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Chronic Pain and Safe Opioid Prescribing

The ACP Quality Connect Chronic Pain initiative aims to spread practice transformation strategies that improve primary care chronic pain management. Building on a successful pilot study in collaboration with the Kentucky ACP chapter and two ACOs in the state of Kentucky,

ACP’s Center for Quality has developed resources and training approaches that can help primary care practices improve chronic pain management through:

  • Increased screening and referral for depression and anxiety
  • Improved assessment and systematic screening of opioid misuse
  • Implementation of patient-centered controlled substance contracts
  • Assessment and maximization of functioning and quality of life in chronic pain patients
  • Identification and better coordination of care with behavioral health care providers, pain subspecialists, and other allied health care providers for chronic pain patients. 

The ACP Quality Connect has developed opportunities for educational programs as well as training and support tools for implementing quality improvement activities for the practice team in managing chronic pain.   

ACP Publication: Enhancing the Safe and Effective Management of Chronic Pain in Accountable Care Organization Primary Care Practices in Kentucky

QI Videos

Providers’ Clinical Support System for Opioid Therapies — ACP collaborated with 12 other consortium partners to create and deliver resources to educate providers on practice-based approaches to improving chronic pain management and discussing tactics for implementing the best practices.

Pain and Mental Health Assessments — Matthew Bair, MD, MS
Dr. Bair answers:

  1. Why should we assess pain and mental health?
  2. What tools are good to assess pain including the Brief Pain Inventory (BPI)?

Minimizing Risk of Abuse — Gregory Hood, MD, FACP

Controlled Substance Agreements — Gregory Hood, MD, FACP


Chronic Pain & Opioid Addiction: Clinical Challenges and Management StrategiesDaniel P. Alford, MD, MPH, FACP, Professor of Medicine, Assistant Dean, Continuing Medical Education, Director, Clinical Addiction Research and Education Unit, Boston University School of Medicine & Boston Medical Center
Learn about factors that influence the experience of pain in patients with a history of opioid addiction; recall the complexities of diagnosing opioid addiction in patients on chronic opioids for chronic pain; recall the evidence supporting the management of opioid use disorders with medications; apply a practical framework for managing patients with concurrent pain and opioid addiction.

Pain and Mental Health Assessments in Primary CareMatthew Bair, MD, MS
Learn about factors related to a comprehensive pain assessment and some common screening tools helpful in assessing pain.

Pain Contracts and Risk AssessmentsDr. Gregory Hood, MD, FACP, PI, Kentucky ACP Pain QI Study
Dr. Hood explains pain contracts as legal and medical tools that facilitate patient treatment that is safe and effective—both medically and legally. In addition, he takes a look at ways to make risk assessments straightforward and useful.

Support for ACP’s Chronic Pain initiative is provided by Pfizer, Inc., and Teva Pharmaceuticals.