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

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

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  1. 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

  2. The Road We Travelled • VISN 12 Pain Strategic Plan

  3. Changing Directions • Right People • Right Time • What they want changed • What they need from you

  4. 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

  5. Provider Education • Barriers • Time, Time, Time • Mandatory • CME • Funding

  6. 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

  7. Patient Education • Barriers • Travel • Resources, Space • Time • Reluctance to accept “Self-Management”

  8. Patient Education Success

  9. 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

  10. Tertiary Level • Rehabilitative Pain Management • Milwaukee • Jill Klayman, PhD

  11. 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

  12. THANK YOU Poster #63 Mary B Karfonta, MSN, NP VISN 12 Pain Point of Contact (414) 384-2000 x42106

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