Making Nursing Homes Better Places to Live, Work and Visit!
www.nhqualitycampaign.org

• There are many ways to measure Pain
Management in nursing homes.
• Different organizations use different tools, so the nice thing about the campaign and using this tool is that it provides a national standardized way to track nursing home Pain Management. www.nhqualitycampaign.org

Use of this tool is not required. However we encourage nursing homes to use this tool to track your Pain Management because it automatically calculates, trends and graphs Pain
Management on a quarterly basis with a standardized methodology.
www.nhqualitycampaign.org

• Implementation Guide
• Pain Fact Sheets
– 1 for consumers
– 1 for nursing home staff
• Tracking Tool & Instructional Webex
• Video’s, Guidance and much more

www.nhqualitycampaign.org

Pain – Goal Definition
Goal 5 Pain:
• Goal: Nursing home residents will receive appropriate care to prevent and minimize episodes of moderate or severe pain.
• Objectives for long stay and short stay are slightly different.
•Section A relating to Chronic Care (or Long Term)
Resident’s Pain and
•Section B relating to the Post Acute Care (or Short
Stay) Resident’s Pain
The tool allows you to record the presence of pain symptoms for both short-term stay and long-term stay residents. www.nhqualitycampaign.org

www.nhqualitycampaign.org

• Go to the Goal and download the tool into your computer.
• You will need Excel
• Save the tool to your computer BEFORE you enter any data – we suggest you put a date on the tool as you save it
• Size the tool to fit your computer
• Gathered information before filling out the tool.
• Data is entered in the blue columns and you will use drop down boxes www.nhqualitycampaign.org

• Allows nursing home to monitor Pain for both long stay and short stay residents
• This is a quarterly tool tied to resident Care
Planning dates
• The data is entered each week for 12 weeks. At the end of 12 weeks you will start with a fresh tool. You may start and end your 12 weeks any time suitable for your nursing home. You may choose to start at the beginning of a quarter. www.nhqualitycampaign.org

Instructions: Generate a list of all residents who will be reviewed in the care planning meeting each week. Complete this form as you proceed through the assessment and care planning process. Enter the resident's name and check the boxes that apply for that resident. If a resident does not have pain, you do not need to answer the remaining questions for pain. www.nhqualitycampaign.org

The Pain Tool Does NOT Calculate the nursing home’s pain rate!
It looks at individual residents severity of pain and treatment once in a 12 week period.
www.nhqualitycampaign.org

• The tool creates four different tracking and trending graphs on the second to last tab of the spreadsheet.
• These graphs can be used for your quality improvement committee or to print off and to post in your home to inform others of your quality improvement efforts.
• The graphs provided by the tool include:
1. Pain management for long stay residents
2. Pain management short stay residents
3. The frequency of response type on verbal descriptor scale
4. The average worst pain www.nhqualitycampaign.org

Information and data used to put in the tools will be gathered by you before filling out the tool. This information can be found primarily in the resident
MDS 3.0 Section J.
Other sources of pain data include:
• Computer vendor MDS 3 reports.
• In the Medication and Treatment Administration Records
(MAR/TAR)
• Pain Management Tracking reduction committee notes
• Physical, occupational and other therapy records, activities notes
• Individual resident medical records www.nhqualitycampaign.org

There is no Campaign Website Data entry required for the Pain goal or any of the clinical goals.
This tools is provided for your internal tracking, monitoring and quality improvement purposes
Website data entry is only required for the
“organizational” goals (goal #’s1,2,6,7 & 8) www.nhqualitycampaign.org

www.nhqualitycampaign.org

Pain Tool Welcome Page www.nhqualitycampaign.org

Pain Tool Instruction Page www.nhqualitycampaign.org

Pain Tool Q & A Page www.nhqualitycampaign.org

Pain Data Entry Page Week 1 www.nhqualitycampaign.org

Pain Data Summary Page Populated with Data www.nhqualitycampaign.org

Pain Graph / Trends Page www.nhqualitycampaign.org

Changes Documentaiton Page www.nhqualitycampaign.org

Tammy Rolfe
(207)242-5386 trolfe@leadingage.org
www.nhqualitycampaign.org