Collaborative Care for Chronic Pain

(Adopted January 2019)

Treatment of pain varies widely between systems and clinicians with high financial and human cost. Moving to a collaborative or team-based approach to managing complex pain has been shown to result in better patient outcomes. However, most approaches to pain management including chronic opioid therapy involved siloed health care providers. This workgroup met from January 2018 to January 2019, focused on a biopsychosocial model within primary care for patients with chronic pain with life activity impacts, and defined minimum standards for:

Patient identification and population management
A care team
A care management function
Basing treatments in evidence
Patient-centered supported self-management

Previous Meeting Materials

Date	Agenda
January 12	Agenda January 12 Chronic Pain Workgroup Charter and Roster Slides Collaborative Care from L&I Conference Bree Collaborative Process
February 9	Agenda February 9 Minutes January 12 Draft Collaborative Care for Chronic Pain Recommendations Slides Collaborative Care from L&I Conference
March 9	Agenda March 9 Minutes February 9 Collaborative Care Matrix Draft Chronic Pain Recommendations
April 13	Agenda April 13 Meeting Minutes March 9 Draft Collaborative Care for Chronic Pain Recommendations Supported Self-Management Toolkit
May 11	Agenda May 11 Minutes April 13 Draft Collaborative Care for Chronic Pain Recommendations
June 15	Agenda June 15 Minutes May 11 Draft Recommendations Collaborative Care
July 13	Agenda July 13 Minutes June 15 Draft Recommendations Collaborative Care for Chronic Pain
August 10	Agenda August 10 Minutes July 13 Draft Recommendations Collaborative Care for Chronic Pain
September 14	Agenda September 14 Minutes August 10 Draft Collaborative Care for Chronic Pain Recommendations
November 2	Agenda November 2 Minutes September 14 Draft Recommendations Chronic Pain Non-Medical Pain Experiences Non Medical Pain Management

Supporting Materials

Letter from the Health Care Authority Accepting the Collaborative Care for Chronic Pain Recommendations
Collaborative Care for Chronic Pain Workgroup Charter and Roster

.Workgroup Members

Name	Title	Organization
Leah Hole-Marshall, JD (chair)	Counsel and Chief Strategist	Washington Health Benefit Exchange
Ross Bethel, MD	Physician	Selah Family Medicine
LuAnn Chen, MD, MHA, FAAFP	Medical Director	Community Health Plan of Washington
Lynn DeBar, PhD, MPH	Senior Investigator	Kaiser Permanente Washington Health Research Institute
Stuart Freed MD	Chief Medical Officer	Confluence Health
Andrew Friedman, MD	Physiatrist	Virginia Mason Medical Center
Mark Murphy, MD	President	Washington Society of Addiction Medicine
Mary Kay O’Neill, MD, MBA	Partner	Mercer
Jim Rivard, PT, DPT, MOMT, OCS, FAAOMPT	President	MTI Physical Therapy
Kari A. Stephens, PhD	Assistant Professor – Psychiatry & Behavioral Sciences	University of Washington Medicine
Mark Sullivan, MD, PhD	Professor, psychiatry; Adjunct professor, anesthesiology and pain medicine	University of Washington Medicine
Nancy Tietje	Patient Advocate
Emily Transue, MD, MHA	Associate Medical Director	Washington State Health Care Authority
Michael Von Korff, ScD	Senior Investigator	Kaiser Permanente Washington Health Research Institute