Category: Federal Forum Posters
Purpose: Several national organizations, including the Centers for Disease Control and Prevention and the National Institutes of Health, recognize the importance of interdisciplinary care to optimize outcomes for patients living with chronic pain. The objective of this project is to establish a chronic pain management clinic in a rural community serving American Indians and Alaska Natives (AI/AN) in order to increase access to care and optimize therapeutic outcomes among this community of patients through an integrated team approach.
Methods: Pharmacists will conduct a monthly report of all patients receiving chronic opioid therapy at a rural hospital in North Dakota. Primary care providers will be sent a notification for each of their patients receiving 50 or more morphine milligram equivalents (MME) per day. These primary care providers will then complete an assessment of each flagged patient and determine whether a given patient could benefit from closer monitoring through regular clinic appointments with a pharmacist. The patient will complete a baseline Brief Pain Inventory (BPI) and a Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) at the initial visit with the pharmacist. The BPI will be repeated at subsequent visits to track patient centered quality of life metrics over time. Overall MME per day will be tracked, in aggregate, for all patients enrolled into the clinic. Additional data will be collected on interventions including initiation of non-opioid medications, optimization of short- and long-acting opioid therapy, tapering of opioid therapy as appropriate, and counseling on non-pharmacologic pain management strategies including behavioral health and physical therapy referrals.
Results: not applicable
Conclusion: not applicable
Andrew Glatz– Pharmacist, Indian Health Service, Belcourt, ND