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cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS%20for%20Repository.pdf
May 24, 2023 - treatment goals with patients
§ Assess and discuss risks and benefits
– Prescribe naloxone if at high … – ≤50 MME/day preferred
– ≥90 MME/day is high risk
§ Urine drug screening (prior to and annually)
§ … Screening Tools
– Patient's goal for pain management
Historical treatments
– Opioid medications … screenings relevant to pain management – all within the past 1 year
– Opioid Risk Tool, PHQ 2, PHQ … Factors for Opioid-related Harms
– Elements: Depression, Anxiety, Substance use disorder, suicide attempt
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cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository.pdf
September 21, 2018 - ▪ Establish treatment goals with patients
▪ Assess and discuss risks and benefits
– Prescribe naloxone … PDMP
– ≤50 MME/day preferred
– ≥90 MME/day is high risk
▪ Urine drug screening (prior to and annually … Screening Tools
– Patient's goal for pain management
Historical treatments
– Opioid medications … screenings relevant to pain management
– PDMP access
8
Objectives:
• Display relevant data to inform … screenings relevant to pain management – all within the past 1 year
– Opioid Risk Tool, PHQ 2, PHQ
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pilot%20Site%20Training%20for%20Pain%20Management%20Summary%20CDS_for%20Repository_0.pdf
September 21, 2018 - ▪ Establish treatment goals with patients
▪ Assess and discuss risks and benefits
– Prescribe naloxone … PDMP
– ≤50 MME/day preferred
– ≥90 MME/day is high risk
▪ Urine drug screening (prior to and annually … Screening Tools
– Patient's goal for pain management
Historical treatments
– Opioid medications … screenings relevant to pain management
– PDMP access
8
Objectives:
• Display relevant data to inform … screenings relevant to pain management – all within the past 1 year
– Opioid Risk Tool, PHQ 2, PHQ
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pain%20Management%20Summary%20Clincial%20Decision%20Support%20Toolkit_for%20Repository.xlsx
January 01, 2003 - Factors:
depression diagnosis and noted date (from PL)
Risk Screenings:
PHQ-2 score and date recorded … Factors:
Anxiety and Sleep-disordered breathing diagnosis and noted date (from PL)
Risk Screenings: … Factors:
renal dysfunction and hepatic dysfunction diagnosis and noted date (from PL)
Risk Screenings … Factors:
suicide attempt and pregnancy noted dates (from PL)
Risk Screenings:
SASQ score and date recorded … recorded
Risk Screenings:
1 past PHQ-9 total score and date recorded
Non-Pharmacologic Treatments:
2
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Pain%20Management%20Summary%20Clincial%20Decision%20Support%20Toolkit_for%20Repository_0.xlsx
January 01, 2003 - Factors:
depression diagnosis and noted date (from PL)
Risk Screenings:
PHQ-2 score and date recorded … Factors:
Anxiety and Sleep-disordered breathing diagnosis and noted date (from PL)
Risk Screenings: … Factors:
renal dysfunction and hepatic dysfunction diagnosis and noted date (from PL)
Risk Screenings … Factors:
suicide attempt and pregnancy noted dates (from PL)
Risk Screenings:
SASQ score and date recorded … recorded
Risk Screenings:
1 past PHQ-9 total score and date recorded
Non-Pharmacologic Treatments:
2
-
cds.ahrq.gov/cdsconnect/artifact/mental-health-positive-suicide-risk-screening-order-set
April 27, 2018 - Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2020-03/Factors_to_Consider_in_Managing_Chronic_Pain_Change_Log.txt
January 01, 2020 - identifying Risk Factors for Opiod-Related
Harms (in addition to existing ones):
- Depression Diagnosis … Pregnancy (New ICD10 codes published in 2018 and 2019)
(2.16.840.1.113762.1.4.1032.80)
- Changed the Suicide … 2.16.840.1.113762.1.4.1032.102
- Removed specific inclusion of SNOMED-CT 86849004 since it is now in the
Suicide … PEG codes to shorter
names
- Added LOINC code for the STarT Back Screening Tool
- Previous local … code is still supported (but discouraged)
- Added logic to display the range for Opioid Risk Tool (ORT
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2021-09/Factors_to_Consider_in_Managing_Chronic_Pain_Change_Log.txt
January 01, 2021 - identifying Risk Factors for Opiod-Related
Harms (in addition to existing ones):
- Depression Diagnosis … Pregnancy (New ICD10 codes published in 2018 and 2019)
(2.16.840.1.113762.1.4.1032.80)
- Changed the Suicide … 2.16.840.1.113762.1.4.1032.102
- Removed specific inclusion of SNOMED-CT 86849004 since it is now in the
Suicide … PEG codes to shorter
names
- Added LOINC code for the STarT Back Screening Tool
- Previous local … code is still supported (but discouraged)
- Added logic to display the range for Opioid Risk Tool (ORT
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/CDS%20Pain%20Management%20Summary%20Quick%20Start%20Guide_final.pdf
June 14, 2018 - It includes concepts outlined in the CDC Guideline for Prescribing Opioids for Chronic Pain. … with dates
Stool Softeners and Laxatives - orders and statements with dates
(6-month lookback)
Risk … Screenings Relevant to Pain Management – score and date (1-
year lookback)
*Pain Management Summary … Flags
Pertinent Medical History
Risk factors for Opioid-related Harms: Always flag if any are … present (Depression, Anxiety, Substance Use Disorder, Suicide
attempt, Sleep-disordered breathing, Renal
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/CDS%20Pain%20Management%20Summary%20Quick%20Start%20Guide_final_1.pdf
June 14, 2018 - It includes concepts outlined in the CDC Guideline for Prescribing Opioids for Chronic Pain. … with dates
Stool Softeners and Laxatives - orders and statements with dates
(6-month lookback)
Risk … Screenings Relevant to Pain Management – score and date (1-
year lookback)
*Pain Management Summary … Flags
Pertinent Medical History
Risk factors for Opioid-related Harms: Always flag if any are … present (Depression, Anxiety, Substance Use Disorder, Suicide
attempt, Sleep-disordered breathing, Renal
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2022-09/FactorsToConsiderInManagingChronicPain_Change_Log.txt
January 01, 2022 - identifying Risk Factors for Opiod-Related
Harms (in addition to existing ones):
- Depression Diagnosis … Pregnancy (New ICD10 codes published in 2018 and 2019)
(2.16.840.1.113762.1.4.1032.80)
- Changed the Suicide … 2.16.840.1.113762.1.4.1032.102
- Removed specific inclusion of SNOMED-CT 86849004 since it is now in the
Suicide … PEG codes to shorter
names
- Added LOINC code for the STarT Back Screening Tool
- Previous local … code is still supported (but discouraged)
- Added logic to display the range for Opioid Risk Tool (ORT
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2023-08/FactorsToConsiderInManagingChronicPain_Change_Log.txt
January 01, 2023 - identifying Risk Factors for Opioid-Related
Harms (in addition to existing ones):
- Depression Diagnosis … Pregnancy (New ICD10 codes published in 2018 and 2019)
(2.16.840.1.113762.1.4.1032.80)
- Changed the Suicide … 2.16.840.1.113762.1.4.1032.102
- Removed specific inclusion of SNOMED-CT 86849004 since it is now in the
Suicide … PEG codes to shorter
names
- Added LOINC code for the STarT Back Screening Tool
- Previous local … code is still supported (but discouraged)
- Added logic to display the range for Opioid Risk Tool (ORT
-
cds.ahrq.gov/sites/default/files/cds/artifact/logic/2024-08/FactorsToConsiderInManagingChronicPain_Change_Log.txt
January 01, 2024 - identifying Risk Factors for Opioid-Related
Harms (in addition to existing ones):
- Depression Diagnosis … Pregnancy (New ICD10 codes published in 2018 and 2019)
(2.16.840.1.113762.1.4.1032.80)
- Changed the Suicide … 2.16.840.1.113762.1.4.1032.102
- Removed specific inclusion of SNOMED-CT 86849004 since it is now in the
Suicide … PEG codes to shorter
names
- Added LOINC code for the STarT Back Screening Tool
- Previous local … code is still supported (but discouraged)
- Added logic to display the range for Opioid Risk Tool (ORT
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/ImplementationGuidePainManagementSummary50810012018.pdf
December 01, 2018 - low risk for opioid abuse or
diversion. … Patient’s risk screenings that are relevant to pain management with their
overall scores and dates for … the patient and risk factors for opioid therapy. … Intervention “Risk
Considerations”
A contextual category that lists additional risks not expressed … Decision aids for people facing health treatment
or screening decisions.
-
cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2019.pdf
January 01, 2019 - about the risks for
developing diabetes and how to reduce those risks; (2) information on the role diabetes … Risk Screening
Order Set VHA
Structured
04/27/2018
Mental Health: Suicide Risk Assessment
Documentation … mental-health-iraq-afghanistan-post-deployment-screen-documentation-template
https://cds.ahrq.gov/cdsconnect/artifact/mental-health-positive-suicide-risk-screening-order-set … https://cds.ahrq.gov/cdsconnect/artifact/mental-health-positive-suicide-risk-screening-order-set
https … ://cds.ahrq.gov/cdsconnect/artifact/mental-health-suicide-risk-assessment-documentation-template
https
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/ImplementationGuidePainManagementSummary508_with%202020%20updates%202.pdf
May 01, 2020 - low risk for opioid abuse or
diversion. … Echo’s subsequent risk assessments show no elevated risk factors for
opioid misuse or abuse. Dr. … Patient’s risk screenings that are relevant to pain management with their
overall scores and dates … Considerations”
A contextual category that lists additional risks not expressed in the “Risk factors … Decision aids for people facing
health treatment or screening decisions.
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Implementation_Guide_Pain_Management_Summary.pdf
September 01, 2021 - low risk for opioid abuse or diversion. … Echo’s subsequent risk assessments show
no elevated risk factors for opioid misuse or abuse. Dr. … Patient’s risk screenings that are relevant to pain management with their overall
scores and dates for … Intervention “Risk
Considerations”
A contextual category that lists additional risks not expressed … Decision aids for people facing
health treatment or screening decisions.
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/Implementation_Guide_Pain_Management_Summary_1.pdf
September 01, 2022 - low risk for opioid abuse or diversion. … Echo’s subsequent risk assessments show
no elevated risk factors for opioid misuse or abuse. Dr. … Patient’s risk screenings that are relevant to pain management with their overall
scores and dates for … Considerations” A contextual category that lists additional risks not expressed in the “Risk factors … Decision aids for people facing health treatment or
screening decisions.
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/2023_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2023 - low risk for opioid abuse or diversion. … Patient’s risk screenings that are relevant to pain management (e.g., AUDIT,
DAST-10, PHQ-9) with their … screening the medical
record. … Intervention “Risk Considerations” A contextual category that lists additional risks not expressed in … Decision aids for people facing health treatment or
screening decisions.
-
cds.ahrq.gov/sites/default/files/cds/artifact/476/2024_CDS_Connect_IG_Pain_Management_Summary.pdf
January 01, 2024 - low risk for opioid abuse or diversion. … Echo’s subsequent risk assessments show
6
no elevated risk factors for opioid misuse or abuse. … screening the medical
record. … Intervention “Risk Considerations” A contextual category that lists additional risks not expressed in … Decision aids for people facing health treatment or
screening decisions.