How-Tos in Pairing Project ECHO and QI to Advance Pain Management Across a Rural State

Track: Innovation

Session Number: 2016
Date: Mon, Sep 25th, 2017
Time: 4:15 PM - 5:15 PM

Description:

Rural states such as Kansas mirror the nation in substantial gaps in evidence-based assessment and treatment of chronic pain. Because of the complexity of pain management and no “quick fixes,” we paired the successful telementoring Project ECHO approach with our broader hybrid, multi-component learning model in order to maximize practice change. This is particularly true in our rural practices where there may be no/limited referral options for thorough interprofessional assessment and treatment in pain management, as well as challenges associated with stigma around disclosing pain and seeking help. The presenters will describe leveraging guidance from a statewide pain management coalition across academic, governmental, patient advocacy, payers and other funders, and other partners. They bring diverse interprofessional educational perspectives (behavioral health, nursing, project management, research) and will engage the audience in discussing and role playing the practical steps in implementing the Project Extension of Community Healthcare Outcomes (ECHO) telementoring approach, paired with each practice’s own QI project. Strategies associated with recruiting and retaining rural and frontier practices across the 6-month intervention will be shared. This includes gaining buy-in both to Project ECHO and to QI data that brings the ECHO-training to life and maximize practice change. The presenters and audience will share information about navigating the human subjects process as well as best practices in data collection. This included knowledge (Know Pain-12, CDC Guideline Adherence, QI knowledge), practice (adapted from the Academy of Integrated Pain Management assessment), and implementation readiness. The presenters will also dialogue with audience about developing the ECHO panel, across pain medicine, family medicine, nursing, behavioral health, pharmacy, public health, and other specialties, including using technology to link experts from multiple campuses/sites. Technology needs and customer friendly supports will be described. Rural practice visits informed the ECHO implementation, including content most relevant to the full primary care teams, timing of ECHO sessions, and the case presentation form tailored to project sites. The AHEC partner will describe the accreditation steps as well as ongoing practice facilitation in supporting the QI projects. Having data/information from their own practice assisted with practice change buy-in and ongoing engagement in ECHO sessions. Finally, practical strategies and actionable steps will be shared by the presenters and elicited from the audience concerning establishing and maintaining the ECHO partnerships essential for long-term success.
Session Type: Skill Building Workshop

Learning Objective 1: Identify challenges rural practices face in addressing pain management
Learning Objective 2: Utilize the Project ECHO model to improve providers’ competence and confidence in pain management from an interprofessional perspective
Learning Objective 3: Integrate a practice based performance improvement initiative to strength practice change
Session Type: Skill Building Workshop

Learning Objective 1: Identify challenges rural practices face in addressing pain management
Learning Objective 2: Utilize the Project ECHO model to improve providers’ competence and confidence in pain management from an interprofessional perspective
Learning Objective 3: Integrate a practice based performance improvement initiative to strength practice change