Multiple Routes to the Stepped Care Model of Pain Management: VISN 12’s Experience Mary B...
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![Page 1: 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.](https://reader035.fdocuments.in/reader035/viewer/2022081605/5a4d1ada7f8b9ab05997445a/html5/thumbnails/1.jpg)
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
![Page 2: 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.](https://reader035.fdocuments.in/reader035/viewer/2022081605/5a4d1ada7f8b9ab05997445a/html5/thumbnails/2.jpg)
The Road We Travelled
VISN 12 Pain Strategic Plan
![Page 3: 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.](https://reader035.fdocuments.in/reader035/viewer/2022081605/5a4d1ada7f8b9ab05997445a/html5/thumbnails/3.jpg)
Changing Directions
Right People
Right Time
What they want changed
What they need from you
![Page 4: 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.](https://reader035.fdocuments.in/reader035/viewer/2022081605/5a4d1ada7f8b9ab05997445a/html5/thumbnails/4.jpg)
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
![Page 5: 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.](https://reader035.fdocuments.in/reader035/viewer/2022081605/5a4d1ada7f8b9ab05997445a/html5/thumbnails/5.jpg)
Provider Education
Barriers
• Time, Time, Time
•Mandatory
• CME
• Funding
![Page 6: 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.](https://reader035.fdocuments.in/reader035/viewer/2022081605/5a4d1ada7f8b9ab05997445a/html5/thumbnails/6.jpg)
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
![Page 7: 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.](https://reader035.fdocuments.in/reader035/viewer/2022081605/5a4d1ada7f8b9ab05997445a/html5/thumbnails/7.jpg)
Patient Education
Barriers • Travel
• Resources, Space
• Time
• Reluctance to accept “Self-Management”
![Page 8: 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.](https://reader035.fdocuments.in/reader035/viewer/2022081605/5a4d1ada7f8b9ab05997445a/html5/thumbnails/8.jpg)
Patient Education Success
![Page 9: 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.](https://reader035.fdocuments.in/reader035/viewer/2022081605/5a4d1ada7f8b9ab05997445a/html5/thumbnails/9.jpg)
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
![Page 10: 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.](https://reader035.fdocuments.in/reader035/viewer/2022081605/5a4d1ada7f8b9ab05997445a/html5/thumbnails/10.jpg)
Tertiary Level
Rehabilitative Pain Management• Milwaukee
• Jill Klayman, PhD
![Page 11: 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.](https://reader035.fdocuments.in/reader035/viewer/2022081605/5a4d1ada7f8b9ab05997445a/html5/thumbnails/11.jpg)
Proposed ProgrammingProgramming Targeted at Women VeteransExpansion of Milwaukee’s RPM
• VISN referral
• Domiciliary-Based
• CARF accreditation
• Shared across disciplines
• Bottom Up Top Down Approach
![Page 12: 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.](https://reader035.fdocuments.in/reader035/viewer/2022081605/5a4d1ada7f8b9ab05997445a/html5/thumbnails/12.jpg)
Poster #63
Mary B Karfonta, MSN, NPVISN 12 Pain Point of Contact
(414) 384-2000 x42106
THANK YOU