PtProtect® – Resources
Incorporating pain medication management testing into your practice can be a challenge. Below are tools to assist you in the process:
Tools to Implement Pain Management Testing in Your Practice
The following resources are available to aid in the establishment of a patient pain medication monitoring process.
- How to Incorporate Pain Management Testing into Your Practice
- Pain Management Monitoring Program Increases Patient Compliance and Reduces ER Visits (case study). A detailed step-by-step case study outlines how one Oregon clinic successfully implemented pain medication management testing into their workflow.
- Contact PeaceHealth Laboratories to receive the Case Study Toolkit, including:
- Pain Medication Agreement Protocol
- Medication Agreement
- Narcotic Algorithm
- Chronic Pain Assessment Flow Process
- Pain Assessment Questionnaire
- UDT Collection Instructions
- Provider When/How to Order UDT Instructions
- Opioid Risk Tool (ORT) Patient Form
- Urine Drug Testing Frequency Guidelines - How often should you test your patients? National guidelines offer guidance for urine drug testing frequency based on patient risk.
- The Importance of Random Drug Testing - The following articles provide insight about why baseline and random urine drug testing of your pain patient population is important.
Courtesy of the American Pain Foundation, American Academy of Family Physicians, and Pain Medicine News.
Education is the key to understand how to manage your chronic pain patients. The resources below can further your education on the complex subject of chronic, non-cancer pain.
The PainEDU REMS Education Program is a direct response to the FDA Risk Evaluation and Mitigation Strategy (REMS) and is sponsored and certified by Albert Einstain College of Medicine and Montefiore Medical Center. The course consists of three, one-hour CME activities totaling 3.0 AMA PRA Category 1 Credits, and focuses on the safe and effective managment of pain with ER/LA opioid analgesics in accordance with the FDA Blueprint. The CME content is directed towards prescribers of ER/LA opioid analgesics, but is also relevant for other health care professionals.
Access the PainEDU REMS Education Program
The Medical Quality Assurance Commission, in consultation with the Department of Health and the Agency Medical Directors’ Group, presents a FREE CME activity that offers four (4) hours of: Category 1 Credits™ or Washington Board of Pharmacy approved Continuing Education (C.E.) Credit(s).
Please note: The 2015 Interagency Guideline on Prescribing Opioids for Pain replaces the 2010 Opioid Dosing Guideline. For CME testing purposes, the 2010 CME test on the 2010 Opioid Dosing Guidelines may be used until the 2015 CME is available.
For more information visit:
Prescription Drug Monitoring Programs
Prescription drug monitoring programs are state-run databases that track pain prescriptions and can help find problems in overprescribing (e.g. if one patient is receiving multiple pain prescriptions from multiple providers).
More information about Prescription Monitoring Programs:
The American Chronic Pain Association offers a variety of resources and videos that help patients understand treatment options, record their pain, communicate experiences, and more.
- Pain managemement tools can help patients to understand their pain and to work more effectivelty with their providers toward a higher quality of life.
- This pain log is a valuable online resource to track patterns and triggers in pain experiences over a period of time. It focuses on the impact pain has in multiple dimensions of a patient's life - from mood to appetite to worries.
- A wallet medication card provides a place where patients list their medications to share wtih any health care provider who might prescribe medications. This tool promotes communication to avoid dangerous medication combinations.
- This constipation conversation guide can assist patients in communicating with providers about opioid-induced constipation.
Assess the patient's pain
Patient Pain Assessments
This pain assessment tool facilitates the communication of pain severity especially in older patients and those with diminished cognitive capacity and difficulty with abstract thinking. Courtesy of painknowledge.org.
A visual analog scale to assess pain in pediatric patients.
WHO has developed a three-step "ladder" for cancer pain relief.
Talk with the patient - Patient Risk Assessments
Keep a Current Chart - Document Patient's Progress
Final Rules: Washington Medical Quality Assurance Commission
Rules related to chronic non-cancer pain management were adopted in Washington State January 2, 2012. These rules relate to dosing criteria and guidance on: seeking consultations, tracking progress and tracking the use of opioids. Full text documents of the Washington State rules for medical doctors, physician's assistants and other specialties can be found at: Washington State Department of Health: Adopted Rules
Washington State Pain Rules
A breif overview of the Washington state pain rules can be found in the Physician Alert, released December 15, 2011 by PeaceHealth Laboratories:
Washington Activates New Rules for Pain Management January 2, 2012
Interagency Guideline on Prescribing Opioids for Pain
The Agency Medical Directors’ Group has published comprehensive guidelines for a balanced approach to pain management. The 2015 update was developed in partnership with academic leaders, pain experts, and clinicians in both primary care and specialty areas:
2015 AMDG Interagency Guideline Prescribing Opioids for Pain
The Agency Medical Directors’ Group offers this tool to assist providers in assessing their patient’s dosage in morphine equivalents per day:
Web-Based Opioid Dose Calculator
PtProtect® Pain Management Program
For clinicians working with patients suffering from chronic, non-cancer
pain, our PtProtect® Pain Medication Management Program can help improve patient safety and identify patients at risk for abuse or misuse of prescription analgesics.