VHA/ DoD Clinical Practice Guideline Medically Unexplained Symptoms (MUS): Chronic Pain & Fatigue “Tool Kit” Timothy S. Corcoran, Lt Col, USAF, MC Office of the Assistant Secretary of Defense/Health Affairs Clinical & Program Policy Timothy S. Corcoran, Lt Col, USAF, MC Office of the Assistant Secretary of Defense/Health Affairs Clinical & Program Policy

2 Strategy for supporting changes in practice Tools can relieve barriers to change Centrally evaluate and produce resources (VHA- EES, DoD-MEDCOM/CHPPM) that can be replicated across all facilities Prevents the need to ‘reinvent the wheel’ at each facility Standardization is easier for patients and staff who move within the VHA or DoD System Background for Creating CPG “Tool Kits”

3 Practice Support Strategies Clinician Education Satellite Broadcast with CME training on the CPG and ‘tools’ Patient Education Encourages patient’s active role in care Improves patient satisfaction and compliance (dissatisfied patients tend be non-compliant with medical recommendations)

4 VHA/DoD MUS CPG Tool Kit Provider Reminder Cards Key Points Pocket Guides Assessment and Diagnosis Treatment Options Guideline Summary Web sites Patient Informational Brochure

5 VHA/DoD MUS CPG Tool Kit Provider tools: Provider Reminder Cards 5

6 VHA/DoD MUS CPG Tool Kit Provider Reminder Cards: Key Points

7 VHA/DoD MUS CPG Tool Kit Pocket Guide: Assessment and Diagnosis

8 VHA/DoD MUS CPG Tool Kit Pocket Guide: Assessment and Diagnosis

9 VHA/DoD MUS CPG Tool Kit Pocket Guide: Treatment Options

10 VHA/DoD MUS CPG Tool Kit Pocket Guide: Treatment Options

11 VHA/DoD MUS CPG Tool Kit Guideline Summary

12 VHA/DoD MUS CPG Tool Kit Guideline Summary: Algorithm

13 VHA/DoD MUS CPG Tool Kit Provider tools: Website

14 VHA/DoD MUS CPG Tool Kit Provider tools: Alternate Website

15 VHA/DoD MUS CPG Tool Kit Patient Tools: Brochures