Multiple Routes to the Stepped Care Model of Pain Management:

VISN 12’s Experience

Mary B Karfonta, MSN, NP VISN 12 Pain Point of Contact

The Road We Travelled

VISN 12 Pain Strategic Plan

Changing Directions

Right People

Right Time

What they want changed

What they need from you

Chronic Pain Management Needs Assessment

North Chicago Pain SharePoint

• 90% Treated Chronic Pain • Only 10% Uncomfortable Treating Pain• Majority Looking for More Support• Patient and Provider Education

Contact , Richard Furman, MD

North Chicago VAMC

Provider Education

Barriers

• Time, Time, Time

•Mandatory

• CME

• Funding

Provider Education

Successes

• VISN 12 Pain SharePoint

• Interdisciplinary Review Boards

• Include Patient Advocate

• Curbside Consults, PKI

• Grand Rounds, Conferences, Quarterly Pictels

• Mentoring, PRPs at all Facilities

Patient Education

Barriers • Travel

• Resources, Space

• Time

• Reluctance to accept “Self-Management”

Patient Education Success

Additional Program DevelopmentPrimary Care• Opioid Renewal Clinic• Primary Care run Pain Clinic • RN Case Management

Secondary Level• Specialty pain management clinics• Complementary and Alternative Therapies

Tertiary Level

Rehabilitative Pain Management• Milwaukee

• Jill Klayman, PhD

Proposed ProgrammingProgramming Targeted at Women VeteransExpansion of Milwaukee’s RPM

• VISN referral

• Domiciliary-Based

• CARF accreditation

• Shared across disciplines

• Bottom Up Top Down Approach

Poster #63

Mary B Karfonta, MSN, NPVISN 12 Pain Point of Contact

(414) 384-2000 x42106

THANK YOU