Hospital Pain Management Resources

Hospital Resources

Janssen Pharmaceuticals, Inc., is committed to improving pain management in hospitals and health care systems and supports their efforts to elevate quality and build and maintain high performing pain management services.

Awareness of pain management now plays an even more important role as it is one of the eight key topics that comprise the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The Patient Protection and Affordable Care Act of 2010 includes HCAHPS among measures that will be used to calculate value-based incentive payments which began with patient discharges in October 2012.

In partnership with the Join Commission Resources, Janssen Pharmaceuticals, Inc., is pleased to support a dedicated program that will allow hospitals and health care systems to assess, analyze, monitor, and improve their pain management service. “Pain Management: A Systems Approach to Improving Quality and Safety,” is a four-module resource designed to assist healthcare organizations in performing an objective assessment of existing strategies to manage pain and to use demonstrated performance improvement methods and tools to address gaps and improve performance in pain management from a systems approach. It includes the experiences of five healthcare organizations on their journey to improved pain processes.

Utilizing current knowledge about pain management processes can substantially benefit organizations by assessing current practice, identifying gaps, and implementing change. Doing so will improve business outcomes for value-based purchasing, enhance patient satisfaction and quality measures, and strengthen HCAHPS survey scores.

To learn more about our Commitment to Improving Pain Management in the Hospital click here

Full Module for Download

Pain Management: A Systems Approach to Improving Quality and Safety


The full modular set (Modules 1-4) is designed to help you perform comprehensive assessment, analysis, monitoring, and improvement of your pain management service at your health organization. The resource combines the four learning modules with case studies, tools, and self-study materials to form a valuable tool for leadership and staff anywhere in the world.

Click here to order a free CD containing the full modular set. This link will take you to the Joint Commission Resources website and store.

Module Summaries

Module 1 Summary: Make the Case – Assess and Improve Your Organization’s
Pain Management System


Pain management is a complex health care challenge requiring system-wide assessment and organization-wide support, which means gaining committed support from senior leadership in your organization. This first module will help you:

  • Make the case for assessing and improving your organization’s pain management system
  • Demonstrate the pain imperative
  • Provide an overview of the project that includes the current state of pain management in your organization

Download Preview of “Module 1: Make the Case” as a PDF

Module 2 Summary: Define and Measure – Assess How Pain is Managed in Your Organization


This module will help you correctly identify gaps and shortcomings in the current process that is imperative to implementing improvement mechanisms. This includes:

  • A system-wide assessment of your organization’s pain management processes across multiple transitions of patient care
  • Performing a pain system tracer
  • Developing a high-level process map specific to how pain is managed in your organization
  • Reading and understanding a case study specific to establishing priorities for pain management improvement

Download Preview of “Module 2: Define and Measure” as a PDF

Module 3 Summary: Analyze and Improve – Determine Available and/or Needed Metrics for the Measurement of the Current State of Your Pain Management System


A critical component of a successful pain management system is an organization’s ability to build infrastructure that allows for safe, effective and efficient pain management systems and processes. This module focuses on:

  • The provisions for a pain management infrastructure
  • The promotion of the patient’s continuous learning
  • The transition of care for all stakeholders

Download Preview of “Module 3: Analyze and Improve” as a PDF

Module 4 Summary: Launch and Control – The New Pain Management Process


This module will help your team pilot test its new pain management process:

  • Creating a deployment plan to set the new process into place smoothly
  • Developing communication strategies that provide information vertically and horizontally to all stakeholders in the health care organization, at ambulatory sites, and with community physicians and other clinicians.

This module helps reinforce the performance improvement framework to improve and sustain change.

Download Preview of “Module 4: Launch and Control” as a PDF

Appendix/Toolkit: Assess and Design New Pain Management Strategies


The tools and handouts in the appendix supplement Modules 1 - 4 . As you and your performance improvement (PI) team read through each module, you will find links to tools in discussions and analysis that will guide the team’s assessment and design of the organization’s new pain management strategies.

Download Preview of the “Appendix/Toolkit” as a PDF

In partnership with:

Joint commission

References Used in the Section:

  • 56Federation of State Medical Boards of the United States. Model guidelines for the use of controlled substances for the treatment of pain. Euless, TX: The Federation; 2004.
  • 57Brief Pain Inventory. Charles S. Cleeland, PhD. Pain Research Group. 1991.
  • 58National Pharmaceutical Council (NPC). Pain: current understanding of assessment, management, and treatments. NPC Web site. December 2001. Accessed June 5, 2011.
  • 59Roland MO, Morris RW. A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low back pain. Spine. 1983; 8;141-144.
  • 61Trout AT, Kallmes DF, Gray LA, et al. Evaluation of vertebroplasty with a validated outcome measure: the Roland-Morris Disability Questionnaire. AJNR Am J Neuroradiol. 2005;26(10):2652-2657.
  • 62Pain Assessment and Documentation Tool (PADT™). Janssen Pharmaceutical Products, L.P. 2003.
  • 63British Pain Society. Pain Rating Scale. Accessed June 5, 2011.
  • 64Wong DL, Baker CM. Pain in children: comparison of assessment scales. Pediatr Nurs.1988;14(1):9-17.
  • 65 Wong-Baker FACES® Foundation (2014). Wong-Baker FACES® Pain Rating Scale. Retrieved January 1, 2014 with permission from