SPS 2016 Program - Page 33

8. Transforming the Management of Pain in Primary Care with Project ECHO Bennet Davis, MD1 and Kevin Massey2 1 Integrative Pain Center of Arizona and 2Weitzman Institute-Community Health Center About 100 million Americans have chronic non-cancer pain (CNCP), exceeding the number affected by heart disease, cancer, and diabetes. CNCP patients are also at high risk of having multiple medical and psychiatric co-morbidities. Over half of all American CNCP patients receive their pain care from nonspecialist, primary care providers (PCPs). Unfortunately, the majority of PCPs have limited training in pain and often struggle to treat it. Community Health Center, Inc., one of the nation’s largest FQHCs, in partnership with its Weitzman Institute Research and Innovations Center and the Integrative Pain Center of Arizona, have developed a national telehealth learning network that provides a flexible platform to engage practices across the country in improving their approach to treating patients with pain. The interventions focus on helping providers and practices adopt nine core best practices for pain care, with a heavy emphasis on safe opioid prescribing, multimodal care, and attention to the psychological, behavioral, and lifestyle aspects of pain. The project combines three state of the art technologies, Project ECHO, eConsults, and online collaborative learning, to help embed evidence-based care for pain and opioid addiction into routine primary care delivery. Since its inception in 2012, this project has provided support to over 130 primary care practices in 14 states including Arizona, with measurable and clinically significant improvements in knowledge and self-efficacy, adherence to evidence based guidelines, and a reduction in overall opioid prescribing. This session will offer an overview of the intervention and provide results collected from participating practices across the US. 1. Learn about novel telehealth solutions for supporting pain care in primary care; 2. Learn how to leverage technology to improve pain outcomes and adherence to evidence based care; 3. Use the nine best practices of evaluating and treating pain effectively in primary care. 9. Nurse Practitioners and Telehealth: The Impact on Health Care Delivery Tearsanee Davis, DNP, APRN-BC1 and Kristi Henderson, DNP, APRN-BC, FAEN2 1 University of Mississippi Medical Center/Center for Telehealth; 2Seton Healthcare Background: Changes must be made in the healthcare delivery system in order to meet the needs of all people and improve the health of our nation. Telehealth has greatly im- 33 | Page proved patient access to healthcare and has equipped providers with innovative tools to provide quality healthcare to a larger population. Geographic location should not limit the healthcare services one can access. Methods: The purpose of this presentation is to demonstrate ways nurse practitioners can drive efforts to improve access to care with the u Ν”½˜Ρ•±•‘•…±Ρ Έ9ΥΙΝ”ΑΙ…Ρ₯Ρ₯½Ή•ΙΜ)έ₯±°±•…ΙΈ‘½άΡ•±•‘•…±Ρ ‘…́‰••Έ₯Ή½ΙΑ½Ι…Ρ•₯ΉΡΌΡΙ…‘₯Ρ₯½Ή…°‘•…±Ρ‘…Ι”‘•±₯Ω•Ι䁡½‘•±Μ…́ݕ±°…́‘½άΡ•±•΅•‘₯₯Ή”)‘…́‰•½΅”Ρ‘”™½Ύ½˜Ή•ά΅½‘•±Μ½˜…Ι”έ₯Ρ ΉΥΙΝ”ΑΙ…Ρ₯Ρ₯½Ή•Ί…́ё”­•δΑΙ½Ω₯‘•ΙΜΈ)I•ΝΥ±ΡΜθ+Ύ ά€Δ́啅Ί½˜½Α•Ι…Ρ₯½Έ+Ύ ά€ΘΔ́ѕ±•‘•…±Ρ Ν₯ѕ́½˜Ν•ΙΩ₯”€‘Ή½Έ΅…™™₯±₯…Ρ•€+Ύ ά€Μԁ΅•‘₯…°ΝΑ•₯…±Ρ₯•Μ+Ύ ά€ΰΡεΑ•Μ½˜±½…Ρ₯½ΉΜ+Ύ ܁9•…Ι±δ€Δΐΐ°ΐΐΐΡ•±•‘•…±Ρ Ω₯Ν₯ΡΜ½ε•…Θ+Ύ ܁=Ω•Θƒ τ΅₯±±₯½ΈΡ•±•‘•…±Ρ Ω₯Ν₯Ρ́½΅Α±•Ρ•+Ύ ܁ ½ΙΑ½Ι…Ρ”…ΉM‘½½°€΄=Ω•Θ€Μΐΐΐ±₯ٕ́½Ω•Ι•+Ύ ܁=Ω•Θ€Ψΐ9@½ΑΑ½ΙΡΥΉ₯Ρ₯•ΜΙ•…Ρ•₯Ή±Υ‘₯ΉœQ•±••΅•Ι•Ήδ…ΉQ•±•ΑΝ卑₯…ΡΙδΈ) ½Ή±ΥΝ₯½ΉΜθQ‘”‘•…±Ρ …Ι”±₯΅…Ρ”‘•΅…Ή‘́…Έ₯ΉΉ½Ω…Ρ₯Ω”)…ΑΑΙ½… ΡΌ‘•…±Ρ‘…Ι”‘•±₯Ω•Ιδέ₯Ρ …Έ…ΡΡ•ΉΡ₯½ΈΡΌΝ…±…‰±”)…ΉΝΥΝΡ…₯Ή…‰±”΅½‘•±ΜΈQ•±•‘•…±Ρ °…ΉΡ‘”ΥΝ”½˜ΉΥΙΝ”)ΑΙ…Ρ₯Ρ₯½Ή•ΙΜ€‘9AΜ€°έ₯±°‰”…Έ₯ΉΡ•Ι…°Α…ΙЁ½˜Ρ‘•Ν”Ή•ά΅½‘•±Μέ‘₯ ΑΙ½Ω₯‘•Μ„Ν…±…‰±”…ΑΑΙ½… ΡΌ½½Ι‘₯Ή…Ρ•…Ή)½±±…‰½Ι…Ρ₯Ω”…Ι”Έ9ΥΙΝ”ΑΙ…Ρ₯Ρ₯½Ή•ΊΑ½ΝΝ•Ν́ё”Ι•±…Ρ₯½ΉΝ‘₯Ά…ΉΡ‘”Ν­₯±±ΜΉ••‘•ΡΌ•™™•Ρ₯Ω•±δ₯‘•ΉΡ₯™δ…Ά₯ΈΡ‘”)‘•…±Ρ‘…Ι”ΝεΝΡ•΄…́ݕ±°…́ё”…‰₯±₯ΡδΡΌΡΙ…ΉΝ™½Ι΄)‘•…±Ρ‘…Ι”΅½‘•±ΜΡ‘…ЁΥΝ”Ρ•‘Ή½±½δΡΌ‰Ι₯‘”Ρ‘”…ΑΜΈ((ΔΐΈI•΅½Ρ”A…Ρ₯•ΉΠ5½Ή₯Ρ½Ι₯Ήœ₯Έ)IΥΙ…°5₯ΝΝ₯ΝΝ₯ΑΑ€)5•…ΈΥ•Π°5L°)…₯΅”]‘••±•Θ°5M8°I8°)5₯‘…•°@Έ‘½½¬° !°)Q•…ΙΝ…Ή•” Έ…Ω₯Μ°9@°9@΅ °M½ΡЁ1…₯‘±…ά)UΉ₯Ω•ΙΝ₯Ρ䁽˜5₯ΝΝ₯ΝΝ₯ΑΑ€5•‘₯…° •ΉΡ•Θ°) •ΉΡ•Θ™½ΘQ•±•‘•…±Ρ ) …­Ι½ΥΉθQ‘”UΉ₯Ω•ΙΝ₯Ρ䁽˜5₯ΝΝ₯ΝΝ₯ΑΑ€5•‘₯…°) •ΉΡ•ΛŠé •ΉΡ•Θ™½ΘQ•±•‘•…±Ρ ±…ΥΉ‘•Q‘”5₯ΝΝ₯ΝΝ₯ΑΑ€)₯…‰•Ρ•ΜQ•±•‘•…±Ρ 9•Ρέ½Ι¬₯Έ՝ΥΝΠ€ΘΐΔЁѼΑ₯±½Π…Έ)…‘Ω…Ή•‘•…±Ρ‘…Ι”΅½‘•°½ΈΑ…Ρ₯•ΉΡ́έ₯Ρ ΥΉ½ΉΡΙ½±±•)‘₯…‰•Ρ•Μ±₯Ω₯Ήœ₯ΈΡ‘”5₯ΝΝ₯ΝΝ₯ΑΑ€•±Ρ„Έ%Έ€ΘΐΔΘ°‘₯…‰•Ρ₯Œ΅•‘₯…°•αΑ•ΉΝ•Μ₯Έ5₯ΝΝ₯ΝΝ₯ΑΑ€Ρ½Ρ…±•€ΘΈάЁ‰₯±±₯½Έ°…½Ι‘₯ΉœΡΌ)Ρ‘”΅•Ι₯…Έ₯…‰•Ρ•ΜΝΝ½₯…Ρ₯½ΈΈQ‘₯́ΑΙ½Ι…΄₯́•΅Α½έ•Ι₯Ήœ‘₯…‰•Ρ₯ΜΡΌΡ…­”½ΉΡΙ½°½˜Ρ‘•₯ȁ‘•…±Ρ ‰δΑΙ½Ω₯‘₯ΉœΝΑ•₯…±₯镐…Ι”₯ΈΙΥΙ…°5₯ΝΝ₯ΝΝ₯ΑΑ€Έ)5•Ρ‘½‘Μθ δ‰Ι₯Ή₯Ήœ‘•…±Ρ‘…Ι”Ι•Ν½Υɍ•Μ₯ΉΡΌΡ‘”Α…Ρ₯•ΉΣŠeΜ)‘½΅”έ”…₯΄ΡΌ₯΅ΑΙ½Ω”±₯Ή₯…°½Υэ½΅•Μ…Ή…Ι”½½Ι‘₯Ή…Ρ₯½Έ™½Θ‘Ι½Ή₯Œ‘₯Ν•…Ν”΅…Ή…•΅•ΉΠΈ ½΅΅•Ι₯…±±δ…Ω…₯±…‰±”½™˜΅Ρ‘”΅Ν‘•±˜Ρ•‘Ή½±½δέ₯Ρ  …Ι”%ΉΉ½Ω…Ρ₯½ΉΜY₯ΙΡΥ…°((0