CHAMPS has organized this compilation of resources to support Region VIII CHCs in treating and supporting patients with chronic pain.

If you utilize an evidence-based clinical resource appropriate for health center clinicians that is not listed on this webpage, please contact the CHAMPS Clinical Quality Improvement Director.

For additional information on topics related to chronic pain, please see:

• CHAMPS Opioid Use Disorder Resources
• CHAMPS Substance Use Disorder Resources

Please click or scroll down for:
Articles and Reports
Evidence-Based Clinical Guidelines
Patient Resources
Provider Resources
Webcasts and Multimedia Presentations
Other Online Resources

ARTICLES AND REPORTS

Administration for Community Living
Chronic Disease Self-Management Education Programs
Administration on Aging, 2003

Agency for Healthcare Research and Quality (AHRQ)
Treatment for Acute Pain: An Evidence Map
Technical Brief Number 33, October 2019

L. Garufi Clark, MD and C. Upshur, EdD
Family Medicine Physicians’ Views of How to Improve Chronic Pain Management
JABFM, September-October 2007, Vol. 20, No. 5

National Academies of Science, Engineering, and Medicine
Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop
The Roundtable on Quality Care for People with Serious Illness, May 2019

Pain Management Best Practices Inter-Agency Taskforce, U.S. Department of Health and Human Services (HHS)
Report on Pain Management Best Practices: Updates, Gaps, Inconsistencies, and Recommendations
Final Report and Report Resource Kit that underscore the need to address stigma, risk assessment, access to care, and education. It also highlights five broad categories for pain treatment: medications, interventional procedures, restorative therapies, behavioral health, and complementary and integrative health approaches, December 2019

Trust for America’s Health
Pain in the Nation Update
Issue Brief, March 2019

C. Upshur, EdD, R. Luckman, MD MPH, and J. Savageau, MPH
Primary Care Provider Concerns about Management of Chronic Pain in Community Clinic Populations
Journal of General Internal Medicine, June 2006, 21(6): 652-655

U.S. Department of Health & Human Services (HHS)
Pain Management Best Practices Inter-Agency Task Force Report
Report identifies gaps, inconsistencies, and updates, and provides recommendations for best practices for managing acute and chronic pain, May 2019

EVIDENCE-BASED CLINICAL GUIDELINES

American Academy of Pain Medicine (AAPM)
Clinical Guidelines
2018

Institute for Clinical Systems Improvement (ICSI)
Assessment and Management of Chronic Pain
2017

PATIENT RESOURCES

CHAMPS Patient Education Handouts
Includes one general patient handout describing the need for practicing relaxation and creating the Relaxation Response to help curb chronic pain, and four ensuing handouts that present four different approaches to practicing the Relaxation Response
Chronic Pain and the Relaxation Response Patient Handout
Deep Breathing Method Patient Handout
Tense and Relax (Progressive Muscle Relaxation) Patient Handout
Guided Imagery Patient Handout
Mindful Meditation Patient Handout

American Geriatrics Society (AGS) Foundation for Health in Aging
Daily Pain Diary
A printable form for patients to record the quality of their daily pain, triggers, treatments used, and side effects
2016

Centers for Medicare & Medicaid Services (CMS)
Know What Medicare Covers to Help Manage Your Pain
List of covered options to help people manage their pain safely and effectively
2019

PainAction
Patient Self-Management
Provides pain management resources that can be customized for back pain, migraine pain, cancer pain, and neuropathic pain

Medicare.gov
Your Medicare Coverage: Pain Management
Information on what Medicare covers for pain management and how

National Center for Complementary and Integrative Health
Chronic Pain: In Depth
Outlines complementary health approaches for addressing chronic pain, including information about scientific evidence, safety, research, and more

PROVIDER RESOURCES

Centers for Medicare & Medicaid Services (CMS), Medicare Learning Network (MLN) Matters
Medicare Coverable Services for Integrative and Non-Pharmacological Chronic Pain Management
Article for physicians, non-physician practitioners (NPPs), hospitals, and other providers furnishing and billing Medicare Administrative Contractors (MACs) for chronic pain management services for Medicare beneficiaries
2019

C.S. Cleeland, PhD, Pain Research Group
The Brief Pain Inventory (Long Form)
Patient assessment form
1991

C.S. Cleeland, PhD, Pain Research Group
The Brief Pain Inventory (Short Form)
Patient assessment form
1991

Inflexxion, Inc.
Screener and Opioid Assessment for Patients with Pain – Revised (SOAPP-R)
Free questionnaire, with scoring instructions, to help clinicians better predict a patient’s likelihood for misusing or abusing opioids, documenting decisions, and justifying referrals to specialty pain clinics
2008

Webster, MD and Emerging Solutions in Pain
The Opioid Risk Tool (ORT)
A form to score the substance abuse risk of a patient being considered for treatment with opioids
2005

Oregon Health & Science University, Area Health Education Center (AHEC)
Getting the Best Result from Opioid Pain Medication: A Partnership Agreement
An agreement for the health care provider and patient with chronic pain to agree to and sign

Arnstein, PhD
Assessment of Nociceptive versus Neuropathic Pain in Older Adults
Recommends and provides two tools (LANSS and DN4) for distinguishing nociceptive from neuropathic pain
2009

PainEDU.org
Improving Pain Treatment Through Education
Free educational resources for clinicians including best practices, articles, publications, online roundtables, patient screening tools, and opioid risk management (no cost, registration is required)

WEBCASTS AND MULTIMEDIA PRESENTATIONS

Colorado School of Public Health Center for Health, Work and Environment
Guidelines and Tools for Improving Pain Management: Opioid Stewardship
Interactive, evidence-based course designed for healthcare providers in Colorado examining best practices for treating patients experiencing pain and reviewing the guidelines for assessing patients, developing a comprehensive treatment plan, using first-line therapies, initiating an opioid trial and regimen, monitoring patients and managing the risk of opioid abuse, overdose, and diversion, and more; one six-month subscription costs $49

Migrant Clinicians Network (MCN)
Cultural Dimensions of Pain Management
Archived webinar
2020

Montana Family Medicine Residency
Chronic Illness/Pain
Chronic Pain Management in Primary Care
CHAMPS/NWRPCA Annual Conference session presentation slides (CME not available)
2010

National Summit on Opioid Safety
Slideshare
Slide presentations from the National Summit on Opioid Safety
2012

Office of Disease Prevention and Health Promotion (ODPHP) 
Pathways to Safer Opioid Use
This interactive training promotes the appropriate, safe, and effective use of opioids to manage chronic pain
2018

PainEDU.org
REMS: Overview & Clinical Implications of Proposed FDA REMS for Opioids
CHAMPS/NWRPCA Annual Conference session presentation slides (CME not available)
2010

Improving Pain Treatment Through Education
CEU programs, articles, tools, publications and other resources

Rasmussen College School of Nursing
Pain Management in Nursing Webinar
Free 68-minute webinar that provides information on neurophysiology of pain pathways, pharmacological and non-pharmacological interventions, pathophysiology of pain, and nursing contributions to pain management
2011

TelePain, University of Washington Division of Pain Medicine
TelePain
Offers free consultation for clinicians with panel of pain specialists through weekly calls which include didactic presentations, case presentations, and interactive consultations

OTHER ONLINE RESOURCES

American Academy of Pain Medicine
www.painmed.org

American Headache Society
www.americanheadachesociety.org

American Society for Pain Management Nursing
www.aspmn.org

American Society for Regional Anesthesia and Pain Medicine
www.asra.com

Interagency Pain Research Coordinating Committee (IPRCC)National Institutes of Health (NIH) and U.S. Department of Health and Human Services (HHS)
www.iprcc.nih.gov

National Institute of Neurological Disorders and Stroke
www.ninds.nih.gov/Disorders/All-Disorders/Chronic-Pain-Information-Page