Laura Fisk, PsyD Wellness Center Behaviorist · 2017-03-23 · 250 REFERRALS ORIENTATION INTAKES...
Transcript of Laura Fisk, PsyD Wellness Center Behaviorist · 2017-03-23 · 250 REFERRALS ORIENTATION INTAKES...
Laura Fisk, PsyD
Wellness Center Behaviorist
Using Software to Track Outcomes of a Pain
Management Member Wellness Program
• Discussion started in 2013
• Reduce opioids to a safer dose
• Alternative treatments for Persistent Pain
Wellness Center
8 week group-based model
Meet once a week
• 1 hour Psychoeducation – “Pain School”
• 1 hour Movement Therapy –Yoga
Persistent Pain Program
Referrals
PCP/Medical
Clinic
Behavioral Health
Community Partners
Self
Program Participation
1 hour Orientation
60-90 minute Intake
8-week Class
P3IMS
Persistent Pain Program Information Management System
(P3IMS)
• Developed by YCCO Business Intelligence Specialist
• Microsoft Access Program
• Data software for Member Engagement information
• Stores program data including outcome measures.
Utilization (Feb – Oct 2015)
0
50
100
150
200
250
REFERRALS ORIENTATION INTAKES GRADUATES
213
10470
31
• Brief Pain Inventory
• Oswestry Low Back Pain Disability
Questionnaire
• Fear of Movement
• Patient Health Questionnaire (PHQ-9)
• Duke Health Profile
• Pain Self-Efficacy Questionnaire
• Patient Activation Measure (PAM)
Outcome Measures
Pre- and Post-measure are collected
Time 1 = 90-minute Intake
Time 2 = Week 8 – Graduation
Outcome Measures
Demographics
Male
20%
Female
80%
Gender77%
10% 3% 0% 0% 3%
Ethnicity
Graduates = 31 Members
Average Age = 46.6 (Max = 63; Min = 23)
0
1
2
3
4
5
6
7
8
SEVERITY SCALE
PRE-
SEVERITY SCALE
POST-
INTERFERENCE
SCALE PRE-
INTERFERENCE
POST-
6.01 5.77
7.356.26
Brief Pain Inventory
Note. Significance is indicated * = p<.05
*
49.5
50
50.5
51
51.5
52
PRE-TEST POST-TEST
52
50.4
Oswestry Low Back Pain Disability
Questionnaire
11
11.5
12
12.5
13
13.5
14
14.5
15
15.5
PRE-TEST POST-TEST
15.03
12.67
Patient Health Questionnaire (PHQ-
9)
Note. Significance is indicated * = p<.05
*
38.5
39
39.5
40
40.5
41
41.5
42
PRE-TEST POST-TEST
41.86
39.83
Fear of Movement
0
5
10
15
20
25
30
35
40
45
50
PHYSICAL
HEALTH
PRE-
PHYSICAL
HEALTH
POST-
MENTAL
HEALTH
PRE-
MENTAL
HEALTH
POST-
SOCIAL
HEALTH
PRE-
SOCIAL
HEALTH
POST-
GENERAL
HEALTH-
GENERAL
HEALTH
POST-
15.33 17.67
40.2344.33
47 49.33
34.0937.23
DUKE Health Profile
0
5
10
15
20
25
30
PRE-TEST POST-TEST
22.06
29.17
Pain Self-Efficacy Questionnaire
Note. Significance is indicated * = p<.05
*
0
2
4
6
8
10
12
14
16
18
20
LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4
97
11
336
19
1
Patient Activation Measure
(PAM)
Pre-Test Post-Test
• Outcomes demonstrate improvement over 8-weeks
• Importance of CCO support for Patient Engagement
• Understand reasons/barriers some referred individuals do not
attend orientation/intakes.
Lessons Learned
What’s Next ?
• Continue tracking outcomes (pre/post measures, claims data,
etc.)
• Provide additional services (massage therapy, chiropractor,
etc.) and group/classes for Health & Wellness
• Budget for ongoing services at the Wellness Center
• Identify ways to connect with members not engaging in
services