title: Enhancing the Safe and Effective Management of Chronic Pain in Accountable Care Organization Primary Care Practices in Kentucky.
abstract: Chronic pain is a prevalent chronic condition with significant burden and economic impact in the United States. Chronic pain is particularly abundant in primary care, with an estimated 52% of chronic pain patients obtaining care from primary care physicians (PCPs). However, PCPs often lack adequate training and have limited time and resources to effectively manage chronic pain. Chronic pain management is complex in nature because of high co-occurrence of psychiatric disorders and other medical comorbidities in patients. This article describes a quality improvement initiative conducted by the American College of Physicians (ACP), in collaboration with the Kentucky ACP Chapter, and the Center for Health Services and Outcomes Research at the Johns Hopkins Bloomberg School of Public Health, to enhance chronic pain management in 8 primary care practices participating in Accountable Care Organizations in Kentucky, with a goal of enhancing the screening, diagnosis, and treatment of patients with chronic pain.
authors.affiliation: 1 American College of Physicians, Washington, DC.
authors.forename: Selam
authors.initials: S
authors.lastname: Wubu
authors.affiliation: 1 American College of Physicians, Washington, DC.
authors.forename: Laura Lee
authors.initials: LL
authors.lastname: Hall
authors.affiliation: 2 Quality Independent Physicians, Louisville, KY.
authors.forename: Paula
authors.initials: P
authors.lastname: Straub
authors.affiliation: 3 Richard L. Roudebush VA Medical Center, Indianapolis, IN.|4 Regenstrief Institute, Inc., Indianapolis, IN.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Bair
authors.affiliation: 5 Johns Hopkins University, Baltimore, MD.
authors.forename: Jill A
authors.initials: JA
authors.lastname: Marsteller
authors.affiliation: 5 Johns Hopkins University, Baltimore, MD.
authors.forename: Yea-Jen
authors.initials: YJ
authors.lastname: Hsu
authors.affiliation: 6 Abington Hospital, Jefferson Health, Abington, PA.
authors.forename: Doron
authors.initials: D
authors.lastname: Schneider
authors.affiliation: 2 Quality Independent Physicians, Louisville, KY.
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Hood
mesh_terms: D060866:Accountable Care Organizations / Q000458:organization & administration*; D059350:Chronic Pain / Q000628:therapy*; D006801:Humans; D007629:Kentucky; D059408:Pain Management / Q000379:methods / Q000592:standards; D061214:Patient Safety; D011320:Primary Health Care / Q000379:methods / Q000458:organization & administration*; D058996:Quality Improvement / Q000458:organization & administration; D019984:Quality Indicators, Health Care
keywords: chronic pain; performance improvement; primary care; quality improvement