Opioid and Pain Management Best Practice Aggregate Results Dashboard

Use with the Opioid and Pain Management Best Practice Assessment and the Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain document.

The Opioid and Pain Management Best Practice Assessment Aggregate Results Dashboard shows baseline and quarterly results aggregated by all care settings, hospital, nursing home, home healthcare and primary care.

For questions or additional information about this Dashboard, please email Anne Myrka, RPh, MAT, amyrka@ipro.org .

Opioid and Pain Management Best Practice Assessment

Complete the Opioid and Pain Management Best Practice Assessment.

The Opioid and Pain Management Best Practice Assessment was adapted from the CDC’s document: Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain. Our assessment contains 22 questions within 12 best practice recommendation areas with a Likert scale response range of whether the best practice is performed Very Frequently, Frequently, Occasionally, Rarely or Never. It is used with hospitals, nursing homes, home healthcare services, and primary care practices and is deployed quarterly after the initial response for serial assessment of improvement.

Use with Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain document and the Opioid and Pain Management Best Practice Aggregate Results Dashboard.

For more information see our website:

https://www.cdc.gov/opioids/healthcare-admins/pdf/Quality-Improvement-Care-Coordination-508.pdf

Pain Management Discharge Communication

A list of suggested pain management items that should be communicated to the next provider upon discharge. A way to engage a care transition community, identify communication elements needed for electronic health record modification, or provide an additional tool to improve med reconciliation.

Read the article “Pain management-related assessment and communication across the care continuum: Consensus of the opioid task force of the island peer review organization pain management coalition” published in the Journal of the American College of Clinical Pharmacy.

PDSA Steps and Tools

This is a guide to the 11 steps through a Plan Do Study Act Cycle. Included for each step: the purpose, procedures, a list of possible tools an improvement team might use to accomplish their goals and the outcome.

People Matter, Words Matter

People matter and the words we use to describe them or the disorders they have matter. Words can transmit stigma. Studies have shown that people with psychiatric and/or substance use disorders often feel judged, outside and inside the health care system. This can lead them to avoid, delay or stop seeking treatment. The way we talk about people with a behavioral disorder can change lives – in either a positive or negative manner.

You will find downloadable posters that address:

  • Use of Supportive Language That Makes a Person Feel Safe
  • Destigmatizing Language About Suicide
  • Culturally/Racially Aware Language
  • Perceptions about Mental Health Conditions
  • Using People First Language
  • Use of Compassionate SUD Language

Performing Root Cause Analysis (RCA) with Performance Improvement Projects (PIPs)

Overview: A Root Cause Analysis (RCA) is a structured, facilitated team process to identify root causes of an event that resulted in an undesired outcome and develop corrective actions. The RCA process provides a way to identify breakdowns in processes and systems that contributed to the event and how to prevent future events.

Reason’s Model of Accident Causation: aka The Swiss Cheese Model

The purpose of a RCA is to find out what happened, why it happened, and determine what changes need to be made. It can be an early step in a PIP, helping to identify what needs to be changed to improve performance.
Once you have identified changes that need to be made, the steps you will follow are those you would use in any type of PIP.

Use this Step-by-Step Guide for Performing Root Cause Analysis with Performance Improvement Teams to investigate events in your facility (e.g., adverse event, incident, near miss, complaint).

Download this fillable RCA PIP Team Template to track progress toward process improvements.

“Every system is perfectly designed to get the results it gets.” – W Edwards Deming

NOTE: Facilities accredited by the Joint Commission or in states
with regulations governing completion of RCAs should refer to those requirements to ensure all necessary steps are followed.

Personal Protective Equipment (PPE) Use When Caring for Patients with Confirmed or Suspected COVID-19 Competency

This tool is designed to support nurses, social workers, case managers, and others conducting effective discharge planning and care coordination for adults with disabilities who received care or treatment for COVID-19 illness in an acute care setting, are no longer COVID-19 positive, and require continuation or reconnection to supports and services. While not exhaustive, the resources and considerations proposed in this tool comprise promising practices to be addressed when practicable.