Dr. Jeffrey Janata specializes in medical psychology with special interest in behavioral aspects of chronic pain. He co-directed the Case Western Reserve University Pain Center and the rehabilitative University Hospitals Pain Program with Dr Chelimsky from 1994 to 2004 where he provided all the psychological services. He collaborated with Dr Chelimsky in 2007 on the 4PCP program, developing a fellowship-style training curriculum for primary care physicians to manage chronic pain more effectively in the office while de-emphasizing the use of opioids. Dr. Janata is Professor in the departments of Psychiatry, Anesthesiology and Reproductive Biology at Case Western Reserve University School of Medicine; Chief, Division of Psychology; and Director, Behavioral Medicine Program at University Hospitals Cleveland Medical Center. He has published about chronic pain and its treatment and teaches on this subject extensively to medical students, residents and fellows.
Dr Gisela Chelimsky’s lifework has consisted in treating and studying children who have functional gastrointestinal disorders such as functional abdominal pain, irritable bowel syndrome and cyclic vomiting syndrome. She is now professor of pediatrics at the Medical College of Wisconsin, after having trained at Rainbow Babies and Children Hospital and Case Western Reserve University where she stayed and rose through the ranks as a faculty member. Her experience with treating children with these very common disorders has led her to become passionate about using and teaching the biobehavioral approach to bothher patients and her medical students. She has found it to be the only one with any significant long-term impact. She is co-owner of PainSTakers.
Dr. Parran’s lifelong major focuses have included Doctor-Patient Communication and Addiction Medicine. He established the Addiction Fellowship Program at Case Western Reserve School of Medicine in 1994, teaches on the Addiction Psychiatry Fellowship faculty, and co-directs the current Addiction Medicine Fellowship Program at St. Vincent Charity Hospital. His group practice provides medical directorship services to several Substance Abuse treatment programs in northeast Ohio.
Dr. Parran co-directs the Tuesday Seminars Program and the Communications Skills Curriculum at CWRU. He also directs the Program in Continuing Medical Education and the Intensive Course in Difficult Health Communications, that included Drs Chelimsky and Janata as faculty. In 2007, he was named as the inaugural Isabel and Carter Wang Professor and Chair in Medical Education, and in 2018 received the School of Medicine’s outstanding pre-clinical teaching award.
Dr. Parran is board certified in Internal Medicine and Addiction Medicine, is widely published, and has been an invited speaker at national and international conferences for the past two and a half decades. Dr. Ted Parran graduated from Case Western Reserve University School of Medicine in 1982 and completed a residency in Internal Medicine at the Baltimore City Hospital of Johns Hopkins University School of Medicine. where he was selected to be the Medical Chief Resident. In 1987 he received the Outstanding Faculty Teacher Award from the Department of Medicine.
I am a board-certified Internal & Family Medicine physician. I completed Six Sigma Black Belt Certification at UW Executive Education in 2011. I actively collaborate academic leaders in Industrial Engineering in clinical research in the areas of Human Factors Engineering. I have supported and participated in WREN, a regional ambulatory research network. My interest in value-based health care continued through the completion of a formal Master Degree program in the Science of Health Care Delivery offered by Dartmouth College from 2014-2016. This program emphasizes the principles that define value based health care and mechanisms to deliver on this within the framework of a large health care organization.
During my 32 years of clinical practice, I have held a number of part time administrative and teaching positions including: Physician Chair of General Medicine and Medical Specialty Peer Review, Chief of Staff at St. Mary’s Hospital-Madison, serving on the SSM Regional Board and the St. Mary’s Foundation Board, with a voluntary teaching appointment at UW-Madison School of Medicine, Department of Family Medicine. I was a founding member of the Dean Clinical Practice Committee 2004-2007, and a lead member of Primary Care Re-Engineering/Medical Home beginning in 2006.
I served as the Medical Director of Primary Care East Region of Dean Health System (DHS), Inc., in Madison, Wisconsin, from 2007-2014. I worked closely with my administrative partners to monitor, manage and improve delivery of primary care services in the region.
Upon completion of my Master degree, I sought a leadership opportunity through our governance structure, being elected to the SSM WI Regional Board in 2015, assuming medical group Board Chair in 2016. As chair, I have actively led actions to form a new board structure that fully integrated our regional board processes and function, and have restructured our governance committees to support our Board’s strategic vision as a value based, evolving integrated delivery system that delivers care that is patient centered, efficient, timely, equitable and safe.
I am an internal medicine physician in practice since 1988. I currently practice in Bozeman, MT. I have a long-standing interest in the management of patients with chronic pain. I graduated from The University of WI School of Public Health and Medicine in 1985 and completed my residency in Internal Medicine at the Medical College of WI Hospitals and Clinics. I have added qualifications in Geriatrics and Headache Management. I have held academic appointments at the Medical College of WI, The University of WI School of Public Health and Medicine and The University of WA School of Medicine.
I have worked in a wide variety of medical settings including academic medical centers, moderate sized group practices and large group practices. I directed a hospice for 2 different organizations. I was chosen as one of Milwaukee’s Best Family doctors in 2002 and won the Distinguished Internist of the Year for the WI Chapter of the ACP in 2010. In 2014, I received the Advocacy Award for Dane County and the Madison, WI Public Health Department for work in reducing opioid related harm in the region as part of Safe Communities Health Care Task Force on Safe Prescribing of Opioids. I served on the Dane County Opioid Task Force for many years and spearheaded efforts to reduce opioid prescribing in my current position as Physician Associate Director for Primary Care at Bozeman Health. I am the Chairman of the Opioid Task Force and the Chronic Pain workgroup at Bozeman Health.
Publications include the Following:
Bain, P. Improved Communication Can Enhance Migraine Care. Primary Neuro News. Vol. 1; Issue 1; Fall 2006.
Lipton R, Hahn S, Cady R, Brandes J, Simons S, Bain P, Nelson M. In-Office Discussions of Migraine: Results from the American Migraine Communication Study (AMCS); Journal of General Internal Medicine. Vol. 23; No. 8. August 2008 pp. 1145-1151.
Bain, P. Collaboration Saves Time, Wisconsin Medical Journal. Vol 107; No. 8, pp380-381.
Marcus, D and Bain, P: Effective Migraine Treatment in Pregnant and Lactating Women: A Practical Guide. Humana Press,2009.
Marcus, D and Bain, P: The Woman’s Migraine Toolkit: Managing Your Headaches from Puberty to Menopause, Diamedica, 2010
Marcus, D and Bain, P: Treatment of the Acute Headache Patient in the ER/UCC, Springer, 2011.
High Performance Physician Institute, Mayo Clinic: Using Screening Tools At the Point of Care- Smoking Cessation, Binge Drinking Reduction, and Prescription Medication Abuse Identification, Rochester, MN October, 2009
World Congress 4th Annual Chronic Care and Prevention Congress: Behavioral Health Interventions to Better Manage Chronic Conditions Washington, D.C. May, 2010
Saper J, Lake A, Bain P, Stillman M, Rothrock J, Matthew N, Hamel R, Moriarty M, Tietjen G.
A Practice Guide for Continuous Opioid Therapy for Refractory Daily Headache: Patient Selection, Physician Requirements, and Treatment Monitoring; Headache Volume 50, Number 7 July/August 2010. pp 1175-1193.
AMA Steps Forward Module on Essentials of Good Pain Care, Success Story 6/25/20
I am a Neurologist with Board Certification in both Pain Management and Autonomic Disorders. Early in my career, I directed a traditional CARF-accredited rehabilitative interdisciplinary pain program for over a decade. There I learned the power of the interdisciplinary biopsychosocial approach to chronic pain as our patients did well and we had a 71% return to work rate in our treated population. On two occasions in 1997 and in 2003, CARF reviewers (Commission on Accreditation of Rehabilitation Facilities) cited our program as a model for the nation, in its interdisciplinary character, inclusive of anesthesia, psychology, OT, PT, neurology and the patients. They said they had never witnessed patients included at an exit interview. The program closed its doors due to declining reimbursement from payors in 2004. However, I remained convinced that this treatment model could be taught to and implemented by primary care physicians. This led to the first round of funding from the Josiah Macy Foundation for $1M resulting in the 2013 Clin J Pain proof-of-concept publication. A second round was obtained from Advancing a Healthier Wisconsin in 2013-2020 which enabled us (1) to bring the concept to pediatric practitioners in addressing functional pain disorders (chronic overlapping pain conditions) in teenagers and (2) to formally codify and extensively develop the 4PCP training program, to ready it for wider dissemination.
I have been involved in the teaching and mentoring of students, patients, and physicians for many years, having received several teaching awards, both at Case and at MCW where I received an award for teaching the first-year medical students in the neuroscience curriculum. I have also focused on the mentoring and development of faculty, students and staff at all levels, which has been a career- long emphasis, in particular in my service to the American Academy of Neurology and as President of the American Autonomic Society. I am also passionate about clinical care excellence and have been named to “Best Doctors” continuously for over 20 years.
In 2008, I also obtained funding as an R01 from NIDDK to study the interface between pelvic pain and autonomic function. This multi-site study named ICEPAC (Interstitial Cystitis – Evaluation of Psychophysiologic and Autonomic Characteristics) demonstrated that interstitial cystitis and myofascial pelvic pain differ rather profoundly in their autonomic signatures. We received a second round of funding (ICECAN – Interstitial Cystitis – Evaluation of the Central Autonomic Network) to test the hypothesis that autonomic changes lead the pain experience, rather the traditional view that they follow it. If true, this would imply an entirely new approach to modifying pain. This multi-site study is currently active until 2021. As a continuously funded PI of multi-site NIH (NIDDK) research for over 12 years, I bring this experience to bear on all scientific endeavors, with particular attention to the details of data acquisition, blinding, proper controls and interpretation. I am also very familiar with the coordination required for multi-site studies.
In both these arenas, my greatest strength and passion is the bringing together of different backgrounds for an interdisciplinary perspective (and thus often a new perspective) on old problems. The IC work brings together patients, urologists, gynecologists, psychologists (both clinical and academic), neurologists, biostatisticians and engineers. 4PCP brings together primary practitioners, academic primary physicians, psychologists, PT’s, biostatisticians, software developers and neurologists. It is important to me that all collaborators have an equal voice. This background, experience and passion qualify me to lead this effort in improving our approach to chronic pain at the primary care level.
Sandy Hilton, PT, DPT graduated with a Master of Science in Physical Therapy from Pacific University in 1988. She received her Doctor of Physical Therapy degree from Des Moines University in 2013. Sandy has contributed to multiple book chapters, papers, and co-authored “Why Pelvic Pain Hurts”. She is an international instructor and speaker on treating pelvic pain for professionals and for public education.
Sandy was the Director of Programming for the Section on Women’s Health of the American Physical Therapy Association from 2012 – 2017. She is now on the board of the Abdominal and Pelvic Pain special interest group, a part of the International Association for the Study of Pain.