CAIPEC Implementation Workbook
How To Use: This workbook serves as a guide for a clinic to implement changes on how it manages patients with chronic pain. The following appendices complement the workbook. The workbook describes developing a team-based approach and assessing the environment’s culture to successfully make changes in the clinic. There are “ACTION” boxes throughout the workbook that guides the team to translate the planning process to actual implementation, mainly guided by a PDSA quality improvement cycle.Appendix A: Chronic Pain Clinical Guideline
- This is a suggested chronic pain guideline. Your team can choose any other preferred guideline. Other guidelines are also provided under Resources.
Appendix B: Chronic Pain Guideline Quiz
- This quiz can be used if you chose the suggested guideline and if the team decided to use a quantitative method in assessing your team’s knowledge about the guideline. The quiz also includes questions assessing other statements in Part 1 of the workbook.
Appendix C: Organizational Readiness to Change Assessment (ORCA)
- The ORCA is a validated instrument to assess your clinic’s/organization’s readiness for change. As one can appreciate, it is hard to make (successful) change if the team is not ready or willing to change. Greater effort then needs to be placed on education and changing the culture about the current process.
Appendix D: Participation and Functioning Teamwork Survey
- The Participation and Functioning Teamwork Survey is used to assess your team members participation and functioning within the clinic. This survey can help to determine team member’s contribution to the team and focus on the aspects that need greater attention and improvement. This tool was developed to determine if there was an impact from staff on patient outcomes, results suggest the level of participation by the team has important implications for patient outcomes.
Appendix D: Sample Clinic Workflows
- These workflows are made in Excel© so they can be adapted by the clinic. The current workflow only serves as a sample but was developed based on a standard clinic process assumption. The instruments listed were chosen by preference only, but your team may choose any other. These instruments can be found in the Resources section.
Appendix E: PDSA (Plan-Do-Study-Assess) Worksheets
- These worksheets are available to assist the team when the chosen processes and changes are actually implemented.