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For core clinical content designed to help you safely and effectively manage patients with chronic pain, when appropriate, with opioid analgesics, please visit our sister site, SCOPE of Pain.

 

  1. Optimizing Office Systems
  2. Office Systems Safe and Competent Opioid Prescribing: Optimizing Office Systems Program CME Post-Test Evaluation
  1. Massachusetts Laws
  2. Educational Program Making Sense of Massachusetts Opioid Prescribing Laws and State and National Guidelines Program CME Post-Test Evaluation
  1. Dental Pain
  2. Educational Program Safe Opioid Prescribing for
    Acute Dental Pain
    Program CME Post-Test Evaluation
  1. Prescribe to Prevent
  2. Educational Program Prescribe to Prevent: Overdose Prevention and Naloxone Rescue Kits for Prescribers and Pharmacists Information Program CME Post-Test Evaluation
  1. Military Modules
  2. Module 1 Military SCOPE of Pain: Safe and Competent Opioid Prescribing For Providers Working with Veterans and Military Service Personnel Information Video CME Post-Test Evaluation
  3. Module 2 Military SCOPE of Pain: Safe and Competent Opioid Prescribing For Providers Working with Veterans and Military Service Personnel Information Video CME Post-Test Evaluation
  1. Video Modules
  2. Module 1 Case Studies In Practice: Applying Principles
    of Safe Opioid Prescribing
    Information Introduction Cases Case I Case II Case III Certification CME Post-Test Evaluation
  3. Module 2 Complex Convrs. High Dose Opioids
    & Illicit Drug Use
    Information Introduction Cases Case I-A Case I-B Case II Certification CME Post-Test Evaluation
  4. Module 3 Using the PDMP PMP Questionable Activity Information Introduction Cases Case I Case II Certification CME Post-Test Evaluation

GUIDELINES

Implementation Tool:  Assessment and Management of Chronic Pain Guideline Summary and Assessment Algorithm
Institute for Clinical Systems Improvement [ Download ]

Model Policy for the Use of Controlled Substances for the Treatment of Pain
Federation of State Medical Boards of the United States, Inc.

http://www.fsmb.org/pdf/pain_policy_july2013.pdf

VA/DoD  Clinical  Practice  Guideline  for   Management  of   Opioid  Therapy  for Chronic  Pain
http://www.healthquality.va.gov/Chronic_Opioid_Therapy_COT.asp

American Pain Society/American Academy of Pain Medicine Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain
http://www.jpain.org/article/S1526-5900(08)00831-6/fulltext

Interagency Guideline on Opioid Dosing for Chronic Non-cancer Pain:  an Educational Aid to Improve Care and Safety with Opioid Therapy 2010 Update
http://www.agencymeddirectors.wa.gov/opioiddosing.asp#GD

 

ASSESSMENT TOOLS

Screener & Opioid Assessment for Patients with Pain
© Inflexxion, Inc.  Available at www.painEDU.org

A validation study can be found here:  Akbik H et al. Validation and Clinical Application of the Screener and Opioid Assessment for Patients with Pain (SOAPP). J Pain Symptom Manage 2006;32:287e293.

Opioid Risk Tool (Webster)
Find the tool and explanatory article here:  Webster L.  Questionnaire Helps Screen Patients at Risk for Opioid Abuse.  Pain Med News 9(5):23.

Screening for Alcohol Misuse
Reference:  Bush K et al.  The AUDIT Alcohol Consumption Questions (AUDIT-C):  An Effective Brief Screening Test for Problem Drinking.  Arch Intern Med. 1998;158:1789-1795.
Available from the VA website here:  http://www.hepatitis.va.gov/provider/tools/audit-c.asp

Screening for Substance Abuse Disorders Using “Single” Questions
Validation 1:  Smith P et al.  Primary Care Validation of a Single-Question Alcohol Screening Test.  J Gen Intern Med 24(7):783–8.
Validation 2:  Smith P et al.  A Single-Question Screening Test for Drug Use in Primary Care.  Arch Intern Med. 2010;170(13):1155-1160.

Current Opioid Misuse Measure
© Inflexxion, Inc.  Available at www.painEDU.org
Validation:  Butler SF et al.  Development and validation of the Current Opioid Misuse Measure.  Pain 130(2007):144–156.

PHQ 9 to Screen for Mental Illness
Link to UMass Medical:  http://www.umassmed.edu/Content.aspx?id=96774
[ Download ]

PEG Scale
Validation Study and Scale:  Krebs EE et al.  Development and Initial Validation of the PEG, a Three-item Scale Assessing Pain Intensity and Interference.  J Gen Intern Med 24(6):733–8.

Brief Pain Inventory and Brief Pain Inventory Short Form
© MD Anderson Cancer Center
Available from the MD Anderson Cancer center here:  http://www.mdanderson.org/education-and-research/departments-programs-and-labs/departments-and-divisions/symptom-research/symptom-assessment-tools/brief-pain-inventory.html

The Centrality of Pain Scale (Nicolaides)
Validation and information can be found here:  Nicolaidis C, Chianello T, Gerrity M. Development and preliminary psychometric testing of the centrality of pain scale. Pain Med. 2011 Apr;12(4):612-7.

Pain Assessment and Documentation Tool
Validation and tool:  Passik SD et al.  A New Tool to Assess and Document Pain Outcomes in Chronic Pain Patients Receiving Opioid Therapy.  Clin Ther 26(4):552-561.

Urine Drug Testing
Urine Drug Testing in Clinical Practice –5th Edition Now Available On Line

Especially useful for those treating patients with chronic opioids for management of pain, this monograph (with 115 references) provides a complete review of urine drug testing methods and discusses interpretation of results.  Sections on Whom to Test, Why to Test, and When to Test lay the foundation for the sections on methods and interpretation.  Alternative technologies – blood, saliva, sweat, and hair – are reviewed in light of their benefits and limitations.

The authors include PCSS-M mentor, Howard Heit, MD, Douglas Gourlay, MD and Yale Caplan, PhD.  The monograph is sponsored by the California Academy of Family Physicians (CAFP) in cooperation with PharamCom Group, Inc. and is supported by an educational grant from Purdue Pharma L.P. and Quest Diagnostics Incorporated.

The updated edition, released June 15, 2012, is available from the CAFP website http://www.pharmacomgroup.com/udt/udt5.pdf as an accredited CME activity. Physicians can receive 2 hours of Category 1 credit (acceptable for 2 Prescribed credits by AAFP) for reading the monograph and completing the self-assessments questions located on the website.

 

CONTRACTS/AGREEMENTS

Boston Medical Center Agreement Form [ Download ]

Low Literacy Medication Management Contract
© Inflexxion, Inc. Available at www.painEDU.org

http://www.umassmed.edu/Content.aspx?id=96774
(includes sample contract)

 

ADDITIONAL PROVIDER RESOURCES:  SUBSTANCE USE AND ADDICTION

Prescriber Clinical Support System
For Opioid Therapies: 
http://www.pcss-o.org/
For Medication Assisted Treatment:  http://pcssmat.org/

Alcohol, Other Drugs, and Health: Current Evidence Journal Club
http://www.bu.edu/aodhealth/club.html

Addiction Technology Transfer Center Network http://www.nattc.org/home/

Information on Screening, Brief Intervention, and Referral to Treatment (SBIRT)
Through Substance Abuse and Mental Health Administration (SAMHSA):  http://beta.samhsa.gov/sbirt
Through Massachusetts SBIRT:  http://www.masbirt.org/

SAMHSA's TIP Series:  http://store.samhsa.gov/list/series?name=TIP-Series-Treatment-Improvement-Protocols-TIPS-

National Institute on Drug Abuse resources:  http://www.drugabuse.gov/nidamed-medical-health-professionals

Opioid Overdose:
SAMHSA Toolkit: 
http://store.samhsa.gov/product/Opioid-Overdose-Prevention-Toolkit/SMA13-4742
 

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