Collaborative Pathway—Pain

First Learning Session (3.5 hrs)
Learning Objectives targeted:
  • Describe a rationale for using a biopsychosocial approach to assessing and managing pain
  • Identify the 10 Pain tools available through the EMR template
  • Select the appropriate tool(s) for addressing a pain scenario
  • Report increased confidence in supporting patients that experience chronic pain
/ Action Period 1
Learning Objectives targeted:
  • Select the appropriate tool(s) for addressing a pain scenario
  • Use appropriate tools to assess pain and plan a management strategy for 6 patients with chronic pain
  • Build registry of all patients with chronic pain
/ Second Learning Session (3.5hrs)
Learning Objectives targeted:
  • Use appropriate tools to assess pain and plan a management strategy for 6 patients with chronic pain
  • Reflect on his/her delivery of Pain tools and develop a process improvement plan
/ Action Period 2
Learning Objectives targeted:
  • Select the appropriate tool(s) for addressing a pain scenario
  • Use appropriate tools to assess pain and plan a management strategy for 6 patients with chronic pain
  • Reflect on his/her delivery of Pain tools and develop a process improvement plan
/ Third Learning Session 3 (3.5 hours)
Learning Objectives targeted:
  • Report increased confidence in supporting patients that experience chronic pain
  • Reflect on his/her delivery of Pain tools and develop a process improvement plan

Learning Session Activities
  1. Welcome/Introductions (15)
  2. What are we trying to accomplish? (45)
  • The Bio-psychosocial Approach
  • Patient voice
  1. The 10 Pain Tools (45)
[Break - 15]
  1. Case Study Application (60)
  2. Wrap-up (30)
  • PDSA planning
/ PDSA Action Period 1:
  • Build registry of all patients with chronic pain (ICD-9 codes?)
  • Use Pain assessment tools (BPI/PDI [using EMR templates]) on at least 6 patients
  • Participate in the feedback mechanism while using EMR-Enabled templates
/ Learning Session Activities
  1. Peer Sharing/Learning (30)
  2. Advanced Pain Tool Use (45)
  • Comprehensive BAP
  1. Return to Function (30)
  • Setting functional goals
[Break - 15]
  1. Pharmacotherapy (45) and
MOA Breakout Session
  • Non-opioid pharmacotherapy
  • Opioid management, including addiction co-morbidity
  1. Case Study Application (30)
  • Assessing pain and creating a management strategy
  1. Wrap-up (15)
  • PDSA planning
/ PDSA Action Period 2:
  • Pain Tools assessment (cont’d)
  • Brief Action Planning: Effective Patient Self-Management and Returning to Function on at least 6 patients
  • Assess appropriate medications using functional goal setting on at least 6 patients
  • Track QI measures (PBI/PDI) Optional per EMR capacity
  • Optimize office workflowOptional for MOAs
/ Learning Session Activities
  1. Peer Sharing/Learning (75)
  2. Yellow Flags and MH Tools (30)
[Break - 15]
  1. Community Resources (30)
  2. Sustainability (45)
  • How to sustain changes in practice?
  • Create process improvement plan
  1. Wrap-up (15)
  • Program evaluation