HSS Journal

, Volume 6, Issue 1, pp 61-65

First online:

Creation of a Novel Recuperative Pain Medicine Service to Optimize Postoperative Analgesia and Enhance Patient Satisfaction

  • Brian D. PhilipsAffiliated withHospital for Special Surgery Email author 
  • , Spencer S. LiuAffiliated withHospital for Special Surgery
  • , Barbara WukovitsAffiliated withHospital for Special Surgery
  • , Friedrich BoettnerAffiliated withHospital for Special Surgery
  • , Seth WaldmanAffiliated withHospital for Special Surgery
  • , Gregory LiguoriAffiliated withHospital for Special Surgery
  • , Stephanie GoldbergAffiliated withHospital for Special Surgery
  • , Lisa GoldsteinAffiliated withHospital for Special Surgery
  • , Joanne MeliaAffiliated withHospital for Special Surgery
    • , Marion HareAffiliated withHospital for Special Surgery
    • , Laura JaspheyAffiliated withHospital for Special Surgery
    • , Sharyn TondelAffiliated withHospital for Special Surgery

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Many patients have difficulty with pain control after transition from patient-controlled analgesia modalities to oral analgesics. The creation of a Recuperative Pain Medicine (RPM) service was intended to bridge this gap in pain management at the Hospital for Special Surgery. Specific goals were to improve patient and staff satisfaction with management of postoperative oral analgesics by improving clinical care, administrative policies, and patient and staff education. Primary outcome measures for improved satisfaction were Press Ganey surveys and staff surveys. From inception in Aug 2007 to Dec 2008, RPM has seen 6,305 patients for discharge planning and education and 997 patients for pain management consultation. Administrative and educational accomplishments have included creation of a patient “Helpline” for emergent phone questions regarding postdischarge home pain medications, a policy for prescribing pain medications for home discharge, patient education booklets, a pain management webpage on the Hospital for Special Surgery website, and direct education of staff. Press Ganey measurements of patient satisfaction increased from 87th percentile up to the 99th percentile among peer institutions since the implementation of RPM. Staff satisfaction was 92% positive regarding the RPM service’s function and patient management. An RPM appears to be an effective means to optimize postoperative pain management after transition off patient-controlled analgesia devices. Further research is needed to ascertain the exact cost–benefit and potential impact on postoperative quality-of-life measurements.


orthopedic surgery pain services patient satisfaction postoperative analgesia postoperative outcomes