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MTPI Mission: The Montana Pain Initiative is a grassroots, interdisciplinary project of the American Cancer
Society and American Cancer Society Cancer Action Network dedicated to improving the
quality of life of Montanans with pain by removing the barriers to effective pain
assessment and management through research, education, and advocacy.
MTPI Organizational Structure Staffing Advisory Council Executive Committee Standing Committees Ad-Hoc Committees (Work Groups) Membership (non-fee; donations accepted) Project of the American Cancer Society
MTPI Advisory Council 35 Members
representing
Oversite: American Cancer Society American Cancer Society
Cancer Action Network
Hospitals: Benefis Healthcare Bozeman Deaconess
Hospice and Palliative Care; Bozeman Deaconess
Hospital Community Medical Center St. Patrick Hospital and
Health Sciences Center St. Peter’s Hospital St. Vincent Healthcare
Executive CommitteeLeadership of the MTPI
Chair, Randale Sechrest, MD Vice Chair, Jean Forseth, RN Medical Director, Kathryn Borgenicht, MD American Cancer Society Liaison, Kristin Nei Program Director, Kaye Norris, PhD
How we started
Senate Joint Resolution 28 The Montana Pain and Symptom Management
Task Force (MPSMTF) Montana Legislature in 2005
Senator Carolyn Squires
Senate Joint Resolution 28 For two years gathered national and local
information on pain management
Conducted a convenience sample Community Survey (329 participants, results can be found at
www.mtpain.org)
Senate Joint Resolution 28 Developed a white paper with 10
recommendations focusing on policy, provider practice improvement, and advocacy (Mailed over 900 white papers to opinion leaders in Montana)
Recommended the Development of the Montana Pain Initiative Move from information gathering to action
Strategic Planning RetreatSeptember 2007
2-day strategic planning retreat Developed MTPI Mission Statement Developed MTPI Vision Statement Created MTPI Governance Structure Thank you LAF and ASPI!
Getting the Work Done Standing Committees
Public and Institutional Policy Patient and Public Education & Advocacy Provider Practice Improvement
Work Groups Addressing Chronic Pain and Addiction
Grants Received
Grants Pain Improvement Partnership (Lance Armstrong
funding through the Alliance of State Pain Initiatives) Strategic Planning (Lance Armstrong Foundation through
the Alliance of State Pain Initiatives) State Pain Activity (American Cancer Society Cancer
Action Network) Public Safety Program: Partnering to Improve Pain
Management and Reduce Abuse and Diversion (Montana Attorney General)
Projects
Provider Practice ImprovementAnnual Conferences: Politics of Pain: Improving Pain Management Policy in
Montana (Missoula, April 2007) Pain Management Policy and Practice: A Balanced
Approach (Missoula, September 2008) Practical Approaches to Managing Pain (Bozeman, Sept 2009) Navigating the Complexities of Pain (Billings, October 2010)
Special Conference: Addressing Chronic Pain and Addiction: A Community
Network Approach (Missoula, May 2010)
Provider Practice Improvement
Disseminated Scott Fishman’s book Responsible Opioid Prescribing: A Physician’s Guide to over 3000 practicing prescribers (partnered with Attorney General’s Office and Board of Medical Examiners)
Policy Improvement Montana Board of Medical Examiners adopted
Model Pain Policy developed by Federation of State Medical Boards
Board of Pharmacy revised pain policy based on national standards
13 Facilities (long term care, home health, and critical access hospitals) revised policy and structure to improve pain management
Policy Improvement In 2008-9 Assisted PMP Coalition in drafting
Prescription Monitoring Program legislative language which focused on patient safety
The bill was defeated in the Human Health and Services Committee
Currently working with the Montana Attorney General’s Office: Legislation is drafted and has been approved by the American Cancer Society Cancer Action Network
Patient Advocacy Chronic Pain Support Groups
Helena Missoula
American Pain Foundation Statewide Leaders Nicole Dunn Kathryn Borgenicht Kaye Norris
September Pain Awareness Month Media coverage (radio interviews & newspaper articles) Holistic Health Fair in Missoula
Over 100 people attended MTCCC Quality of Life and Survivorship Committee
Pain management a priority
National & Local Presentations
National: Advancing Pain Management Policy and Practice (joint
presentation with the Georgia Pain Initiative; Alliance of State Pain Initiatives annual conference 2008)
Improving State Pain Policy in Montana and Oregon (joint presentation with Pain Society of Oregon; American Pain Foundation annual Summit 2009)
Local: Improving Pain Management: Using the Montana Pain
Initiative to Tackle Barriers (3 presentations to American Cancer Society Advisory Councils in Butte, Great Falls, Missoula, 2008)
Managing Cancer Pain: Successes and Challenges (MTCCC statewide meeting, Nov 2009)
Pain Management and Medication Misuse (4th Annual Crime Prevention Conference, Oct 2010)
ResearchIn August/September 2009 developed pain questions for the Behavior Risk Factor Surveillance Survey
BRFSS Questions Do you suffer from any type of chronic pain; that is pain that
occurs constantly or flares up frequently? How long have you been experiencing this type of pain? About how often do you experience this pain? Would you say: Using a 0 to 10 scale where 0 means no pain at all and 10 means
the worst pain imaginable, when you experienced pain how severe would you say it was on average over the past 3 months?
During the past 30 days, for about how many days did your pain keep you from doing your usual activities, such as self-care, work, or recreation?
BRFSS Questions What types of therapies does your health care
provider recommend to manage your pain? over the counter medications; prescription medications; medical marijuana; complementary therapies such as massage, physical therapy or acupuncture
Do you feel your pain is well managed? Which of the following do you believe is the biggest
barrier to treating your pain? No barriers; Cost of care; Health care provider is not helpful; I don’t ask for treatment for my pain
Provider Survey
Provider Survey Sauny Sewell (nursing student working on Master
Thesis) Developed Provider Survey
Pharmacological Pain Management Questionnaire knowledge of, perceived barriers to and educational needs
Conducted a Delphi Analysis Small Group Content Validity Analysis
When complete we will have a survey that with funding we could conduct
Current Projects
Projects in the Works Indian Health Service Pain Management Policy and Practice
Program (grant submitted to MayDay Fund in 2009 was not
funded/requesting to submit again) Pain Improvement Partnership Project
Looking for Funding TriAd Services Coordination “TASC”: A Missoula Pilot
Project Montana Mental Health Trust grant proposal
Montana specific On-Line CME/CE modules
Thank you for attending the 4th Annual Montana Pain Initiative Conference
Your ideas and contributions are greatly appreciated