The Pain Management CPG AIM form is designed to help primary care providers manage any of their patients being seen for pain. The form provides referral recommendations, an outline for a pain management care plan, treatment algorithms, reference materials, links to screeners, an itemized pain treatment history, and the capability to monitor current prescription distribution. The form includes guidance consistent with the 2017 VA/DoD Opioid Therapy CPG and may be used for any pain patients regardless of opioid status.

Attention all MHS providers authorized to prescribe controlled substances:

There is mandatory opioid safety training as directed by the 2016 presidential memorandum. If you have not already completed the training, you can find both the memorandum and Prescriber Safety Training here.

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Pain Management Recent Changes

9 changes for Jan-Apr 2020 update

  • Added ‘Patient currently taking opioid medications’

HPI Tab

  • Added clinical clue after “DVPRS PAIN REASSESSMENT” : ‘ for documentation after patient given pain intervention in clinic’
  • Removed Pain Treatment History free text elements and created individual radio buttons for pain treatment history.

Screening Tab

  • Made the DIRE/ORT/RIOSORD ribbon into three separate ribbons
  • Made the DIRE auto-calculate
  • Made the ORT auto-calculate
  • Added RIOSORD and auto-calculates

Pain pathway tab

  • Under provider management tools removed the x-boxes, verbiage and documentation boxes for each. This does not need to be documented in the note.
  • Under patient education removed TSWF and replaced with DHA from Consent for Long Term Opioid Therapy for Pain- DHA and Consent for Long Term Opioid Therapy Pain- DHA
History
  • Developed by pain management specialists for PCMs
  • Helps PCMs manage pain patients in addition to those on opioid therapy
  • Contains imbedded guidelines, essential references and links to aid providers in the ‘Stepped Care Model’ management of their pain patients

The number of pain patients and opioid therapy patients in the MHS has increased exponentially in light of the recent conflicts that our soldiers, sailors, and airmen have been involved in throughout the world. The Pain Management CPG AIM form was created as an effort to help primary care providers manage the ever-increasing number of patients in the MHS who need guidance to manage their pain.

It is well known that pain patients are not managed in any standardized fashion by primary care providers throughout the MHS. It is also known that primary care providers make up the largest percentage of individuals who prescribe narcotic pain medicines. These facts were recognized by the PCMH board, who made the development of this form their highest priority in 2012-2013. A team of pain management specialists from each service met in December of 2012 and developed the original COT form based on the VA/DoD CPG. The form was then beta tested and piloted at sites around the world for a year, prior to being made available to the entire MHS. Building on that foundation the LOT form was created to reflect the most current 2017 VA/DoD CPG.

Over the past months Dr. Jennifer Bell has worked with cohorts made up of PCMs from MTFs to further develop what is now the Pain Management CPG AIM form. Based on input from end users and nine versions later the most up to date pain management documentation tool is available to the entire MHS. We look forward to your input to continue to improve guidance and documentation for patients in need of pain management!

Form Lead

TSWF Pain Management Form Lead
Francis Holland

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