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Multiple Routes to the Stepped Care Model of Pain Management: VISN 12’s Experience. 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.
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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”
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
Tertiary Level • Rehabilitative Pain Management • Milwaukee • Jill Klayman, PhD
Proposed Programming • Programming Targeted at Women Veterans • Expansion of Milwaukee’s RPM • VISN referral • Domiciliary-Based • CARF accreditation • Shared across disciplines • Bottom Up Top Down Approach
THANK YOU Poster #63 Mary B Karfonta, MSN, NP VISN 12 Pain Point of Contact (414) 384-2000 x42106