Evaluation of the Performance Improvement CME Paradigm for Pain Management in the Long‐Term Care Setting. Issue 3 (14th January 2014)

• Record Type: Journal Article
• Authors: Fine, Perry G.; Bradshaw, David H.; Cohen, Mitchell J.; Connor, Stephen R.; Donaldson, Gary; Gharibo, Christopher; Gidal, Barry E.; Muir, James Cameron; Tselentis, Helen N.
• Is Part Of: Pain medicine. Volume 15:Issue 3(2014)
• Page Start: 403
• Page End: 409
• Publication Date: 2014-01-14
• Subjects: Pain -- Periodicals; Pain -- Treatment -- Periodicals; Analgesics -- Periodicals; Pain -- Periodicals; Pain Management -- Periodicals; Douleur -- Périodiques; Douleur -- Traitement -- Périodiques; Analgésiques -- Périodiques; Analgésique; Soulagement de la douleur; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 616.047205
• DOI: 10.1111/pme.12339
• Languages: English
• ISSNs: 1526-2375

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="pme12339-sec-0001" sec-type="section"> <title>Objective</title> <p>A performance improvement continuing medical education (PI CME) activity was designed to assist clinicians with accurately identifying and appropriately managing persistent pain in long‐term care facility (LTCF) residents.</p> </sec> <sec id="pme12339-sec-0002" sec-type="section"> <title>Design</title> <p>Volunteer LTCFs participated in a three‐stage PI CME model consisting of: 1) baseline assessment, 2) implementation of practice improvement interventions, and 3) reassessment. Expert faculty chose performance measures and interventions for the activity. A champion was designated ateach LTCF to collect resident charts and enter data into an online database.</p> </sec> <sec id="pme12339-sec-0003" sec-type="section"> <title>Setting</title> <p>Eight LTCFs located across the United States participated in the activity.</p> </sec> <sec id="pme12339-sec-0004" sec-type="section"> <title>Patients</title> <p>Fifty resident charts were randomly selected by each LTCF champion (25 for stage 1 and 25 for stage 3); a total of 350 charts were reviewed.</p> </sec> <sec id="pme12339-sec-0005" sec-type="section"> <title>Interventions</title> <p>In addition to a toolkit containing numerous performance improvement resources, an in‐service meeting led by an expert faculty member was conducted at each LTCF.</p> </sec> <sec id="pme12339-sec-0006" sec-type="section"> <title>Outcome Measures</title> <p>Stage 3 data were collected 6 weeks after implementation of interventions and compared with stage 1 baseline data to measure change in performance.</p> </sec> <sec id="pme12339-sec-0007" sec-type="section"> <title>Results</title> <p>Aggregate data collected from seven LTCFs completing the PI CME activity through stage 3 revealed improvements from baseline in four of five performance measures.</p> </sec> <sec id="pme12339-sec-0008" sec-type="section"> <title>Conclusions</title> <p>This CME activity allowed for collection of data demonstrating performance improvement in persistent pain management. The tools used as part of the intervention (available at <ext-link ext-link-type="uri" xlink:href="http://www.achlpicme.org/LTC/toolkit" xlink:type="simple" xmlns:xlink="http://www.w3.org/1999/xlink">http://www.achlpicme.org/LTC/toolkit</ext-link>) may help other clinicians enhance their management of LTCF residents with persistent pain.</p> </sec> </abstract>