{"id":395,"date":"2018-03-23T11:17:52","date_gmt":"2018-03-23T11:17:52","guid":{"rendered":"https:\/\/www.depts.washington.edu\/fammed\/improvingopioidcare\/?page_id=395"},"modified":"2021-05-24T22:55:36","modified_gmt":"2021-05-24T22:55:36","slug":"planned-patient-centered-visits","status":"publish","type":"page","link":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/self-assessment\/planned-patient-centered-visits\/","title":{"rendered":"Planned, patient-centered visits"},"content":{"rendered":"

Prepare and plan for the clinic visits of all patients on long-term opioid therapy. Support patient-centered, empathic communication for care of patients on chronic long-term therapy.<\/em><\/p>\n

Instructions:<\/strong> First, review each question and circle the description that best reflects your organization\u2019s current status. Then, select the number that best reflects where you are within that description. There are three number options for each answer to allow you to select how far along you are. The higher the number, the further along you are in that domain. A PDF of this section of the assessment is here<\/a>.<\/p>\n

\n\n\n\n\n\n
11. Planned opioid patient visits<\/th>\n1<\/span>2<\/span>3<\/span><\/th>\n4<\/span>5<\/span>6<\/span><\/th>\n7<\/span>8<\/span>9<\/span><\/th>\n10<\/span>11<\/span>12<\/span><\/th>\n<\/tr>\n<\/thead>\n
Before routine clinic visits, patients on long-term opioid therapy\u2026<\/td>\n\u2026are not identified. There is no advance preparation for patient visits for long-term opioid therapy.<\/td>\n\u2026are sometimes identified, but there is no discussion or advance preparation for visits with patients prescribed long-term opioids.<\/td>\n\u2026are identified, and a discussion or chart review to prepare for the visit sometimes occurs.<\/td>\n\u2026are consistently identified and discussed before the visit. The chart is reviewed and preparations made to address safe opioid use.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n
\n\n\n\n\n\n
12. Empathic communication<\/th>\n1<\/span>2<\/span>3<\/span><\/th>\n4<\/span>5<\/span>6<\/span><\/th>\n7<\/span>8<\/span>9<\/span><\/th>\n10<\/span>11<\/span>12<\/span><\/th>\n<\/tr>\n<\/thead>\n
Training on patient-centered, empathic communication emphasizing patient safety, e.g., opioid risks, dose escalation, and to tapering\u2026<\/td>\n\u2026has not been offered to clinicians and staff.<\/td>\n\u2026has been offered to clinicians and staff, but there was limited participation.<\/td>\n\u2026has been offered and the majority of clinicians and staff participated.<\/td>\n\u2026is consistently offered with widespread, regular participation.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n
\n\n\n\n\n\n
13. Patient involvement<\/th>\n1<\/span>2<\/span>3<\/span><\/th>\n4<\/span>5<\/span>6<\/span><\/th>\n7<\/span>8<\/span>9<\/span><\/th>\n10<\/span>11<\/span>12<\/span><\/th>\n<\/tr>\n<\/thead>\n
Training on how to involve patients on long-term opioid therapy in decision-making, setting goals for improvement and providing support for self-management\u2026<\/td>\n\u2026has not been offered to clinicians and staff.<\/td>\n\u2026has been offered to clinicians and staff, but there was limited participation.<\/td>\n\u2026has been offered and the majority of clinicians and staff participated.<\/td>\n\u2026is consistently offered with widespread, regular participation.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n
\n\n\n\n\n\n
14. Care plans<\/th>\n1<\/span>2<\/span>3<\/span><\/th>\n4<\/span>5<\/span>6<\/span><\/th>\n7<\/span>8<\/span>9<\/span><\/th>\n10<\/span>11<\/span>12<\/span><\/th>\n<\/tr>\n<\/thead>\n
Chronic care plan* templates for chronic pain management\u2026<\/td>\n\u2026do not exist.<\/td>\n\u2026exist, but do not align with current clinic policies and\/or are not consistently used<\/td>\n\u2026exist, align with current clinic policies, but are not consistently used.<\/td>\n\u2026exist, align with current policies, and are consistently used.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n
\n\n\n\n\n\n
15. Patient education<\/th>\n1<\/span>2<\/span>3<\/span><\/th>\n4<\/span>5<\/span>6<\/span><\/th>\n7<\/span>8<\/span>9<\/span><\/th>\n10<\/span>11<\/span>12<\/span><\/th>\n<\/tr>\n<\/thead>\n
Patient education materials that include explanation of the risks, and limited benefits of long-term opioid use\u2026<\/td>\n\u2026do not exist.<\/td>\n\u2026exist, but strategies to disseminate to patients do not exist.<\/td>\n\u2026exist and dissemination strategies exist, but the strategies have not been fully implemented.<\/td>\n\u2026exist, dissemination strategies exist, and the strategies have been fully implemented.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

* A chronic pain care plan is a tailored set of written steps and key information that a provider and patient agree will be used to manage the patient\u2019s pain. It can include: goals (e.g., functional activities), current or planned treatments (e.g., physical activity prescription, medications), and a timeframe for reevaluation (e.g., follow-up in 3 months).<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Prepare and plan for the clinic visits of all patients on long-term opioid therapy. Support patient-centered, empathic communication for care of patients on chronic long-term therapy. Instructions: First, review each question and circle the description that best reflects your organization\u2019s current status. Then, select the number that best reflects where you are within that description. … Continued<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":6,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-section.php","meta":{"footnotes":""},"class_list":["post-395","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/pages\/395","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/comments?post=395"}],"version-history":[{"count":4,"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/pages\/395\/revisions"}],"predecessor-version":[{"id":1946,"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/pages\/395\/revisions\/1946"}],"up":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/pages\/6"}],"wp:attachment":[{"href":"https:\/\/familymedicine.uw.edu\/improvingopioidcare\/wp-json\/wp\/v2\/media?parent=395"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}