NCIPC Board of Scientific Counselors June 19-20, 2018 National Center for Injury Prevention and Control Centers for Disease Control and Prevention Atlanta, Georgia 1 Draft Meeting Minutes: Excerpt NCIPC Board of Scientific Counselors June 19-20, 2018 Table of Contents Summary Proceedings ............................................................................................................... 4 Call to Order / Roll Call / Introductions / Meeting Logistics ......................................................... 4 Approval of Last Meeting Minutes .............................................................................................. 5 CDC Director’s Update / NCIPC Director’s Update / Budget Update .......................................... 5 CDC Director’s Update ........................................................................................................... 5 NCIPC Director’s Update ........................................................................................................ 6 Budget Update ....................................................................................................................... 8 Discussion Points ..................................................................................................................10 Opioid Prescribing .....................................................................................................................18 Methodologies for Estimating Rates of Opioid Prescribing .....................................................18 Discussion Points ..................................................................................................................24 Establishment of a Workgroup to Estimate Rates of Opioid Prescribing ................................28 Public Comment ....................................................................................................................31 Discussion Points ..................................................................................................................35 Motion/Vote ...........................................................................................................................37 Opioid Research Overview........................................................................................................38 The Opioid Overdose Epidemic in the US: NCIPC/CDC Research Priorities .........................38 NIDA/NIH: Advancing Addiction Science to Address the Opioid Crisis ..................................49 Discussion Points ..................................................................................................................54 Research Gaps / Research Priority Considerations / Recommendations: the BSC recommendation was to update the research priorities, with a 3 to 5 year time horizon for addressing them, with a cross-cutting focus, leveraging CDC’s strengths, power, and expertise in communication. .....................................................................................................................54 Conclusion / Adjournment .........................................................................................................55 Call to Order / Roll Call .............................................................................................................56 Web-based Injury Statistics Query and Reporting System (WISQARS™) Data Visualizations: Implementation, Lessons Learned, & Future Plans ...................................................................56 Discussion .............................................................................................................................61 CDC’s National Centers of Excellence in Youth Violence Prevention (YVPCs): Lessons Learned, Impact, and Future Directions ....................................................................................65 Objectives, YV Defined, History & Evolution of YVPCs ..........................................................65 YVPC Accomplishments & Impacts .......................................................................................67 Current YVPCs & Future Directions for YVPCs .....................................................................70 Discussion Points ..................................................................................................................72 Follow-Up Items / Portfolio Reviews / Agenda Setting ...............................................................77 Public Comment Session ..........................................................................................................79 Conclusion / Adjournment .........................................................................................................79 2 Draft Meeting Minutes: Excerpt NCIPC Board of Scientific Counselors June 19-20, 2018 Attachment A: Meeting Attendance ...........................................................................................80 Attachment B: Acronyms Used in This Document .....................................................................85 Attachment C: Pre-Decisional Proposed Experts for the NCIPC BSC OPE WG Informing the CDC Opioid Prescribing Estimates Project (Modified 5-31-18) ..................................................88 3 Draft Meeting Minutes: Excerpt NCIPC Board of Scientific Counselors June 19-20, 2018 PUBLIC HEALTH SERVICE BOARD OF SCIENTIFIC COUNSELORS (BSC) Centers for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control (NCIPC) Twenty-Fourth Meeting June 19-20, 2018 CDC Chamblee Campus Atlanta, Georgia 30341 Summary Proceedings The twenty-fourth meeting of the National Center for Injury Prevention and Control (NCIPC) Board of Scientific Counselors (BSC) was convened Tuesday June 19, 2018 and Wednesday June 20, 2018 in person. The BSC met in open session in accordance with the Privacy Act and the Federal Advisory Committee Act (FACA). Dr. Christina Porucznik served as chair. Tuesday, June 19, 2018 Call to Order / Roll Call / Introductions / Meeting Logistics Christina A. Porucznik, PhD, MSPH Chair, NCIPC BSC Associate Professor, Department of Family and Preventive Medicine University of Utah Dr. Porucznik called to order the twenty-forth meeting of the NCIPC BSC at 8:30 AM on Tuesday, June 19, 2018. She requested that Mrs. Tonia Lindley, NCIPC Committee Management Specialist, call the roll. Mrs. Tonia Lindley conducted a roll call of NCIPC BSC members and Ex Officios, confirming that a quorum was present. The roll also was called following each break and lunch to ensure that quorum was maintained. Quorum was maintained throughout the day. A list of meeting attendees is appended to the end of this document as Attachment A. The following conflicts of interest (COIs) were declared: Wilson Compton, MD, MPH reported that he has long-term stock holdings in General Electric, 3M Companies, and Pfizer. The remainder of BSC members and Ex Officios reported no COIs. Dr. Porucznik welcomed the BSC members and ex officio members, thanking them for their continued commitment and willingness to attend the meeting in-person or via telephone. She emphasized that she continued to be impressed to their dedication to injury and violence prevention, as well as good and efficient use of the country’s resources. She indicated that participants who wished to follow along with the presentations could access them on the NCIPC BSC webpage, and that the minutes of the meeting would become part of the official record and would be posted to the CDC Management Analysis and Services Office (MASO) website once completed and approved. In addition, she reviewed housekeeping / logistics and requested that members participating via teleconference or Adobe Connect send an email to 4 Draft Meeting Minutes: Excerpt NCIPC Board of Scientific Counselors June 19-20, 2018 [email protected] acknowledging their participation in the meeting. Dr. Porucznik thanked members of the public attending the meeting in-person and via telephone. She expressed appreciation for their interest and their voice and indicated that time would be allotted at 11:10 AM should anyone wish to provide public comments so that the NCIPC BSC could take them into consideration during their deliberations. Approval of Last Meeting Minutes Dr. Porucznik referred members to the copy of the minutes from the February 26, 2018 NCIPC BSC meeting included in their binders. With no revisions proposed, she called for an official vote. Motion / Vote Dr. Hedlund made a motion to approve the February 26, 2018 NCIPC BSC meeting minutes. Dr. Duwve seconded the motion. The motion carried unanimously with no abstentions. CDC Director’s Update / NCIPC Director’s Update / Budget Update CDC Director’s Update Anne Schuchat, MD (RADM, USPHS) Principal Deputy Director Centers for Disease Control and Prevention Via Video Dr. Schuchat thanked the members for their hard work on the NCIPC BSC and for providing insight to the NCIPC and guidance on important and challenging public health issues in injury and violence prevention. She offered special thanks for members and Ex Officio members from across the Department of Health and Human Services (HHS) for all of their efforts to provide feedback in the development of the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain. She pointed out that this NCIPC BSC meeting would address another key area connected with the opioid epidemic, stressing how important this is to the health of the nation and how grateful CDC is for their expertise and time. She explained