ACP Advance Chronic Pain and Substance Use Disorder Practice Assessment

1 Introduction 2 Practice Background 3 Quality Improvement Goals and Capacity 4 Chronic Pain and Substance Use Disorder Management 5 Demographics 6 Complete

The following practice assessment tool is designed to help you review the current quality improvement (QI) capacity in order to identify effective strategies for practice improvement. Your individual practice results will not be disclosed to anyone outside of the project leaders.

Answer each question from the perspective of your practice. For each question, select the response that best describes your current approach to care.

Your Contact Infomation

Provide your name, email, and phone number.

Name *

Email Address *

Phone Number *

Your Practice Information

Provide your practice name, street address and phone number.

Name *

Street Address *

City, State, Zip *

Phone Number *

ACP CONTACT INFORMATION
For more information, please contact:
Julia Thayer; Email: jthayer@acponline.org

ACKNOWLEDGEMENT
Funding for this initiative was made possible (in part) by:

Grant no. 5U79TI026556 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

Grant no. 6H79TI080816 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

REFERENCES
• American College of Physicians (ACP) Practice Advisor. http://www.practiceadvisor.org.
• Joly BM, Booth M, Mittal P, Shaler G. (2012). Measuring Quality Improvement in Public Health: The Development and Psychometric Testing of a QI Maturity Tool. Evaluation & the Health Professions, 35(2) 119-147.
• Knox L, Brach C. The Practice Facilitation Handbook: Training Modules for New Facilitators and Their Trainers. (Prepared by LA Net through a subcontract with the University of Minnesota under Contract No. HHSA290200710010 TO 3.) Rockville, MD: Agency for Healthcare Research and Quality; June 2013. AHRQ Publication No. 13-0046-EF.

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