(精选)【医学英文课件】 Interventional Pain Management and ACOs- Reducing ER Visits, Hospitalizations and Re-Admissions教学课件.ppt

New Paradigm for Managing Spinal Pain A new paradigm is required to reduce costs and improve outcomes Care needs to be guideline and algorithm driven by a physician with expertise in all areas of conservative and minimally invasive techniques Care needs to be patient focused and responsive to changes in symptoms New Paradigm- Early Assessment by IPM Physician Assessment and treatment by a qualified IPM physician at the onset of pain or when symptoms persist during conservative treatment in all cases Care needs to be tailored to the individual, their pain levels, co-morbidities, vocation, timelines New Paradigm Care is based on three key concepts #1 identification/treatment of sources of spinal pain through minimally invasive procedures performed in an algorithm #2 appropriately managed symptoms #3 education/behavioral modification to maximize function, prevent recurrences New Paradigm- Diagnosis/Treatment Sources of spinal pain well known- facet joints, disc joint, sacroiliac joints, and nerve inflammation (sciatica, radicular pain) secondary to proximity of nerve roots to these spinal joints There are well-defined, published, interventional treatment pathways for each source of pain- National Guideline Clearinghouse New Paradigm- Diagnosis/Treatment Well trained IPM doctor serves as cardiologist of the spine- trained to diagnose and treat the causes of spinal pain minimally invasively Sources of pain- joints/nerves- can be treated on a recurrent basis when symptoms require it and relief from past procedures documented Scott E. Glaser, MD, DABIPP President, Pain Specialists of Greater Chicago Interventional Pain Management and ACOs- Reducing ER Visits, Hospitalizations and Re-Admissions Physician Challenges- The Future is Now Medical landscape inalterably changed by market forces and the ACA Physician independence (business and clinical decision making) constrained Specialists selling practices to hospitals or medical groups increasingly common 90% of