Chronic pain management is an evolving and complex multi-specialty practice. As the use of interventional pain procedures for the management of chronic pain has expanded, hospital wait lists for these procedures have grown. Increasingly, procedural pain management (PPM) is being provided in private clinics and physician offices, but without much guidance on appropriate credentials, settings, techniques and equipment. This can create significant risk of harm to patients.
- the PPM procedures that may only be performed in an accredited facility,
- the requirements for imaging (ultrasound, fluoroscopy, CT),
- the requirements for infection, prevention and control, and
- the requirements for patient safety and quality care.
The process for developing these standards included convening an advisory panel of subject-matter experts in pain medicine, anesthesiology (including family practice anesthesia), interventional radiology and physical medicine and rehabilitation.
In parallel was the BC Medical Quality Initiative’s development of a new privileging dictionary for PPM which categorizes such procedures, using a tiered approach, from Basic to Advanced II. There has also been discussion with the Ministry of Health, including the provincial chronic pain strategy group, health authorities and front-line care providers regarding the impact of this quality and safety initiative.
- Procedural Pain Management (core standards)
- Procedural Pain Management – Emergency Cart
- Procedural Pain Management – Ultrasound Modality
- Procedural Pain Management – X-ray Modality