@article{240b1a8240fc4ceb8710ddf477832705,
title = "Evaluation of the Performance Improvement CME Paradigm for Pain Management in the Long-Term Care Setting",
abstract = "Objective: A performance improvement continuing medical education (PI CME) activity was designed to assist clinicians with accurately identifying and appropriately managing persistent pain in long-term care facility (LTCF) residents. Design: Volunteer LTCFs participated in a three-stage PI CME model consisting of: 1) baseline assessment, 2) implementation of practice improvement interventions, and 3) reassessment. Expert faculty chose performance measures and interventions for the activity. A champion was designated ateach LTCF to collect resident charts and enter data into an online database. Setting: Eight LTCFs located across the United States participated in the activity. Patients: Fifty resident charts were randomly selected by each LTCF champion (25 for stage 1 and 25 for stage 3); a total of 350 charts were reviewed. Interventions: In addition to a toolkit containing numerous performance improvement resources, an in-service meeting led by an expert faculty member was conducted at each LTCF. Outcome Measures: Stage 3 data were collected 6 weeks after implementation of interventions and compared with stage 1 baseline data to measure change in performance. Results: Aggregate data collected from seven LTCFs completing the PI CME activity through stage 3 revealed improvements from baseline in four of five performance measures. Conclusions: This CME activity allowed for collection of data demonstrating performance improvement in persistent pain management. The tools used as part of the intervention (available at http://www.achlpicme.org/LTC/toolkit) may help other clinicians enhance their management of LTCF residents with persistent pain.",
keywords = "Geriatrics, Long-Term Care, Pain Management, Performance Improvement",
author = "Fine, {Perry G.} and Bradshaw, {David H.} and Cohen, {Mitchell J.} and Connor, {Stephen R.} and Gary Donaldson and Christopher Gharibo and Gidal, {Barry E.} and Muir, {James Cameron} and Tselentis, {Helen N.}",
note = "Funding Information: Perry G. Fine, MD: Dr. Fine discloses that over the last 24 months he has received honoraria for serving on advisory boards for Ameritox, Actavis, Archimedes, Nektar, Nuvo, Purdue Pharma, and Zogenix. Full disclosure is provided even though compensation for participation in these advisory boards does not reach the minimal limit recommended by the Journal. He has received fees for medical-legal consultation with Johnson & Johnson and Mylan. Christopher Gharibo, MD: Dr. Gharibo has served as a consultant for Endo Pharmaceuticals. Barry E. Gidal, PharmD: Dr. Gidal has received honoraria for serving as a speaker for GSK and UCB and he has also served as consultant for Eisai, UCB, and Upsher-Smith Labs. J. Cameron Muir, MD: Dr. Muir has served as a consultant for the National Comprehensive Cancer Network as Case Management Advisor, Hospice and Palliative Care, and for the Michigan Oncology Quality Collaborative, Hospice and Palliative Care PI in Oncology. David H. Bradshaw, PhD, Mitchell J. Cohen, MD, Stephen R. Connor, PhD, and Gary Donaldson, PhD: Drs. Bradshaw, Cohen, Connor, and Donaldson have no financial relationships or conflicts of interest to disclose. Helen N. Tselentis, MEd: Mrs, Tselentis discloses that she was formerly employed by ACHL, which was one of the joint sponsors that received funding from Pfizer to conduct the continuing medical education activity described in the article. All of the authors with the exception of Helen Tselentis, MEd, received honoraria for their service on this project through the unrestricted educational grant funded by Pfizer. Funding Information: This project was funded through a generous unrestricted educational grant by Pfizer, Inc. Full control of methodology, analysis, content, and manuscript creation resided with the faculty and authors in full compliance with ACCME{\textregistered} Accreditation Policies and the ACCME Standards for Commercial Support SM . ",
year = "2014",
month = mar,
doi = "10.1111/pme.12339",
language = "English (US)",
volume = "15",
pages = "403--409",
journal = "Pain Medicine (United States)",
issn = "1526-2375",
publisher = "Wiley-Blackwell",
number = "3",
}