Table 1.

Core components of PRISM

PRISM component	Description
1. Education and training	Contemporary educational strategies to optimize biological and clinical science pain knowledge and skills in pain care
2. Clinical pathways and collaborative innovation	Refinement and implementation of a high-value care patient pathway, including detection of sinister pathology, risk stratification, avoiding unnecessary imaging and medication (e.g., opioids), pain education, distress management training via brief cognitive behavioral therapy, refinement and implementation of clinical tools (see Table 2), and practical coaching for graded reactivation and self-management17
3. High reliability management and learning system	Establishing a community of practice, electronic clinical decision-making systems, an agreed-upon clinical protocol, audit and feedback, simulation and structured observation, mentoring and shared problem solving, data feedback, and suggestions on innovation