stepped care model_for_virtual_pain_management
Post on 11-Feb-2017
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Stepped Care Model for Stepped Care Model for Pain ManagementPain Management
AB Consulting for HealthcareAB Consulting for HealthcareArney BensonArney Benson4541 N.644541 N.64thth St. St.
Scottsdale, AZ 85251Scottsdale, AZ 85251www.abconsultingforhealthcare.com
ObjectivesObjectives
• Progress as facility pain committee• Progress as Telehealth pain committee• Successes • Struggles• Next steps
Pain CommitteePain Committee
• Updated pain committee member list• Added more pain disciplines rep• E-mail group for communication• More structured• More enthusiasm, motivation, energy among
members• Updated/reviewed committee objectives• Developed “Multidisciplinary Virtual Pain Team
Consultation”
““Multidisciplinary Virtual Pain Team Multidisciplinary Virtual Pain Team Consultation”Consultation”
• Developed “Multidisciplinary Virtual Pain Team Consultation”
• Subgroup of facility pain committee• Primary and secondary (back up) key people
from each discipline• Support from departmental chiefs and EMT• More than 10 disciplines on the team• Regular communication among team members• Pilot program done in primary care
““Multidisciplinary Virtual Pain Team Multidisciplinary Virtual Pain Team Consultation”Consultation”
• Key members from following disciplines;1. Physical Medicine & Rehab Physician2. Pain Psychologist3. Physical therapist4. Rec therapist5. Interventional pain specialist6. Ortho spine surgeon7. Neurosurgery8. Primary care physician9. Pharmacist10. Patient advocate11. Social worker
““Multidisciplinary Virtual Pain Team Multidisciplinary Virtual Pain Team Consultation”Consultation”
• Developed Telehealth consult order, virtual/historical visit/note title/note/alerts
• Chart review by all disciplines prior to case discussion
• Primary care provider gets invited to meeting, short case presentation by PCP….then consultation from all disciplines
• Opportunity for provider education about services from different pain disciplines and pain management
• Support for PCP • Case example
TERTIARY LEVEL
SECONDARY LEVEL
PRIMARY LEVEL
Proposed Stepped care model for a Proposed Stepped care model for a Virtual Pain Model Virtual Pain Model
Provider education
Pain Medication Management
Pain Medication Management
Pain Policy
Pain School
Primary Care Clinics/Teams
Bupe Clinic/SATS
Secondary ConsultsInt Pain Clinic
Chronic Pain Rehab Program
Multi-dis pain
Tertiary
Sec
Primary
CBT
CBT
CRIPPCRIPPCComprehensive omprehensive RRehab ehab IIntegrative ntegrative PPain ain PProgramrogram
(Proposed)(Proposed)
CRIPPCRIPP (Comprehensive Rehab (Comprehensive Rehab Integrative Pain Program)Integrative Pain Program)
Chronic Pain Consult
Screening Clinic
Bupe clinic/SATS
Chronic Pain rehab program
PMMP
PMMP
Sec.consults/int/SATS/Biofeedba/PT/accupuncture
CBT
CBTPain School
Multi-dis Pain
PCP
Team meetings with OEF clinic, pain clinic, CRIPP staffing, PCP staffing (q6mon)
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