Building Capacity in Pain Medicine: The Novel Use of Group Assessment Methods to Enhance Patient Access to Care

Williams, Kayode

doi:10.1093/pm/pnv096

Cited by 2 publications

(2 citation statements)

References 1 publication

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“…Undertaking assessment in a short-duration group workshop, the second step in the standardized group pathway, is resource-efficient as it can be overbooked, unlike individual assessment. 14,50,61 This helps to counter the problem of patient nonattendance, which is well known in most chronic conditions, including pain. 21,37,44 The group assessment has shown comparable clinical outcomes with individual assessment.…”

Section: Discussionmentioning

confidence: 99%

Prioritizing a sequence of short-duration groups as the standardized pathway for chronic noncancer pain at an Australian tertiary multidisciplinary pain service: preliminary outcomes

Rajappa

Wilson

White

et al. 2019

PR9

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Section: Discussionmentioning

confidence: 99%

Prioritizing a sequence of short-duration groups as the standardized pathway for chronic noncancer pain at an Australian tertiary multidisciplinary pain service: preliminary outcomes

Rajappa

Wilson

White

et al. 2019

PR9

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“…It is challenging even to define what constitutes a "high-risk" obstetric patient. The National Institute of Child Health and Development defines a highrisk pregnancy as "one that threatens the life of the mother or the fetus" [20]. To address areas for improvement and coordination at the Johns Hopkins Hospital, the Division of Obstetric Anesthesia and the Department of Gynecology and Obstetrics created a unique coordinated care model designed to identify high-risk obstetric patients and ensure comprehensive peripartum care planning.…”

Section: Introductionmentioning

confidence: 99%

The Center for Peripartum Optimization: An Innovative Approach to Care Coordination

Murphy¹,

Nguyen²,

Koch³

et al. 2018

Anesth Med Pract J

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Objective: Over the last 30 years, pregnancy-related deaths have more than doubled in the United States secondary to more parturient with complex medical comorbidities. We aim to provide care for all high-risk obstetric patients and patients with complex anesthetic histories at our institution. Methods: We developed a Center for Peripartum Optimization (CPO) using a two-stage process mapping procedure. In the first stage, the departments of Anesthesiology, Gynecology and Obstetrics, Hematology, and Cardiology synchronized patient scheduling and developed a process for transfer of administrative and clinical information. In the second stage, the administrative team established a process map for patient progress through the system. Finally, we benchmarked resource requirements and clinical work outputs for each provider. Results: Our CPO became operational in January 2017. High-risk patients are identified based on specific criteria and are seen in one of our outpatient clinics. Based on the patient's medical issues and needs, care is coordinated with the Obstetrics and Gynecology team and/or other specialties and may include additional testing, evaluation, and subspecialty consultation before admission. After all necessary information has been obtained, the CPO and obstetric team formulate a roadmap for the labor and delivery team, including obstetricians, anesthesiologists, and nurses, to reduce the risk from poor continuity of care often associated with handoffs. Conclusion: We anticipate that optimizing a patient's clinical status in an outpatient setting will minimize unnecessary laboratory tests and studies, costly inpatient consultations, and inpatient admissions and reduce the likelihood of post-surgical adverse events, escalations in level of care, and readmissions for certain patient populations. We also anticipate reductions in opioid utilization and improved patient and family satisfaction. We intend to extend the program into the surrounding health communities to coordinate care, reduce unnecessary outside hospital transfers, and facilitate early transfer of antepartum patients who require higher levels of care.

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Building Capacity in Pain Medicine: The Novel Use of Group Assessment Methods to Enhance Patient Access to Care

Cited by 2 publications

References 1 publication

Prioritizing a sequence of short-duration groups as the standardized pathway for chronic noncancer pain at an Australian tertiary multidisciplinary pain service: preliminary outcomes

Prioritizing a sequence of short-duration groups as the standardized pathway for chronic noncancer pain at an Australian tertiary multidisciplinary pain service: preliminary outcomes

The Center for Peripartum Optimization: An Innovative Approach to Care Coordination

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