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Assessing the Quality of Outpatient Pain Care and Opioid Prescribing in the Military Health System / KIMBERLY A. HEPNER, CAROL P. ROTH, TISAMARIE B. SHERRY, RYAN K. MCBAIN, TEAGUE RUDER, CHARLES C. ENGEL.
- Format:
- Book
- Author/Creator:
- Hepner, Kimberly A., author.
- Roth, Carol Pindar, author.
- Sherry, Tisamarie B., author.
- McBain, Ryan K., author.
- Ruder, Teague, author.
- Engel, Charles C., author.
- Language:
- English
- Subjects (All):
- Medicine, Military--United States--Evaluation.
- Medicine, Military.
- Chronic pain--Treatment--United States.
- Chronic pain.
- Pain--Treatment--United States.
- Pain.
- Armed Forces.
- Medical care.
- Evaluation.
- Pain--Treatment.
- Chronic pain--Treatment.
- United States--Armed Forces--Medical care--Evaluation.
- United States.
- Physical Description:
- xxiv, 238 pages : illustrations ; 23 cm
- Place of Publication:
- Santa Monica, Calif. : RAND, [2022]
- Summary:
- Pain conditions are the leading cause of disability among active-duty service members. Given the significant implications for force readiness and service member well-being, the Military Health System (MHS) has made it a strategic priority to provide service members with the highest-quality treatment for pain conditions. RAND researchers assessed MHS outpatient care for acute and chronic pain, including opioid prescribing. The assessment involved developing a set of 14 quality measures designed to assess aspects of outpatient care for pain, including care associated with dental and ambulatory procedures, acute low back pain, chronic pain, opioid prescribing, and medication treatment for opioid use disorder. This report offers the most comprehensive examination to date of the quality and safety of pain care in the MHS and its alignment with evidence-based clinical practice guidelines. It identifies several areas of strength in pain care delivery, along with some areas for improvement, and provides recommendations to support the MHS in continuing to improve pain care for service members.
- Contents:
- Chapter One: Introduction
- Chapter Two: Developing a Pain Care Measure Set
- Chapter Three: Analytic Methods
- Chapter Four: Acute Pain Related to Procedures
- Chapter Five: Acute Low Back Pain
- Chapter Six: Chronic Pain
- Chapter Seven: Opioid Prescribing
- Chapter Eight: Medication for Opioid Use Disorder
- Chapter Nine: Findings and Recommendations
- Appendix A: Technical Specifications for Quality Measures
- Appendix B: Key Cross-Measure Domain Definitions
- Appendix C: Comorbidity and Health Care Utilization Among Service Members with Chronic Pain, by Pain Condition
- Appendix D: Opioid Prescribing
- Appendix E: Assessing Pain During Clinical Care
- Notes:
- Includes bibliographical references (pages 217-238)
- Local Notes:
- Acquired for the Penn Libraries with assistance from the Alumni and Friends Memorial Book Fund.
- ISBN:
- 1977407048
- 9781977407047
- OCLC:
- 1309011975
- Access Restriction:
- Unrestricted online access
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