Measurement of adherence to clinical practice guidelines for opioid therapy for chronic pain
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The safe and effective prescribing of opioid therapy for chronic pain has become a significant health care priority over the last several years. Substantial research has focused on patient-oriented interventions toward preventing problematic use, but provider and system level factors may be more amenable to quality improvement approaches. Here, we outline administrative data-based metrics that are intended to assess adherence to key practices outlined in the 2010 Department of Veterans Affairs/Department of Defense Clinical Practice Guideline for management of opioid therapy for chronic pain. In addition to the metrics, we discuss their development process, which was done in consultation with experts on chronic opioid therapy.
KEYWORDSPerformance measurement Quality improvement Clinical practice guideline Pain management Opioid Process metrics
The project was funded by VA Health Services Research and Development (HSR&D) Quality Enhancement Research Initiative (QUERI) Project # RRP 10–106 (Trafton, PI), entitled “Assessment of gaps in chronic opioid therapy guideline adherence,” and VA Office of Academic Affiliations Advanced Fellowship in Medical Informatics (Midboe, postdoctoral fellow, VA Palo Alto Health Care System).
Conflicts of interest
The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States.
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