1. Overview of PainTracker Progress to-date at UW Medicine
&
Progress to-date at UW Medicine
Brian Theodore, PhD
Mark Sullivan, MD, PhD
David Tauben, MD

2. What is PainTracker?
The UW PainTracker is a web-based tool to assess and graph core patient-reported outcomes of chronic pain management over time.
Its purpose is to provide a brief visual display of the relationship between chronic pain treatments and these outcomes, such as pain, function, mood, sleep, and treatment satisfaction.
Computerized Patient Reported Outcomes (cPRO) platform and web application developed by the UW Center for Informatics Research Group and UW Division of Pain Medicine.

3. Who is Using PainTracker?
Clinical Services
Date of Adoption
Early-Adopters
UW Neighborhood Clinics
July 2011*
UW TelePain
July 2012**
Sports Medicine at Husky Stadium
April 2014
Center for Pain Relief
July 2014
HMC Pain Relief Service
Q – Q (est.)
Planned Expansions
(Planned rollout 2015 – 2016)
Bone & Joint Surgery Center/Rheumatology
Neurology & Headache Clinic
Pelvic Pain Clinic
Other internal & external partners
* Not web-based. EPIC SmartSet and Note Template.
** Started paper-forms, migrated to web-based in Q

4. Common Core, Multiple Versions
Common web application designed to support multiple modalities and uses:
UW PainTracker initially supported primary care content and workflow, and also TelePain
Content added to support sports medicine and ortho needs and rebranded “UW ActionTracker”
Content added to support chronic pain at CPR

5. Core Measures Pain location
PEG – Pain Intensity, Interference with Enjoyment of Life and Interference with General Activity
Pain interference with sleep initiation and maintenance
Pain interference with patient-defined “Most Important Activity”
PHQ 4 – Mood screener for depression & anxiety
Opioid Risk Tool
Medication tracking
Prescription opioid dose (MED) and utilization
Satisfaction with Pain Treatment

6. Service-Specific Measures
PainTracker – Sports Medicine
“Action Tracker”
PainTracker CPR
Function
Oswestry Disability Index
Other location-specific measures
(e.g., NDI, FADI, QuickDASH)
Alcohol Screener
AUDIT-C
Treatment Tracking
PT, Injections, Surgeries, Behavioral Medicine
Mood Screeners
PHQ-9
GAD-7
PC-PTSD
Additional Opioid Use Screener
PODS
Sleep Apnea
STOP-BANG
Global Quality of Life
PROMIS Global Health

7. User Interface

8. Clinical Report PainTracker

9. Clinical Report PainTracker
Content in table below graphs:
Days per month excess meds
Important activity selected
Prior treatment history
Item responses to selected questionnaires

10. Challenges Integration with Epic Labor intensive Completion rates
Access to dataset

11. Workflow Analysis
In collaboration with UW Department of Human Centered Design & Engineering

12. Progress with Integration
Epic
Scheduling
Pain
Tracker
Daily Activity Report
PSS/Outcomes Coordinator
Reminder Calls

13. Progress with Completion Rates
Baseline: 131 patients observed over 7 weeks at CPR
Followup: 163 patients observed over 7 weeks at CPR

14. Progress with Completion Rates

15. Progress with Completion Rates (single clinic champion)
128 patients observed over 8 weeks at CPR

16. Progress with Data Access
Current development of flat file with raw and summary scores (Est. Dec 2014/Jan 2015)
On-demand download into Excel file
Available on-demand for QI
Available for research with IRB approval

17. Questions?