PAC Notes: Taxonomy Section I Part VII-C

Last Updated on April 16, 2022 by Lee Burnett, DO, FAAFP

 (05 May 2006 16:52)

NATIONAL PROJECT ON THE COMMUNITY BENEFITS

OF FAMILY MEDICINE RESIDENCY PROGRAMS

CUMULATIVE QUESTIONNAIRE RESPONSES

Taxonomy Section I Part VII-C

Pain Management

(Reviewed by the Policy Analysis Committee Team Task Force

April 28, 2006, San Francisco)

Present: Ross, Burnett, Wilke, Jafri

The following series of iterative questions were last discussed in the PAC Notes for the review of Taxonomy I Part II on April 11, 2005.  The first set of questions appears in Site Visit Surveys between September, 2004 and March, 2005. 

SD I.13v(1.1) (new) Does your residency provide the following kinds of specialty care: v. Pain Management? Yes __ No __

SD I.13v(1.2) If you do provide pain management, are these services provided as normal family medicine center appointments? Yes __ No __

SD I.13v(1.3) If you do provide pain management, are these services provided during special clinics?  Yes __ No __

If so, what is the number of patients seen?  What revenues are generated in each specialty service?

The following question appeared in Site Visit Surveys conducted between September, 2004 and April, 2006.  The PAC subcommittee replaced this question (and the succeeding one) with a new group of iterative questions, below:

NPCB P2 I.13.2v (SD I.13v(1.4)) Describe the kinds of pain management that typically takes place within the family medicine center (whether as normal appointments or during special clinics):

The following question appeared in Site Visit Surveys conducted between July, 2005 and April, 2006.  The PAC subcommittee replaced this question (and the preceding one) with a new group of iterative questions, below:

NPCB P2 I.13.2v(1) For what conditions would your residency program refer patients to pain management specialists? What is the expected wait time before the patient is seen?

At the suggestion of Doctors Henley and Pugno, the open-ended questions for each of the specialties being reviewed at this time, should be replaced by iterative questions that reflect “systems of care” and management by the family medicine residency programs of their patients’ health care needs.  The following set of questions, developed for the Cardiology section, was also modified in subsequent subcommittee meetings for Gastroenterology, Pulmonary Medicine, Nephrology, ENT, Ophthalmology and Pain Medicine.  It is the intention of the subcommittee, after field-testing these new questions in May, 2006 Survey Site Visits, that they be administered by electronic survey to all Profiled Residency Programs in the National Project:

*NPCB P2 I.VII.B1 Does your residency program manage the following disorders for your family medicine center patients either in the inpatient or outpatient settings (or both):

a.       Chronic Back Pain? Yes __ No __

*NPCB P2 I.VII.B2 Does your residency program utilize screening and surveillance procedures consistent with professional guidelines for chronic pain?

* NPCB P2 I.VII.B3 Does your residency program participate in the identification, management, referral and follow-up care of patients requiring the following tertiary care services:

a.       Acupuncture? Yes __ No __

b.      Gangliatic Block? Yes __ No __

c.   Intrathecal Injections? Yes __ No __

* NPCB P2 I.VII.B4 Are you able to assure that your family medicine patients have access to the following diagnostic tests, either within your family medicine center or through a process of referral or consultation?

a.       Advanced treatment methods for chronic pain? Yes __ No __