| Overall (n = 623) | Physicians | ARNPs | Spokane | Group Health | |
|---|---|---|---|---|---|
| Read and/or applied guideline | 309/562 (55) | 200/282 (70.9) | 95/237 (40.1) | 33/65 (50.8) | 27/45 (60.0) |
| Yellow flag dose (120 mg/day morphine equivalents) reasonable or too high | 489/561 (87.2) | 241/283 (85.2) | 211/237 (89.0) | 58/65 (89.2) | 42/46 (91.3) |
| Tools available in clinic | |||||
| Policy, guideline, or algorithm for prescribing opioids for CNCP | 344/592 (58.1) | 194/285 (68.1) | 116/239 (48.5) | 39/72 (54.2) | 42/47 (89.4) |
| Electronic prescription record linked to EMR | 440/590 (74.6) | 238/283 (84.1) | 150/240 (62.5) | 57/71 (80.3) | 45/46 (97.8) |
| Of those who tried to obtain a pain management consultation, percentage never or almost never successful | 64/408 (15.7) | 34/219 (15.5) | 29/175 (16.6) | 17/40 (42.5) | 1/30 (3.3) |
| How helpful would you find each of the following in managing your patients with CNCP? (% somewhat or very helpful) | |||||
| Telephone consultation with experts | 445/532 (83.6) | 219/282 (77.7) | 212/234 (90.6) | 49/61 (80.3) | 39/44 (88.6) |
| Telemedicine or web-based tool | 360/532 (67.7) | 169/281 (60.1) | 178/235 (75.7) | 44/61 (72.1) | 28/43 (65.1) |
| Web-based CME training | 466/531 (87.8) | 234/279 (83.9) | 218/235 (92.8) | 49/61 (80.3) | 40/43 (93.0) |
| Patient decision aids | 468/533 (87.8) | 240/280 (85.7) | 213/237 (89.9) | 54/60 (90.0) | 37/43 (86.0) |
| Advanced training that would provide a certificate of special competence in treatment of CNCP | 420/531 (79.1) | 195/278 (70.1) | 209/236 (88.6) | 41/60 (68.3) | 34/43 (79.1) |
| Prescription monitoring program | 479/534 (89.7) | 255/280 (91.1) | 207/237 (87.3) | 57/61 (93.4) | 42/44 (95.5) |
| Collaborative drug therapy agreement with pharmacists to prescribe or manage patients taking opioids (% yes) | 95/539 (17.6) | 96/284 (33.8) | 37/238 (15.5) | 8/62 (12.9) | 21/44 (47.7) |
Values are n/N (%).
↵* There were 623 respondents who said that they treated patients with chronic noncancer pain (CNCP), but the sample size for each question differed because of missing data and skip patterns. The physician, advanced registered nurse practitioner (ARNP), Spokane, and Group Health categories are subgroups of the overall group and may overlap.
CME, continuing medical education; EMR, electronic medical record; Q24f.