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Pain Med. 2014 Mar;15(3):403-9. doi: 10.1111/pme.12339. Epub 2014 Jan 14.

Evaluation of the performance improvement CME paradigm for pain management in the long-term care setting.

Author information

1
Pain Research Center, School of Medicine, University of Utah, Salt Lake City, Utah, USA.

Abstract

OBJECTIVE:

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.

DESIGN:

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.

SETTING:

Eight LTCFs located across the United States participated in the activity.

PATIENTS:

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.

INTERVENTIONS:

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.

OUTCOME MEASURES:

Stage 3 data were collected 6 weeks after implementation of interventions and compared with stage 1 baseline data to measure change in performance.

RESULTS:

Aggregate data collected from seven LTCFs completing the PI CME activity through stage 3 revealed improvements from baseline in four of five performance measures.

CONCLUSIONS:

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 http://www.achlpicme.org/LTC/toolkit) may help other clinicians enhance their management of LTCF residents with persistent pain.

KEYWORDS:

Geriatrics; Long-Term Care; Pain Management; Performance Improvement

PMID:
24423103
DOI:
10.1111/pme.12339
[Indexed for MEDLINE]

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