Transcript www.nhqualitycampaign.org

Advancing Excellence in
America’s Nursing Homes
Making Nursing Homes Better Places
to Live, Work and Visit!
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Goal 5: Pain
• There are many ways to measure Pain
Management in nursing homes.
• Different organizations use different tools, so the
nice thing about the campaign and using this tool
is that it provides a national standardized
way to track nursing home Pain Management.
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Pain Tool Use
Use of this tool is not required. However we
encourage nursing homes to use this tool to
track your Pain Management because it
automatically calculates, trends and graphs Pain
Management on a quarterly basis with a
standardized methodology.
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Pain Campaign Resources
•Implementation Guide
•Pain Fact Sheets
–1
for consumers
– 1 for nursing home staff
•Tracking Tool & Instructional Webex
•Video’s, Guidance and much more
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Website: Pain Resources
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Pain – Goal Definition
Goal 5 Pain:
• Goal: Nursing home residents will receive appropriate
care to prevent and minimize episodes of moderate or
severe pain.
• Objectives for long stay and short stay are slightly
different.
•Section A relating to Chronic Care (or Long Term)
Resident’s Pain and
•Section B relating to the Post Acute Care (or Short
Stay) Resident’s Pain
The tool allows you to record the presence of pain
symptoms for both short-term stay and long-term stay
residents.
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WebEx Training Modules
How to Use the Tools
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Using The Pain Tool
• Go to the Goal and download the tool into your
computer.
• You will need Excel
• Save the tool to your computer BEFORE you enter
any data – we suggest you put a date on the tool as
you save it
• Size the tool to fit your computer
• Gathered information before filling out the tool.
• Data is entered in the blue columns and you will
use drop down boxes
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Special Tool Features
• Allows nursing home to monitor Pain for both
long stay and short stay residents
• This is a quarterly tool tied to resident Care
Planning dates
• The data is entered each week for 12 weeks. At
the end of 12 weeks you will start with a fresh
tool. You may start and end your 12 weeks any
time suitable for your nursing home. You may
choose to start at the beginning of a quarter.
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Pain Tool Instructions
Instructions: Generate a list of all residents
who will be reviewed in the care planning
meeting each week. Complete this form as
you proceed through the assessment and
care planning process. Enter the resident's
name and check the boxes that apply for
that resident. If a resident does not have
pain, you do not need to answer the
remaining questions for pain.
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Pain Tool
The Pain Tool Does NOT Calculate the
nursing home’s pain rate!
It looks at individual residents severity of
pain and treatment once in a 12 week
period.
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Tool Tracking and Trending
• The tool creates four different tracking and trending
graphs on the second to last tab of the spreadsheet.
• These graphs can be used for your quality improvement
committee or to print off and to post in your home to
inform others of your quality improvement efforts.
• The graphs provided by the tool include:
1. Pain management for long stay residents
2. Pain management short stay residents
3. The frequency of response type on verbal descriptor
scale
4. The average worst pain
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Where to Find the Information
Information and data used to put in the tools will be
gathered by you before filling out the tool. This
information can be found primarily in the resident
MDS 3.0 Section J.
Other sources of pain data include:
• Computer vendor MDS 3 reports.
• In the Medication and Treatment Administration Records
(MAR/TAR)
• Pain Management Tracking reduction committee notes
• Physical, occupational and other therapy records, activities
notes
• Individual resident medical records
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No Campaign Data Entry
There is no Campaign Website Data entry required
for the Pain goal or any of the clinical goals.
This tools is provided for your internal tracking,
monitoring and quality improvement purposes
Website data entry is only required for the
“organizational” goals (goal #’s1,2,6,7 & 8)
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Pain Tracking Tool
Demonstration
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Pain Tool Welcome Page
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Pain Tool Instruction Page
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Pain Tool Q & A Page
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Pain Data Entry Page Week 1
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Pain Data Summary Page Populated with Data
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Pain Graph / Trends Page
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Changes Documentaiton Page
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Thank You!
Tammy Rolfe
(207)242-5386
[email protected]
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