CU Family Medicine



Key EPIC Tips for Chronic Pain ManagementAssessments in Flowsheets: (Can wrench in as favorites to show at top of Flowsheets navigator section)4 A’s: Analgesia, ADLs, Adverse events, Assessment;PDMP tracking & Registry op-out question (hospice, active oncology pt)ORT (Opioid Risk Tool): Appropriateness measure for opioid initiationDIRE (Diagnosis, Intractability, Risk, Efficacy): Appropriateness for patients already on opioidsWellbeing Screener (PHQ2/9+GAD2/7; brief screens for etoh/substance, stress; function; ptsd/trauma; sleep; isolation)Aberrant behavior checklistAUDIT-C: Alcohol misuse/abuseDAST-10: Illicit substance abusePHQ-9: DepressionGAD-7: AnxietyNote Tools: Assessment and Plan:Dot-phrase: “.chronicpainaandp” Includes “ORADER” co-morbidity index, (“.ORADER”), risk stratification, treatment plan, follow up. Can copy forward & edit from previous notes!Problem-based charting compatible: Recommend use icd10 G89.4 “chronic pain disorder” Tip sheet here: into note with colored UPI A&P SmartLink at top of note OR via dot phrase, “.probapnotes”Can be used independently from note templatesPatient education in CareNotes “UCH Patient Information Guide: Opioid Treatment for Chronic Pain”Meets DORA requirements for opioid safety education in AVS, English & SpanishPatient Agreement“AMB OPIOID CONTRACT” in letters (used to be called "PCP Opioid Medication Partnership Agreement”)Document in FYI under “Pain Management Plan”. Workflow from website: Prescribing: Recommend Disp Amount in multiples of 7 (7,14,28,56,84, etc) to keep refill requests on same weekdaySearch Meds and Orders for “3 Rx Panel”Urine Drug Testing Algorithm: soon:Morphine Equivalent Daily Dose calculatorOpioid Risk Assessment toolPDMP single sign onEpic Healthy Planet Registry ................
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