Laura Fisk, PsyD Wellness Center Behaviorist · 2017-03-23 · 250 REFERRALS ORIENTATION INTAKES GRADUATES 213 104 70 31 •Brief Pain Inventory •Oswestry Low Back Pain Disability

Laura Fisk, PsyD

Wellness Center Behaviorist

Using Software to Track Outcomes of a Pain

Management Member Wellness Program

• Discussion started in 2013

• Reduce opioids to a safer dose

• Alternative treatments for Persistent Pain

Wellness Center

8 week group-based model

Meet once a week

• 1 hour Psychoeducation – “Pain School”

• 1 hour Movement Therapy –Yoga

Persistent Pain Program

Referrals

PCP/Medical

Clinic

Behavioral Health

Community Partners

Self

Program Participation

1 hour Orientation

60-90 minute Intake

8-week Class

P3IMS

Persistent Pain Program Information Management System

(P3IMS)

• Developed by YCCO Business Intelligence Specialist

• Microsoft Access Program

• Data software for Member Engagement information

• Stores program data including outcome measures.

Utilization (Feb – Oct 2015)

0

50

100

150

200

250

REFERRALS ORIENTATION INTAKES GRADUATES

213

10470

31

• Brief Pain Inventory

• Oswestry Low Back Pain Disability

Questionnaire

• Fear of Movement

• Patient Health Questionnaire (PHQ-9)

• Duke Health Profile

• Pain Self-Efficacy Questionnaire

• Patient Activation Measure (PAM)

Outcome Measures

Pre- and Post-measure are collected

Time 1 = 90-minute Intake

Time 2 = Week 8 – Graduation

Outcome Measures

Demographics

Male

20%

Female

80%

Gender77%

10% 3% 0% 0% 3%

Ethnicity

Graduates = 31 Members

Average Age = 46.6 (Max = 63; Min = 23)

0

1

2

3

4

5

6

7

8

SEVERITY SCALE

PRE-

SEVERITY SCALE

POST-

INTERFERENCE

SCALE PRE-

INTERFERENCE

POST-

6.01 5.77

7.356.26

Brief Pain Inventory

Note. Significance is indicated * = p<.05

*

49.5

50

50.5

51

51.5

52

PRE-TEST POST-TEST

52

50.4

Oswestry Low Back Pain Disability

Questionnaire

11

11.5

12

12.5

13

13.5

14

14.5

15

15.5

PRE-TEST POST-TEST

15.03

12.67

Patient Health Questionnaire (PHQ-

9)

Note. Significance is indicated * = p<.05

*

38.5

39

39.5

40

40.5

41

41.5

42

PRE-TEST POST-TEST

41.86

39.83

Fear of Movement

0

5

10

15

20

25

30

35

40

45

50

PHYSICAL

HEALTH

PRE-

PHYSICAL

HEALTH

POST-

MENTAL

HEALTH

PRE-

MENTAL

HEALTH

POST-

SOCIAL

HEALTH

PRE-

SOCIAL

HEALTH

POST-

GENERAL

HEALTH-

GENERAL

HEALTH

POST-

15.33 17.67

40.2344.33

47 49.33

34.0937.23

DUKE Health Profile

0

5

10

15

20

25

30

PRE-TEST POST-TEST

22.06

29.17

Pain Self-Efficacy Questionnaire

Note. Significance is indicated * = p<.05

*

0

2

4

6

8

10

12

14

16

18

20

LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4

97

11

336

19

1

Patient Activation Measure

(PAM)

Pre-Test Post-Test

• Outcomes demonstrate improvement over 8-weeks

• Importance of CCO support for Patient Engagement

• Understand reasons/barriers some referred individuals do not

attend orientation/intakes.

Lessons Learned

What’s Next ?

• Continue tracking outcomes (pre/post measures, claims data,

etc.)

• Provide additional services (massage therapy, chiropractor,

etc.) and group/classes for Health & Wellness

• Budget for ongoing services at the Wellness Center

• Identify ways to connect with members not engaging in

services