American Society of Regional Anesthesia and Pain Medicine November 2017 - 37

from smaller regional hospitals and clinics may notice a significant
time savings.
Another benefit to our Spine Clinic system is that it provides patients
and caregivers with a cleaner line of communication. The traditional
system of individual specialist consultation, although usually
appropriate, can result in loss of valuable information. This is most
often seen in complicated chronic pain patients. For instance, in the
traditional consult system, a neurosurgical patient may be asked
to return to the Pain Clinic to be evaluated for a series of selective
nerve blocks to assist in determining pain location. However, even
this seemingly innocuous plan has countless opportunities for
failure: The patient could convey to the pain physician a different
location or type of pain, or voice his or her desire to change the
ultimate goals. The patient may simply fail to follow up on the visit.
Either way, the result is the same: confusion on the part of the
patient and provider alike. Patients and providers can quickly find
themselves operating from very different starting points, seeking
different outcomes. In the Spine Clinic, all providers who will render
care discuss the plan of care with the patient. We significantly
curtail possible confusion by simply having all providers in the same
room discussing treatment options with the patient.

Initial feedback from our patients indicates the Spine Clinic has
been well received. Patients enjoy the single visit construct in
which they can get what they see as instantaneous feedback
to their questions and concerns. Whether clinicians feel it is
reasonable to consider what could be called customer satisfaction,
its prominence in current and future medical care is certain. When
we consider the current volatile political situation surrounding
medical reform in this country, it will be necessary to implement
novel, efficient delivery systems for care. All recently adopted
and currently proposed legislation prominently features payment
systems that emphasize efficiency and standardization of care.
Future changes will likely see a continuation of the policies laid
out in Medicare Access, the CHIP Reauthorization Act (MACRA),
and other bundled payment plans with an overall trajectory
that addresses redundant and inefficient processes. It seems
reasonable that some coordination of care is necessary at the
clinic level to efficiently address the further growth requirements
of the field. At the VA Hospital in Palo Alto, California, involved
providers have found that seeing certain patients simultaneously
in a multidisciplinary setting helps address complex, spine-related
pain in a way that improves patients' clinical experience and clinic
efficiency.

American Society of Regional Anesthesia and Pain Medicine
2017

37



Table of Contents for the Digital Edition of American Society of Regional Anesthesia and Pain Medicine November 2017

No label
American Society of Regional Anesthesia and Pain Medicine November 2017 - No label
American Society of Regional Anesthesia and Pain Medicine November 2017 - 2
American Society of Regional Anesthesia and Pain Medicine November 2017 - 3
American Society of Regional Anesthesia and Pain Medicine November 2017 - 4
American Society of Regional Anesthesia and Pain Medicine November 2017 - 5
American Society of Regional Anesthesia and Pain Medicine November 2017 - 6
American Society of Regional Anesthesia and Pain Medicine November 2017 - 7
American Society of Regional Anesthesia and Pain Medicine November 2017 - 8
American Society of Regional Anesthesia and Pain Medicine November 2017 - 9
American Society of Regional Anesthesia and Pain Medicine November 2017 - 10
American Society of Regional Anesthesia and Pain Medicine November 2017 - 11
American Society of Regional Anesthesia and Pain Medicine November 2017 - 12
American Society of Regional Anesthesia and Pain Medicine November 2017 - 13
American Society of Regional Anesthesia and Pain Medicine November 2017 - 14
American Society of Regional Anesthesia and Pain Medicine November 2017 - 15
American Society of Regional Anesthesia and Pain Medicine November 2017 - 16
American Society of Regional Anesthesia and Pain Medicine November 2017 - 17
American Society of Regional Anesthesia and Pain Medicine November 2017 - 18
American Society of Regional Anesthesia and Pain Medicine November 2017 - 19
American Society of Regional Anesthesia and Pain Medicine November 2017 - 20
American Society of Regional Anesthesia and Pain Medicine November 2017 - 21
American Society of Regional Anesthesia and Pain Medicine November 2017 - 22
American Society of Regional Anesthesia and Pain Medicine November 2017 - 23
American Society of Regional Anesthesia and Pain Medicine November 2017 - 24
American Society of Regional Anesthesia and Pain Medicine November 2017 - 25
American Society of Regional Anesthesia and Pain Medicine November 2017 - 26
American Society of Regional Anesthesia and Pain Medicine November 2017 - 27
American Society of Regional Anesthesia and Pain Medicine November 2017 - 28
American Society of Regional Anesthesia and Pain Medicine November 2017 - 29
American Society of Regional Anesthesia and Pain Medicine November 2017 - 30
American Society of Regional Anesthesia and Pain Medicine November 2017 - 31
American Society of Regional Anesthesia and Pain Medicine November 2017 - 32
American Society of Regional Anesthesia and Pain Medicine November 2017 - 33
American Society of Regional Anesthesia and Pain Medicine November 2017 - 34
American Society of Regional Anesthesia and Pain Medicine November 2017 - 35
American Society of Regional Anesthesia and Pain Medicine November 2017 - 36
American Society of Regional Anesthesia and Pain Medicine November 2017 - 37
American Society of Regional Anesthesia and Pain Medicine November 2017 - 38
American Society of Regional Anesthesia and Pain Medicine November 2017 - 39
American Society of Regional Anesthesia and Pain Medicine November 2017 - 40
American Society of Regional Anesthesia and Pain Medicine November 2017 - 41
American Society of Regional Anesthesia and Pain Medicine November 2017 - 42
American Society of Regional Anesthesia and Pain Medicine November 2017 - 43
American Society of Regional Anesthesia and Pain Medicine November 2017 - 44
American Society of Regional Anesthesia and Pain Medicine November 2017 - 45
American Society of Regional Anesthesia and Pain Medicine November 2017 - 46
American Society of Regional Anesthesia and Pain Medicine November 2017 - 47
American Society of Regional Anesthesia and Pain Medicine November 2017 - 48
American Society of Regional Anesthesia and Pain Medicine November 2017 - 49
American Society of Regional Anesthesia and Pain Medicine November 2017 - 50
American Society of Regional Anesthesia and Pain Medicine November 2017 - 51
American Society of Regional Anesthesia and Pain Medicine November 2017 - 52
American Society of Regional Anesthesia and Pain Medicine November 2017 - 53
American Society of Regional Anesthesia and Pain Medicine November 2017 - 54
American Society of Regional Anesthesia and Pain Medicine November 2017 - 55
American Society of Regional Anesthesia and Pain Medicine November 2017 - 56
American Society of Regional Anesthesia and Pain Medicine November 2017 - 57
American Society of Regional Anesthesia and Pain Medicine November 2017 - 58
http://www.brightcopy.net/allen/asra/18-04
http://www.brightcopy.net/allen/asra/18-3
http://www.brightcopy.net/allen/asra/18-2
http://www.brightcopy.net/allen/asra/18-1
http://www.brightcopy.net/allen/asra/17-4
http://www.brightcopy.net/allen/asra/17-3
http://www.brightcopy.net/allen/asra/17-2
http://www.brightcopy.net/allen/asra/17-1
http://www.brightcopy.net/allen/asra/16-4
http://www.brightcopy.net/allen/asra/16-3
http://www.brightcopy.net/allen/asra/16-2
http://www.brightcopy.net/allen/asra/16-1
http://www.brightcopy.net/allen/asra/15-4
http://www.brightcopy.net/allen/asra/15-3
https://www.nxtbook.com/allen/asra/15-2
https://www.nxtbook.com/allen/asra/15-1
https://www.nxtbookmedia.com