Redesigning delivery of opioids to optimize pain management, improve outcomes, and contain costs

Pain Med. 2013 Jan;14(1):36-42. doi: 10.1111/pme.12013. Epub 2012 Dec 28.


Introduction: Chronic pain is a public health concern, and in the last decade, there has been a dramatic increase in the use and abuse of prescription opioids for chronic non-cancer pain.

Methods: We present an overview of a five-component model of pain management implemented at the University of Washington Division of Pain Medicine designed to facilitate recent state guidelines to reduce the risks associated with long-term use of prescription opioids.

Results: Central to the model described are guidelines for best clinical practice, a collaborative care approach, telehealth solutions, comprehensive prescription-monitoring, and measurement-based care.

Discussion: The model presented is a patient-centered, efficient, and cost-effective approach to the management of chronic pain.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analgesics, Opioid / economics*
  • Analgesics, Opioid / therapeutic use*
  • Cost Control / methods
  • Health Care Costs / statistics & numerical data
  • Humans
  • Pain Management / economics*
  • Pain Management / methods*
  • Patient Care Team / economics
  • Patient Care Team / organization & administration*
  • Quality Improvement / economics
  • Quality Improvement / organization & administration*
  • Washington


  • Analgesics, Opioid