Tracking & monitoring patient careImplement proactive population management before, during, and between clinic visits of all patients on long-term opioid therapy.
Why is this important?
Identifying who is on long-term opioid therapy for their chronic pain is important for three reasons: 1) this is an “at-risk” population so identifying who they are provides both an opportunity to risk-stratify them and also produce reports about them so that they don’t “fall between the cracks” of a busy primary care clinic; 2) a population tracking system can be used to identify care gaps between scheduled visits and conduct follow-up with those patients; and 3) population tracking provides an opportunity to track if efforts to improve care are successful.
- Produce a report of current patients on long-term opioid therapy
- Identify data and measures needed for pre-visit planning and monitoring success
Implement pro-active population management before, during, and between clinic visits of all patients on chronic opioid therapy.
|8. Tracking & monitoring of patients prescribed long-term opioid therapy||123||456||789||101112|
|Use of a system to proactively track & monitor patients prescribed long-term opioid therapy to ensure their safety…||…has not been explored or is not possible with existing data systems.||…is technically possible, but systems to get useful reports are not yet in place.||…is possible and systems are in place to produce basic reports on a regular basis.||…is possible, systems are in place, and reports are produced that allow for tracking of patient care and monitoring of clinician practices.|
|9. Tracking & monitoring data collection workflows established||123||456||789||101112|
|Workflows to enter data into the tracking & monitoring system…||…have not been developed.||…are in development, but not established.||…are established, but aren’t consistently implemented.||…are established and consistently implemented. Responsibilities are assigned and protected time is available to complete assigned responsibilities.|
|10. Tracking & monitoring data use workflows established||123||456||789||101112|
|Workflows to use data to track patient care and monitor clinician practices…||…have not been developed.||…are in development, but not established.||…are established, but aren’t consistently implemented.||…are established and consistently implemented. Responsibilities are assigned and protected time is available to complete assigned responsibilities.|
Tracking & Monitoring Patient Care resources
Approaches to identifying patients: Suggested approaches to try when first attempting to identify your patients on long-term opioid therapy.
Purposes of tracking & monitoring: An outline of the key uses of data in tracking & monitoring patients on long-term opioid therapy to use when planning your approach.
Data to consider tracking: A list of variables to consider tracking and monitoring for care planning and measuring success.
Tracking & Monitoring example spreadsheet: An Excel spreadsheet a clinic can adapt to track and monitor key measures overall and by provider if they are unable to easily pull reports from their EMR.
List of opioid names: A list of opioids to use in identifying patients on long-term opioid therapy.
List of sedative names: A list of sedatives to use in identifying patients on concurrent sedatives and opioids.
Event tally: A form to help a clinic track a simple measure of interest over a couple weeks.