vha/ dod clinical practice guideline medically unexplained symptoms (mus): chronic pain &...
TRANSCRIPT
VHA/ DoDVHA/ DoD Clinical Practice GuidelineClinical Practice Guideline
Medically Unexplained Medically Unexplained Symptoms (MUS): Symptoms (MUS):
Chronic Pain & Fatigue Chronic Pain & Fatigue
“Tool Kit”“Tool Kit”
VHA/ DoDVHA/ DoD Clinical Practice GuidelineClinical Practice Guideline
Medically Unexplained Medically Unexplained Symptoms (MUS): Symptoms (MUS):
Chronic Pain & Fatigue Chronic Pain & Fatigue
“Tool Kit”“Tool Kit”
Timothy S. Corcoran, Lt Col, USAF, MC
Office of the Assistant Secretary of Defense/Health Affairs Clinical & Program Policy
Timothy S. Corcoran, Lt Col, USAF, MC
Office of the Assistant Secretary of Defense/Health Affairs Clinical & Program Policy
2
Strategy for supporting changes in practice
• Tools can relieve barriers to change
Centrally evaluate and produce resources (VHA- EES, DoD-MEDCOM/CHPPM) that can be replicated across all facilities
• Prevents the need to ‘reinvent the wheel’ at each facility
• Standardization is easier for patients and staff who move within the VHA or DoD System
Background for Creating Background for Creating CPG “Tool Kits”CPG “Tool Kits”
3
Practice Support StrategiesPractice Support Strategies
Clinician Education
• Satellite Broadcast with CME training on the CPG and ‘tools’
Patient Education
• Encourages patient’s active role in care• Improves patient satisfaction and compliance (dissatisfied
patients tend be non-compliant with medical recommendations)
4
VHA/DoD MUS CPG Tool KitVHA/DoD MUS CPG Tool Kit
• Provider Reminder Cards
• Key Points
• Pocket Guides
•Assessment and Diagnosis
•Treatment Options
• Guideline Summary
• Web sites
• Patient Informational Brochure
5
VHA/DoD MUS CPG Tool KitVHA/DoD MUS CPG Tool Kit
Provider tools: Provider Reminder Cards
5
6
VHA/DoD MUS CPG Tool KitVHA/DoD MUS CPG Tool Kit
Provider Reminder Cards: Key Points
7
VHA/DoD MUS CPG Tool KitVHA/DoD MUS CPG Tool Kit
Pocket Guide: Assessment and Diagnosis
8
VHA/DoD MUS CPG Tool KitVHA/DoD MUS CPG Tool Kit
Pocket Guide: Assessment and Diagnosis
9
VHA/DoD MUS CPG Tool KitVHA/DoD MUS CPG Tool Kit
Pocket Guide: Treatment Options
10
VHA/DoD MUS CPG Tool KitVHA/DoD MUS CPG Tool Kit
Pocket Guide: Treatment Options
11
VHA/DoD MUS CPG Tool KitVHA/DoD MUS CPG Tool Kit
Guideline Summary
12
VHA/DoD MUS CPG Tool KitVHA/DoD MUS CPG Tool Kit
Guideline Summary: Algorithm
13
VHA/DoD MUS CPG Tool KitVHA/DoD MUS CPG Tool KitProvider tools: Website
www.oqp.med.va.gov/cpg/cpg.htm
14
VHA/DoD MUS CPG Tool KitVHA/DoD MUS CPG Tool Kit
Provider tools: Alternate Websitewww.cs.amedd.army.mil/qmo/pguide.htm
15
VHA/DoD MUS CPG Tool KitPatient Tools: Brochures