Building Block #4

Planned, patient-centered visits

Through planned visits, conduct pro-active population management before, during, and between clinic visits of all patients on chronic opioid therapy to ensure that care is safe and appropriate. Support patient-centered, empathic communication for patient care.

Planned Patient Visits 1234 Describe briefly what your clinic is currently doing.
Before routine clinic visits all patients with persistent pain are in a registry. The clinic notes, PDMP, etc. are discussed in advance to prepare for the visit. If need for behavioral health (or PT, etc.) is anticipated, a list of local or regional resources is available. Open conversations with recommendations from the last visit, e.g. “Nice to see you today. How did your referral to a counselor, therapist, PT go for you?”
Workflows for Planned Visits 1234 Describe briefly what your clinic is currently doing.
The work needed to plan for a visit with patients receiving or potentially initiating chronic opioid therapy has been clearly defined, and work has been delegated across the team, and is consistently implemented by all team members.
Empathic Communication 1234 Describe briefly what your clinic is currently doing.
Patient-centered, empathic communication emphasizing patient safety is consistently used with patients with persistent pain to discuss opioid use, dose escalation, or to encourage tapering. For example, “I care about you and your safety and together we need to discuss other options. Is this a good time to talk about that?” Providers are empathetic listeners to what is important to patient, engage the patient in shared decision making, and make referrals as needed for non-opioid treatment options.
Shared Decision Making 1234 Describe briefly what your clinic is currently doing.
Shared decision making, setting goals for improvement, and providing support for self-management with patients with persistent pain (whether or not opioids are prescribed) is embraced by the care team and includes identifying patient priorities of care, setting goals for functional improvement and/or providing support for self-management. Patient education handouts are readily available.
Care Plans 1234 Describe briefly what your clinic is currently doing.
Care plans for patients with persistent pain (whether or not prescribed opioids) are developed collaboratively with patients and are recorded/easy to find. The care plans include self-management goals, clinical goals, the medication regimen, and a monitoring schedule. They are routinely used to guide care.

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