steppedcaremodelforpainmanagement.pptVIP

Stepped Care Model for Pain Management Nabiha Gill, MD Staff Physician PMR Chair, Indianapolis VA Pain Committee Chair, VISN 11 Pain Committee Assistant Professor, PMR, IUPUI, Indianapolis, IN Objectives Progress as facility pain committee Progress as VISN pain committee Successes Struggles Next steps Indianapolis VA Pain Committee Indianapolis VA Pain 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 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 Consultation” Key members from following disciplines; Physical Medicine Rehab Physician Pain Psychologist Physical therapist Rec therapist Interventional pain specialist Ortho spine surgeon Neurosurgery Primary care physician Pharmacist Patient advocate Social worker “Multidisciplinary Virtual Pain Team Consultation” Developed CPRS 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 Proposed “Stepped care model for pain management for Indianapolis VA” TERTIARY LEVEL SECONDARY LEVEL PRIMARY LEVEL Proposed Stepped care model for pain for Indianapolis VA Provider education Pain Medication Management Pain Medication Management Pain Polic