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Operationalizing Multidisciplinary Assessment and Treatment as a Quality Metric for Interventional Pain Practices

Pain medicine (Malden, Mass.), 2018-05, Vol.19 (5), p.910-913 [Peer Reviewed Journal]

2017 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2017 ;COPYRIGHT 2018 Oxford University Press ;Copyright © 2017 American Academy of Pain Medicine ;ISSN: 1526-2375 ;EISSN: 1526-4637 ;DOI: 10.1093/pm/pnx079 ;PMID: 28605555

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  • Title:
    Operationalizing Multidisciplinary Assessment and Treatment as a Quality Metric for Interventional Pain Practices
  • Author: Heres, Edward K ; Itskevich, David ; Wasan, Ajay D
  • Subjects: Analgesics ; Analgesics - therapeutic use ; Compliance audits ; Economic incentives ; Evidence-based medicine ; Humans ; Interdisciplinary aspects ; Medical care quality ; Pain ; Pain - drug therapy ; Pain management ; Patient assessment ; Patients ; Physicians ; Practice Patterns, Physicians' - legislation & jurisprudence ; Quality control ; Quality Improvement - legislation & jurisprudence ; Research Design ; Teams
  • Is Part Of: Pain medicine (Malden, Mass.), 2018-05, Vol.19 (5), p.910-913
  • Description: Abstract Objective Quality improvement (QI) is an underutilized approach among pain medicine specialists to improve comprehensive pain assessment and the delivery of multimodal pain care. We report the results of a QI program that utilized peer review and financial incentives to improve these processes in interventional pain clinics. Design Retrospective chart review. Setting Eight academic and community-based practices that included separate hospital-based and non-hospital-based interventional pain clinics. Subjects Results of chart audits by nine academic pain medicine physicians. Methods An audit of a random sample of each pain physician’s charts was periodically examined for mention and discussion of specific components of multidisciplinary pain care. A portion of the physician’s incentive payment was withheld if less than 70% of charts were compliant. The rates of compliance after the intervention for the group were compared. Results Before this program was instituted, an audit of 10 patient charts from each of the nine pain medicine physicians revealed only a 13% baseline rate of compliance. After the audit system was implemented, 90% of all patient charts were compliant during the first 12-month period (P < 0.01 for the change in rate of compliance). Conclusions The results of this QI project suggest that pain clinics can make this value-based transition and offer high-quality multidisciplinary assessment and treatment, with good compliance among a group of physicians in primarily intervention-based practices.
  • Publisher: England: Oxford University Press
  • Language: English
  • Identifier: ISSN: 1526-2375
    EISSN: 1526-4637
    DOI: 10.1093/pm/pnx079
    PMID: 28605555
  • Source: ProQuest One Psychology
    MEDLINE
    Alma/SFX Local Collection
    ProQuest Central

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