multiple routes to the stepped care model of pain management: visn 12’s experience mary b...
Post on 06-Jan-2018
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Multiple Routes to the Stepped Care Model of Pain Management:
VISN 12’s Experience
Mary B Karfonta, MSN, NP VISN 12 Pain Point of Contact
The Road We Travelled
VISN 12 Pain Strategic Plan
Changing Directions
Right People
Right Time
What they want changed
What they need from you
Chronic Pain Management Needs Assessment
North Chicago Pain SharePoint
• 90% Treated Chronic Pain • Only 10% Uncomfortable Treating Pain• Majority Looking for More Support• Patient and Provider Education
Contact , Richard Furman, MD
North Chicago VAMC
Provider Education
Barriers
• Time, Time, Time
•Mandatory
• CME
• Funding
Provider Education
Successes
• VISN 12 Pain SharePoint
• Interdisciplinary Review Boards
• Include Patient Advocate
• Curbside Consults, PKI
• Grand Rounds, Conferences, Quarterly Pictels
• Mentoring, PRPs at all Facilities
Patient Education
Barriers • Travel
• Resources, Space
• Time
• Reluctance to accept “Self-Management”
Patient Education Success
Additional Program DevelopmentPrimary Care• Opioid Renewal Clinic• Primary Care run Pain Clinic • RN Case Management
Secondary Level• Specialty pain management clinics• Complementary and Alternative Therapies
Tertiary Level
Rehabilitative Pain Management• Milwaukee
• Jill Klayman, PhD
Proposed ProgrammingProgramming Targeted at Women VeteransExpansion of Milwaukee’s RPM
• VISN referral
• Domiciliary-Based
• CARF accreditation
• Shared across disciplines
• Bottom Up Top Down Approach
Poster #63
Mary B Karfonta, MSN, NPVISN 12 Pain Point of Contact
(414) 384-2000 x42106
THANK YOU
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