesday, November 11

Early Morning

General Session

(Lighthouse Ballroom)

8:15 am                     OPENING AND AN ATHENS DECLARATION UPDATE

Stevan Gressitt, Medical Director, Office of Adult Mental Health Services, Maine Department of Health and Human Services

8:25 am                   GREETINGS

John R. Gimpel, Vice President for Health Services & Dean, Professor of Family Medicine, University of        New England College of Osteopathic Medicine

8:30 am                     Postal Service Initiatives in Environmental Preservation

Sam Pulcrano, Vice President of Sustainability, United States Postal Service

9:00 am                     Pharmaceutical Drug Diversion & Abuse

Mark Caverly, Chief of the Liaison and Policy Section, Office of Diversion Control, U.S. Drug Enforcement Administration

9:30 am                     An Update on Developments at the U.S. Food and Drug Administration

James R. Hunter, Senior Program Manager, U.S. Food and Drug Administration

Late Morning – Track A

Safe Drug Return

(Cumberland Room)

10:30 am                 Symposium: Environmental and Individual Health Impacts

Ann Pistell, Environmental Specialist, Maine Department of Environmental Protection - Facilitator

A Public Health Perspective on Defining the Problem of Pharmaceutical Products in Global Water Supplies

Marie Liles, MPH candidate, Department of Epidemiology, School of Public Health, Boston University

Pharmaceutical Waste: Pharmaceutical Returns and Resource Conservation and Recovery Act (RCRA) Liability

William Kulas, Environmental Program Manager, Department of Veterans’ Affairs

New Zealand – Can We Live Up to the “Clean-Green” Image?

Rhiannon Braund, Clinical Pharmacy Practice Lecturer, School of Pharmacy, University of Otago, Bunedin, New Zealand

Somebody Always Lives Downstream…

Patti Nelson, Pharmacist, State of Wyoming, Michigan-Wyoming Medical Center

Late Morning – Track B

Benzodiazepines and Other Prescription Drugs 

(Whaleback Room)

10:30 am                 Symposium: Medication Management and Prescribing

Janis Petzel, Adult and Geriatric Psychiatrist, Hallowell, ME and Assistant Professor (Adjunct) Dartmouth Medical School and Maine-Dartmouth Family Practice Residency Geriatric Fellowship, Facilitator

                                  2008 National Drug Intelligence Center (NDIC) Pharmaceutical Diversion

Stevan Gressitt, Medical Director, Office of Adult Mental Health Services, Maine Department of Health and Human Services

A Tri-State Academic Detailing Collaborative

Jennifer L. Reck, Policy Analyst, Prescription Policy Choices/Project Manager, Academic Detailing Planning Initiative

Urban and Rural Multiple Site Survey of Physician Benzodiazepine Prescribing Patterns

Gerry Mugford, Clinical Epidemiologist and Coordinator, Clinical Epidemiology Graduate Medicine Program, Faculty of Medicine, Memorial University of Newfoundland; Marcella Sorg, Director Rural Drug and Alcohol Program, Margaret Chase Smith Policy Center, University of Maine; James Berry, Physician Faculty, Eastern Maine Medical Center Family Practice Residency Program; Stevan Gressitt, Medical Director, Office of Adult Mental Health Services, Maine Department of Health and Human Services;  Ted Callanan, Chairman, Department of Psychiatry, Memorial University of Newfoundland; Shweta Pai, Graduate Student, School of Pharmacy, Memorial University of Newfoundland

Track B Symposium: Urban and Rural Multiple Site Survey of Physician Benzodiazepine Prescribing Patterns, continued

Behavioral Health Utilization Management Systems for Detecting Under-Utilization and Over-Utilization of   Services

Katherine L. Ray, Medical Director, Maine ASO, APS Healthcare

12:00 pm                 LUNCH – Annual SPIKE Award (Ballroom)

Presenter: Bill Flagg, Director of Community Relations and Development, Cary Medical Center

Awardee: To Be Announced

Afternoon – Track A

Safe Drug Return

(Cumberland Room)

 1:10 pm                    Symposium: Drug Return Program Innovations (Part 2)

Bill Flagg, Director of Community Relations and Development, Cary Medical Center, Facilitator

Drug Disposal and Hospice Care in Massachusetts

Libby Levison, Public Health Consultant, Stow, MA; Warren Kaplan, Professor of International Health, Boston University School of Public Health, and Director of Public Policy and Education, Alliance for the Prudent Use of Antibiotics

Marketing of a County Take-Back Program and the Analysis of Household Pharmaceutical Waste

Grace Welham, School of Pharmacy, University of Wisconsin-Madison; Kendra Jacobsen, Executive Director, Madison Patient Safety Collaborative

An Update and Call for Collaboration on the Product Stewardship Institute’s National Dialogue on Unwanted/Waste Pharmaceuticals

Sierra Fletcher, Associate for Policy and Programs, Product Stewardship Institute, Inc.

Discussant: How Drug Take-Back Programs Might Contribute to Drug Surveillance

J. David Haddox, Vice President, Risk Management and Health Policy, Purdue Pharma L.P.

2:50 pm                     Symposium:  Diverse Perspectives on Drug Return and Disposal

Elsie Freeman, Medical Director, Maine Department of Health and Human Services Office of Quality Improvement, Facilitator

SMaRxT™ Disposal Catalyst for Change: Changing Unused Medicine Disposal Guidance from Flushing to Proper Disposal in Household Trash

Leslie N. Wood, Director of State Policy, Pharmaceutical and Research Manufacturers of America (PhRMA)

Get the Old Meds Out – Wisconsin’s Pilot Pharmaceutical Take Back Program

Steve Brachman, Waste Reduction Specialist, University of Wisconsin-Extension Solid & Hazardous Waste Education Center; Mary Hendrickson, Director of Quality & Regulatory Affairs, Capital Returns, Inc.

The History and Techniques of EEDE (Eliminate Expired Drugs Environmentally)

Irene Wegner, Associate State Director, AARP Indiana

The Engagement of Council of Governments (CoGs) in the Prescription Drug Take Back Movement

Ross Nason, Environmental Planner, Kennebec Valley Council of Governments; Ken Young, Executive Director, Kennebec Valley Council of Governments

Afternoon - Track B

Benzodiazepines and Other Prescription Drugs 

(Whaleback Room)

1:10 pm                     Symposium:  Prescription Drug Trends

Karen E. Simone, Managing Director, Northern New England Poison Center, Facilitator

National and International Epidemiology of RX Drug Mortalities, with a Focus on Benzodiazepines

Marcella Sorg, Director, Rural Drug and Alcohol Program, Margaret Chase Smith Policy Center, University of Maine; Gerry Mugford, Clinical Epidemiologist and Coordinator, Clinical Epidemiology Graduate Medicine Program, Faculty of Medicine, Memorial University of Newfoundland

Engaging Older Adult Volunteers in Community Prescription Drug Education

Jason Charland, Program Associate, University of Maine Center on Aging

Mental Health & Addictions: A Family View

Mike and Angie Driscoll, Prince Edward Island

2:50 pm                     The Researched Abuse, Diversion and Addiction-Related Surveillance (RADARSâ) System

Nabarun Dasgupta, Researcher, RADARSâ System, Rocky Mountain Poison and Drug Center, and Epidemiologist, UNC School of Public Health, Chapel Hill, NC

3:30 pm                   Improving Medication Management: a Review of the Evidence and Lessons from Maine-Based Medication Management Programs

Kimberley Fox, Senior Policy Analyst, Muskie School of Public Service, University of Southern Maine, Facilitator

Panel:  Carolyn Gray, Research Analyst, Muskie School of Public Service; Laurie Kane-Lewis, CEO, Daniel Frank Davis Russell Medical Centers; Michael Mitchell, Clinical Director, Crisis and Counseling Centers

4:20 pm                     Plenary Session: Conference Wrap Up and Plans for Next Year (Ballroom)

Stevan Gressitt, Medical Director, Office of Adult Mental Health Services, Maine Department of Health and Human Services; Lenard W. Kaye, Director, University of Maine Center on Aging

4:30 pm                     Conference Closing and Completion of Evaluations