Table 2.
Chronic Pain Management Registry: Concordance with ASIPP Recommendations for Establishing Treatment Goals
| ASIPP Recommendations: Pain Management and Treatment Goals | |
|---|---|
| Pain Management Plan | Following the initial encounter with the treating physician, the patient is asked to complete on-line a brief questionnaire covering satisfaction with care and whether or not a pain management plan was discussed with the provider and agreed with the patient. The pain management questions (16 in total) not only ask whether a pain management plan was agreed but also questions on the extent to which treatment options were reviewed, the benefits and risks of alternative treatments (e.g., abuse deterrent opioid formulations), the anticipated length of treatment, the impact of comorbid disease states and possible involvement of other health care professionals. |
| Measurement and Treatment Goals | The CPMR provides the framework for not only establishing treatment goals in terms of potential target reductions in pain intensity and functional status by pain location, but also provides benchmarks for minimal clinical improvement for the respective validated scales (the ASIPP guidelines propose as a rule of thumb a 30% improvement in a pain score as the target minimum improvement). The CPMR (as detailed below) provides these details at each follow up visit by comparing current pain intensity and functional status scores to baseline in the pre-visit report to the practice. |
| Return to work | Although not considered explicitly by the ASIPP guidelines, the CPMR asks respondents their employment status at each visit so that if return to work is a goal this can be tracked over the course of therapy. |