TY - JOUR KW - Analgesics, Opioid/therapeutic use KW - Chronic Disease KW - Computer Systems KW - Data Collection/methods KW - Documentation/methods KW - Drug Prescriptions/standards KW - Humans KW - Pain/drug therapy AU - B. L. Wilsey AU - S. M. Fishman AU - C. Casamalhuapa AU - N. Singh A1 - AB - OBJECTIVE: We herein provide a description of a health information technology tool using computer-assisted survey instruments as a methodology for documentation during long-term opioid therapy. DESIGN: We report our experience using the Prescription Opioid Documentation and Surveillance (PODS) System, a medical informatics tool that utilizes validated questionnaires to automate the assessment of opioid prescribing for chronic nonmalignant pain. SETTING AND PATIENTS: Chronic pain patients answered questions that were presented on a computer terminal prior to each appointment in a Department of Veterans Affairs Pain Clinic. MEASURES: Pain levels, activities of daily living, and screening for common psychological disorders were sought at each visit. Results were tabulated with some information gathered sequentially permitting evaluation of progress. Following a face-to-face interview, the clinician added additional comments to the medical record. RESULTS: By deploying a systematic series of questions that are recalled by the computer, PODS assures a comprehensive assessment. CONCLUSIONS: The PODS fulfills medicolegal requirements for documentation and provides a systematic means of determining outcomes. This process facilitates the determination of the appropriate intervals between clinic visits by stratifying patients into high, moderate, and low risk. BT - Pain medicine (Malden, Mass.) C5 - Opioids & Substance Use; HIT & Telehealth CP - 11 CY - England DO - 10.1111/j.1526-4637.2010.00977.x IS - 11 JF - Pain medicine (Malden, Mass.) N2 - OBJECTIVE: We herein provide a description of a health information technology tool using computer-assisted survey instruments as a methodology for documentation during long-term opioid therapy. DESIGN: We report our experience using the Prescription Opioid Documentation and Surveillance (PODS) System, a medical informatics tool that utilizes validated questionnaires to automate the assessment of opioid prescribing for chronic nonmalignant pain. SETTING AND PATIENTS: Chronic pain patients answered questions that were presented on a computer terminal prior to each appointment in a Department of Veterans Affairs Pain Clinic. MEASURES: Pain levels, activities of daily living, and screening for common psychological disorders were sought at each visit. Results were tabulated with some information gathered sequentially permitting evaluation of progress. Following a face-to-face interview, the clinician added additional comments to the medical record. RESULTS: By deploying a systematic series of questions that are recalled by the computer, PODS assures a comprehensive assessment. CONCLUSIONS: The PODS fulfills medicolegal requirements for documentation and provides a systematic means of determining outcomes. This process facilitates the determination of the appropriate intervals between clinic visits by stratifying patients into high, moderate, and low risk. PP - England PY - 2010 SN - 1526-4637; 1526-2375 SP - 1707 EP - 1717 EP - T1 - Computerized progress notes for chronic pain patients receiving opioids; the Prescription Opioid Documentation System (PODS) T2 - Pain medicine (Malden, Mass.) TI - Computerized progress notes for chronic pain patients receiving opioids; the Prescription Opioid Documentation System (PODS) U1 - Opioids & Substance Use; HIT & Telehealth U2 - 21044261 U3 - 10.1111/j.1526-4637.2010.00977.x VL - 11 VO - 1526-4637; 1526-2375 Y1 - 2010 ER -