Form 0917-0036 Evaluation Survey

Form Approved

OMB No. 0917-0036

Exp. Date XX/XX/20XX

Evaluation of Indian Health Service Mandatory Pain and Opioid Training and Prescriber Habits before and after training

Purpose: To collect information from clinicians who completed the Mandatory Pain and Opioid Use Disorder Training from February 2015 – December 2017.

1. Are you a prescribing health provider working in an Indian Health Service federal health facility?

1. Yes

2. No

If No, do not complete this survey.

2. Do you provide clinical services greater than or equal to 50 percent of your time at your assigned facility?

1. Yes

2. No

3. What type of appointment do you currently hold as an employee within IHS?

1. Federal

2. Public Health Officer, Commission Core- Federal site

3. Contractor- Federal site

4. How long have you been in your current appointment?

1. Less than 90 days

2. Greater than 90 days

5. Which IHS Area are you located?

1. Albuquerque

2. Bemidji

3. Billings

4. Great Plains

5. Nashville

6. Navajo

7. Oklahoma

8. Phoenix

9. Portland

6. Did you complete the mandatory “IHS Essential Training on Pain and Addiction”?

1. Yes

2. No

6 (b) If yes, when did you complete training? _________________ (Month, year)

7. How did you complete the training?

1. Online

2. Live Webinar

8. Have you taken any similar training on opioid use and pain management prior to completing this training?

1. Yes

2. No

If yes, when did you complete this training? _____________ (Month, Year)

9. What is your area of clinical specialty? (to add more specialties)

1. Internal Medicine

2. Family Medicine

3. Surgery

4. Emergency Medicine

5. Hematology

6. Oncology

7. Dentistry

8. Primary Care

9. Pediatrics

10. Neurology

11. Orthopedic Surgery

12. Obstetrics and Gynecology

13. Radiology

14. Cardiology

15. Psychiatry

16. Dermatology

17. Gastroenterology

18. Urology

19. Otolaryngology

20. Pulmonology

21. Endocrinology

22. Neurosurgery

23. Pathology

24. Nephrology

25. Physical Medicine and Rehabilitation

26. Anesthesiology

27. Pain Management and Palliative Care

28. Other (Specify) ____________________

The questions below are designed to better understand perceived support and/or challenges among prescribers within IHS facilities regarding the knowledge and implementation of best practices described in the Pain and Addiction, Opioid Use Disorder training modules.

Background:

10. In the table below, select whether you found each module useful or not useful.

Do you think the pain and opioid use disorder training was useful?

1. Yes

2. No

Modules	Useful	Not Useful
Overview of the Public Health Crises of Chronic Pain and Unintentional Overdose Deaths
Screening for Addiction
Non-Opioid Pharmacotherapy for Patients with Chronic Pain
Safe(r) Opioid Prescribing
Pediatric Pain
Naloxone as a Harm Reduction Tool for Patients at Risk for Opioid Overdose and How Patients can safely contain and dispose of their Opioid Analgesics
Controlled Substances Vignette
Pain and Psychological Comorbidities Vignette

11. Do you consider opioid overprescribing to be a problem within your facility?

a) Yes

b) No

12. Would you consider yourself aware of your opioid and pain medication prescribing habits?

a) Yes

b) No

Challenges, Resources, Support:

13. Did you encounter challenges or barriers in implementing the information learned in the pain and opioid use disorder trainings and/or best practices?

1. Yes

2. No

14. If yes, please select which categorize(s) best describes the types of challenges and barriers:

1. Administrative Support

2. Leadership support at facility or Area-level

3. Lack of Pharmacy Tools and Resources

4. Patient Expectations

5. Cultural/Community Expectations

6. Conflicts with prior training/clinical experience

7. Other (specify)

15. Please describe any resources, tools, or suggestions that would help you succeed in safe opioid prescribing at the facility level.

1. Frequent trainings

2. Additional trainings

3. Improved Self-Monitoring Pharmacy Tools and Resources

4. Enhanced communication regarding Agency available resources

5. Other (specify)

16. Do you have non-pharmacological alternatives available to avoid prescribing opioid medication for pain management?

a) Yes

b) No

17. Do you have non-opioid alternatives available to avoid prescribing opioid medication for pain management?

a) Yes

b) No

18. Which of the following resources do you use to guide your opioid prescribing practices?

1. IHS guidelines

2. CDC guidelines

3. VA guidelines

4. Facility -level guidelines

5. State-based guidelines

6. Specialty society guidelines

7. Other trainings

19. In your opinion, should your health facility do more to support physicians in their effort to prevent opioid overprescribing, abuse and misuse?

a) Yes

b) No

20. If yes, what support would be helpful? __________________________________________.

21. Are you aware of the IHS pain Management website, https://www.ihs.gov/painmanagement/

a) Yes

b) No

22. Are you aware of the IHS Medication Assisted Training website https://www.ihs.gov/odm/mat/ ?

a) Yes

b) No

23. Are you aware of IHS policy on prescribing guidelines for Chronic Non-Cancer Pain, https://www.ihs.gov/ihm/index.cfm?module=dsp_ihm_pc_p3c30 ?

a) Yes

b) No