Release date: July 24, 2017
Expiration date: December 31, 2019
Authors: Barbara Koschak; David A. Bryce, MD; J. Timothy Harrington, MD
Purpose: To document and improve the quality of our chronic pain management using population management methods.
Methods: An analytic registry was developed, and all new patients were enrolled for 12 months. Patient demographics, standardized pain and function measures, and treatments were recorded. Usual care was provided. The registry was used to organize care and analyze management and outcomes.
Results: Of 454 total patients, only 154 (34%) completed a 6-month cycle of care. High no-show rates were documented for follow-up appointments for several reasons. The majority of 6-month completers showed improved pain levels.
Discussion: This quality improvement project identified assessment and care gaps and led to improvements. An ongoing need to improve measures of pain and function was documented.
At the end of this educational activity, participants should be able to:
- Apply population health principles and management to their practice and health care provision.
- Identify tools and strategies that can be utilized to increase access and effectiveness of care.
- Identify steps in their regular practice to mitigate the risks of opioid prescribing and mitigate the barriers to pain care for patients who are undertreated.
Method of Participation
Learners must read the article and complete an evaluation and post-test in which they must answer at least 75% of the answers correctly in order to receive AMA PRA Category 1 Credit™. The participant cannot proceed to request credit until this score is achieved.
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This activity is designed for Primary Care Physicians, Allied Health Professionals, and Nurses.
Disclosure of Relevant Financial Relationships:
Per the WMJ policy, authors disclose using the International Committee of Medical Journal Editors Disclosure Form for Potential Conflicts of Interest and those disclosures are listed in the article. The authors of this article have not disclosed any relevant financial relationships.
The editors, reviewers and CME staff are required to make disclosure of any relevant financial relationships that may be related to the subject matter discussed. The editors, reviewers and CME staff for this educational activity have made proper disclosure and have no relevant financial relationships that exist now or in the past 12 months.
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