8 . Transforming the Management of Pain in Primary Care with Project ECHO Bennet Davis , MD 1 and Kevin Massey 2 1 Integrative Pain Center of Arizona and 2 Weitzman Institute-Community Health Center
About 100 million Americans have chronic non-cancer pain ( CNCP ), exceeding the number affected by heart disease , cancer , and diabetes . CNCP patients are also at high risk of having multiple medical and psychiatric co-morbidities . Over half of all American CNCP patients receive their pain care from nonspecialist , primary care providers ( PCPs ). Unfortunately , the majority of PCPs have limited training in pain and often struggle to treat it . Community Health Center , Inc ., one of the nation ’ s largest FQHCs , in partnership with its Weitzman Institute Research and Innovations Center and the Integrative Pain Center of Arizona , have developed a national telehealth learning network that provides a flexible platform to engage practices across the country in improving their approach to treating patients with pain . The interventions focus on helping providers and practices adopt nine core best practices for pain care , with a heavy emphasis on safe opioid prescribing , multimodal care , and attention to the psychological , behavioral , and lifestyle aspects of pain . The project combines three state of the art technologies , Project ECHO , eConsults , and online collaborative learning , to help embed evidence-based care for pain and opioid addiction into routine primary care delivery . Since its inception in 2012 , this project has provided support to over 130 primary care practices in 14 states including Arizona , with measurable and clinically significant improvements in knowledge and self-efficacy , adherence to evidence based guidelines , and a reduction in overall opioid prescribing . This session will offer an overview of the intervention and provide results collected from participating practices across the US .
1 . Learn about novel telehealth solutions for supporting pain care in primary care ;
2 . Learn how to leverage technology to improve pain outcomes and adherence to evidence based care ;
3 . Use the nine best practices of evaluating and treating pain effectively in primary care .
9 . Nurse Practitioners and Telehealth : The Impact on Health Care Delivery
Tearsanee Davis , DNP , APRN-BC 1 and Kristi Henderson , DNP , APRN-BC , FAEN 2
1 University of Mississippi Medical Center / Center for Telehealth ; 2 Seton Healthcare
Background : Changes must be made in the healthcare delivery system in order to meet the needs of all people and improve the health of our nation . Telehealth has greatly improved patient access to healthcare and has equipped providers with innovative tools to provide quality healthcare to a larger population . Geographic location should not limit the healthcare services one can access .
Methods : The purpose of this presentation is to demonstrate ways nurse practitioners can drive efforts to improve access to care with the use of telehealth . Nurse practitioners will learn how telehealth has been incorporated into traditional healthcare delivery models as well as how telemedicine has become the focus of new models of care with nurse practitioners as the key providers .
Results : � 13 years of operation � 213 telehealth sites of service ( non-affiliated ) � 35 medical specialties � 8 types of locations � Nearly 100,000 telehealth visits / year � Over ½ million telehealth visits completed � Corporate and School - Over 3000 lives covered � Over 60 NP opportunities created including Teleemergency and Telepsychiatry .
Conclusions : The health care climate demands an innovative approach to healthcare delivery with an attention to scalable and sustainable models . Telehealth , and the use of nurse practitioners ( NPs ), will be an integral part of these new models which provides a scalable approach to coordinated and collaborative care . Nurse practitioners possess the relationships and the skills needed to effectively identify gaps in the healthcare system as well as the ability to transform healthcare models that use technology to bridge the gaps .
10 . Remote Patient Monitoring in Rural Mississippi
Megan Duet , MS , Jaime Wheeler , MSN , RN , Michael P . Adocock , FACHE , Tearsanee C . Davis , DNP , FNP-BC , Scott Laidlaw
University of Mississippi Medical Center , Center for Telehealth
Background : The University of Mississippi Medical Center ’ s Center for Telehealth launched The Mississippi Diabetes Telehealth Network in August 2014 to pilot an advanced healthcare model on patients with uncontrolled diabetes living in the Mississippi Delta . In 2012 , diabetic medical expenses in Mississippi totaled $ 2.74 billion , according to the American Diabetes Association . This program is empowering diabetics to take control of their health by providing specialized care in rural Mississippi .
Methods : By bringing healthcare resources into the patient ’ s home we aim to improve clinical outcomes and care coordination for chronic disease management . Commercially available off-the-shelf technology with Care Innovations Virtual
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