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Transformative Care For Preventing Chronic Pain And Addiction

A CE Course For Health Professionals

In support of improving patient care, this course is accredited for continuing education credit by the University of Minnesota, Interprofessional Continuing Education and is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC) and the American Dental Association Continuing Education Recognition Program (ADA CERP) to provide continuing education for the healthcare team.

Chronic pain is the top reason to seek care, the #1 cause of addiction and disability, and the primary driver of healthcare utilization, costing more than cancer, heart disease, and diabetes. The Institute of Medicine and healthcare leaders recommend that all health professionals implement transformative care with self-management training of patients with pain conditions with treatments to prevent chronic pain and addiction. Attendees will learn how to implement a transformative treatment plan for their patients by employing Patient-Centered Clinical Paradigms, Telehealth Coaching, and the PACT Digital Patient Engagement Platform in routine care.

Webinar Courses

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Dec. 3, 2019    4-5:30 p.m.

  • Understanding Chronic Pain: The Causes and The Cures with discussion
  • Patient-Centered Transformative Care to Prevent Chronic Pain and Addiction with discussion

Cont. Dec. 5, 2019    4-5:30 p.m.

  • Integrative TeleHealth Coaching to Support Patient-Centered Care with discussion
  • PACT for Pain Patient Engagement Platform to Implement Transformative Care with discussion

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In-Person Course

Register Now

Dec. 6, 2019    1-4:00 p.m.

  • Understanding Chronic Pain: The Causes and The Cures with discussion
  • Patient-Centered Transformative Care to Prevent Chronic Pain and Addiction with discussion
  • Integrative TeleHealth Coaching to Support Patient-Centered Care with discussion
  • PACT for Pain to Implement Transformative Care in Daily Patient Care with discussion

Location: Moos Tower, Room 2-690, University of Minnesota

Goal of Courses

Educate health care professionals in Minnesota, particularly those in outstate regions, on the Transformative Care including specific examples of the use of PACT digital platform with telehealth coaching to prevent chronic pain addiction. The PACT example demonstrates how Technology and Telehealth Coaching can become a crucial part of routine care. Attendees will learn how to implement patient-centered Transformative Care treatment plans in their practice.

Addressing the Chronic Pain and Opioid Crisis

Chronic pain is the top reason to seek care, the #1 cause of addiction and disability, and the primary driver of healthcare utilization, costing more than cancer, heart disease, and diabetes. As a result, the nationwide chronic pain and opioid crisis is having a devastating personal effect on individuals, families, and communities, and imposing enormous financial costs on federal, state, and local governments.

To reverse the chronic pain and opioid crisis, respected national healthcare institutions such as the Institute of Medicine, the National Pain Strategy, the Institute for Clinical System Integration, Centers for Disease Control and Prevention and the U.S. Department of Health and Human Services Pain Management Best Practices Inter-Agency Task Force have all recommended that health professionals include preventive self-management training in their care of all patients with pain conditions.

Speakers

Dr. James Fricton

Dr. James Fricton DDS, MS is a Professor Emeritus at the University of Minnesota, Pain Specialist at Minnesota Head and Neck Pain Clinic, and current President of International Myopain Society. He is trained as an Anesthesiology Pain Management specialist from UCLA School of Medicine.

He has 35 years of National Institutes of Health sponsored research, University-based education, and patient care of chronic pain patients. His research and clinical experience in pain management has developed the concepts and on-line technology to implement transformative care as part of a national campaign to prevent chronic pain and addiction with International Myopain Society.

Denise Strenger, MS, MA, NBC-HWC

Denise Strenger, MS, MA, NBC-HWC is a Nationally Board-Certified Health and Wellness Coach and a tenured Sociology Professor. She has an M.S. in Sociology and an M.A. in Integrative Health and Wellbeing Coaching from the University of Minnesota.

With 20 years of teaching experience in Sociology and within the fitness industry (Pilates and Yoga), her approach to consulting and coaching combines her education and teaching expertise with her passion for health and wellness. As a Sociologist, she specializes in relationships, families and communication.

Emily Ness MA, NBC-HWC

Emily Ness MA, NBC-HWC is a Nationally Board-Certified Health and Wellness Coach with an M.A. in Integrative Health and Wellbeing Coaching from the University of Minnesota.  

Her background Includes Health Coaching for Chronic Conditions, Yoga, Ayurveda, Lifestyle Medicine, and Functional Nutrition. She is also a registered yoga instructor (RYT200) and has been teaching and coaching athletics for nearly 10 years

Learning how to Implement Transformative Care and PACT

Engaging patients in transformative care can be done by asking your patients a simple question: “I’m happy to treat you but it is more effective long-term if we ALSO train you to reduce the causes of your pain. Are you interested?”. If yes, explain how transformative care works: 1) how pain cycles lead to chronic pain, 2) how self-care training with telehealth coaching can break the cycles, 3) how non-opioid evidence-based treatments help. This course provides patient forms to facilitate conversations about implementing transformative care treatment plans.

Transformative Patient-Centered Care for Pain Conditions

The integration of patient-centered self-management training with treatment using technology and a telehealth team is an innovative model of care– transformative care–to help patients recover from pain conditions long-term while helping the health care system address the devastating effect of the opioid crisis. More than half of the persons seeking care for pain conditions at 1 month still have pain 5 years later despite treatment due to lack of training patients in reducing the many patient-centered risk factors that lead to delayed recovery and chronic pain. If usual care fails, clinicians and patients often escalate care to passive higher-risk interventions such as opioids, polypharmacy, multiple surgeries, or extensive medical and dental treatment with training patients to reduce the patient-centered risk factors that drive chronic pain.

 

Supporting Patient Engagement in Self-Management

In 2011, the Institute of Medicine (IOM) stated that health professionals’ primary role for chronic pain should be guiding, coaching, and assisting patients with day-to-day self-management of chronic pain and recommended research involving self-management as a high priority. Healthcare professionals cite the lack of reimbursement, adequate time, and skills as reasons why the critical task of self-management training rarely occurs in the health care system.

Transformative care helps transform patients of all ages from pain and illness to health and well-being by preventing chronic pain, addiction and disability through engagement in self-care training to reducing the risk factors and implementing protective actions in all seven realms of a person’s life including body, mind, spirit, emotions, lifestyle, social life, and environment. Transformative care employs human system theory of health to advance team-based patient care using telehealth coaching–a new discipline that is outside the traditional health sciences.

 

PACT Facilitates Transformative care

With funding from National Institutes of Health, the Personalized Activated Care and Training (PACT) Program was designed, developed and tested to be a Patient Engagement Platform for healthcare professionals to implement transformative care and engage patients in activities that enhance their understanding, compliance, and success in self-management to prevent pain conditions and opioid addiction. The PACT patient engagement technology, developed and tested with several National Institutes of Health grants, facilitates transformative care by training and supporting patients in self-management, document risk assessments, review the patient-centered outcomes dashboard, and support from a telehealth coach. PACT can also help prevent provider burnout by supporting the clinician in managing pain conditions long-term, preventing chronic pain and addiction, and shifting to patient-centered team care paradigms. Since it is implemented via telehealth, it will also improve access to health care and health promotion resources in rural and outstate Minnesota.

PACT includes an array of patient-centered tools including whole person risk and protective factor assessments, risk reduction training modules with micro-learning lessons for each risk factor, telehealth coaching support integrated into the patient’s life, telehealth psychology visits for complex issues, secure messaging, remote monitoring of patient-centered dashboard that show progress and engagement, printable self-care resources, email and text reminders, friends and family support, and many more features. The program provides 9 modules of progressive, structured, didactic, experiential, and telehealth coach-supported training using cognitive-behavioral strategies to reduce risk factors that contribute to delayed recovery and enhance protective factors that have evidence of improving chronic pain.

It is designed to be sustainable, scalable, reimbursed, and easily integrated into routine care by health professionals to offer patients comprehensive personalized self-management training and support. PACT supports the transformative care model to help address several of the major problems in our healthcare system including the opioid crisis, chronic pain crisis, access to telehealth care and remote monitoring of patients in rural outstate areas, healthcare burnout, and escalating healthcare costs.

Collaborating with the Office of Academic Clinical Affairs

This Project sets up OACA partnerships with community health clinics and healthcare professionals within Minnesota to help prevent chronic pain and addiction. Transformative care with PACT can be implemented by any health professional in the state of Minnesota who provides care for patients with pain conditions. This includes primary care physicians, specialty physicians, nurse practitioners, dentists, chiropractors, physical therapists, and other health professionals. We will collaborate with all existing Clinical Affairs programs/institutes and existing University programs to provide training for health professionals.

This initiative received funding from the Office of Academic Clinical Affairs BOLD Ideas Grant program which supports interdisciplinary teams seeking to tackle the “wicked problems” inhibiting the health and wellbeing of our communities.

Accreditation Statement

In support of improving patient care, University of Minnesota, Interprofessional Continuing Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Credit Designation Statements

American Medical Association (AMA)

The University of Minnesota, Interprofessional Continuing Education designates this live activity for a maximum of 3.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Nurses Credentialing Center (ANCC)

This activity is awarded up to 3.0 ANCC contact hours.

Minnesota Continuing Dental Education Credits

Dental providers may receive three Continuing Dental Education credits upon completion of this course.

Other Healthcare Professionals

Other healthcare professionals who participate in this CE activity may submit their statement of participation to their appropriate accrediting organizations or state boards for consideration of credit. The participant is responsible for determining whether this activity meets the requirements for acceptable continuing education.