Creation of a Multispecialty Clinic for Patients with Central Sensitization–Based Chronic Pain Conditions
Objective: To design and evaluate, through a human-centered design approach, a multispeciality clinic for patients with central sensitization syndromes that combined virtual previsit consultations, traditional face-to-face appointments, and technology-enabled educational programming. Patients and Me...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-02-01
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| Series: | Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2542454821001600 |
| _version_ | 1818967493175148544 |
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| author | Conor G. Loftus, MD Jon O. Ebbert, MD Christopher A. Aakre, MD∗ Natalie A. Caine, MHA∗ Meredith A. DeZutter, BFA Ryan J. Eastman, MS∗ Stephen M. Fischer, MHSA∗ Elizabeth A. Gilman, MD∗ Matthew G. Johnson, MPH∗ Connie A. Luedtke, RN∗ Arya B. Mohabbat, MD∗ Karen J. Reinschmidt, MS∗ Daniel L. Roellinger, BS William Sanchez, MD∗ Lindsey M. Philpot, PhD |
| author_facet | Conor G. Loftus, MD Jon O. Ebbert, MD Christopher A. Aakre, MD∗ Natalie A. Caine, MHA∗ Meredith A. DeZutter, BFA Ryan J. Eastman, MS∗ Stephen M. Fischer, MHSA∗ Elizabeth A. Gilman, MD∗ Matthew G. Johnson, MPH∗ Connie A. Luedtke, RN∗ Arya B. Mohabbat, MD∗ Karen J. Reinschmidt, MS∗ Daniel L. Roellinger, BS William Sanchez, MD∗ Lindsey M. Philpot, PhD |
| author_sort | Conor G. Loftus, MD |
| collection | DOAJ |
| description | Objective: To design and evaluate, through a human-centered design approach, a multispeciality clinic for patients with central sensitization syndromes that combined virtual previsit consultations, traditional face-to-face appointments, and technology-enabled educational programming. Patients and Methods: Patients with suspected fibromyalgia and chronic abdominal pain were seen in a multispecialty practice, and the performance of the clinic was evaluated against a contemporary cohort. Quantitative and qualitative evaluation measures included team estimates of time spent on care-related tasks, physician rank of alignment of patient need with clinic design, major appointment changes, and nonvisit care tasks. Members of the care team also evaluated strengths, weaknesses, opportunities, and threats to the success of the clinic. Results: The pilot clinic was operated from April 1, 2020, to April 30, 2021, and included 34 patients with suspected fibromyalgia/chronic abdominal pain. During the pilot period, physicians ranked the value of the virtual previsit consultations in providing care as 7.5 on a scale of 0 to 10 and reported an average of 50 minutes in preparation for the appointment, execution of the appointment, and postvisit documentation. We did not observe substantial differences in the number of added appointments or messages received within the patient portal when compared with a comparison cohort. Patients who participated in the combination nurse educator–led and digital education program provided positive feedback about their experience. Conclusion: Our clinic model provides a framework for the treatment of patients with debilitating centrally sensitized conditions and future expansion of virtual care delivery models to better meet patient care and educational needs. |
| first_indexed | 2024-12-20T13:49:40Z |
| format | Article |
| id | doaj.art-f4afc940fd784d199b05d257fd827630 |
| institution | Directory Open Access Journal |
| issn | 2542-4548 |
| language | English |
| last_indexed | 2024-12-20T13:49:40Z |
| publishDate | 2022-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| spelling | doaj.art-f4afc940fd784d199b05d257fd8276302022-12-21T19:38:34ZengElsevierMayo Clinic Proceedings: Innovations, Quality & Outcomes2542-45482022-02-01614554Creation of a Multispecialty Clinic for Patients with Central Sensitization–Based Chronic Pain ConditionsConor G. Loftus, MD0Jon O. Ebbert, MD1Christopher A. Aakre, MD∗2Natalie A. Caine, MHA∗3Meredith A. DeZutter, BFA4Ryan J. Eastman, MS∗5Stephen M. Fischer, MHSA∗6Elizabeth A. Gilman, MD∗7Matthew G. Johnson, MPH∗8Connie A. Luedtke, RN∗9Arya B. Mohabbat, MD∗10Karen J. Reinschmidt, MS∗11Daniel L. Roellinger, BS12William Sanchez, MD∗13Lindsey M. Philpot, PhD14Division of Gastroenterology and HepatologyDepartment of Community Internal MedicineDivision of General Internal MedicineAdministrative Services; Department of MedicineDepartment of MedicineAdministrative Services; Department of MedicineAdministrative Services; Department of MedicineDivision of General Internal MedicineKern Center for the Science of Health Care DeliveryDepartment of NursingDivision of General Internal MedicineStrategy DepartmentQuantitative Health Sciences, Mayo Clinic, Rochester, MNDivision of Gastroenterology and HepatologyDepartment of Medicine; Correspondence: Address to Lindsey M. Philpot, PhD, Department of Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905.Objective: To design and evaluate, through a human-centered design approach, a multispeciality clinic for patients with central sensitization syndromes that combined virtual previsit consultations, traditional face-to-face appointments, and technology-enabled educational programming. Patients and Methods: Patients with suspected fibromyalgia and chronic abdominal pain were seen in a multispecialty practice, and the performance of the clinic was evaluated against a contemporary cohort. Quantitative and qualitative evaluation measures included team estimates of time spent on care-related tasks, physician rank of alignment of patient need with clinic design, major appointment changes, and nonvisit care tasks. Members of the care team also evaluated strengths, weaknesses, opportunities, and threats to the success of the clinic. Results: The pilot clinic was operated from April 1, 2020, to April 30, 2021, and included 34 patients with suspected fibromyalgia/chronic abdominal pain. During the pilot period, physicians ranked the value of the virtual previsit consultations in providing care as 7.5 on a scale of 0 to 10 and reported an average of 50 minutes in preparation for the appointment, execution of the appointment, and postvisit documentation. We did not observe substantial differences in the number of added appointments or messages received within the patient portal when compared with a comparison cohort. Patients who participated in the combination nurse educator–led and digital education program provided positive feedback about their experience. Conclusion: Our clinic model provides a framework for the treatment of patients with debilitating centrally sensitized conditions and future expansion of virtual care delivery models to better meet patient care and educational needs.http://www.sciencedirect.com/science/article/pii/S2542454821001600 |
| spellingShingle | Conor G. Loftus, MD Jon O. Ebbert, MD Christopher A. Aakre, MD∗ Natalie A. Caine, MHA∗ Meredith A. DeZutter, BFA Ryan J. Eastman, MS∗ Stephen M. Fischer, MHSA∗ Elizabeth A. Gilman, MD∗ Matthew G. Johnson, MPH∗ Connie A. Luedtke, RN∗ Arya B. Mohabbat, MD∗ Karen J. Reinschmidt, MS∗ Daniel L. Roellinger, BS William Sanchez, MD∗ Lindsey M. Philpot, PhD Creation of a Multispecialty Clinic for Patients with Central Sensitization–Based Chronic Pain Conditions Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| title | Creation of a Multispecialty Clinic for Patients with Central Sensitization–Based Chronic Pain Conditions |
| title_full | Creation of a Multispecialty Clinic for Patients with Central Sensitization–Based Chronic Pain Conditions |
| title_fullStr | Creation of a Multispecialty Clinic for Patients with Central Sensitization–Based Chronic Pain Conditions |
| title_full_unstemmed | Creation of a Multispecialty Clinic for Patients with Central Sensitization–Based Chronic Pain Conditions |
| title_short | Creation of a Multispecialty Clinic for Patients with Central Sensitization–Based Chronic Pain Conditions |
| title_sort | creation of a multispecialty clinic for patients with central sensitization based chronic pain conditions |
| url | http://www.sciencedirect.com/science/article/pii/S2542454821001600 |
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