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  • Kaye Norris, PhD Program Director
    Past and Present
    Montana Pain Initiative
  • MTPI Mission:
    The Montana Pain Initiative is a grassroots, interdisciplinary project of the American Cancer Society and American Cancer Society Cancer Action Network dedicated to improving the quality of life of Montanans with pain by removing the barriers to effective pain assessment and management through research, education, and advocacy.
  • MTPI Organizational Structure
    Advisory Council
    Executive Committee
    Standing Committees
    Ad-Hoc Committees (Work Groups)
    Membership (non-fee; donations accepted)
    Project of the American Cancer Society
  • MTPI Advisory Council
    35 Members representing
    American Cancer Society
    American Cancer Society Cancer Action Network
    Benefis Healthcare
    Bozeman Deaconess Hospice and Palliative Care;
    Bozeman Deaconess Hospital
    Community Medical Center
    St. Patrick Hospital and Health Sciences Center
    St. Peter’s Hospital
    St. Vincent Healthcare
  • Executive Committee
    Leadership of the MTPI
    Chair, RandaleSechrest, MD
    Vice Chair, Jean Forseth, RN
    Medical Director, Kathryn Borgenicht, MD
    American Cancer Society Liaison, Kristin Nei
    Program Director, Kaye Norris, PhD
  • How we started
  • Senate Joint Resolution 28
    The Montana Pain and Symptom Management Task Force (MPSMTF)
    Montana Legislature in 2005
    Senator Carolyn Squires
  • Senate Joint Resolution 28
    For two years gathered national and local information on pain management
    Conducted a convenience sample Community Survey (329 participants, results can be found at www.mtpain.org)
  • Senate Joint Resolution 28
    Developed a white paper with 10 recommendations focusing on policy, provider practice improvement, and advocacy (Mailed over 900 white papers to opinion leaders in Montana)
    Recommended the Development of the Montana Pain Initiative
    Move from information gathering to action
  • Strategic Planning RetreatSeptember 2007
    2-day strategic planning retreat
    Developed MTPI Mission Statement
    Developed MTPI Vision Statement
    Created MTPI Governance Structure
    Thank you LAF and ASPI!
  • Getting the Work Done
    Standing Committees
    Public and Institutional Policy
    Patient and Public Education & Advocacy
    Provider Practice Improvement
    Work Groups
    Addressing Chronic Pain and Addiction
  • Grants Received
  • Grants
    Pain Improvement Partnership (Lance Armstrong funding through the Alliance of State Pain Initiatives)
    Strategic Planning (Lance Armstrong Foundation through the Alliance of State Pain Initiatives)
    State Pain Activity (American Cancer Society Cancer Action Network)
    Public Safety Program: Partnering to Improve Pain Management and Reduce Abuse and Diversion (Montana Attorney General)
  • Projects
  • Provider Practice Improvement
    Annual Conferences:
    Politics of Pain: Improving Pain Management Policy in Montana (Missoula, April 2007)
    Pain Management Policy and Practice: A Balanced Approach (Missoula, September 2008)
    Practical Approaches to Managing Pain (Bozeman, Sept 2009)
    Navigating the Complexities of Pain (Billings, October 2010)
    Special Conference:
    Addressing Chronic Pain and Addiction: A Community Network Approach (Missoula, May 2010)
  • Provider Practice Improvement
    Disseminated Scott Fishman’s book Responsible Opioid Prescribing: A Physician’s Guide
    to over 3000 practicing prescribers
    (partnered with Attorney General’s Office and Board of Medical Examiners)
  • Policy Improvement
    Montana Board of Medical Examiners adopted Model Pain Policy developed by Federation of State Medical Boards
    Board of Pharmacy revised pain policy based on national standards
    13 Facilities (long term care, home health, and critical access hospitals) revised policy and structure to improve pain management
  • Policy Improvement
    In 2008-9 Assisted PMP Coalition in drafting Prescription Monitoring Program legislative language which focused on patient safety
    The bill was defeated in the Human Health and Services Committee
    Currently working with the Montana Attorney General’s Office: Legislation is drafted and has been approved by the American Cancer Society Cancer Action Network
  • Patient Advocacy
    Chronic Pain Support Groups
    American Pain Foundation Statewide Leaders
    Nicole Dunn
    Kathryn Borgenicht
    Kaye Norris
    September Pain Awareness Month
    Media coverage (radio interviews & newspaper articles)
    Holistic Health Fair in Missoula
    Over 100 people attended
    MTCCC Quality of Life and Survivorship Committee
    Pain management a priority
  • National & Local Presentations
  • National:
    Advancing Pain Management Policy and Practice (joint presentation with the Georgia Pain Initiative; Alliance of State Pain Initiatives annual conference 2008)
    Improving State Pain Policy in Montana and Oregon (joint presentation with Pain Society of Oregon; American Pain Foundation annual Summit 2009)
    Improving Pain Management: Using the Montana Pain Initiative to Tackle Barriers (3 presentations to American Cancer Society Advisory Councils in Butte, Great Falls, Missoula, 2008)
    Managing Cancer Pain: Successes and Challenges (MTCCC statewide meeting, Nov 2009)
    Pain Management and Medication Misuse (4th Annual Crime Prevention Conference, Oct 2010)
  • Research
    In August/September 2009 developed pain questions for the Behavior Risk Factor Surveillance Survey
  • BRFSS Questions
    • Do you suffer from any type of chronic pain; that is pain that occurs constantly or flares up frequently? 
    How long have you been experiencing this type of pain? 
    About how often do you experience this pain? Would you say: 
    Using a 0 to 10 scale where 0 means no pain at all and 10 means the worst pain imaginable, when you experienced pain how severe would you say it was on average over the past 3 months?
    During the past 30 days, for about how many days did your pain keep you from doing your usual activities, such as self-care, work, or recreation?
  • BRFSS Questions
    What types of therapies does your health care provider recommend to manage your pain?over the counter medications; prescription medications; medical marijuana; complementary therapies such as massage, physical therapy or acupuncture
    Do you feel your pain is well managed? 
    Which of the following do you believe is the biggest barrier to treating your pain? No barriers; Cost of care; Health care provider is not helpful; I don’t ask for treatment for my pain
  • Provider Survey
  • Provider Survey
    Sauny Sewell (nursing student working on Master Thesis)
    Developed Provider Survey
    Pharmacological Pain Management Questionnaire
    knowledge of, perceived barriers to and educational needs
    Conducted a Delphi Analysis
    Small Group Content Validity Analysis
    When complete we will have a survey that with funding we could conduct
  • Current Projects
  • Projects in the Works
    Indian Health Service Pain Management Policy and Practice Program
    (grant submitted to MayDay Fund in 2009 was not funded/requesting to submit again)
    Pain Improvement Partnership Project
    Looking for Funding
    TriAd Services Coordination “TASC”: A Missoula Pilot Project
    Montana Mental Health Trust grant proposal
    Montana specific On-Line CME/CE modules
  • Thank you for attending the 4th Annual Montana Pain Initiative ConferenceYour ideas and contributions are greatly appreciated