Multiple Routes to the Stepped Care Model of Pain Management: VISN 12’s Experience

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Multiple Routes to the Stepped Care Model of Pain
Management VISN 12s Experience
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The Road We Travelled

• VISN 12 Pain Strategic Plan

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Changing Directions

• Right People
• Right Time
• What they want changed
• What they need from you

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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

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Provider Education

• Barriers
• Time, Time, Time
• Mandatory
• CME
• Funding

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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

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Patient Education

• Barriers
• Travel
• Resources, Space
• Time
• Reluctance to accept Self-Management

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Patient Education Success

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Additional Program Development

• Primary Care
• Opioid Renewal Clinic
• Primary Care run Pain Clinic
• RN Case Management
• Secondary Level
• Specialty pain management clinics
• Complementary and Alternative Therapies

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Tertiary Level

• Rehabilitative Pain Management
• Milwaukee
• Jill Klayman, PhD

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Proposed Programming

• Programming Targeted at Women Veterans
• Expansion of Milwaukees RPM
• VISN referral
• Domiciliary-Based
• CARF accreditation
• Shared across disciplines
• Bottom Up Top Down Approach

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THANK YOU

• Poster 63
• Mary B Karfonta, MSN, NP
• VISN 12 Pain Point of Contact
• [phone] x42106